Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献_第10页

Effect of laparoscopic surgery on plasma glutathione S-transferase concentration as an index of hepatocellular Integrity 腹腔镜手术对血浆谷胱甘肽s转移酶浓度作为肝细胞完整性指标的影响

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.16.2_112

章郎水嶋, 泰河内, 晋司藤野, 邦久三浦, 神山洋一郎, 豊城釘宮, 真理地主, 裕之武内

{"title":"Effect of laparoscopic surgery on plasma glutathione S-transferase concentration as an index of hepatocellular Integrity","authors":"章郎水嶋, 泰河内, 晋司藤野, 邦久三浦, 神山洋一郎, 豊城釘宮, 真理地主, 裕之武内","doi":"10.5180/JSGOE.16.2_112","DOIUrl":"https://doi.org/10.5180/JSGOE.16.2_112","url":null,"abstract":"婦人科の気腹式腹腔鏡下手術(卵巣嚢腫摘出術または子宮筋腫核出術)患者のうち、全身状態の良好な18例(ASAリスク分類1~2)を対象とした。術前3カ月以内に手術歴や輸血歴のある者、高度肥満やるいそう(標準体重 ±20%以内)、アルコール常飲者、肝炎や肝機能障害の既往のある者などは除外した。麻酔前投薬は省き、手術室入室後にプロポフォール2mg/kgで導入し、亜酸化窒素(50%)-酸素-イソフルラン(1.0~1.2MAC)の吸入で維持した。麻酔導入後、ベクロニウム0.1mg/kgを用いて気管挿管し、呼気終末炭酸ガス分圧が35~ 40mmHgになるように調節呼吸した。手術は開脚位で、クローズド法でアプローチして炭酸ガスを注入し、腹腔内圧を10mmHgに調整した。ポートの位置は臍輪下部にスコープ用の10mm 、両側下腹部の下腹壁動静脈の外側にそれぞれ5 mm、術者側の左上腹部に10mmの計4本のトロカールを刺入した3)。気腹中は約15度のトレンデレンブルグ位で手術を施行した。ベクロニウムは手術に応じて追加し、術後はアトロピン1mgとワゴスチグミン2mgを静注して拮抗した。術中輸液には5%ブドウ糖加酢酸リンゲル液5 ml/kg/hを用いた。鎮痛にはブトルファノールを適宜静注(計0.01~0.02mg/kg)し、トロカール刺入部位には0.25%ブピバカインを1カ所当たり 5ml局注した。肝細胞障害の評価のため、静脈血各5mlを麻酔導入前・イソフルラン投与終了1・3・6・24 時間後の計5回採取し、遠心分離(摂氏4度、 2500rpm×10分間)後、ラジオイムノアッセイによりGST-B1を測定した4)。また、手術翌日には GOT・GPTも測定した。検定には、Friedman検定、Mann-Whitney検定などを用い、P<0.05を有意とした。なお、本研究は順天堂大学倫理委員会の承認の上、対象者には事前に書面による同意を得た。","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116998494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic treatment of uterine myoma complicated by urinary retention: A case report 腹腔镜治疗子宫肌瘤合并尿潴留1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/jsgoe.35.2_253

Y. Yamasaki, H. Morita, N. Kojima, K. Takeuchi

{"title":"Laparoscopic treatment of uterine myoma complicated by urinary retention: A case report","authors":"Y. Yamasaki, H. Morita, N. Kojima, K. Takeuchi","doi":"10.5180/jsgoe.35.2_253","DOIUrl":"https://doi.org/10.5180/jsgoe.35.2_253","url":null,"abstract":"Urinary retention is rare in women with uterine myoma. Although long-term urinary retention can cause irreversible injury to the urinary tract, no standard strategies have been established for optimal management of this complication. We present a case of uterine myoma associated with urinary retention in a woman who was successfully treated by laparoscopic hysterectomy performed during the subacute phase of this condition. A 43-year-old gravida 1, para 1 presented with urinary retention. Pelvic magnetic resonance imaging revealed a myoma located in the upper portion of the posterior uterine wall with a longer diameter of 11.5 cm. The uterine cervix and lower portion of the bladder were displaced anteriorly secondary to the tumor. These findings and the patient’s history of her illness suggested that urinary retention was caused by the uterine myoma. Total laparoscopic hysterectomy was performed after 2 months of conservative management. Postoperatively, urination promptly improved without any disturbance of bladder function. Urinary retention caused by uterine myoma without any underlying illness should be considered an indication for surgical treatment.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117014090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A study of safety gas laroscopy under low intraabdominal pressure 低腹内压下安全气体镜检查的研究

