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Articles by S. Yanai
Robotic Multidisciplinary Management of Extensive Deep Endometriosis
To demonstrate a robotic multidisciplinary technique for extensive deep endometriosis ranging from Douglas pouch obliteration, rectal endometriosis and ureteral and appendiceal endometriosis. A 46-year-old para 3-1-2-2 woman who presented with severe dysmenorrhea and difficulty in defecation with right flank pain for 3 years.
Tips and Tricks for Nerve-Sparing Modified Radical Hysterectomy for Deep Endometriosis with Firefly Technology
Study Objective To show tips and tricks for our nerve-sparing modified radical hysterectomy (NS-mRH) for deep endometriosis (DE) and provide perioperative outcomes of the procedure. Design Stepwise demonstration of this method with narrated video footage. Setting An urban general hospital. NS-mRH is known for its benefits as a definitive treatment for severe endometriosis.
Management for Ureteral Injury during Laparoscopic or Robotic Hysterectomy: Minimally Invasive Strategies
Study Objective To demonstrate minimally invasive techniques to repair ureteral injury or ureteral stenosis related to minimally invasive hysterectomy. Design Retrospective cohort study. Setting Gynecology and Obstetrics department of a general hospital. Patients or Participants 23 patients who suffered from ureteral injury during surgery or ureteral stenosis or ureterovaginal fistula after hysterectomy.
Laparoscopic Nerve-Sparing Radical Parametrectomy for Deep Lateral Parametrial Endometriosis
Study Objective To demonstrate the anatomical and technical highlights of nerve-sparing radical parametrectomy for deep lateral parametrial endometriosis (LPE). Design Stepwise demonstration of this method with narrated video footage. Setting An urban general hospital. LPE may involves ureter, internal iliac vessels, inferior hypogastric plexus, pelvic splanchnic nerves, or sometimes sacral nerve roots.
Intraoperative Ultrasound Elastography Guided Rectal Shaving for Endometriosis
Rectal surface endometriosis is more common in cases of cul-de-sac obstruction, and it is preferable in endometriosis surgery to remove as much of the deep endometriosis region as possible. The degree of rectal shaving may be confusing because the depth of the rectal superficial lesion cannot be assumed from the outside during surgery. For safe and appropriate resection, we attempted to confirm the location of the endometriosis lesion with intraoperative ultrasonography and elastography.
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