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1. 腹会陰式直腸切断術（APR）：開腹術abdominal perineal resection apr open technique [show details]
…require reconstruction with a biological mesh or a myocutaneous flap, such as a pedicled gluteus maximus, gracilis, or rectus abdominal flap . In a randomized trial of 104 patients who underwent pelvic …
2. 自家組織を用いる乳房再建術の選択肢options for flap based breast reconstruction [show details]
… Furthermore, these flaps do not require the sacrifice of the gluteus maximus muscle and thus do not appear to have any adverse impact on postoperative functioning. Disadvantages of GAP flaps include the technical …
3. 腹会陰式直腸切除術後の会陰部合併症のマネージメントmanagement of perineal complications following an abdominal perineal resection [show details]
…grafting, omentoplasty, gracilis muscle transposition, rectus abdominis myocutaneous flap, or gluteus maximus VY-advancement flap . Vacuum-assisted closure has potential to assist with healing complicated perineal …
4. 下肢切断の手技techniques for lower extremity amputation [show details]
… semitendinosus, and biceps femoris) are divided at the ischial tuberosity. Next, the tensor fascia lata, gluteus maximus, and rectus femoris are divided. Finally, the muscles attached to the greater trochanter are … posterior flap, the incision begins an inch inferior and parallel to the inguinal ligament anteriorly and extends to the posterior thigh to create a flap. The length of the posterior flap is one…
5. 毛巣疾患pilonidal disease [show details]
…skin overlying the coccyx to the anococcygeal raphe. The cleft forms the border between the gluteus maximus muscles, which obscure the cleft when a person is upright The incidence of pilonidal disease … rotational flap reconstructions are typically reserved for patients with extensive disease or those who have failed simpler operations (eg, excision and sutured midline closure) . The Karydakis flap and Bascom…

Japanese Journal

Dermal micrograftによる坐骨部褥瘡の治療経験

山内日香里,佐藤伸弘,江川智昭,津田智子,住永莉華子,宮部真以,門松香一
昭和学士会雑誌 79(2), 203-208, 2019
… した．坐骨結節の露出と広範な皮下ポケットを伴う褥瘡を認め，全身麻酔下にデブリードマンとRIGENERA<sup>Ⓡ</sup>システムを用いたdermal micrograftの注入を行った．陰圧閉鎖療法ののち，術後2週間で大殿筋皮弁により潰瘍部を被覆し，20日後に抜糸した．経過は良好であり術後半年で再発を認めない．RIGENERA<sup>Ⓡ</sup>システムは，2013年にイタリアで開発以来，micrograftによる治療として海外で注目されて …
NAID 130007704257