In simple words: This procedure involves making an incision in the back wall of the vagina to explore the pelvic area for any abnormalities. The doctor uses instruments to examine the area and then closes the incision with stitches that dissolve on their own.

Surgical incision into the posterior wall of the vagina (colpotomy) and exploration of the pelvic cavity for diagnostic purposes.The procedure typically involves placing the patient in the dorsal lithotomy position, inserting a speculum, grasping the cervix with a tenaculum, applying antiseptic, making the incision, exploring the cavity with instruments (including potentially an intrauterine sound), and closing the incision with absorbable sutures.

Example 1: A patient presents with chronic pelvic pain and a suspected pelvic mass. A colpotomy with exploration is performed to visualize and potentially biopsy the mass., A woman experiences unexplained vaginal bleeding. A colpotomy is performed to explore the pelvic cavity and identify the source of bleeding., Following a ruptured ectopic pregnancy, a colpotomy is performed to drain any accumulated blood and assess the pelvic organs.

Documentation should include the indication for the procedure, type of anesthesia used, findings during the exploration, any procedures performed during the exploration (e.g., biopsy), and method of closure.Pre-operative and post-operative diagnoses should also be documented.