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4. The degree of satisfaction and level of learning in male and female surgical residents: a nationwide questionnaire survey of graduating residents in Japan

Author

Hida, Koya, Hirano, Satoshi, Poudel, Saseem, Kurashima, Yo, Stefanidis, Dimitrios, Hashimoto, Daisuke, Akiyama, Hirotoshi, Eguchi, Susumu, Fukui, Toshihiro, Hagiwara, Masaru, Izaki, Tomoko, Kawamoto, Shunsuke, Otomo, Yasuhiro, Nagai, Eishi, Takami, Hideki, Takeda, Yuko, Toi, Masakazu, Yamaue, Hiroki, Yoshida, Motofumi, Yoshida, Shigetoshi, Kodera, Yasuhiro, and Saito, Mitsue

Published
2023
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13. A snapshot of surgical resident training in Japan: results of a national-level needs assessment survey

Author

Poudel, Saseem, Hirano, Satoshi, Kurashima, Yo, Stefanidis, Dimitrios, Akiyama, Hirotoshi, Eguchi, Susumu, Fukui, Toshihiro, Hagiwara, Masaru, Hashimoto, Daisuke, Hida, Koya, Izaki, Tomoko, Iwase, Hirotaka, Kawamoto, Shunsuke, Otomo, Yasuhiro, Nagai, Eishi, Saito, Mitsue, Takami, Hideki, Takeda, Yuko, Toi, Masakazu, Yamaue, Hiroki, Yoshida, Motofumi, Yoshida, Shigetoshi, and Kodera, Yasuhiro

Published
2019
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16. Delphi Method Consensus-Based Identification of Primary Trauma Care Skills Required for General Surgeons in Japan

Author

Hirose, Kazuyuki, primary, Murakami, Soichi, additional, Kurashima, Yo, additional, Sato, Nagato, additional, Poudel, Saseem, additional, Tanaka, Kimitaka, additional, Matsui, Aya, additional, Nakanishi, Yoshitsugu, additional, Asano, Toshimichi, additional, Noji, Takehiro, additional, Ebihara, Yuma, additional, Nakamura, Toru, additional, Tsuchikawa, Takahiro, additional, Shichinohe, Toshiaki, additional, Okada, Kazufumi, additional, Yokota, Isao, additional, Hasegawa, Naoto, additional, and Hirano, Satoshi, additional

Published
2023
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29. Laparoscopic approach as a safe and effective option for incarcerated femoral hernias.

Author

Okazaki, Ryo, Poudel, Saseem, Hane, Yuma, Saito, Takahiro, Muto, Jun, Syoji, Yasuhito, Hase, Ryunosuke, Senmaru, Naoto, and Hirano, Satoshi

Subjects
*HERNIA surgery, *LAPAROSCOPIC surgery, *HERNIA, *SURGICAL emergencies, *WATER pressure
Abstract

Introduction: The laparoscopic approach for elective femoral herniorrhaphy is well established. However, femoral hernias often present as incarcerations and require emergency repair surgery, mainly using the open approach. This study aimed to retrospectively analyze the efficacy of the laparoscopic approach for incarcerated femoral hernias. Methods: Data of patients who underwent emergency surgery for incarcerated femoral hernia between April 2016 and August 2021 were retrospectively analyzed. Laparoscopy was performed whenever possible; however, conversion to an open approach remained a fallback option for when laparoscopic repair was not possible. In laparoscopic repair, incarcerated femoral hernias reduced using traction, water pressure, and preperitoneal methods. Data of patients who underwent open repair and laparoscopy were then compared. Results: During the observation period, 20 patients underwent emergency surgery for incarcerated femoral hernia. Eleven patients subsequently underwent repair using a laparoscopic approach, and eight underwent repair using an open approach. Only one patient underwent intestinal resection without hernia repair due to perforated bowel. Operative time for laparoscopic repair was longer. Mesh repair was performed in 18 patients. Four patients each in the laparoscopic repair and open group required intestinal resection. Conclusion: Incarcerated femoral hernias can be safely repaired using the laparoscopic approach. [ABSTRACT FROM AUTHOR]

