Culdocentesis
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Jaypee’s Video Atlas of Surgical Techniques in Gynecology and Obstetrics

by Shalini Rajaram
About Video

First, a pelvic examination is done. Then, the cervix is grasped with vulsellum and lifted slightly. A long, needle (18 G) is inserted through the vaginal wall (just below the uterus). A sample is taken of any fluid found in the space, and the needle is then withdrawn. No fluid in the cul-de-sac, or a very small amount of clear fluid, is normal. If nonclotting blood is found in the cul-de-sac it is suggestive of ruptured ectopic pregnancy. If fluid/pus is drawn, it is cultured.

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