Japanese Journal of Gynecologic and Obstetric Endoscopy最新文献

早期子宮体癌に対する腹腔鏡下子宮全摘出術後に孤発性のポート部再発をきたした１症例腹腔镜下子宫全摘除早期宫体癌后，1例端口部复发病例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_72

Tomomi Mizokami, Masato Kita, Takuya Yokoe, Yusuke Butsuhara, Yoji Hisamatsu, Tomoo Yoshimura, Akiko Ikuta, Hidetaka Okada

引用次数: 0

腹腔鏡検査により深部子宮内膜症と診断された神経組織を有する慢性骨盤痛の１例有经腹腔镜检查被诊断为深部子宫内膜异位症的神经组织的慢性骨盆痛的1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_85

Tomoko Tanaka, Shinichi Hoshi, Yuuko Kosako, Aya Masunaga, Takashi Hara, Megumi Shibata, Shouichi Watanabe, Shigeo Akira

{"title":"腹腔鏡検査により深部子宮内膜症と診断された神経組織を有する慢性骨盤痛の１例","authors":"Tomoko Tanaka, Shinichi Hoshi, Yuuko Kosako, Aya Masunaga, Takashi Hara, Megumi Shibata, Shouichi Watanabe, Shigeo Akira","doi":"10.5180/jsgoe.39.1_85","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_85","url":null,"abstract":"The severe pain and discomfort of deep endometriosis are caused not only by local inflammation-associated peripheral neuralgia, but also by pain modulation of the central nervous system due to reflex contraction of pelvic organs responding to slight stimuli, correlates with the density of nerve fibers in the lesion. A 46-year-old woman with severe chronic pelvic pain, low back pain, and gastrointestinal symptoms underwent laparoscopic surgery. Preoperative blood tests and imaging studies have not revealed the cause of her pain for 10 years. During the operation, adhesions in the rectovaginal space were systematically dissected for dyspareunia and defecation pain, and the sacral uterine ligament and peri uterine tissue were excised while preserving the inferior abdominal nerve for dysmenorrhea and back pain. Pathologically, a nodular lesion removed from the rectovaginal cavity was found to have endometrial glands, inflammatory cells, smooth muscle, and numerous nerve fibers, leading to the diagnosis of deep endometriosis. A nodular lesion of the right sacral uterine ligament and posterior wall of the uterus, which was removed as a cause of right lower back pain, revealed no endometrial glands but had numerous nerve fibers. Postoperatively, her pain was almost completely resolved. We were able to diagnose and treat an undiagnosed deep endometriosis with severe chronic pelvic pain by laparoscopic surgery. Pathological examination revealed extensive nerve fibers in addition to endometrial glands, suggesting that the severe chronic pain was associated with these extensive nerve fibers. We believe this case will serve as a reference for future treatment of deep endometriosis.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446064","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

妊娠中に判明した卵巣漿液粘液性境界悪性卵巣腫瘍の１症例妊娠期发现卵巢浆液、黏液性边界恶性卵巢肿瘤病例1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_92

Satoko Morikami, Shinichiro Maeda, Takahiro Natsuyama, Ai Kogiku, Nobuyuki Tomura, Eri Konda, Misa Ishihara, Yumiko Sahara

{"title":"妊娠中に判明した卵巣漿液粘液性境界悪性卵巣腫瘍の１症例","authors":"Satoko Morikami, Shinichiro Maeda, Takahiro Natsuyama, Ai Kogiku, Nobuyuki Tomura, Eri Konda, Misa Ishihara, Yumiko Sahara","doi":"10.5180/jsgoe.39.1_92","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_92","url":null,"abstract":"A 26-year-old pregnant woman was referred to our hospital for examination of a right adnexal mass. Transvaginal ultrasound revealed a cystic tumor (approximately 8×7 cm) arising from the right adnexa. MRI revealed a suspected benign simple cyst of right ovary without any sign of nodules. We performed laparoscopic right ovarian cystectomy at 14 weeks and ６ days of gestational age (GA) to excise the tumor. The fluid inside appeared yellowish and mucinous, and the surface of the resected cyst was rough. Pathological diagnosis of the resected right ovarian cyst was right ovarian sero-mucinous borderline tumor. We recommended right adnexectomy and partial omentectomy as a secondary surgery. She consented, and laparoscopic right adnexectomy and partial omentectomy were performed at 16 weeks and ２ days GA with no operative complications. She was discharged ６ days after the operation. There was no evidence of residual tumor or metastasis. Her pregnancy course was generally good until emergency c-section surgery was performed because of placental abruption at 36 weeks and ２ days of GA. There has been no evidence of recurrence or metastasis until now.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446072","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

