The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Ryohei Hattori - One of the best experts on this subject based on the ideXlab platform.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Introduction and hypothesis Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. Methods All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Results Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Conclusions Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
Kumiko Kato - One of the best experts on this subject based on the ideXlab platform.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Introduction and hypothesis Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. Methods All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Results Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Conclusions Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
B J P Crul - One of the best experts on this subject based on the ideXlab platform.
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normal values for sensory thresholds in the cervical Dermatomes a critical note on the use of semmes weinstein monofilaments
American Journal of Physical Medicine & Rehabilitation, 1999Co-Authors: V F Voerman, J Van Egmond, B J P CrulAbstract:: In many healthy subjects, sensory thresholds for touch using Semmes-Weinstein monofilaments appear to be higher than the 2.83 filament, which some authors have suggested as a screening instrument. The currently proposed normal values, the interpretation of results, as well as the calibration of the filaments are questioned. A normative study of 20 normal subjects using Semmes-Weinstein monofilaments was undertaken at a pain clinic in a university hospital. The main outcome measures were sensory thresholds (touch) in Dermatomes C3 to C8. Per subject, 24 sites were tested and 50 sites in Dermatome C5 left of one subject. The threshold distribution patterns were analyzed. The mean threshold expressed in log (10 x F; with F = force in milligrams) of all sites (n = 480) in normal subjects was 3.10 (95% confidence interval, 2.34-3.86). The mean threshold per subject was 3.10 (range, 2.70-3.50). The mean threshold of 50 sites in Dermatome C5 left of one healthy subject was 3.22 (range, 2.42-4.02). In the study contained herein, sensory thresholds in the cervical Dermatomes have been shown to be higher than the generally proposed normal values. The cervical Dermatomes show thresholds from 0.13 to 8.47 mN. This concurs with other authors. Results depend on the testing method, which in this study was different from previous studies. The testing method must be described accurately. The distribution of thresholds within all tested sites, Dermatomes, subjects, or even within one Dermatome in one subject are comparable. Individual results have to be related to the mean of the subject to determine abnormality. Calibration of the monofilaments is important. When these terms are met, testing with Semmes-Weinstein monofilaments is an easy, reliable, and relatively inexpensive method of quantitative sensory testing and can be a useful tool in the process of rehabilitation.
Takashi Kato - One of the best experts on this subject based on the ideXlab platform.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Introduction and hypothesis Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. Methods All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Results Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Conclusions Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
Mami Adachi - One of the best experts on this subject based on the ideXlab platform.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Introduction and hypothesis Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. Methods All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Results Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Conclusions Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.
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Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis
International Urogynecology Journal, 2019Co-Authors: Kumiko Kato, Yuji Hayashi, Mami Adachi, Ryota Ando, Hideji Kawanishi, Hirotaka Matsui, Takashi Kato, Hiroki Hirabayashi, Shoji Suzuki, Ryohei HattoriAbstract:Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of Dermatomes. All patients were sexually inactive women with post-hysterectomy prolapse. Data of the Dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the Dermatome group, 34 women underwent total colpocleisis with vaginal dissection using Dermatomes; 4 were done mainly with electric Dermatomes, and 30 were done with razor-type Dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Using Dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the Dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type Dermatomes and never occurred with electric Dermatomes. Whereas electric Dermatomes are difficult to get accustomed to and are expensive, razor-type Dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Razor-type Dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.