Exploratory Culdotomy — Alternative to Laparotomy

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Abstract
ALL PHYSICIANS agree that the early detection of cancer is the most important aspect of its successful treatment. Conscientious gynecologists, despite their experience with many thousands of pelvic examinations, frequently must acknowledge the inadequacy of bimanual pelvic examination in the determination of pelvic disease. In the middle-aged woman with obesity, the abdominal wall constitutes a barrier to the abdominal examining hand that sometimes has the consistence of a small mattress, whereas scarring of the vaginal vault by previous deliveries and atrophy and thickening of the fibromuscular coat of the vagina make identification of intrapelvic organs extremely difficult. The size, shape . . .
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