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1. 軽度な皮膚創傷への縫合糸を用いた閉創closure of minor skin wounds with sutures [show details]
… subcutaneous layer is mainly comprised of adipose tissue. Nerve fibers, blood vessels, and hair follicles are located here. Although this layer provides little strength to the repair, sutures placed in the …
2. 腹壁閉鎖の原則principles of abdominal wall closure [show details]
… versus nonabsorbable sutures, continuous versus interrupted closure, mass versus layered closure, monofilament versus multifilament sutures, and slow versus fast absorbable suture in terms of incisional …
3. 直腸脱に対する外科的アプローチsurgical approach to rectal procidentia rectal prolapse [show details]
… anastomosis. A hand-sewn coloanal anastomosis is performed in a single layer with nonabsorbable sutures. A levatorplasty (ie, suture approximation of the levator muscles) is performed anteriorly to lengthen …
4. 出産に伴う会陰やその他の部位の裂傷の治療repair of perineal and other lacerations associated with childbirth [show details]
… perineal body. This layer helps to maintain the proper spatial distance between the anus and vagina, and may prevent suture erosion from the deeper layers. Another goal of this layer is to help take the …
5. 顔面裂傷の評価およびマネージメントassessment and management of facial lacerations [show details]
… Simple interrupted suture placement also provides good cosmetic skin closure for patients undergoing a multiple layered closure of deep lacerations into the muscle or subcutaneous tissue layer in combination …

Japanese Journal

胃切除後の再建術胃・胃吻合 (マスターしておきたい縫合・吻合法の実際--より安全・確実に行うために) -- (縫合・吻合法の実際)

福田健治,池口正英
外科治療 102(-), 533-539, 2010-04
NAID 40017098450

経腟的に修復し得たPPH術後の直腸腟瘻の1治療経験

金澤真作,後藤友彦,塩川洋之,皆川輝彦,龍雅峰,斉藤直康,栗原聡元,越野秀行,松本浩,小池淳一,岡本康介,船橋公彦,寺本龍生
日本大腸肛門病学会雑誌 59(8), 456-459, 2006-08-08
… PPH術後に発症した直腸腟瘻に対して,経腟的に瘻孔を切除し,人工肛門を造設する事なく一期的閉鎖で治癒し得た一例を経験した.本術式の要点は術前に腸管内の洗浄を充分に行うことと,瘻孔切除部を確実に層々縫合することである.本症例の直腸腟瘻の原因は,手術所見より,腟壁まで深く入り込んだPPHのstapleによる炎症が腟粘膜まで波及したためと考えられた. …
NAID 10020341456