Gender equity in surgical instruments: ergonomics of ring-handled forceps.

Introduction: Female surgeons have ergonomic issues with commercialized instruments tailored for male surgeons. The purpose of this study was to identify satisfaction levels and ergonomic problems of female surgeons while using laparoscopic forceps with ring-handles and suggest improvement measures.

Material And Methods: A questionnaire was sent to 19,405 members of the Japanese Society of Gastroenterological Surgery email between 1 August 2022 and 30 September 2022.

Employment Status of Patients With Colorectal Cancer After Surgery: A Multicenter Prospective Cohort Study in Japan.

Background: Because of improved survival rates, patients with colorectal cancer may try to return to work. Many countries, however, have limited knowledge of the employment status of these patients.

Objective: To explore the employment status of patients with colorectal cancer after surgery in Japan and the risk factors affecting the same.

What can surgeons do to prevent job leave soon after cancer diagnosis? A brief report on colorectal cancer survivors in Japan.

Purpose: Colorectal cancer is one of the most diagnosed cancers in Japan and the number of cancer survivors has increased. Work-related issues of cancer survivors have been investigated in relation to occupational health, and sufficient evidence in clinical practice is needed to support this. This study aimed to obtain the relevant information, intending to support the employment of patients with colorectal cancer for clinical settings.

Comparison of short term surgical outcomes of male and female gastrointestinal surgeons in Japan: retrospective cohort study.

Objective: To compare short term surgical outcomes between male and female gastrointestinal surgeons in Japan.

Design: Retrospective cohort study.

Setting: Data from the Japanese National Clinical Database (includes data on >95% of surgeries performed in Japan) (2013-17) and the Japanese Society of Gastroenterological Surgery.

Surgical Experience Disparity Between Male and Female Surgeons in Japan.

Importance: Women are vastly underrepresented in surgical leadership and management in Japan. The lack of equal opportunities for surgical training is speculated to be the main reason for this disparity; however, this hypothesis has not been investigated thus far.

Objective: To examine gender disparity in the number of surgical experiences among Japanese surgeons.

Measurement of particulate matter 2.5 in surgical smoke and its health hazards.

Purpose: Surgical smoke is generated during the cauterization, coagulation, and incision of biological tissues by electrocautery, ultrasonic coagulation, incising devices, and lasers. Surgical smoke comprises water, water vapor, steam, and some particulate matter, including bacteria, viruses, cell fragments, and volatile organic compounds, which can pose health risks to the operating room personnel. In this study, we measured the concentration of particulate matter 2.

Analysis of Social Policy and the Effect of Career Advancement Support Programs for Female Doctors.

In Japan, the number of female doctors has gradually increased; however, they form less than half of the average percentage (46.3% in 2016) among the Organisation for Economic Cooperation and Development member countries. In addition, some female doctors reduce their working hours for childbirth, housework, and childcare.

Can rectal washout reduce anastomotic recurrence after anterior resection for rectal cancer? A review of the literature.

Local recurrence rates of rectal cancer after anterior resection remain high, despite the continued efforts of surgeons to devise preventive measures. Anastomotic recurrence, a form of local recurrence, may be caused by the implantation of exfoliated cancer cells during resection, and rectal stump washout has been proposed as a way to reduce the risk of this occurring. In this review article, we explore the mechanism of anastomotic recurrence after low anterior resection for rectal cancer, and examine the history and effectiveness of rectal washout on reducing recurrence rates, with a focus on washout solutions, procedures, and devices.

Endometriosis-associated hydrocele of the canal of Nuck with immunohistochemical confirmation: a case report.

Background: The canal of Nuck is an embryological vestige of the processus vaginalis, and presents a potential site for endometriosis seeding. Hydroceles in this region are a rare cause of inguinal swelling in females. In addition, endometriosis localized to the canal of Nuck is exceedingly rare.

Musical Instrument-Associated Health Issues and Their Management.

Playing musical instruments can bring joy to people, but can also cause a wide variety of health issues that range from mild disorders to potentially fatal conditions. Although sports medicine is an established medical subspecialty, relatively few studies have investigated the health issues associated with musical instruments. Here we present an overview of these health issues.

Laparoscopic subtotal proctocolectomy for synchronous triple colorectal cancers: a case report.

A 42-year-old woman presented with abdominal pain. On the basis of CT results, we diagnosed her condition as bowel obstruction caused by advanced transverse colon cancer. Colonoscopy findings showed three lesions: (i) an advanced tumor in the transverse colon; (ii) a laterally spreading descending colon tumor; and (iii) a rectal polyp.

[JAPAN’S SURNAME POLICY AFFECTING WOMEN SURGEONS’ CAREER PROSPECTS].