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.17.2_78

究大高, 隆青木, 明子高島, 秀明川島, 法生桝谷, 難波安哉美, 暁深谷, 潔三宅, 矢野ともね, 俊彦木下, 元博伊藤

引用次数: 0

Fitz-Hugh-Curtis症候群に特徴的とされる肝表面癒着を認めたMayer-Rokitansky-Küster-Hauser症候群の一例 Fitz-Hugh-Curtis综合征特征的肝表面粘连，证实了miyr - Rokitansky-Kuster-Hauser综合征的一个例子

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.32.250

Y. Ujihira, J. Saito, I. Kikuchi

引用次数: 0

Reproductive outcome after laparoscopic ovarian drilling 腹腔镜卵巢钻孔后的生殖结果

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.25.379

T. Aoki, Kimihiko Nakamura, Katuhiko Narimoto, M. Kariya, K. Tsuboi

引用次数: 1

Outcome and predictor of laparoscopic ovarian drilling for polycystic ovary syndrome 腹腔镜卵巢钻孔治疗多囊卵巢综合征的预后和预测因素

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.33.2_129

Erina Uechi, Yudai Tanaka

{"title":"Outcome and predictor of laparoscopic ovarian drilling for polycystic ovary syndrome","authors":"Erina Uechi, Yudai Tanaka","doi":"10.5180/JSGOE.33.2_129","DOIUrl":"https://doi.org/10.5180/JSGOE.33.2_129","url":null,"abstract":"Objective: Polycystic ovary syndrome (PCOS) is one of the causes of ovulatory disorders and infertility. Clomiphene citrate is the first-line treatment for PCOS patients. Gonadotropin therapy or laparoscopic ovarian drilling (LOD) is recommended as the second-line treatment for clomiphene resistant PCOS. Which cases respond to LOD remain unclear. In this study, we examined predictors of successful LOD to clarify the position of LOD in the treatment strategy for PCOS. Materials and Methods: This study included 19 anovulatory women with clomiphene-resistant PCOS who underwent LOD between September 2012 to June 2016. We retrospectively examined patients in an ovulatory group (n = 15) and a non-ovulatory group (n = 4) in terms of age, luteinizing hormone level, follicle-stimulating hormone level, body mass index, anti-Müllerian hormone level, and number of drillings. Results: Fifteen (78.9%) of 19 patients regained spontaneous ovulation after LOD. The pregnancy rate was 63.2% (12/19). After LOD, ovulatory group had a significantly lower preoperative AMH than the non-ovulatory group (9.71 ng/ ml vs 20.70 ng/ml, p = 0.0227). At a cutoff of 12.7 ng/ml, AMH had a sensitivity of 76.9% and a specificity of 100% in the prediction of non-ovulation after LOD. Conclusion: Laparoscopic ovarian drilling is an effective treatment for clomiphene-resistant PCOS. AMH is suggested to be a useful predictor of ovulation after LOD.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128564243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retroperitoneal Cyst Treated by Laparoscopic Fenestration: A Case Report 腹腔镜开窗治疗腹膜后囊肿1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.30.275

M. Mayama, M. Yoshihara, M. Ukai, Natsuki Koide, Shinya Kondo, T. Kokabu, Nodoka Miyazaki, T. Harata, Tomohiko Murase, R. Sekiya, K. Uno, S. Tano, Y. Nishio, Y. Kishigami, H. Oguchi

{"title":"Retroperitoneal Cyst Treated by Laparoscopic Fenestration: A Case Report","authors":"M. Mayama, M. Yoshihara, M. Ukai, Natsuki Koide, Shinya Kondo, T. Kokabu, Nodoka Miyazaki, T. Harata, Tomohiko Murase, R. Sekiya, K. Uno, S. Tano, Y. Nishio, Y. Kishigami, H. Oguchi","doi":"10.5180/JSGOE.30.275","DOIUrl":"https://doi.org/10.5180/JSGOE.30.275","url":null,"abstract":"A 25-year-old female patient was referred to our hospital because of abdominal pain and an intrapelvic cystic tumor. The cystic lesion was located just under the abdominal wall and the tumor appeared to arise from the left ovary. The patient underwent laparoscopic surgery, which revealed that the tumor was a retroperitoneal cyst. Because the cyst wall was extremely thin, complete excision of the tumor was difficult; thus, laparoscopic fenestration was alternatively performed. A total of 150 mL clear yellow serous fluid was drained; cytology was negative for malignancy. Postoperatively, she conceived and delivered an infant. No recurrence of the tumor was observed. Most retroperitoneal tumors are generally solid and rarely present as a cystic lesion. Complete excision of the tumor is recommended due to the possibility of malignancy. Fenestration of the cyst is also an accepted choice of treatment for cases in which complete excision is difficult and diagnostic imaging studies show no signs of malignancy. Even though retroperitoneal cysts can be safely excised laparoscopically, laparoscopic surgery does not remain a standard treatment for retroperitoneal cysts. Here, we report a case of the retroperitoneal cyst presenting as an intrapelvic cystic tumor. Gynecologists also unexpectedly encounter retroperitoneal cysts because it is difficult to differentiate retroperitoneal cysts from ovarian cysts in some cases. Gynecologists must consider retroperitoneal cysts as a differential diagnosis of intrapelvic cystic tumors and be cognizant of the therapeutic strategies for retroperitoneal cysts.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129052444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Placenta accreta in a woman with prior transcervical resection of endometrial polyps: a case report 子宫内膜息肉经宫颈切除术后发生胎盘增生1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.21.347

