クマキリ　ジユン   熊切　順    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Potential risk of port-site adhesions in patients after laparoscopic myomectomy using radially expanding trocars.
掲載誌名	正式名：International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 略　 称：Int J Gynaecol Obstet ISSNコード：18793479/00207292
掲載区分	国外
巻・号・頁	128(1),pp.5-9
著者・共著者	Kumakiri Jun†*, Kikuchi Iwaho, Kitade Mari, Jinushi Makoto, Shinjyo Azusa, Takeda Satoru
担当区分	筆頭著者,責任著者
発行年月	2015/01
概要	OBJECTIVE:To investigate the incidence of port-site adhesions following use of radially expanding trocars (RETs) at laparoscopic myomectomy by observation via second-look laparoscopy (SLL).METHODS:In a retrospective study, data from patients who underwent SLL after laparoscopic myomectomy between January 2007 and June 2012 at Juntendo University Hospital, Tokyo, were assessed for the incidence of port-site adhesions forming below RET incisional scars when fascial and peritoneal defects had not been closed.RESULTS:During the study period, 554 patients underwent SLL, and 2176 incisional scars were examined. Adhesions were detected in 15 patients (2.8%); thus, the incidence of port-site adhesions under scars was 0.7% (15/2176). Among these 15 patients, the wounds with adhesions were located as follows: 6 (1.1%) under the umbilical scar, 5 (0.9%) under the right lower abdominal scar, 2 (0.4%) under the left upper abdominal scar, and 2 (0.4%) under the left lower abdominal scar. According to multiple regression analysis, the duration of laparoscopic myomectomy was positively associated with port-site adhesions (odds ratio, 1.79; 95% confidence interval, 1.09-2.94; P=0.02).CONCLUSION:The present data suggest that the incidence of port-site hernias and adhesions under RET incisional scars is low despite the non-closure of fascial and peritoneal defects.
DOI	10.1016/j.ijgo.2014.07.030
PMID	25282402