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Title: 臨床に応用した人為膀胱の失敗例の教訓
Other Titles: A Clinical Experience of an Artificial Bladder : Dead Space Vesicalization
Authors: 飯田, 保夫  KAKEN_name
小山, 育二  KAKEN_name
小田, 和夫  KAKEN_name
塚崎, 義人  KAKEN_name
福山, 謙四郎  KAKEN_name
石田, 道子  KAKEN_name
Author's alias: IIDA, Yasuo
ODA, Kazuo
FUKUYAMA, Kenshiro
ISHIDA, Michiko
Issue Date: Aug-1958
Publisher: 京都大学医学部泌尿器科教室
Journal title: 泌尿器科紀要
Volume: 4
Issue: 8
Start page: 436
End page: 440
Abstract: A female, aged 34, wife, suffered from serious irradiated inju r ies. Her pelvic viscerae had a severe damage which resulted in a vesicosigmoidal fistula. The authors did a total pelvic evisceration on the patient. Following the operation, the authors devised a modus to reconstruct an urinary tract. That is, the trigone was sutured with the peritoneum preperitoneally. The authors had expected that the remaining bladder will be developed to a perfect bladder due to the remarkable regenerative ability which is inheritted originally. Unfortunately, an urinary leakage occurred, then there was a giant dead space opening in the suprapubic region. The remaining bladder, the trigone, however, developed on the granulation of the dead space to an urinary collector. Now, the dead space itself is functioning as a kind of artificial bladder. This is the favorable result the authors did not expect, and the modus was named "Dead space vesicalization"- It might have a wide and fruitful development in future.
Appears in Collections:Vol.4 No.8

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