Our first experience with transdouglas endoscopic surgery was at the Mount Sinai Hospital of Queens in 1998; at that time, we named that surgery Culdolaparoscopy. Hybrid Culdolaparoscopy is a MANOS that combines operative culdoscopy with minilaparoscopy (www.culdoscopy.com). Hybrid Culdolaparoscopy uses a sealed vaginal port that avoids the problem of losing the pneumoperitoneum; the port, which is placed under minilaparoscopic surveillance, is used for insufflation, visualization (either with a laparoscope or a gastroscope), to place large instruments, and to place an endoscopic bag. The endoscopic bag can be easily introduced and extracted via the vaginal port, and, when needed, the pneumoperitoneum reinstated.
www.culdoscopy.com

Culdolaparoscopy is a new form of gynocological surgery that is minimally invasive and leads to little scarring.