Published
2022
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30. Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model

Author

Poudel, Saseem, Kurashima, Yo, Shichinohe, Toshiaki, Kitashiro, Shuji, Kanehira, Eiji, and Hirano, Satoshi

Subjects
Study and teaching, Forecasts and trends, Market trend/market analysis, Digestive system surgery -- Study and teaching, Medical education -- Forecasts and trends, Patient simulation -- Forecasts and trends, Laparoscopy -- Study and teaching
Published
2016

31. COVID-19 Pandemic: A Surgical Perspective from Japan

Author

Nepal, Pramod, Poudel, Saseem, Maharjan, Narendra, Nepal, Pramod, Poudel, Saseem, and Maharjan, Narendra

Abstract

Japan reported its first COVID-19 case after a returnee from Wuhan, China tested positive for the virus on 16 January, 2020. On April 8, the Japanese government declared emergency in Tokyo and six other prefectures of the country; a nationwide emergency was declared on April 16. The total reported cases were 15,477 and total deaths 755 as of May 7, 2020.Japan Surgical Society (JSS) and Japanese Society of Gastroenterological Surgery (JSGS) have published recommendations for surgery and appropriate measures of safety. Patients are triaged based on the severity of their disease and level of outbreak. The Elective Surgery Acuity Scale (ESAS) by American College of Surgeons is recommended to triage the patients. The guidelines consider the risk of infection during the interventions that generate aerosol such as tracheal intubation, extubation, tracheostomy, mask ventilation, bronchoscopy,chest drainage, gastrointestinal endoscopy etc.

Published
2020

32. Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

Author

1000080811489, Poudel, Saseem, 1000050322813, Hirano, Satoshi, 1000040374350, Kurashima, Yo, Stefanidis, Dimitrios, 1000080305466, Akiyama, Hirotoshi, 1000080404218, Eguchi, Susumu, 1000050445045, Fukui, Toshihiro, 1000090338806, Hagiwara, Masaru, 1000080508507, Hashimoto, Daisuke, 1000040447983, Hida, Koya, 1000090423491, Izaki, Tomoko, 1000040211065, Iwase, Hirotaka, 1000020400244, Kawamoto, Shunsuke, 1000040176946, Otomo, Yasuhiro, 1000030264021, Nagai, Eishi, 1000030205679, Saito, Mitsue, 1000040723028, Takami, Hideki, 1000070302411, Takeda, Yuko, 1000010207516, Toi, Masakazu, 1000020191190, Yamaue, Hiroki, 1000000291518, Yoshida, Motofumi, 1000090334200, Yoshida, Shigetoshi, 1000010345879, Kodera, Yasuhiro, 1000080811489, Poudel, Saseem, 1000050322813, Hirano, Satoshi, 1000040374350, Kurashima, Yo, Stefanidis, Dimitrios, 1000080305466, Akiyama, Hirotoshi, 1000080404218, Eguchi, Susumu, 1000050445045, Fukui, Toshihiro, 1000090338806, Hagiwara, Masaru, 1000080508507, Hashimoto, Daisuke, 1000040447983, Hida, Koya, 1000090423491, Izaki, Tomoko, 1000040211065, Iwase, Hirotaka, 1000020400244, Kawamoto, Shunsuke, 1000040176946, Otomo, Yasuhiro, 1000030264021, Nagai, Eishi, 1000030205679, Saito, Mitsue, 1000040723028, Takami, Hideki, 1000070302411, Takeda, Yuko, 1000010207516, Toi, Masakazu, 1000020191190, Yamaue, Hiroki, 1000000291518, Yoshida, Motofumi, 1000090334200, Yoshida, Shigetoshi, 1000010345879, and Kodera, Yasuhiro

