{"title":"Successful childbirth following endoscopic plastic surgery for uterine bicornis bicollis: A case report","authors":"Kyoko Morikawa, J. Saito, B. Ishizuka","doi":"10.5180/JSGOE.26.251","DOIUrl":"https://doi.org/10.5180/JSGOE.26.251","url":null,"abstract":"CapsuleSuccessful pregnancy and delivery after endoscopic revision of a uterine bicornis bicollis and septate vagina.AbstractInternal genital abnormalities which occur in fetuses are often diagnosed after menarche with symptoms of dysmenorrhea. We report a patient who was diagnosed with uterine bicornis bicollis and a septate vagina. She achieved a successful pregnancy and delivery after undergoing endoscopic surgery in childhood.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125646004","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}
O. Wada-Hiraike, H. Nakamura, Xiaohui Tang, K. Takechi, T. Hirata, K. Koga, O. Yoshino, A. Fujimoto, H. Hiroi, Y. Osuga, T. Yano, Y. Taketani
{"title":"Vaginal Expulsion of a Placental Polyp With Ergometrine","authors":"O. Wada-Hiraike, H. Nakamura, Xiaohui Tang, K. Takechi, T. Hirata, K. Koga, O. Yoshino, A. Fujimoto, H. Hiroi, Y. Osuga, T. Yano, Y. Taketani","doi":"10.5180/JSGOE.25.347","DOIUrl":"https://doi.org/10.5180/JSGOE.25.347","url":null,"abstract":"Placental polyps are thought to be derived from placental remnants after conception. Placental polyps are managed primarily by surgery, including hysterectomy and hysteroscopic resection. There is no specific recommendation regarding the optimal treatment to preserve fecundity. A 27-year-old primigravida presented at 38 weeks gestation and underwent a vaginal delivery. This delivery was complicated by massive hemorrhage due to uterine atony. Four weeks later the patient had a vaginal expulsion of a placental polyp after oral administration of ergometrine. A conservative surgical treatment under general anesthesia involved manual excision of the polyp and hysteroscopic hemostasis. Placental polyps are rare entities encountered in obstetric care; however, postpartum hemorrhage can be associated with this pathologic condition. Uterine stimulants and hysteroscopy may be useful for preserving fertility.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127542922","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}
Hiroko Nakamura, Kiyoko Kato, S. Uchida, R. Tsunematsu, A. Isobe
{"title":"Reccurence of ovarian endometriotic cyst after cystectomy","authors":"Hiroko Nakamura, Kiyoko Kato, S. Uchida, R. Tsunematsu, A. Isobe","doi":"10.5180/JSGOE.25.442","DOIUrl":"https://doi.org/10.5180/JSGOE.25.442","url":null,"abstract":"Objective: To evaluate risk factors which are associated with recurrence of endometriotic cysts after cystectomy.Method: Fifty-seven patients who had a minimum of 6 months of observation after cystectomies for endometriotic cyst were studied retrospectively. Recurrence was defined as the presence of an endometriotic cyst > 2 cm in size on transvaginal ultrasonogram during the post-operative follow-up period. We evaluated nine variables (age, laparoscopic surgery/laparotomy, size of the largest cyst, laterality, findings of transvaginal ultrasonogram, serum CA-125 levels, revised American Society for Reproductive Medicine [r-ASRM] classification, and pre- and post-operative medical treatment) to assess the effects on the recurrence using logistic regression analysis.Result: The overall rate of recurrence was 17.5% (10/57). The cumulative rate of recurrence over 60 months was 32.1%. Laparoscopic treatment had a higher recurrence rate than laparotomy (p<0.05).The statistically significant factor that was associated with a higher recurrence rate was pre-operative medical treatment (p=0.02).Conclusion: Pre-operative medical treatment of endometriotic cysts is associated with a higher recurrence rate after cystectomy.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134431469","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}
F. Arakane, T. Ujioka, N. Yamamoto, M. Tajima, Kyoko Hayashi, Naoki Nakamura
