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Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434On-line version ISSN 2463-0225


RODRIGUEZ-RUIZ, Rodrigo Ernesto; MIRANDA-CRUZ, Ángel David; RENDON-BECERRA, César Augusto  and  AGUDELO-RESTREPO, Catalina. Safety of pelvic mass extraction through colpotomy in women taken to laparoscopic gynaecologic interventions at Hospital de San José de Bogotá, Colombia, 2016. Rev Colomb Obstet Ginecol [online]. 2018, vol.69, n.3, pp.189-196. ISSN 0034-7434.


To describe the safety of colpotomy in terms of intra- and post-operative complications in women taken to laparoscopy for the removal of benign masses.

Materials and methods:

Case series of patients with benign adnexal or uterine masses taken to laparoscopic surgery and removal of the specimen through colpotomy. The patients signed the informed consent. Patients with obliterated posterior cul-de-sac, narrow vagina, absence or uterus, deep endometriosis, inflammatory pelvic disease, masses of less than 4 cm, were excluded. Consecutive sampling was used. Sociodemographic, clinical, qualitative and quantitative variables were studied by means of a descriptive analysis of the data. The research study was endorsed by the ethics committee of the institution.


During the study period, 12 procedures for the removal of benign pelvic masses using posterior colpotomy were performed. Mean age was 34.3 years (IQR: 29-39,5). Of these cases, 50% were nulliparous women. Mean surgical time was 127 minutes (IQR: 90-150). There were no conversions to laparotomy, and there were no intra- or postoperative complications.


Posterior colpotomy is an option that can be considered in the removal of benign pelvic masses of more than 5 cm in size.

Keywords : morselisation; uterine myomectomy; laparoscopy; colpotomy; natural orifice endoscopic surgery.

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