Culdoscopy
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Culdoscopy
Culdoscopy is an endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall. The word culdoscopy (and culdoscope) is derived from the term cul-de-sac, which means literally in French "bottom of a sac", and refers to the rectouterine pouch (or called the pouch of Douglas). The culdoscope is a non-flexible endoscope, basically a modified laparoscope. A trocar is first inserted through the vagina into the posterior cul-de-sac, the space behind the cervix, allowing then the entry of the culdoscope. Due to the position of the patient intestines fall away from the pelvic organs which can then be inspected. Conditions diagnosable by culdoscopy include tubal adhesions (causing sterility), ectopic pregnancy, and salpingitis. Culdoscopy allows the performance of minor procedures such as tubal sterilization. Culdoscopy is performed with the patient in a knee chest position In humans an ...
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Culdoscope
Culdoscope is an instrument, a kind of endoscope, used to visualize female pelvic organs, introduced through the vagina into the pouch of Douglas, cul-de-sac (which is also called the rectouterine pouch or the pouch of Douglas). The procedure of inserting the culdoscope into the rectouterine pouch is termed culdoscopy. The word culdoscope (and culdoscopy) is derived from the phrase cul-de-sac, which in France, French literally means "bottom of a sac", here referring to a blind pouch or cavity in the female body that is closed at one end, that is the rectouterine pouch. As early as the 13th century, a cul-de-sac was a dead-end street (or a dead-end way), a blind alley. References

. Tsin DA.Development of flexible culdoscopy J Am Assoc Gynecol Laparosc. 2000 Aug;7(3):440; author reply 441–2. {{PMID, 11041659 Endoscopy ...
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Endoscopy
An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inserted directly into the organ. There are many types of endoscopies. Depending on the site in the body and type of procedure, an endoscopy may be performed by a doctor or a surgeon. During the procedure, a patient may be fully conscious or anaesthesia, anaesthetised. Most often, the term ''endoscopy'' is used to refer to an examination of the upper part of the human gastrointestinal tract, gastrointestinal tract, known as an esophagogastroduodenoscopy. Similar instruments are called borescopes for nonmedical use. History Adolf Kussmaul was fascinated by sword swallowers who would insert a sword down their throat without gagging. This drew inspiration to insert a hollow tube for observation; the next problem to solve was how to shine light th ...
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Trocar
A trocar (or trochar) is a medical device, medical or veterinary medicine, veterinary device used in minimally invasive surgery. Trocars are typically made up of an Wiktionary:awl, awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal (mechanical), seal. Some trocars also include a valve mechanism to allow for insufflation (medicine), insufflation. Trocars are designed for placement through the chest and abdominal walls during thoracoscopy, thoracoscopic and laparoscopic surgery, and each trocar functions as a portal (architecture), portal for the subsequent insertion of other endoscopic instruments such as forceps, grasper, surgical scissors, scissors, surgical staple, stapler, electrocautery, suction (medicine), suction tip, etc. — hence the more commonly used colloquial jargon "port". Trocars also allow passive evacuation of excess gas or fluid from organs within the body. Etymology The word ''trocar' ...
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Gynecological Surgery
Gynecological surgery refers to surgery on the female reproductive system usually performed by gynecologists. It includes procedures for benign conditions, cancer, infertility In biology, infertility is the inability of a male and female organism to Sexual reproduction, reproduce. It is usually not the natural state of a healthy organism that has reached sexual maturity, so children who have not undergone puberty, whi ..., and incontinence. Gynecological surgery may occasionally be performed for optional or cosmetic purposes, such as hymenoplasty or labiaplasty. Gynecologic procedures Following are different types of gynecologic procedures- * Cervical cryosurgery * Colposcopy * Dilation and Curettage (D&C) * Hysteroscopy * LEEP procedure * Pelvic laparoscopy Gynecologic surgeries Gynecological surgery includes: * Removal of ovarian cyst * surgical contraception, and * Hysterectomy Technology development With the advancement of technology there has been robot-a ...
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Knee Chest Position
In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis. It is often termed a ''compound joint'' having tibiofemoral and patellofemoral components. (The fibular collateral ligament is often considered with tibiofemoral components.) Structure The knee is a modified hinge joint, a type of synovial joint, which is composed of three functional compartments: the patellofemoral articulation, consisting of the patella, or "kneecap", and the patellar groove on the front of the femur through which it slides; and the medial and lateral tibiofemoral articulations linking the femur, or thigh bone, ...
