Posterior Sagittal Anorectoplasty for a Recto-vaginal Fistula Occurring 30 Years after Swenson's Operation for Hirschsprung's Disease
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概要
- 論文の詳細を見る
We herein report the case of a 37-year-old woman with a recto-vaginal fistula occurring 30 years after Swenson's operation for Hirschsprung's disease. As the patient had undergone multiple abdominal operations in childhood, a rectal pull-through operation was not indicated. The initial procedure of a direct closure of the fistula through the anal approach failed, and a sigmoid colostomy was performed at the same time. As a second procedure, a direct closure using a posterior sagittal approach was attempted and successfully performed. This approach provided a good operational field for performing a direct closure of the fistula. Two months after posterior sagittal anorectoplasty, a stoma closure was performed. The patient is now doing well without any recurrence of the fistula at 10 months after the operation. The experience of this case suggests that the posterior sagittal approach is a useful surgical option for rectal morbidities where abdominal and/or anal approaches are not easily performed.
- 新潟大学の論文
著者
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TANAKA Shinji
Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University
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KUBOTA Masayuki
Department of Pediatric Surgery, Niigata University Graduate School of Medical and Dental Sciences
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Kubota Masayuki
新潟大学 医歯学総合研究科小児外科学分野
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YAGI MINORU
Department of Pediatric Surgery, Kurume University School of Medicine
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YAMAZAKI SATORU
Department of Pediatric Surgery, Niigata University Faculty of Medicine
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OHTANI Masahiro
Department of Electrical and Electronic Engineering, Toyohashi University of Technology
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Yamazaki Satoru
Department Of Pediatric Surgery
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Yamazaki Satoru
Department Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata Universitydep
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Yamazaki Satoru
Department Of Chemical And Biochemical Engineering Faculty Of Engineering Toyama University
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Tanaka Shinji
Department Of Endoscopy Hiroshima University Hospital
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Yagi Minoru
Department Of Pediatric Surgery Niigata University Graduate School Of Medical And Dental Sciences
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Yagi Minoru
新潟大学 医歯学総合研究科消化器一般外科
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Yagi Minoru
Departmanets Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata University
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Yagi Minoru
Department Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata University
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OKUYAMA Naoki
Department of Electronic Engineering, The University of Electro-Communications
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Okuyama Naoki
Department Of Electronic Engineering The University Of Electro-communications
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Okuyama Naoki
Department Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata University
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Ohtani Masahiro
Department Of Bioresources Science Graduate School Of Science And Technology Chiba University
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Ohtani Masahiro
Department Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata University
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Yamazaki S
Toshiba Corp. Yokohama Jpn
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Kubota Masayuki
Niigata Univ. Niigata Jpn
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Kubota Masayuki
Departmanets Of Pediatric Surgery Graduate School Of Medical And Dental Sciences Niigata University
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Ohtaki Masahiro
Department Of Pediatric Surgery Niigata University Graduate School Of Medical And Dental Sciences
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Tanaka Shinji
Department Of Pediatric Surgery Niigata University Graduate School Of Medical And Dental Sciences
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Yagi Minoru
Departments Of Pediatric Surgery Shonai Hospital
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Kubota Masayuki
Departmanets of Pediatric Surgery, Graduate School of Medical and Dental Sciences, Niigata University
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