2.The Essence of Hippocrates
Kampo Medicine 2011;62(2):103-112
Twelve of the best-noted doctors, mainly from the Edo Period (the golden age of Kampo in Japan), were selected for a discussion of how they taught their apprentices about attitudes towards patients when examining and treating.This showed that these excellent doctors had, as a matter of course, the knowledge and techniques to cure their patients: what's more, they were sincere as well as understanding of their patients' minds. Learning and practicing Kampo medicine requires us to have a keener sense of observation. By learning Kampo medicine in addition to western medicine, we could even be Hippocrates!
5.The Tradition and the Development of the Japanese Kampo-Medicine.
Kampo Medicine 2002;53(6):595-604
The historical circumstances about the application of the Japanese Kampo-medicine on the point of clinical view are the following that the original directions of the Chinese medical classics have been strictly adhered in China while the directions of those have been remarkably developed in Japan after the import. Now the Japanese Kampo-medecine are based upon these recent developments as well as the current pharmacological studies. Several clinical casereports are demonstrated who are treated with Daisaiko-to, Hachimijio-gan, and Hochuekki-to.
Finally the noteworthy opinions by Sensai Nagayo who laid the foundation of the medical system in modern Japan are quoted from his autobiography. Namely the really valuable new medicine should be established with the combination of both the western medicine and the Kampo-medicine.
7.Technique for transvaginal removal of large specimen using an Alexis Contained Extraction System during laparoscopic hysterectomy
Iori KISU ; Kouji BANNO ; Asahi TOKUOKA ; Keigo YAMAGUCHI ; Kunio TANAKA ; Tetsuro SHIRAISHI ; Kanako NAKAMURA ; Hiroshi SENBA ; Kiyoko MATSUDA ; Nobumaru HIRAO
Obstetrics & Gynecology Science 2022;65(3):283-285
Objective:
Transvaginal removal of large specimens during laparoscopic hysterectomy can be a complex surgical procedure that poses a risk of organ injury and tissue spillage into the abdominal cavity and is associated with extraction of the specimen and manual morcellation. Our objective was to demonstrate a technique for transvaginal removal of large specimens using the Alexis Contained Extraction System (CES) in laparoscopic hysterectomy.
Methods:
The technique used for transvaginal removal of large specimens using the Alexis CES was presented in this video. Surgery was performed at a tertiary hospital.
Results:
Following resection of the specimen during laparoscopic hysterectomy, the Alexis CES was inserted into the abdominal cavity through the umbilical trocar wound. The specimen was placed in a bag to prevent tissue spillage. The ring retractor was guided to the vagina and pulled out transvaginally. By repeatedly turning the ring retractor, tension was applied to the specimen bag, and the vaginal wall was unfolded all around to enable a secure surgical field. During manual morcellation of the specimen in the bag, the retractor was pulled and additionally turned to roll and re-tension the specimen bag when the bag was loosened. The specimen was pushed out of the vagina and safely and effectively extracted without concerns about tissue spillage in the abdominal cavity or related organ injuries.
Conclusion
The technique for transvaginal removal of large specimens using the Alexis CES enables simple, effective, and safe tissue extraction with contained manual morcellation during laparoscopic hysterectomy.