内視鏡手術におけるシート状癒着防止材（セプラフィルム®）体腔内搬入の新しい工夫－5mm径の新しいデバイスの考案－

概要

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Objective: Seprafilm®, an adhesion barrier in sheet form, is very difficult to insert into the abdominal cavity with laparoscopic surgery. Therefore, we created a new device that facilitates insertion of Seprafilm® into the abdominal cavity through a 5mm diameter trocar. Methods: This device comprises a 5 mm outer tube and an inner tube. Seprafilm® was cut into 6.4 × 7.4 cm pieces, attached at the inner tube, rotated into the outer tube through a slit configuration, and then inserted through the 5 mm trocar. We used this device during a laparoscopic myomectomy (LM) for 14 patients. Results: The average time required from beginning of the loading procedure into the device until attachment to the uterus was 3.3 min (2.0-5.5 min). This time was less than that reported in previous studies; furthermore, the success rate of insertion and attachment to the uterus was high at 86.3%. Conclusions: We have determined that this new device can be more effective for the insertion of Seprafilm® into the abdominal cavity than the other techiniques.
日本産科婦人科内視鏡学会の論文