研究者詳細 - 難波　祐三郎

MISC - 難波　祐三郎

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Modified deep iliac circumflex osteocutaneous flapによる下腿再建の経験

渡邊敏之, 太田智之, 難波祐三郎, 木股敬裕

日本マイクロサージャリー学会学術集会プログラム・抄録集 44回 182 - 182 2017年12月

Vaginoplasty with a Pudendal-groin Flap in Male-to-female Transsexuals

Yuko Mukai, Toshiyuki Watanabe, Morito Sugimoto, Yoshihiro Kimata, Yuzaburo Namba

ACTA MEDICA OKAYAMA 71 ( 5 ) 399 - 405 2017年10月

記述言語：英語出版者・発行元：OKAYAMA UNIV MED SCHOOL

Many vaginoplasty techniques have been introduced to improve the outcomes of sex reassignment surgery for male-to-female transsexuals. Some vaginoplasty patients still require additional skin grafts, making dilation mandatory to overcome shrinkage. We developed a new vaginoplasty method (called the "pudendal-groin flap") that uses pudendal-groin flaps. One of this procedure's advantages is that skin grafts are unnecessary, even for patients with small penises and scrotums. We introduce the procedure here and describe our evaluation of its utility. We retrospectively analyzed the cases of the 15 patients who underwent vaginoplasty using pudendal-groin flaps from May 2010 to January 2016 at our institution. We compared the complications as well as the functional and aesthetic outcomes with those of previous studies. The most common complication was bleeding, which occurred at the corpus spongiosum or while creating a new vaginal cavity. Bleeding can be reduced with more careful hemostasis and dissection. Aside from inadequate vaginal depth in one patient, the incidence of other complications, sexual intercourse, and aesthetic outcomes were acceptable. The pudendal-groin flap is thin and pliable and can create sufficient vaginal depth without skin grafts. The resulting scar is inconspicuous. Our findings suggest that vaginoplasty using the pudendal- groin flap method is feasible.

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性同一性障害に対する手術治療 : 性別適合手術 (特集わが国の形成外科とその進歩)

難波祐三郎

日本医師会雑誌 = The Journal of the Japan Medical Association 145 ( 3 ) 489 - 492 2016年6月

塞栓術後、二期的に外科手術を施行したびまん性神経線維腫の1例

中桐僚子, 松本洋, 川井啓太, 小松星児, 山田潔, 長谷川健二郎, 難波祐三郎, 木股敬裕, 清家卓也

日本形成外科学会会誌 35 ( 4 ) 234 - 234 2015年4月

巨大びまん性神経線維腫切除における2期分割手術法

中桐僚子, 松本洋, 小松星児, 山田潔, 長谷川健二郎, 難波祐三郎, 木股敬裕

日本形成外科学会会誌 34 ( 5 ) 425 - 425 2014年5月

当院におけるジェンダー関連疾患に対する外科治療の経験

難波祐三郎

形成外科 57 ( 1 ) 57 - 62 2014年

造膣術 (特集性同一性障害の治療の現状) -- (性同一性障害に対する外科治療)

難波祐三郎, 木股敬裕, 松本洋輔

形成外科 57 ( 8 ) 867 - 873 2014年

Surgical treatment for gender-associated diseases

Yuzaburo Namba

The Japanese journal of Plastic Surgery 57 ( 1 ) 57 - 62 2014年

性同一性障害に対する外科治療（２）－造膣術

難波祐三郎

形成外科 57 ( 8 ) 867 - 873 2014年

遊離広背筋皮弁を施行し知覚回復を認めた1例

光井俊人, 岩永紘征, 松本洋, 長谷川健二郎, 難波祐三郎, 木股敬裕

日本形成外科学会会誌 33 ( 2 ) 142 - 142 2013年2月

当院における乳房再建術後合併症の検討

妹尾貴矢, 石川雅晴, 目谷雅恵, 渡部聡子, 徳山英二郎, 長谷川健二郎, 難波祐三郎, 木股敬裕

日本形成外科学会会誌 33 ( 2 ) 142 - 142 2013年2月

operative treatment for gender identity disorder

Namba Yuzbauro

Obstetrical and Gynecological Practice 62 ( 13 ) 2129 - 2134 2013年

性同一性障害の手術治療

難波祐三郎

産婦人科の実際 62 ( 13 ) 2129 - 2134 2013年

Thumb polydactyly with a floating ulnar thumb

Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

Acta Medica Okayama. 67 ( 6 ) 391 - 395 2013年

記述言語：英語出版者・発行元：Okayama University Medical School

Thumb polydactyly is reported to be the most common congenital anomaly of the hand in Japan. The floating type is not particularly rare, accounting for 0.9 to 15% of all cases of thumb polydactyly. However, to the best of our knowledge, there has been only one case of thumb polydactyly with a floating ulnar thumb, reported by Onizuka. Herein, we report a case very similar to that reported by Onizuka. In our case, the vessels feeding the floating ulnar thumb branched from the superficial palmararterial arch, and X-rays revealed triphalangism. In surgery, we not only reconstructed the morphology of the thumb, but also tried to preserve the sensation in the reconstructed thumb by transposingthe digital nerve of the floating ulnar thumb to the radial thumb. In addition to thumb polydactyly,our case also showed hypoplasia of the thenar muscles.

DOI： 10.18926/AMO/52013

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その他リンク： http://search.jamas.or.jp/link/ui/2015047271

Negative pressure wound therapy incorporating early exercise therapy in hand surgery: bag-type negative pressure wound therapy

Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

Acta Medica Okayama. 67 ( 4 ) 271 - 276 2013年

記述言語：英語出版者・発行元：Okayama University Medical School

In the postoperative treatment of hand surgery, it is important to start exercise therapy as early as possible. In conventional negative pressure wound therapy, the fingers are immobilized by the film dressing covering the wound and hand, thereby preventing sufficient rehabilitation. Here, we devised a bag-type negative pressure wound therapy that makes it possible to start finger exercises almost immediately, and we applied it to 4 patients:one each with hand burns, symmetrical peripheral gangrene, a crush injury accompanied by extensive skin defects and a fingertip degloving injury. The duration of the bag-type negative pressure wound therapy ranged from three to eight weeks, and good granulation was achieved, so that a skin graft was not required. In addition, particularly in the case of the fingertip degloving injury, good nail regeneration was achieved. Except for the case of symmetrical peripheral gangrene, a good range of joint motion with a percent total active motion (%TAM) of 94.7% or more was achieved. Our therapy was performed by inserting the hand into a sealing bag;sufficient exercise therapy was made possible by expanding the bag during rehabilitation.

DOI： 10.18926/AMO/51073

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その他リンク： http://search.jamas.or.jp/link/ui/2014082882

乳房再建における深下腹壁動脈穿通枝皮弁の術中静脈うっ血に対してバイパス手術を行った1例

中桐僚子, 渡部聡子, 長谷川健二郎, 難波祐三郎, 木股敬裕

日本マイクロサージャリー学会学術集会プログラム・抄録集 39回 237 - 237 2012年12月