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1. 女性骨盤の外科解剖学surgical female pelvic anatomy [show details]
… common iliac, external iliac, internal iliac, medial sacral, and pararectal lymph nodes . The ovaries and fallopian tubes are innervated by a nerve plexus that originates in the renal plexus with …
2. 腰仙部神経叢症候群lumbosacral plexus syndromes [show details]
…lumbar plexus, while iliac artery aneurysm or pseudoaneurysm is more likely to compress the lumbosacral or sacral plexus. The rich vascular supply to the lumbosacral plexus makes ischemia of the plexus rather …
3. 腸骨動脈瘤iliac artery aneurysm [show details]
… degeneration of the iliac arteries (common, internal, external iliac) can occur in isolation or in association with other large vessel aneurysms (eg, abdominal aorta, femoral artery). Iliac artery aneurysms …
4. 腹会陰式直腸切断術（APR）：開腹術abdominal perineal resection apr open technique [show details]
…dissection and typically arises from injury to the presacral plexus or internal iliac vessels In the setting of bleeding from the presacral plexus, the first step is to apply pressure to the area and advise …
5. 癌疼痛のマネージメント：介入的治療cancer pain management interventional therapies [show details]
…blockade of the celiac plexus and/or superior hypogastric plexus. Orthostatic hypotension, diarrhea, injury of the aorta, spinal cord, and lumbar plexus, bladder puncture, iliac artery puncture with retroperitoneal …

English Journal

Cauda Equina Syndrome Caused By Epidural Venous Plexus Engorgement In Patient With May-Thurner Syndrome.

Tello Díaz C, Allegue Allegue N, Gil Sala D, Gonçalves Martins G, Boqué Torremorell M, Bellmunt Montoya S.
Annals of vascular surgery. 2019 Jun;().
The purpose of this paper is to present a case of cauda equina syndrome in a patient with incomplete motor and sensory deficits due to epidural venous plexus engorgement, owing to May-Thurner syndrome successfully treated with venous iliac stenting. A 40-year-old woman, with previous history of deep
PMID 31200048

New Retroperitoneal Transvaginal Natural Orifice Transluminal Endoscopic Surgery Approach to Sentinel Node for Endometrial Cancer: A Demonstration Video.

, B B, J J, J J, .
Journal of minimally invasive gynecology. 2019 May;().
To assess whether sentinel node resection for endometrial cancer is feasible via retroperitoneal transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and gives better exposure than transperitoneal vNOTES. This is a first small IDEAL (Idea Development Exploration Assessment Long-term
PMID 31082514

Robotic Complete Excision of Sacrocolpopexy Mesh: Standardized Technique.

Suarez-Salvador E, Yi J.
Journal of minimally invasive gynecology. 2019 Apr;().
To describe a standardized technique for robotic complete excision of sacrocolpopexy mesh. A step by step video demonstration of the technique. A tertiary care academic hospital. Three patients with persistent pain after sacrocolpopexy mesh insertion. Although exposure can usually be controlled with
PMID 31005582

Japanese Journal

腹部大動脈瘤手術に必要な解剖と生理

松本拓也
日本血管外科学会雑誌 28(3), 173-177, 2019
<p>2006年に腹部大動脈瘤の企業製造ステントグラフトが保険償還されて以降急速にステントグラフトが普及した．一方開腹手術は，腎動脈遮断を必要とする傍腎腹部大動脈瘤症例が増加している反面，実際に動脈瘤を露出する機会が激減している．まさにそのような時代だからこそ，ステントグラフトが導入されて11年の月日が経過した今，腹部大動脈瘤外科治療を学び直す適切な時期である．まず最も基礎となる腹部大 …
NAID 130007644193

Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction

Kudo Toshifumi
Annals of Vascular Diseases, 2019
… From the viewpoint of prevention of buttock claudication, it is desirable that internal iliac artery (IIA) blood flow is preserved, but aggressive IIA reconstruction adaptation is considered to be low. … To prevent retrograde ejaculation, it is important to preserve the superior hypogastric plexus and one side of the lumbar splanchnic nerve, and the hypogastric nerve. …
NAID 130007643003

腹部大動脈瘤手術後の合併症：腸管虚血，臀筋跛行，性機能障害

工藤敏文
日本血管外科学会雑誌 28(1), 99-103, 2019
<p>腹部大動脈瘤に対する外科治療（瘤切除，人工血管置換術）は標準術式であるが，合併症の予防は重要である．術後のS状結腸・直腸の腸管虚血は，発生頻度は低いものの重篤で死亡率が高い．予防として最も重要なことは術前・術中の左半結腸および直腸の血行評価，および術中の下腸間膜動脈の血流評価である．臀筋跛行予防の観点からは，内腸骨動脈（IIA）血流が温存されることが望ましいが，経時的な観察から積 …
NAID 130007604393