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A colpotomy is a surgical procedure where an incision is made in the vaginal wall. It’s typically performed for various medical reasons, such as accessing the pelvic organs during surgery. The term “colpotomy” comes from the Greek words “kolpos” (meaning “vagina”) and “tome” (meaning “cutting”). Here are some key points about the procedure: Purpose: Colpotomy is used to gain access to the pelvic cavity or perform specific surgeries within the pelvis. Common indications include: Hysterectomy: Removal of the uterus. Oophorectomy: Removal of the ovaries. Salpingectomy: Removal of the fallopian tubes. Biopsy: Taking tissue samples for examination. Treatment of Endometriosis: Excision of endometrial tissue. Lysis of Adhesions: Separating scar tissue. Drainage of Abscesses: Removing infected fluid. Placement of Mesh: Repairing pelvic organ prolapse. Technique: The surgeon makes an incision in the vaginal wall using a scalpel or electrosurgical device. The incision can be vertical (longitudinal) or horizontal (transverse). The choice depends on the specific procedure and surgeon preference. Approaches: Anterior Colpotomy: Incision made in the front vaginal wall (anterior fornix). Posterior Colpotomy: Incision made in the back vaginal wall (posterior fornix). Lateral Colpotomy: Incision made on one side of the vaginal wall. Advantages: Minimally invasive compared to abdominal surgery. Faster recovery time. Reduced risk of complications. Considerations: Proper patient positioning (dorsal lithotomy position). Careful hemostasis (control bleeding). Avoiding injury to nearby structures (bladder, rectum). Closure: After the necessary procedure is performed, the colpotomy incision is closed using sutures or staples. #Colpotomy