Cul-de-sac insufflation to induce pneumoperitoneum: an analysis of rare problems

Since 1977, cul-de-sac insufflation has been used to achieve pneumoperitoneum for laparoscopic sterilization of 570 women. The authors have previously published findings on 350 of these women (Int J Gynaecol Obstet 17(4):375, 1980), reporting technical failure rates of 3.6% and 1.9% for a series of...

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Bibliographic Details
Published inInternational journal of gynecology and obstetrics Vol. 18; no. 4; p. 245
Main Authors van Schie, K J, van Lith, D A, Beekhuizen, W, du Plessis-Alblas, M
Format Journal Article
LanguageEnglish
Published United States 1980
Subjects
Douglas' Pouch
Female
Humans
Laparoscopy
Pneumoperitoneum, Artificial - adverse effects
Pneumoperitoneum, Artificial - methods
Sterilization, Tubal
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Summary:Since 1977, cul-de-sac insufflation has been used to achieve pneumoperitoneum for laparoscopic sterilization of 570 women. The authors have previously published findings on 350 of these women (Int J Gynaecol Obstet 17(4):375, 1980), reporting technical failure rates of 3.6% and 1.9% for a series of 195 and 155 women, respectively. The failure rate for the latest series of 220 women declined to 1.4%. Reasons for this lower rate and recurring causes of the failures are given, and recommendations for the use of cul-de-sac insufflation for inducing pneumoperitoneum are suggested.
ISSN:0020-7292
DOI:10.1002/j.1879-3479.1980.tb00489.x