{"title":"Laparoscopic resection of bladder endometriosis with preservation of the bladder mucosa: A case report.","authors":"F. Arakane, T. Ujioka, N. Yamamoto, M. Tajima, Kyoko Hayashi, Naoki Nakamura","doi":"10.5180/JSGOE.25.375","DOIUrl":"https://doi.org/10.5180/JSGOE.25.375","url":null,"abstract":"Objective: Report of successful treatment of bladder endometriosis with laparoscopic extramucosal resection.Case report: A 28-year-old woman presented with dysmenorrhea and mild urodynia. An 11 mm endometriotic nodule, blue in color with mucosal edema, was noted on the posterior wall of the bladder. There also was a 3 cm endometriotic cyst in the right ovary. Following pelvic adhesiolysis, laparoscopic excision of the lesions in the bladder wall and right ovary was performed. Resection of the bladder lesion was carried out preserving the bladder mucosa. The post-operative course was uneventful. Post-operatively, deinogest was administered for 1 year. The patient was in good health and had no urinary tract symptoms.Conclusion: Laparoscopic resection of a bladder endometriotic lesion with preservation of the bladder mucosa may be a method of choice to treat bladder endometriosis, as well as to reduce the side effects which might be caused by operative interventions.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117251264","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}
Takeshi Kato, A. Abe, Mikio Yamasaki, M. Kimura, S. Hayashi, Y. Nakagawa, M. Irahara
{"title":"A case of vaginal evisceration following total laparoscopic hysterectomy","authors":"Takeshi Kato, A. Abe, Mikio Yamasaki, M. Kimura, S. Hayashi, Y. Nakagawa, M. Irahara","doi":"10.5180/JSGOE.25.360","DOIUrl":"https://doi.org/10.5180/JSGOE.25.360","url":null,"abstract":"Vaginal evisceration after hysterectomy is a rare complication. Sexual intercourse is considered to be the main trigger of evisceration for premenopausal women. Vaginal evisceration occurs 2-5 months after hysterectomy. We report a case of vaginal evisceration after total laparoscopic hysterectomy, following sexual intercourse. Total laparoscopic hysterectomy may increase the risk of vaginal evisceration.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128863402","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}
K. Mekaru, T. Tashiro, Kozue Asato, Chiaki Nagayama, C. Yagi, M. Hirakawa, M. Inamine, T. Uezato, Y. Nagai, Y. Aoki
{"title":"Six cases with borderline ovarian tumors diagnosed after laparoscopic cystectomy for benign ovarian tumors","authors":"K. Mekaru, T. Tashiro, Kozue Asato, Chiaki Nagayama, C. Yagi, M. Hirakawa, M. Inamine, T. Uezato, Y. Nagai, Y. Aoki","doi":"10.5180/JSGOE.24.365","DOIUrl":"https://doi.org/10.5180/JSGOE.24.365","url":null,"abstract":"Objective: The laparoscopic management of borderline ovarian tumors is controversial. We examined the outcomes of six cases with borderline ovarian tumors diagnosed after laparoscopic cystectomy for benign ovarian tumors.Methods: Among 127 patients who were treated by laparoscopic cystectomy for benign ovarian tumors between 1998 and 2006 at the University of the Ryukyus Hospital, 6 women were pathologically-diagnosed with borderline ovarian tumors. We retrospectively investigated the clinical outcomes of these patients.Results: The mean age was 42.5±23.3 years (range, 23-74 years), and the tumor size was 15.7±6.5 cm (range, 8.1-25.0 cm) . Laparoscopic cystectomy was performed in four cases who wished to preserve fertility. The remaining two postmenopausal women were treated by laparoscopic bilateral salpingo-oophorectomy. All six cases had stage Ic (b) tumor due to intraoperative tumor rupture (three mucinous, two serous, and one carcinoid) . All of the patients were surveyed without re-laparotomy for surgical staging or postoperative chemotherapy. Two of 4 women who desired pregnancy became pregnant within 1 year, and 3 recurrences as borderline tumors occurred in patients treated by laparoscopic cystectomy, 3, 14, and 21 months after the initial laparoscopic surgery. Two recurrent patients underwent laparoscopic oophorectomy, and the other recurrence was treated by salpingo-oophorectomy and lymph node sampling. The patients remained disease-free for 44, 27, and 56 months.Conclusions: Although long-term follow-up is indispensable, patients with borderline ovarian tumors can safely undergo conservative surgery.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116941196","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}
Y. Terada, N. Yaegashi, Hiromitsu Yuki, Masahito Tachibana, K. Yoshinaga, T. Murakami, K. Okamura, Hiroshi Kanatuka
