Retrospective Study of Collection Methods in Laparoscopic Myomectomy at Matsumoto City Hospital

Objective : In laparoscopic myomectomy (LM), it is essential to remove myoma tissue without dispersing it into the abdominal cavity, as scattered tissue may later be diagnosed as malignant or lead to the development of parasitic myomas. In our hospital, we use Molsafe TM and an electric morcellator to retrieve myoma tissues ; however, we experienced a case in which removal was difficult using this surgical procedure. Herein, we report a retrospective analysis of cases of LM at our hospital. Method : We retrospectively analyzed 25 cases of uterine myoma who underwent LM between 2018 and 2024 at our hospital. Results : The median operation time was 174 min (120-405 min), the median intraoperative blood loss was 100 g (5-800 g), the median long diameter of the largest uterine myoma on preoperative MRI was 5.4 cm (3-11 cm), and the median number of myoma removed was one (one-seven). Using Molsafe TM and an electric morcellator, successful tissue retrieval was achieved in 24 of 25 cases (96 ％). However, retrieval was challenging in one case involving a uterine myoma with a long diameter of 11 cm. Conclusion : When retrieving uterine myoma tissues using Molsafe TM and an electric morcellator, caution should be taken if the long diameter of the uterine myoma is large, as it may be difficult to secure surgical space and remove the myoma due to its hardness.journal articl

Trail Running Challenges and Sustainability

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Creating Lessons for Enhancing Problem Solving Abilities Using “Historical Perspectives” in Junior High School Social Studies(3): A Focus on Integrating “Optimal Individual Learning” and “Collaborative Learning” in Free Progress Learning Within a Unit

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Meteorological Data of Nishikoma Station, AFC, Shinshu University, 2023

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奥付

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信州大学農学部AFC報告投稿に関する申合せ

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世田谷文学館訪問記－北杜夫初期作品の背景－

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幼稚園における「言葉による伝え合い」を育むサークル対話の実践―教師の手立てに着目して―

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援助要請行動のプロセスとセルフスティグマの関連

本研究の目的は援助要請行動のプロセスモデルの各段階における意思決定にセルフスティグマと「自立」の捉え方がどのように関連があるのかを検討することであった。質問紙調査を実施し，大学生・大学院生101 名(男性25 名，女性75 名，無回答１名)を分析対象とした。分析の結果，身近な他者へのセルフスティグマは友人への援助要請の検討だけでなく，学生相談機関への援助要請の検討にも影響を与えている可能性が示唆された。心理的自立観における自己完結の信念が強いほど学生相談機関への援助要請の検討が促進されていることから，自身の持つ援助資源を適切に活用していると捉えられることで援助要請行動につながる可能性が示唆された。departmental bulletin pape

Suicidal Ideation in Mental Health Surveys at Matriculation and Suicide: An Analysis of 15 Years at Shinshu University

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