腹腔鏡下異所性妊娠温存手術後に反復した痕跡子宮側卵管間質部妊娠腹腔镜下异位妊娠保留手术后反复的痕迹子宫旁输卵管间质部妊娠

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_57

Eri Soga, Yumi Shimizu, Yuki Kondo, Aimi Oda, Haruhiko Shimizu, Kentaro Iga, Hiroharu Kobayashi, Satoshi Shiojima

引用次数: 0

Two cases of intramural pregnancy 宫内妊娠2例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_97

Wakae Tashiro, Mei Matsumoto, Takaya Nakaso, Masakuni Takahashi

引用次数: 0

The Intrauterine Bigatti Shaver :Our Experience and Modifications 宫内Bigatti刮刀:我们的经验和改进

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_37

Shozo Kurotsuchi, Yukiyo Kasahara

引用次数: 0

Special Program 1: Discussion on Hysterectomy for Uterine Cancer 专题节目1:探讨子宫切除术治疗子宫癌

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_1

Takuma Fujii, Hirotaka Nishi, Yoshito Terai, Tsuyoshi Yamashita, Yasuhisa Terao, Masafumi Toyoshima, Yoshiki Mikami, Shigenori Hayashi, Osamu Wada-Hiraike, Eiji Kobayashi

{"title":"Special Program 1: Discussion on Hysterectomy for Uterine Cancer","authors":"Takuma Fujii, Hirotaka Nishi, Yoshito Terai, Tsuyoshi Yamashita, Yasuhisa Terao, Masafumi Toyoshima, Yoshiki Mikami, Shigenori Hayashi, Osamu Wada-Hiraike, Eiji Kobayashi","doi":"10.5180/jsgoe.39.1_1","DOIUrl":"https://doi.org/10.5180/jsgoe.39.1_1","url":null,"abstract":"Currently, laparoscopic surgery for early-stage uterine cancer is reimbursed by the National Health Insurance scheme; therefore, an increasing number of laparoscopic procedures are being performed in clinical practice. The Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy (JSGOE) held discussions for evaluation of the surgical technique to ensure curative surgery. These discussions included members of the Committee for Surgery on Malignant Tumors and the Committee for the Endoscopic Surgical Skill Qualification System of JSGOE, and the results of the discussion and the process were made available to members at a special program at the 62nd Annual Meeting of the JSGOE. It was concluded that it was important to clarify eligibility for patients with uterine cancer and to be mindful of cancer cell spillage when applying for a qualified endoscopic gynecologist (laparoscopy/hysteroscopy), JSGOE. In our view, the surgical criteria and procedures will continue to evolve, following availability of further evidence. We expect that further discussions will be held in accordance with the times and environment and that safe and curative surgical procedures will become widely available.","PeriodicalId":475319,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446073","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

ワンハンドスリップノットの再考 ―成功率を上げるために「予め入れておく」― 重新考虑单手滑节——为了提高成功率“预先放入”

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_30

Hisanori Komatsu, Yumiko Tsukui, Kanako Toyoda, Saki Hosizawa, Azusa Kobayashi, Masahiro Itoh

引用次数: 0

臍部と卵巣の子宮内膜症併存例に対し気腹法による付属器切除と臍形成術を施行した１例针对肚脐部和卵巢子宫内膜异位症并存的病例，实施气腹法附属器切除和肚脐成形术1例

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_41

Marie Iwami, Koichi Nagai, Takeru Sonobe, Tamaki Cho, Yuki Ogawara, Etsuko Miyagi

引用次数: 0

Two fasciotomies performed for well-leg compartment syndrome after robot-assisted surgery: A case report 机器人辅助手术后两例筋膜切开术治疗小腿筋膜间室综合征:1例报告

Japanese Journal of Gynecologic and Obstetric Endoscopy Pub Date : 2023-01-01 DOI: 10.5180/jsgoe.39.1_31

Sayako Nakagawa, Yuichi Imai, Koichi Nagai, Yumi Ishidera, Taichi Mizushima, Naho Ruiz Yokota, Kentaro Kurasawa, Etsuko Miyagi

引用次数: 0