An Anesthetic Technique for Culdoscopic Examination

One stop fertility clinic

“…Culdoscopy (telescopic examination of the Pouch of Douglas via the posterior vaginal fornix) was introduced to gynaecological practice in 1941 (Decker et al 1950). It was superseded by laparoscopy which provided a more complete view of the peritoneal cavity, but recently a refined version of culdoscopy was re-introduced for the investigation of infertility.…”

Culdoscopy to examine the contour of the uterus before hysteroscopic metroplasty for uterine septum

“…Culdoscopy has been used in gynaecological practice since Decker introduced it in 1941 4 . It is an endoscopic procedure that permits visualisation of the pouch of Douglas and pelvic organs through a puncture in the posterior vaginal fornix.…”

Culdoscopy*

“…Local infiltration analgesia, with or without oral analgesics, makes culdoscopy technically more difficult as well as uncomfortable and embarrassing for the patient. The literature suggests that, in the U.S.A. at least, this method is being generally discarded in favour of low spinal or caudal anaesthesia (Decker et al, 1950;Decker, 1952;Frenkel et al, 1952;Buxton and Herrmann, 1954;Kelly and Rock, 1956;Golden, 1959). For "saddle block", either hypobaric or hyperbaric intrathecal preparations are employed.…”

“…It was these workers who named the operation culdoscopy and the instrument the culdoscope. The introduction of the knee-chest position changed the whole status of culdoscopy and resulted in its adoption by many clinics throughout the world (Palmer, 1947;TeLinde and Rutledge, 1948;Decker et al, 1950;Frenkel et al, 1952;Buxton and Herrmann, 1954;Thomsen, 1954;Abarbanel, 1955;Grant, 1956;Kelly and Rock, 1956;Clyman, 1957;Josey et al, 1957;Jeffcoate, 1958;Cohen, 1959). So far, however, it has not attracted much attention and popularity in this country.…”