著者

山本 さやか 堀澤 信 品川 真奈花 今井 宗 羽田 智則

出版者

日本産科婦人科内視鏡学会

雑誌

日本産科婦人科内視鏡学会雑誌 (ISSN:18849938)

巻号頁・発行日

vol.36, no.2, pp.348-357, 2020 (Released:2021-02-02)

参考文献数

14

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Introduction: A discussion that uses surgical videos in a real conference room is called a Video Conference (VC) in Japan. Although VC is a useful tool in the education of laparoscopic surgery, it is difficult to hold VCs frequently between some facilities. An Online Surgical Video Discussion (OSVD) is the idea of holding VCs through the internet. We launched OSVDs in 2017 and report on the efficacy thereof.Methods: OSVD is approved by Institutional Review Board of Nagano Red Cross Hospital. OSVDs are held via You Tube™ Live. We conducted a questionnaire to investigate the perceived efficacy of OSVD.Results: We performed OSVDs 22 times from September 2017 to November 2019. There were 27 participants that completed the questionnaire. More than 70% of them thought that they had become more motivated, their frequency of watching surgical videos had increased, and OSVD was a good opportunity to learn from other facilities. All of the participants answered that OSVD would improve their surgical skills. In addition, more certified doctors participated in OSVDs than in VCs (OSVD 38.8%; VC 12.0%).Discussion: OSVD provides a valuable opportunity for furthering laparoscopic surgery education. Participants can discuss surgical videos without actually getting together physically, for free, and without any conflict of interest. Moreover, OSVDs may contribute to reducing disparities in laparoscopic surgery between regions and facilities, and thereby lead to a standardization of surgical skills.

著者

今井 宗次郎 服部 高志 今井 真理子 桐生 智 和田 典子 井口 美保 伊藤 聖学 大河原 晋 森下 義幸 田部井 薫

出版者

一般社団法人 日本透析医学会

雑誌

日本透析医学会雑誌 (ISSN:13403451)

巻号頁・発行日

vol.54, no.8, pp.421-422, 2021 (Released:2021-08-28)

参考文献数

2

著者

今井 宗 舟本 寛 山口 彩華 吉越 信一 南 里恵 飴谷 由佳 谷村 悟

出版者

日本産科婦人科内視鏡学会

雑誌

日本産科婦人科内視鏡学会雑誌 (ISSN:18849938)

巻号頁・発行日

vol.35, no.1, pp.238-242, 2019 (Released:2019-06-08)

参考文献数

11

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Introduction: Uterine cystic adenomyosis is a rare proliferative disease in which the endometrial tissue focally repeats hemorrhage in the myometrium and forms cystic lesions. We report a case of uterine cervical cystic adenomyosis for which we performed total laparoscopic hysterectomy (TLH) with two techniques to avoid urinary tract injury.Case: The patient was a 45-year-old woman with G0 who had two times of surgery for endometriosis. A local doctor diagnosed uterine cervical cystic adenomyosis about 30 mm in diameter and followed her up. Due to the worsening dysmenorrhea and the enlarging cystic lesion, she was referred to our hospital for treatment. Pelvic MRI showed uterine cervical adenomyosis about 35 mm in diameter and diffuse adenomyosis of the uterine body. TLH was performed because of the worsening dysmenorrhea due to uterine adenomyosis. Anatomical change due to a cervical tumor and severe adhesions because of endometriosis were expected; hence, we carried out two techniques. Firstly, urinary catheters were preoperatively placed, secondary, we injected air into the bladder when the uterus and the bladder were detached, then, TLH was safely completed while monitoring the bladder wall. Histopathology showed endometrial glands in the cervical myometrium, and uterine cervical cystic adenomyosis was diagnosed. Her symptoms have improved, and no recurrence after surgery has been observed. Discussion: Cystic adenomyosis is rarer in the cervix than in the uterine body. There is no report about TLH for uterine cervical cystic adenomyosis. A difficult surgery was expected due to a cervical tumor and endometriosis, but the urinary tract injury was avoided using two techniques, and the surgery was safely completed.

著者

今井宗太郎 述

出版者

横浜基督伝道館出版部

巻号頁・発行日

1937