{"title":"Experience with the introduction of a laparoscope training box in obstetrics and gynecology medical education","authors":"Y. Terada, N. Yaegashi, Hiromitsu Yuki, Masahito Tachibana, K. Yoshinaga, T. Murakami, K. Okamura, Hiroshi Kanatuka","doi":"10.5180/JSGOE.24.345","DOIUrl":"https://doi.org/10.5180/JSGOE.24.345","url":null,"abstract":"The shortage of obstetricians and gynecologists is becoming serious in the Tohoku region. An important task as a local organizer of medical practitioners is for each medical school to make an effort to help the students with an interest in obstetrics and gynecology. Gynecologic endoscopic procedures have advanced and spread rapidly in recent years. The introduction of the endoscope makes the field of obstetrics and gynecology more attractive. We introduced a program of endoscopic surgery using a training box to medical education. The training box was set up in the Department of Medicine Skills lab of Tohoku University Hospital for use by 5th year medical students. After an introductory video display, the students attempted to operate with devices in the training box. Practice was done based on the syllabus in four stages, culminating in suturing in the box. After practicing for 1 hour, the practice symposium was limited limit to 5 minutes. Every student worked with seriousness which had not been previously demonstrated. Further, practice guidance by the tutor, who was certified as a recognition medicine by this society, was extremely popular with the student. We conclude that introduction of practicing endoscopic surgery using a training box to the medical education deepens the students' interest in obstetrics and gynecology.Such a training device might be useful also for student recruitment to obstetrics and gynecology in the future.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127254101","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}
K. Tajima, A. Okuda, Shin Fukuda, M. Orisaka, H. Shimada, F. Kotsuji
{"title":"A convenient resectoscope model for self-training","authors":"K. Tajima, A. Okuda, Shin Fukuda, M. Orisaka, H. Shimada, F. Kotsuji","doi":"10.5180/JSGOE.24.291","DOIUrl":"https://doi.org/10.5180/JSGOE.24.291","url":null,"abstract":"Aim: To develop an effective self-training tool for operative hysteroscopy.Methods: A resectoscope model of convenient size (20cm in length) was developed for self-training of operative hysteroscopy. The model consists of a wooden body, a plastic sheath, an elastic spring system, and a metal cutting loop. The spring system moves the cutting loop forward and back in the sheath, similar to a real resectoscope.Results: The model is easily assembled from readily available materials. The cost for a training model is approximately 1 US$. The model facilitates hand-foot-eye coordination, clockwise rotation of a resectoscope while cutting, long cutting procedures, and palpation of intrauterine lesions using a cutting loop. Ninety-three percent of trainees considered the model effective for self training.Conclusion: The resectoscope model is an effective and inexpensive self-training tool for operative hysteroscopy. Various techniques required for hysteroscopic surgery can be trained using this model.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114585996","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}
Hiroshi Yoshida, Kayo Katayama, Kunitomo Takashima, M. Murase, F. Hirahara, M. Ishikawa, H. Sakakibara
{"title":"Retrospective analysis of surgical treatment for ovarian tumor during pregnancy, comparison with laparoscopic surgery under abdominal lifting with Kirschner wire and laparotomy","authors":"Hiroshi Yoshida, Kayo Katayama, Kunitomo Takashima, M. Murase, F. Hirahara, M. Ishikawa, H. Sakakibara","doi":"10.5180/JSGOE.24.209","DOIUrl":"https://doi.org/10.5180/JSGOE.24.209","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124122520","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}
{"title":"Advantage for the laparoscopic approach to resect a paroavarian tumor of borderline malignancy and an adrenal gland carcinoma in a young woman","authors":"藤井 多久磨, 久布 白兼行, 健 中川, 壮吉 岩田, 暁子 大野, 香織 亀山, 弘 新本, 裕之 篠村, 大輔 青木","doi":"10.5180/JSGOE.23.90","DOIUrl":"https://doi.org/10.5180/JSGOE.23.90","url":null,"abstract":"","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115356822","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}