Alternate technique for cul-de-sac insufflation for laparoscopy
The alternative method for cul-de-sac insufflation for laparoscopy presented here employs a 16-gauge butterfly needle attached to a ring-tip forceps. This needle is passed easily through the posterior fornix into the pouch of Douglas. The 100 women in the study underwent this cul-de-sac insufflation procedure without intraoperative or postoperative complications. Pneumoperitoneum was achieved in all 100 cases. Slightly higher intra-abdominal pressures (16 to 20 mm Hg) and slower rates of CO2 delivery were observed during the procedure.
Journal of the American Osteopathic Association
Kaczmarczyk, Joseph M., "Alternate technique for cul-de-sac insufflation for laparoscopy" (1988). PCOM Scholarly Papers. 1464.