Introducing sliding technique; introduce Seprafilm; adhesion prevention device into abdominal cavity in laparoscopy.

1. 腹腔鏡手術における セプラフィルム体腔内搬入方法の工夫 東邦大学医療センター大橋病院 産婦人科 山本泰弘 浅川恭行 倉﨑昭子 福田麻実 櫻井信行 田岡英樹 川又靖貴 久布白兼行

2. 腹腔鏡手術における セプラフィルム体腔内搬入方法の工夫 東邦大学医療センター大橋病院 産婦人科 山本泰弘 浅川恭行 倉﨑昭子 福田麻実 櫻井信行 田岡英樹 川又靖貴 久布白兼行

4. Interceed is strong and highly plastic and therefore is the most easily introduced into the abdominal cavity without the need of special tools. Hiroyuki Takeuchi, Fertil Steril 2008;89(5):1247-53

5. Interceed is strong and highly plastic and therefore is the most easily introduced into the abdominal cavity without the need of special tools. Hiroyuki Takeuchi, Fertil Steril 2008;89(5):1247-53

6. Concerns about the use of Seprafilm include the learning curve required to achieve optimal placement. Also, Seprafilm cannot be applied laparoscopically. González-Quintero VH, The Female Patient. 2010;35(9):42-45 Interceed is strong and highly plastic and therefore is the most easily introduced into the abdominal cavity without the need of special tools. Hiroyuki Takeuchi, Fertil Steril 2008;89(5):1247-53

7. Concerns about the use of Seprafilm include the learning curve required to achieve optimal placement. Also, Seprafilm cannot be applied laparoscopically. González-Quintero VH, The Female Patient. 2010;35(9):42-45

8. Concerns about the use of Seprafilm include the learning curve required to achieve optimal placement. Also, Seprafilm cannot be applied laparoscopically. González-Quintero VH, The Female Patient. 2010;35(9):42-45 Issues on the use of Seprafilm® laparoscopically Method Efficiency

9. Issues on the use of Seprafilm® laparoscopically Method Efficiency

10. Issues on the use of Seprafilm® laparoscopically Method Efficiency

11. In 2000, we made the first report of using Seprafilm® in gynecologic laparoscopy at the 40th meeting of JSGOE.

12. In 2000, we made the first report of using Seprafilm® in gynecologic laparoscopy at the 40th meeting of JSGOE.

15. Preparing the film; making tiny roll of film, is REALLY required? To achieve more efficiency, we need a simple technique.

16. Preparing the film; making tiny roll of film, is REALLY required? To achieve more efficiency, we need a simple technique.

17. You will find it here!

18. You will find it here! About 6x3cm

19. About 6x3cm

21. 25 seconds 17 seconds

22. 25 seconds 17 seconds Playing video NOW …

24. Summary of “sliding method” No need to make roll. Can introduce 6x3cm sized films one time. Can apply to many sites in short time.

25. Conclusions This “sliding method” is a simple and easy technique to introduce Seprafilm® laparoscopically. This technique is more efficient than techniques previously reported.

26. DISCLOSURE Seprafilm® used in non-clinical videos were provided by 科研製薬株式会社 , we thank this support. There is no conflict of interests. ACKNOWLEDGEMENT