culdoplasty

cul·do·plas·ty

(kŭl'dō-plas'tē),
Plastic surgery to remedy relaxation of the posterior fornix of the vagina.
[cul-de-sac + G. plastos, formed]

culdoplasty

(kŭl′də-plăs′tē, ko͝ol′-)
n.
A surgical procedure to remedy relaxation of the posterior fornix of the vagina.

cul·do·plas·ty

(kŭl'dō-plas-tē)
Plastic surgery to remedy relaxation of the posterior fornix of the vagina.
[cul-de-sac + G. plastos, formed]
References in periodicals archive ?
It is difficult to know what CPT code to use for billing when my practice's physicians do a McCall culdoplasty during a vaginal or laparoscopic hysterectomy.
Vaginal procedures are McCall culdoplasty, high uterosacral ligament suspension, iliococcygeus fascia suspension, Sacrospinous ligament fixation.
Additional procedures, including vaginal hysterectomy, McCall's culdoplasty, sacrospinous colpopexy and sacrospinous cervicopexy, were carried out wherever appropriate.
Only 46% reported performing cystoscopy after doing a uterosacral ligament suspension; 29%, after McCall's culdoplasty; and 34%, after an anterior repair.
These include the vaginal procedures McCall culdoplasty; plication of the uterosacral ligament; sacrospinous or prespinous fixation for vaginal vault prolapse; and Sacrocolpopexy (performed via an open procedure or laparoscopically).
The incidence of ureteral obstruction in this study was highest among those patients who underwent uterosacral ligament vaginal vault suspension (5.9%), and lowest among those who underwent distal McCall's culdoplasty (0.5%) or anterior colporrhaphy (0.4%), he noted at the meeting.
I developed what I call a "babylap" that is one-third the size of a regular laparotomy that can be used to push the bowel and other organs away to gain better visualization while removing the ovaries and performing a McCall culdoplasty.
Uterosacral vaginal vault suspension was associated with a higher rate of ureteral obstruction (5.9%) than other procedures used in the series, including proximal McCall's culdoplasty (4.4%), distal McCall's culdoplasty (0.5%), and anterior repair (0.4%), Dr.
The concept of utilizing the uterosacral ligaments to support the vaginal cuff and correct an enterocele is nothing new: As early as 1957, Milton McCall described what became known as the McCall culdoplasty, in which sutures incorporated the uterosacral ligaments into the posterior vaginal vault to obliterate the cul-de-sac and suspend or support the vaginal apex at the time of vaginal hysterectomy.
-- Prevention is the best medicine when it comes to enterocele formation, so consider performing a McCall's culdoplasty in all patients undergoing vaginal hysterectomy, G.
In addition, consider performing prophylactic McCall's culdoplasty or uterosacral cuff suspension at the time of all hysterectomies, by all routes--even in the absence of prolapse.