Abstract

Purpose To evaluate the self-assessed competency of graduating residents (GRs) in Japan upon completion of their residency and to identify the gap between their competency and the competency expected by their program directors (PDs). Method A list of 31 essential surgical procedures was compiled according to the consensus of surgical educators from around the country. A survey with this list was sent to all 909 GRs and their 611 PDs in 2016. The GRs rated their competency to perform these procedures and the PDs were asked to evaluate the expected competency of their GRs using the Zwisch Scale. Result The response rate was 56.3% for the GRs and 76.8% for the PDs. Fewer than half of the GRs who responded felt confident performing ten (32%) of the surgical procedures evaluated. For most procedures, the GRs' self-reported competency was lower than the expectation reported by their PDs. This gap was more than 10% for 13 of the procedures. Conclusion More than half of the GRs in Japan lacked the confidence in their skill to perform one-third of the surgical procedures selected for evaluation in this study. These findings should be used to update the surgical education curriculum in Japan.

Published
2020

33. Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

Author

Poudel, Saseem, Hirano, Satoshi, Kurashima, Yo, Stefanidis, Dimitrios, Akiyama, Hirotoshi, Eguchi, Susumu, Fukui, Toshihiro, Hagiwara, Masaru, Hashimoto, Daisuke, Hida, Koya, Izaki, Tomoko, Iwase, Hirotaka, Kawamoto, Shunsuke, Otomo, Yasuhiro, Nagai, Eishi, Saito, Mitsue, Takami, Hideki, Takeda, Yuko, Toi, Masakazu, Yamaue, Hiroki, Yoshida, Motofumi, Yoshida, Shigetoshi, Kodera, Yasuhiro, Poudel, Saseem, Hirano, Satoshi, Kurashima, Yo, Stefanidis, Dimitrios, Akiyama, Hirotoshi, Eguchi, Susumu, Fukui, Toshihiro, Hagiwara, Masaru, Hashimoto, Daisuke, Hida, Koya, Izaki, Tomoko, Iwase, Hirotaka, Kawamoto, Shunsuke, Otomo, Yasuhiro, Nagai, Eishi, Saito, Mitsue, Takami, Hideki, Takeda, Yuko, Toi, Masakazu, Yamaue, Hiroki, Yoshida, Motofumi, Yoshida, Shigetoshi, and Kodera, Yasuhiro

Abstract

Purpose To evaluate the self-assessed competency of graduating residents (GRs) in Japan upon completion of their residency and to identify the gap between their competency and the competency expected by their program directors (PDs). Method A list of 31 essential surgical procedures was compiled according to the consensus of surgical educators from around the country. A survey with this list was sent to all 909 GRs and their 611 PDs in 2016. The GRs rated their competency to perform these procedures and the PDs were asked to evaluate the expected competency of their GRs using the Zwisch Scale. Result The response rate was 56.3% for the GRs and 76.8% for the PDs. Fewer than half of the GRs who responded felt confident performing ten (32%) of the surgical procedures evaluated. For most procedures, the GRs' self-reported competency was lower than the expectation reported by their PDs. This gap was more than 10% for 13 of the procedures. Conclusion More than half of the GRs in Japan lacked the confidence in their skill to perform one-third of the surgical procedures selected for evaluation in this study. These findings should be used to update the surgical education curriculum in Japan.

Published
2020

35. 安全かつ効率的な腹腔鏡下鼠径ヘルニア修復術のトレーニングシステムの構築 [全文の要約]

Author

Poudel, Saseem, 佐藤, 典宏, 篠原, 信雄, 神山, 俊哉, and 玉腰, 暁子

Abstract

この博士論文全文の閲覧方法については、以下のサイトをご参照ください。, 配架番号：2296, https://www.lib.hokudai.ac.jp/dissertations/copy-guides/, (主査) 教授 佐藤 典宏, 教授 篠原 信雄, 准教授 神山 俊哉, 教授 玉腰 暁子, 医学研究科（医学専攻）

Published
2017

38. A new technique to avoid unintentional adhesion while deploying ProGrip mesh and its utility in the laparoscopic repair of obturator hernia.

