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Title: 腹直筋皮弁により治癒した広汎子宮全摘術および放射線療法後の膀胱膣瘻の1例
Other Titles: A Case of Vesicovaginal Fistula Repair with Rectus Abdominus Myofascial Interposition Flap after Radical Hysterectomy and Radiation Therapy
Authors: 遠藤, 勇気  KAKEN_name
飯ヶ谷, 重来  KAKEN_name
西村, 泰司  KAKEN_name
石井, 直弘  KAKEN_name
北岡, 芳久  KAKEN_name
河島, 俊文  KAKEN_name
大原, 千知  KAKEN_name
濵﨑, 務  KAKEN_name
近藤, 幸尋  KAKEN_name
Author's alias: Endo, Yuki
Iigaya, Shigeki
Nishimura, Taiji
Ishii, Naohiro
Kitaoka, Yoshihisa
Kawashima, Toshifumi
Ohara, Chiharu
Hamasaki, Tsutomu
Kondo, Yukihiro
Keywords: Vesicovaginal fistula
Rectus abdominus myofascial flap
Issue Date: Oct-2014
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 60
Issue: 10
Start page: 497
End page: 499
Abstract: Vesicovaginal fistulas (VVFs) caused after radiation are difficult to repair and require interposition of non-irradiated, well-vascularized tissue between urinary bladder and vagina. A 48-year-old female suffered cervical cancer and underwent radical hysterectomy followed by radiation therapy which caused VVF. The initial surgical repair performed 3 months after development of VVF, was unsuccessful because of the absence of peritoneum or omentum to interpose between urinary bladder and vagina probably due to history of cesarean section and radical hysterectomy. The second surgical repair was performed 15 months after the first surgery utilizing a rectus abdominus myofascial (RAM) interposition flap. Fifteen months after the second operation, she remains free from incontinence. This case suggests that RAM is useful even for postradiation VVF.
Rights: 許諾条件により本文は2015/11/01に公開
PubMed ID: 25391781
Appears in Collections:Vol. 60 No. 10

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