St. Luke’s International Hospital

St. Luke’s International Hospital

Integrated Women's Health

Overview

Integrated Women's Health is composed of three units: Perinatal Care, General Gynecology, and Women's Surgery.

Our hospital has been admitted into the Japan Obstetric Compensation System, and treatment is based on providing a natural childbirth, while pursuing "child safety and comfort." Expecting mothers who will undergo continuous pregnancy checkups at our hospital are accepted for delivery. For patients who wish to visit other clinics for checkups but deliver at our hospital, an outpatient visit at 34 weeks is available (Please call us as soon as your pregnancy is confirmed.) We are designated as a Perinatal Medical Center by the Tokyo Metropolitan government, and actively accept various 'high risk' mothers. Further details can be found here.

At the General Gynecology and Women's Surgery department, laparoscopic surgery is proactively performed for benign tumors. For growths such as uterine fibroids, hysteroscopy and uterine artery embolization are implemented, with the cooperation of the radiology department. We also perform many types of treatment for malignant tumors (cervical cancer, uterine cancer, or ovarian cancer).

The Center for Advanced Reproduction has an infertility outpatient clinic, and cooperates with Clinical Genetics to offer medicinal consultation for expecting mothers. The center arranges in-vitro fertilization and micro-fertilization, offers cryopreservation of the sperm and eggs of patients undergoing cancer treatments and provides psychological support for numerous problems relating to having children.

Diseases and Expertise

  1. Perinatal Care
    Outpatients at Perinatal Care undergo pregnancy examinations with a primary physician. The pregnancy examination implements ultrasonography, and examines based on evidence based medicine(EBM.)Various classes are offered such as "Mother's Classes" and "Multi-kids Class," for mothers expecting multiple births.
    (Unfortunately , most of these classes are available only in Japanese. However you may ask any questions to the Nurses or Midwives at out-patient clinic, so that you may resolve your anxiety individually.)
    We also have a midwife outpatient clinic where mothers are offered advice on how to spend a healthy maternity life. There are a variety of pamphlets so that treatment is easy to understand. In order to create a comfortable childbirth experience for couples, we hold "Parenting Classes" about the delivery process, and fathers may attend delivery if they wish. Our maternity rooms implement L.D.R., arranging an environment where patients can concentrate on childbirth even while having contractions. All rooms for inpatients are private, so that they can spend a peaceful time with their family.
    After a patient is admitted, our staff forms a maternity team to perform examinations. We are fully equipped with a NICU (Neonatal Intensive Care Unit) and provide team medicine with the obstetrics, neonatology, anesthesiology, and other departments. If medically necessary, we utilize epidural anesthetics to allow delivery with as little pain as possible. For women with complications during pregnancy or those at high risk, we aim to provide safe and expedient treatment. Our hospital has been designated as a Perinatal Medical Center by the Tokyo Metropolitan government, and we also accept maternal transport. Further details can be found here.
  2. General Gynecology and Women's Surgery
    We actively perform laparoscopic surgery and treatment for malignant tumors.
    Laparoscopes are used for treating almost all benign cases, including extrauterine pregnancies, chocolate cysts, dermoid cysts and ovarian tumor, as well as for laparoscopic fibroid enucleation and laparoscopic panhysterectomy. In 2012 we conducted approximately 300 laparoscopic surgeries and 80 hysteroscopic surgeries. One of the distinctive features of this hospital is the short length of stay. To give an example, for an ovarian laparoscopy, the average length of stay is four days.
    In November, 2011, we introduced a surgery assistance robot "da Vinci" to our practice, with the goal of further increasing possibilities for laparoscopic surgeries. In 2012, 23 laparoscopic surgeries were carried out using this robot.
    For uterine cancer and ovarian cancer, our hospital has received approvals as a Registered Facility for Gynecological Tumor of the Japan Society of Obstetrics and Gynecology, Designated Specialist Training Facility of the Japan Society of Gynecologic Oncology and as a Registered and Participating Facility of the Japanese Gynecologic Oncology Group (JGOG,) proactively taking on treatment of patients with malignant tumors. In 2011 there were 43 operations carried out for malignant tumors, but in 2012 that number almost doubled to 84. Pre-operative chemotherapy (against early stage uterine cancer), taking advantage of the waiting period, and minimally invasive surgery using da Vinci are proactively performed.
    If necessary, uterus preservation is available for patients diagnosed with cervical tumors. In addition to approximately 120 cervical cone biopsies, we strive to preserve fertility for those who wish with radical trachelectomy, if they have indication. In our hospital, patient management continues under the Center for Advanced Reproduction post-operation, and the Perinatal Center in the case of pregnancy.
    With the cooperation of the Radiology Department, uterine artery embolization can be performed on uterine fibroids. In 2013, we have introduced microwave endometrial ablation for patients with hypermenorrhea.
  3. About the Reproductive Technology Center
    The Reproductive Technology Center was established on May 7th, 2001. The infertility treatment unit of the Center of Advanced Reproduction has implemented and registered as a facility for microfertilization of the Japan Society of Obstetrics and Gynecology, from the fiscal year 2002.
    We have also established a reproduction outpatient clinic to offer advice and consultation on cancer treatment, especially chemotherapy, the effect of radiation treatment on the ovaries and testis, and the possibility of pregnancy after treatment.

Drugs in Pregnancy Consultation Clinic

The Drugs in Pregnancy Consultation Clinic is a non-insurance covered outpatient clinic for mothers who are worried about drug intake during pregnancy, pregnancy when their partner was under medication or the effect of drugs on the fetus.
If you wish for a consultation, please fill in a questionnaire and send it to the hospital first. According to the information and inquiries on it, we will ask you to visit and answer your questions.
A gynecologist and pharmacist will offer advice during the consultation.

Genetics Counseling Clinic

For Details, please look at the Clinical Geneticsweb page.

Results

FY 2012

Outpatients 47,194 persons
Number of Delivery 1,286 cases

Number of Operations in 2012

Malignant Tumor of the Uterus 37 cases
Malignant Tumor of the Ovary/Fallopian Tube 47 cases
Conization 118 cases
Enucleatic Myomectomy (uterus preservation) 72 cases
Adnexectomy (laparotomy) 16 cases
Leiomyomectomy (laparotomy) 7 cases
Hysterectomy for Benign Diseases 81 cases
Surgery for Prolapse 8 cases
Laparoscopic Ovarian Tumor Enucleation 109 cases
Total Laparoscopic Hysterectomy 50
Laparoscopic Leiomyomectomy 39 cases
Laparoscopic Adnexectomy 44 cases
Laparoscopic Surgery for Ectopic Pregnancy 15 cases
da Vinci Surgery 23 cases
Other Laparoscopic Surgery 12 cases
(Laparoscopic Operation) (Subtotal 292)
Hysteroscopic Operation(Myoma・Endometrial Polyp) 80 cases
(Endoscopic Operation) (Total 372)
Caesarean Section 366 cases
Endometrial Curettage・Dilation and Curettage 79 cases
Hydatidiform Mole Operation 8 cases
Others 27 cases

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