Author

Jun Muto, Katsuhiko Murakawa, Hiroyuki Yamamoto, Poudel, Saseem, Shoki Sato, Kohei Kato, Naoto Senmaru, and Koichi Ono

Subjects
HERNIA, LAPAROSCOPIC surgery, TISSUE adhesions, INGUINAL hernia, VENTRAL hernia
Abstract

The ProGrip™ laparoscopic self-fixating mesh provides advantages such as low cost and reduced pain following tack-free fixation in laparoscopic hernia repair through a transabdominal preperitoneal approach. Obturator hernia repair needs adequate fixation around the hernial orifice without the use of tacking, and ProGrip™ mesh provides options for secure fixation. However, it is often difficult to adequately adjust the mesh placement to cover the obturator hernia orifice with a ProGrip™ mesh, due to adhesion of the grips to the surrounding tissues. We introduce our technique to avoid unintentional adhesion during ProGrip mesh repair and discuss its utility in the treatment of obturator hernias. We repaired seven obturator hernia lesions in five patients using this technique without any complications. The biggest advantage of our technique is that the position of the mesh can be adjusted after it is expanded, unless the sheet is completely removed, allowing the surgeons to fix the mesh without any unintended adhesion to surrounding tissue. [ABSTRACT FROM AUTHOR]

Published
2021
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39. Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey.

Author

Hashimoto, Daisuke, Poudel, Saseem, Hirano, Satoshi, Kurashima, Yo, Akiyama, Hirotoshi, Eguchi, Susumu, Fukui, Toshihiro, Hagiwara, Masaru, Hida, Koya, Izaki, Tomoko, Iwase, Hirotaka, Kawamoto, Shunsuke, Otomo, Yasuhiro, Nagai, Eishi, Saito, Mitsue, Takami, Hideki, Takeda, Yuko, Toi, Masakazu, Yamaue, Hiroki, and Yoshida, Motofumi

Subjects
*TRAINING of medical residents, *RESIDENTS (Medicine), *UNIVERSITY hospitals, *GENERAL anesthesia, *REGIONAL disparities
Abstract

Purpose: This study sought to assess the disparity between regions and facilities in surgical resident training in Japan via a national level needs-assessment. Methods: A survey was sent to all 909 graduating residents of 2016. Residents trained in the six prefectures with a population of 7 million or more were included in the large prefecture (LP) group. Residents trained in the other 41 prefectures were included in the small prefecture (SP) group. Each group was further divided into a university hospital (UH) group and a non-university hospital (NUH) group. Results: The response rate was 56.3% (n = 512). Excluding nine residents who did not report their prefectures and facilities, surveys from 503 residents were analyzed. The UH group received significantly more years of training. In the SP and UH groups, there were significantly fewer residents who had performed 150 procedures or more under general anesthesia in comparison to the LP and NUH groups, respectively. Self-assessed competencies for several procedures were significantly lower in the SP and UH groups. Conclusion: Disparity in surgical resident training was found between regions and facilities in Japan. The surgical residency curriculum in Japan could be improved to address this problem. [ABSTRACT FROM AUTHOR]

Published
2020
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40. Identifying the needs for teaching fundamental knowledge of laparoscopic surgery: a cross-sectional study in Japan

Author

Yokoyama, Shinichiro, primary, Watanabe, Yusuke, additional, Kurashima, Yo, additional, Oshita, Akihiko, additional, Nishizawa, Yuji, additional, Naitoh, Takeshi, additional, Nakamura, Fumitaka, additional, Kikuchi, Satoru, additional, Noma, Kazuhiro, additional, Poudel, Saseem, additional, Suzuki, Akihiro, additional, Nishihara, Yuichi, additional, Ito, Masaaki, additional, and Hirano, Satoshi, additional

Published
2018
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45. Development of a novel training system for laparoscopic inguinal hernia repair.

