Can the pouch of Douglas be removed?
It seems to the editor that the uterosacml ligaments and pouch of Douglas are seldom removed when hysterectomy is performed in the type of casm reported in this paper one achieves mobility of the uterus before its removal by cutting the uterosacral ligaments, not removing them; in these cases we are concerned about the …
When there is fluid in the pouch of Douglas What does it mean?
A small amount of fluid in the cul-de-sac is normal. But if the sample shows signs of pus or blood, the area may need to be drained. Blood in the fluid could mean a cyst has ruptured or there is a tear. It could also be a sign of an ectopic pregnancy. Pus could mean you have an infection.
Do males have a pouch of Douglas?
The pouch of Douglas (cul-de-sac) represents the caudal extension of the peritoneal cavity. It is the rectovaginal pouch in the female and the rectovesical pouch in the male. The cul-de-sac is in a dependent position when either upright or supine; it is, therefore, a frequent location for seeded lesions.
What does no free fluid in the pouch of Douglas mean?
Fluid or blood in the Pouch of Douglas may be a feature of a tubal pregnancy that is aborting or that has ruptured. In the Pouch of Douglas, free fluid may emanate from a ruptured or leaking ectopic gestation and/or from a ruptured corpus luteum.
Is pouch of Douglas removed in hysterectomy?
Vaginal Hysterectomy A circumferential incision is made around the cervix. The bladder is dissected off the cervix and reflected upwards. The anterior peritoneum is opened by cutting the utero-vesical peritoneal fold. The Pouch of Douglas is opened.
How do you empty a pouch of Douglas?
Culdocentesis is the puncture and aspiration (withdrawal) of fluid from the pouch of Douglas or rectouterine pouch. The pouch of Douglas or rectouterine pouch is formed between the part of the gut and the uterus. The procedure involves the introduction of a needle through the vaginal wall into the pouch of Douglas.
What is the treatment for fluid in the pouch of Douglas?
What is the best treatment for PID?
PID is usually treated with antibiotics to provide empiric, broad spectrum coverage of likely pathogens.
Can you see pouch of Douglas on ultrasound?
The pouch of Douglas should always be evaluated at the time of a transvaginal ultrasound, as the findings are often helpful in supporting a pelvic pain diagnosis. Because fluid from the pouch of Douglas protects the body from contamination, checking it on transvaginal ultrasound is vital.
What can cause PID?
What is PID? Pelvic inflammatory disease is an infection of a woman’s reproductive organs. It is a complication often caused by some STDs, like chlamydia and gonorrhea. Other infections that are not sexually transmitted can also cause PID.
Can endometriosis grow back after hysterectomy?
When it comes to endometriosis, these surgeries are considered a treatment of last resort. They can help relieve chronic pelvic pain but aren’t a cure. The condition can return after hysterectomy, particularly in the bowels.