On December 16, 2015, the Supreme Court of Japan ruled that Article 750 of the Civil Code enforcing married couples to use the same surname does not violate the Constitution of Japan. It stated, “A husband and wife shall adopt the surname of the husband or wife in accordance with that which is decided at the time of marriage.” While the law does not stipulate which name married couples should adopt, invariably, in fact in 96.

Suturing the gender gap: Income, marriage, and parenthood among Japanese Surgeons.

Background: In Japan, gender inequality between males and females in the medical profession still exists. We examined gender gaps in surgeons' incomes.

Methods: Among 8,316 surgeons who participated in a 2012 survey by the Japan Surgical Society, 546 women and 1,092 men within the same postgraduation year were selected randomly with a female-to-male sampling ratio of 1:2 (mean age, 36 years; mean time since graduation, 10.

Laparoscopic right hemicolectomy for metachronous ascending colon cancer with preservation of an ileal conduit constructed after previous radical cystectomy for bladder cancer.

A 79-year-old woman who had undergone laparoscopic radical cystectomy and ileal conduit construction for bladder cancer 4 years earlier presented to our hospital with anemia. We diagnosed advanced ascending colon cancer (cT4bN2M1) and documented tumor regression after six courses of folinic acid, 5-fluorouracil, and oxaliplatin therapy. We then performed laparoscopic right hemicolectomy.

Health risks associated with exposure to surgical smoke for surgeons and operation room personnel.

Although surgical smoke contains potentially hazardous substances, such as cellular material, blood fragments, microorganisms, toxic gases and vapors, many operating rooms (ORs) do not provide protection from exposure to it. This article reviews the hazards of surgical smoke and the means of protecting OR personnel. Our objectives are to promote surgeons' acceptance to adopt measures to minimize the hazards.

Gender inequality in career advancement for females in Japanese academic surgery.

During the past three decades, the participation of women in medicine has increased from 10.6% (1986) to 19.7% (2012) in Japan.

Risk factors for anastomotic leakage after laparoscopic low anterior resection with DST anastomosis.

Background: Laparoscopic rectal surgery involving rectal transection and anastomosis with stapling devices is technically difficult. The aim of this study was to evaluate the risk factors for anastomotic leakage (AL) after laparoscopic low anterior resection (LAR) with double-stapling technique (DST) anastomosis.

Methods: This was a retrospective single-institution study of 154 rectal cancer patients who underwent laparoscopic LAR with DST anastomosis between June 2005 and August 2013.

Overcoming the challenges of primary tumor management in patients with metastatic colorectal cancer unresectable for cure and an asymptomatic primary tumor.

Background: The management of asymptomatic primary tumor in patients with unresectable metastatic colorectal cancer remains inconsistent.

Objective: This study aimed to determine the rate of symptom-directed surgery after systemic chemotherapy and to estimate the impact of initial primary tumor resection on survival in patients with unresectable metastatic colorectal cancer and an asymptomatic primary tumor.

Design: This was a single-institution, retrospective observational study.

Report from the Committee for Improving the Work Environment of Japanese Surgeons: survey on effects of the fee revision for medical services provided by surgeons.

Purpose: The aim of this study was to achieve improvements in the work environment of Japanese surgeons and shortage of surgeons.

Methods: Questionnaires were distributed to selected Japanese surgical Society (JSS) members. Retrospective analysis was conducted comparing the current 2011 survey with previous 2007 survey.

Efficacy of transanal drainage for anastomotic leakage after laparoscopic low anterior resection of the rectum.

Introduction: Anastomotic leakage remains a devastating complication following low anterior resection of the rectum. Our aim was to retrospectively assess the efficacy of transanal drainage.

Methods: Twenty-five patients with anastomotic leakage after laparoscopic low anterior resection (using the double-stapling technique) were reviewed.

[Analyzing the attributes of surgeons and working environment required for a successful career path and work-life balance: results of a survey administered to doctors working at Kyoto University Hospital].

We conducted a survey in March 2010 of all physicians at Kyoto University Hospital on working environments, levels of satisfaction, and level of exhaustion. A comparison of surgeons with other physicians showed tendencies among surgeons toward longer working hours and lower income. The findings indicated that surgeons experienced satisfaction from teamwork with fellow physicians, opportunities to manage interesting cases, and patient gratitude.

Molecular mechanisms of liver metastasis.

Colorectal cancer is the second most common cancer, and is the third leading cause of cancer-related death in Japan. The majority of these deaths is attributable to liver metastasis. Recent studies have provided increasing evidence that the chemokine-chemokine receptor system is a potential mechanism of tumor metastasis via multiple complementary actions: (a) by promoting cancer cell migration, invasion, survival and angiogenesis; and (b) by recruiting distal stromal cells (i.