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タイトル: | 薄筋皮弁併用経会陰的根治術を行った先天性直腸尿道の1成人例 |
その他のタイトル: | An Adult Case of Transperineal Repair of Congenital Rectourethral Fistula Using Gracilis Muscle Flap Interposition |
著者: | 楊, 東益 兼松, 明弘 花咲, 毅 中西, 裕佳子 東郷, 容和 鈴木, 透 樋口, 喜英 野島, 道生 山本, 新吾 奥山, 宏臣 |
著者名の別形: | Yo, Toeki Kanematsu, Akihiro Hanasaki, Takeshi Nakanishi, Yukako Togo, Yoshikazu Suzuki, Toru Higuchi, Yoshihide Nojima, Michio Yamamoto, Shingo Okuyama, Hiroomi |
キーワード: | Rectourethral fistula Anorectal malformation Gracilis muscle flap Urinary tract infection Anoplasty |
発行日: | Jul-2015 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 61 |
号: | 7 |
開始ページ: | 289 |
終了ページ: | 292 |
抄録: | A man in his 50s was referred to our hospital after recurrent severe urinary tract infection. He had undergone anoplasty for anorectal malformation during early infancy. He noticed urinary leakage from the anus for a long time. Under diagnosis of congenital rectourethral fistula, we performed fistula closure. The fistula was transsected via transperineal incision and each stump was closed. A gracilis muscle flap approximately 30 cm long was harvested from the left thigh, brought into the deepest part between the separated rectum and urethra through a subcutaneous tunnel and fixed there. The urinary leakage from the anus disappeared, and the infection resolved. Application of gracilis muscle flap for congenital diseases is rare, but was useful in the present case. |
著作権等: | 許諾条件により本文は2016/08/01に公開 |
URI: | http://hdl.handle.net/2433/199576 |
PubMed ID: | 26278215 |
出現コレクション: | Vol. 61 No. 7 |
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