Colpotomy procedure steps

Colpotomy procedure steps

Colpotomy procedure steps


A colpotomy, also known as a vaginotomy, is a procedure by which an incision is made in the vagina. A colpotomy is a type of incision that is made in the back wall of the vagina. During a tubal ligation, your doctor can use a colpotomy (also known as a vaginotomy) as one of the ways to reach your fallopian tubes. A tubal ligation that uses a colpotomy incision is considered to be minimally invasive surgery. The patient is placed in a supine position on the operating table with her legs in stirrups and the incision site is prepared. An antiseptic solution, such as chlorhexidine, is applied to the skin using highly disinfected forceps and gauze swabs. The patient is covered with surgical drapes with the window positioned directly over the incision site. Throughout the procedure, the vital signs of the patient are monitored (blood pressure, pulse, respiratory rate) as well as her level of consciousness and blood loss. Pain management depends on the surgery that requires the colpotomy, and may involve local, regional, or general anesthesia. The incision is only made as large as necessary for the requirements of the overall surgery.

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For example, when a decision has been made to remove a myoma by colpotomy, the procedure may proceed as follows:

  • A small myoma screw is inserted into the myoma and a grasper with locking mechanism is placed on the lower edge of the wound.
  • The myoma is directed toward the cul-de-sac using the myoma screw.
  • A colpotomy is performed.
  • The myoma is grasped and removed vaginally. During this part of the procedure, the surgeon examines whether the myoma extends into the uterine cavity.
  • If it does, the uterus is guided to the colpotomy site. T-clamps are placed on the edges of the wounds and the fundus of the uterus is delivered, via the colpotomy incision, into the vagina.
  • The uterus is sutured in three layers (endometrial, myometrial and serosal).
  • The repaired uterus is returned to the abdominal cavity.
  • The colpotomy incision is sutured.


A colpotomy is performed either to visualize pelvic structures or to perform surgery on the fallopian tubes or ovaries.


The procedure is explained to the patient within the broader context of the surgery that includes the colpotomy. Preoperative preparation includes whatever is required for the overall surgical procedure that will be performed.


Aftercare for colpotomy is associated with the overall surgery that required the colpotomy.

For example, if a colpotomy is performed for tubal ligation (female sterilization), the procedure takes only 15–30 minutes and women usually go home the same day. It may take a few days at home to recover. Sexual intercourse is usually postponed until the colpotomy incision is completely healed, and as advised by the doctor. The healing process usually requires several weeks and there are no visible scars. In the case of a colpotomy performed for myoma removal, aftercare is more elaboate with the patient's vital signs monitored in the recovery room until she regains consciousness.

10 common questions about Colpotomy procedure steps

1What is Colpotomy procedure?
A colpotomy is a type of incision that is made in the back wall of the vagina. During a tubal ligation, your doctor can use a colpotomy (also known as a vaginotomy) as one of the ways to reach your fallopian tubes. A tubal ligation that uses a colpotomy incision is considered to be minimally invasive surgery
2What is a Colpotomy ring used for?
RUMI uterine manipulator is used to manipulate the uterus during surgery, and the Koh colpotomy ring is used to provide an insulated backstop for the colpotomy incision
3What happens during laparoscopic hysterectomy?
During a vaginal hysterectomy, your surgeon will make an incision inside your vagina or use a laparoscope to remove the uterus through the vagina. In a laparoscopic hysterectomy, your surgeon will make several small cuts in your abdomen and insert a thin, lighted camera to view your uterus on a video screen
4How is Keyhole hysterectomy performed?
laparoscopic hysterectomy (keyhole surgery) – where the womb is removed through several small cuts in the tummy. vaginal hysterectomy – where the womb is removed through a cut in the top of the vagina. abdominal hysterectomy – where the womb is removed through a cut in the lower tummy
5How long do you have to be on bed rest after a hysterectomy?
Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home
6Is hysterectomy major surgery?
Laparoscopic Hysterectomy. A hysterectomy is the surgical removal of the uterus. ... A hysterectomy is major surgery, but with new technological advances, the discomfort, risk of infection and recovery time has all been decreased. There are currently three surgical approaches to hysterectomies
7What is Minilaparotomy?
Minilaparotomy, generally referred to as “minilap,” is an abdominal surgical approach to the fallopian tubes by means of an incision less than 5 cm in length.As a sterilization procedure for permanently occluding the fallopian tubes, minilaparotomy has been performed safely and frequently in a wide range of countries
8What is Colpocleisis procedure?
Colpocleisis is a procedure involving closure of the vagina. It is used to treat vaginal prolapse. In older women who are no longer sexually active a simple procedure for reducing prolapse is a partial colpocleisis
9What does Colpocentesis mean?
Medical Definition of colpocentesis : surgical puncture of the vagina
10How long does it take to recover from laparoscopic surgery?
Your Recovery This is common. You should feel better after 1 to 2 weeks. This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace


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