Akiko Takashima

Adenomyosis has long been regarded as a benign, estrogen-dependent uterine disorder. Accumulating pathological and molecular evidence now supports its role as a potential precursor lesion for endometrial carcinoma. Adenocarcinoma arising in…

BACKGROUND: Chronic endometritis (CE) is a continuous inflammation of uterine endometrium, and it is usually symptomless. As CE has been thought not to affect the reproductive status and general health of affected women, its significance ha…

Aim: To clarify the effects of small endometriomas on in vitro fertilization (IVF) outcomes. In the present study, the potential impact of small ovarian endometriomas on the quantitative and qualitative outcomes of IVF was evaluated in the …

To compare the influence of laparoscopic ablation surgery or cystectomy for endometrioma on the ovaries with respect to the results of in vitro fertilization (IVF). Fifteen patients who had not achieved spontaneous pregnancy following KTP l…

AIM: The aim of this study was to assess the effect of coagulation versus suture used for hemostasis during laparoscopic excision of a unilateral endometrioma for outcome of in vitro fertilization (IVF). MATERIAL AND METHODS: This retrospec…

Objective: To assess whether coagulation or suture for hemostasis during laparoscopic excision of unilateral endometrioma affects short-term ovarian reserve. Methods: From April 2008 to March 2011, 48 women underwent laparoscopic excision o…

AIMS: Laparoscopy has been performed in women with unexplained infertility, but the recent trend is to commence in vitro fertilization (IVF) without prior laparoscopy. The aim of this study was to determine whether or not laparoscopic surge…

Deep endometriosis forms severe adhesion in the peritoneal cavity,which sometimes displaces the anatomical position of the ureter, and occasionally extends deeply into the retroperitoneal space, pressing and obstructing the ureter. Therefor…

26歳の女性で，4年前より子宮内膜症既往がある．1年前から左鼡径部に月経周期に伴い症状が変化する有痛性腫瘤を自覚していた．CT，MRIでは左鼡径部に辺縁に造影効果のある多房性嚢胞を認めた．左鼡径部の外性子宮内膜症を疑った．全身麻酔下に右卵巣内膜症性嚢胞に対して腹腔鏡下子宮内膜症病巣除去術と鼡径部腫瘤摘出手術を行った．腹腔内から左内鼡径輪開存を観察し，前方アプローチにて鼡径管を開放すると暗赤色の腫瘤をヘルニア嚢内に確認した．ヘルニア嚢を高位結紮し，Marcy法にてヘルニア門を閉…

AIM: To retrospectively assess the long-term outcome, including pregnancy rate, recurrence rate and ovarian reserve, after laser ablation surgery in infertile women with endometrioma. METHODS: From March 1997 to June 2007, 45 subfertile wo…

It has been reported that the incidence of ureteral injury during laparoscopic surgery is higher than during laparotomy. Accordingly, we investigated the usefulness and safety of ureteral illuminating catheters during gynecological surgery.…

Objective: To identify factors associated with endometrioma recurrence after laparoscopic cystectomy.Design: Prospective observational study.Setting: Toho University Medical Center, Sakura HospitalPatient: Patients (N=153) undergoing laparo…