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Tubal Sterilization
Tubal (, ''Tuḇāl''), in Genesis 10 (the "Table of Nations"), was the name of a son of Japheth, son of Noah. Modern scholarship has identified him with Tabal. Traditionally, he is considered to be the father of the Caucasian Iberians (ancestors of the Georgians) according to primary sources. Later, Saint Jerome refashioned the Caucasian Iberia (Georgia) into the Iberian Peninsula (Western Europe) and Isidore of Seville consolidated this idea. Modern scholarship Modern scholarship has identified the biblical Tubal with Tabal, an Anatolian state and region mentioned in Assyrian sources. Tabal was a post-Hittite Luwian state in Asia Minor in the 1st millennium BC. Its neighbours, the Mushki, are traditionally associated with Meshech. Some historians further connect Tabal and Tubal with the tribe on the Black Sea coast later known to the Greeks as Tibareni, although this connection is uncertain. The Tibareni and nearby tribes, the ''Chalybes'' (Khalib/Khaldi) and the Mossynoeci ('' ...
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Salpingitis
Salpingitis is an infection causing inflammation in the fallopian tubes (also called ''salpinges''). It is often included in the umbrella term of pelvic inflammatory disease (PID), along with endometritis, oophoritis, myometritis, parametritis, and peritonitis. Signs and symptoms The symptoms usually appear after a menstrual period. The most common are: an abnormal smell and colour of vaginal discharge, fever, nausea, vomiting, bloating, and frequent urination. Pain may be felt during ovulation, during periods, during sexual intercourse, on both sides of the abdomen, and lower back. Causes The infection usually has its origin in the vagina and ascends to the fallopian tube from there. Because the infection can spread via the lymph vessels, infection in one fallopian tube usually leads to infection of the other. Risk factors It's been theorized that retrograde menstrual flow and the cervix opening during menstruation allow the infection to reach the fallopian tubes. Other ...
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Ectopic Pregnancy
Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. The pain may be described as sharp, dull, or crampy. Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Severe bleeding may result in a fast heart rate, fainting, or shock. With very rare exceptions, the fetus is unable to survive. Overall, ectopic pregnancies annually affect less than 2% of pregnancies worldwide. Risk factors for ectopic pregnancy include pelvic inflammatory disease, often due to chlamydia infection; tobacco smoking; endometriosis; prior tubal surgery; a history of infertility; and the use of assisted reproductive technology. Those who have previously had an ectopic pregnancy are at much higher risk of having another one. Most ectopic pregnancies (90%) occur in the fallopian tube, which ...
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Cervix
The cervix (: cervices) or cervix uteri is a dynamic fibromuscular sexual organ of the female reproductive system that connects the vagina with the uterine cavity. The human female cervix has been documented anatomically since at least the time of Hippocrates, over 2,000 years ago. The cervix is approximately 4 cm long with a diameter of approximately 3 cm and tends to be described as a cylindrical shape, although the front and back walls of the cervix are contiguous. The size of the cervix changes throughout a woman's life cycle. For example, women in the fertile years of their reproductive cycle tend to have larger cervixes than postmenopausal women; likewise, women who have produced offspring have a larger cervix than those who have not. In relation to the vagina, the part of the cervix that opens to the uterus is called the ''internal os'' and the opening of the cervix in the vagina is called the ''external os''. Between them is a conduit commonly called the cervic ...
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Pouch Of Douglas
The rectouterine pouch (rectovaginal pouch, pouch of Douglas or cul-de-sac) is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female. Structure In women, the rectouterine pouch is the deepest point of the peritoneal cavity. It is posterior to the uterus, and anterior to the rectum. Its anterior boundary is formed by the posterior fornix of the vagina. The pouch on the other side of the uterus near to the anterior fornix is the vesicouterine pouch. After passing over the fundus of the uterus, the peritoneum extends inferiorly along the entire posterior aspect of the uterus, reaching the posterior vaginal wall before reflecting superior-ward onto the anterior aspect of the rectal ampulla (i.e. the inferior portion of the rectum). In men, the region corresponding to the rectouterine pouch is the rectovesical pouch, which lies between the urinary bladder and rectum. Peritoneal fluid It is normal to have appr ...
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Surgical Procedure
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ...
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France
France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlantic, North Atlantic, the French West Indies, and List of islands of France, many islands in Oceania and the Indian Ocean, giving it Exclusive economic zone of France, one of the largest discontiguous exclusive economic zones in the world. Metropolitan France shares borders with Belgium and Luxembourg to the north; Germany to the northeast; Switzerland to the east; Italy and Monaco to the southeast; Andorra and Spain to the south; and a maritime border with the United Kingdom to the northwest. Its metropolitan area extends from the Rhine to the Atlantic Ocean and from the Mediterranean Sea to the English Channel and the North Sea. Its Regions of France, eighteen integral regions—five of which are overseas—span a combined area of and hav ...
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