健二佐藤, 哲浅井, 友浩末盛, 直子加藤, 卓岩田, 悟白石

引用次数: 0

Pregnancy rates following endometrial polyp removal: A comparison of resectoscopes and the Lin polyp snare system 子宫内膜息肉切除后的妊娠率:切除术与林息肉圈套系统的比较

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.32.179

S. Takeda, S. Tanimura, Hiroshi Hunamoto, S. Nomura, Yuri Kusabiraki, Takashi Hosono, Takayoshi Sumitani, Yasushi Sitano, M. Nakajima, R. Minami, Y. Ametani, T. Nakano

{"title":"Pregnancy rates following endometrial polyp removal: A comparison of resectoscopes and the Lin polyp snare system","authors":"S. Takeda, S. Tanimura, Hiroshi Hunamoto, S. Nomura, Yuri Kusabiraki, Takashi Hosono, Takayoshi Sumitani, Yasushi Sitano, M. Nakajima, R. Minami, Y. Ametani, T. Nakano","doi":"10.5180/JSGOE.32.179","DOIUrl":"https://doi.org/10.5180/JSGOE.32.179","url":null,"abstract":"Introduction: Endometrial polyps can cause infertility and their removal is recommended. Transcervical resection (TCR), which is commonly selected, is performed using a resectoscope under anesthesia. Recently, use of the Lin snare system (Snare) has been reported for polyp removal without anesthesia. Snare uses a diagnostic flexible hysteroscope with an outer diameter of 3.1 mm. However, the effects on infertility are unclear. We investigated infertile patients with endometrial polyps at our hospital and compared pregnancy rates based on the two different methods. Materials and Methods: Between January 2008 and April 2014, we analyzed 64 patients who were postoperatively followed-up for at least 12 months. The patient backgrounds and pregnancy rates were investigated retrospectively for both groups. TCR was performed under general anesthesia, with hospitalization. Snare was used with no anesthesia and no cervical dilatation on an outpatient basis. Since the introduction of Snare at our hospital in 2012, it has been the first","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124664423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of Gartner's duct cyst arising from the cervix resected by laparoscopic surgery 经腹腔镜手术切除子宫颈高德纳导管囊肿1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 1900-01-01 DOI: 10.5180/JSGOE.27.429

Y. Komeda, T. Wada, K. Fukushima, H. Sameshima

{"title":"A case of Gartner's duct cyst arising from the cervix resected by laparoscopic surgery","authors":"Y. Komeda, T. Wada, K. Fukushima, H. Sameshima","doi":"10.5180/JSGOE.27.429","DOIUrl":"https://doi.org/10.5180/JSGOE.27.429","url":null,"abstract":"Gartner's duct cysts are dilated Wolffian duct remnants commonly found in the lateral part of the vagina. We report a case of Gartner's duct cyst arising from the cervix, which was resected laparoscopically. A 13-year-old girl complained of lower abdominal pain. An ultrasound scan revealed a pelvic tumor and MRI showed a 3.8 × 4 cm cervical cyst. There were no malformations in the uterus or kidneys. The cyst was diagnosed as a Gartner's duct cyst arising from the cervix. The patient underwent laparotomy, and the cyst was found in the upper side of the right sacrouterine ligament. Visibility was limited by the narrow surgical incision, and resection of the cyst was difficult. The cyst was aspirated, and the contents were negative for malignancy. Several months postoperatively, the patient had a recurrence of the pain. Treatment options were laparoscopic surgery, marsupialization, and sclerotherapy. On operation, we incised the serosa of the cyst and peeled it off from the surrounding area. The cyst was connected to the cervical canal, and the defect in the cervical canal that resulted from its resection was sutured. The patient was pain-free after laparoscopic surgery. We suggest that Gartner's duct cyst arising from the cervix and protruding toward the pelvic cavity is a potential candidate for laparoscopic resection.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124960988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0