Author

Poudel, Saseem, Kurashima, Yo, Kawarada, Yo, Murakami, Yoshihiro, Tanaka, Kimitaka, Kawase, Hiroshi, Shichinohe, Toshiaki, and Hirano, Satoshi

Subjects
*CONSENSUS (Social sciences), *INGUINAL hernia, *LAPAROSCOPIC surgery, *OPERATIVE surgery, *TEACHING methods, *EDUCATIONAL outcomes
Abstract

Background: Laparoscopic inguinal hernia repair is considered technically difficult. Although a simulation-based curriculum has been developed to help trainees, access to simulation training outside North America is limited. This study aimed to develop an educational system for the transabdominal preperitoneal (TAPP) approach based on the TAPP checklist, an assessment tool we had developed and validated earlier. Material and methods: Consensus within the TAPP education working group consisting of local TAPP experts, hernia experts and a surgical educator to develop educational tools and the educational system based on the TAPP checklist. The system was piloted in several institutes, and participants were surveyed on its efficacy. Results: We systematically developed an educational video and training manual explaining each item of the TAPP checklist and conveying basic knowledge of the procedure. We integrated the training tool with evaluation and feedback to develop an educational system. In a pilot study, seven trainees at five hospitals were trained using this system and found it very useful for mastering the TAPP procedure. Conclusions: We have developed a training system for TAPP procedure and successfully implemented it in several hospitals. Further research will focus on the educational value of this tool. [ABSTRACT FROM AUTHOR]

Published
2019
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46. Intraluminal continuous decompression and drainage using a vacuum pump for controlling cervical anastomotic leakage after a three-field esophagectomy with a gastric pull-up

Author

1000070374353, Shichinohe, Toshiaki, 1000050632981, Ebihara, Yuma, Murakami, Soichi, 1000040374350, Kurashima, Yo, Fukuda, Naoya, Poudel, Saseem, Miyazaki, Dai, 1000050507572, Tsuchikawa, Takahiro, 1000050322813, Hirano, Satoshi, 1000070374353, Shichinohe, Toshiaki, 1000050632981, Ebihara, Yuma, Murakami, Soichi, 1000040374350, Kurashima, Yo, Fukuda, Naoya, Poudel, Saseem, Miyazaki, Dai, 1000050507572, Tsuchikawa, Takahiro, 1000050322813, and Hirano, Satoshi

Abstract

Background: Anastomotic leakage is one of the major complications that can occur after an esophagectomy. We report on the advantages of a computer-controlled portable vacuum pump system, ThopazR, for intraluminal continuous decompression and drainage in the non-surgical management of cervical anastomotic leakage. Method: Continuous decompression with negative pressure of 20 cmH2O was set at the anastomotic leakage point by a naso-gastric tube or a trans-gastric decompression tube. The drainage effect was confirmed by swallowing contrast media under fluoroscopy. Results: Three successive cases with postoperative anastomotic leakage received this treatment. The treatments were successful without complication and the leakages were healed 7, 15, and 17days after the treatments respectively. Conclusion: The management of anastomotic leakage using the portable pump system was beneficial in bringing about a prompt healing with minimum intervention. To further demonstrate the advantage of this procedure over conventional treatments, a larger data set and clinical trials are required.

Published
2016

47. Impact of 3D in the training of basic laparoscopic skills and its transferability to 2D environment: a prospective randomized controlled trial

Author

Poudel, Saseem, primary, Kurashima, Yo, additional, Watanabe, Yusuke, additional, Ebihara, Yuma, additional, Tamoto, Eiji, additional, Murakami, Soichi, additional, Nakamura, Toru, additional, Tsuchikawa, Takahiro, additional, Okamura, Keisuke, additional, Shichinohe, Toshiaki, additional, and Hirano, Satoshi, additional

Published
2016
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