Abstract

Objective: To describe a technique for inserting an endoscope through the posterior vaginal fornix under direct vision using an optical cannula. Design: Prospective case study. Setting: University Department of Obstetrics & Gynecology. Patient(s): Patients with infertility referred for investigation in secondary care. Intervention(s): Insertion of culdoscope using an optical cannula. Main Outcome Measure(s): Successful introduction of the culdoscope. Result(s): Sixteen of 20 patients had successful introduction of the optical cannula. There were no reported complications. Conclusion(s): Insertion of a culdoscope into the cul-de-sac can be done under visual control and this may reduce the risks of complications associated with blind insertion using a modified Veress needle.

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