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

山中 章義 安藤 正明 小玉 敬亮 白根 晃 柳井 しおり 中島 紗織 福田 美香 黒土 升蔵 海老沢 桂子 羽田 智則 太田 啓明

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.31, no.1, pp.257-263, 2015 (Released:2015-12-23)

参考文献数

13

被引用文献数

1

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Deeply infiltrating endometriosis (DIE) is defined as subperitoneal invasion by endometriotic lesions. These lesions are considered very active and are strongly associated with pelvic pain. The incidence of DIE is reportedly 20 % in all cases of endometriosis, with uterosacral ligaments representing the most frequent location. Therefore, the resection of uterosacral ligaments is effective in reducing the pelvic pain and dyspareunia that is experienced by patients with endometriosis. However, the operation is associated with a risk of injury to the ureter and rectum; a laparoscopic resection is more useful and safer than open surgery, particularly in patients with adhesion in the pouch of Douglas. Thus, in our study, we initially identified and isolated the ureter and open spaces around the uterosacral ligaments. From June 2012 to December 2013, 262 patients underwent laparoscopic resection of the uterosacral ligaments. Of these, 10 (3.8 %) patients had mild dysuria after the operation, but all cases improved within 2 months. One (0.38 %) patient required clean intermittent catheterization after the operation, which was discontinued 14 months later. Bilateral hydronephrosis occurred in one (0.38 %) patient, which required ureteral dilatation. No ureteral or rectal injury occurred in any patient. Therefore, if the operation is carefully performed, it is possible to safely resect the uterosacral ligaments in patients with endometriosis.