研究者詳細 - 難波　祐三郎

MISC - 難波　祐三郎

分割表示 149 件中 41 - 60 件目／全件表示 >>

Vaginoplasty with a Pudendal-Thigh Flap in Intersexuals

Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Kenjiro Hasegawa, Yoshihiro Kimata, Mikiya Nakatsuka

ACTA MEDICA OKAYAMA 62 ( 6 ) 415 - 419 2008年12月

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

We treated 2 different types of intersexual patients who underwent a vaginoplasty with the pudendal-thigh flap. One was a female with testicular feminization syndrome for whom we reconstructed the total vagina with a pudendal-thigh flap, and the other was a female with an adrenogenital syndrome for whom we enlarged the introitus of the vagina with the same approach. There were no complications such as a flap necrosis. In addition, there was no stricture of the neo-vagina and no urinary problem.

DOI： 10.18926/AMO/30948

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A Novel Model for Supermicrosurgery Training: The Superficial Inferior Epigastric Artery Flap in Rats

Shuji Yamashita, Narushi Sugiyama, Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

JOURNAL OF RECONSTRUCTIVE MICROSURGERY 24 ( 8 ) 537 - 543 2008年11月

記述言語：英語出版者・発行元：THIEME MEDICAL PUBL INC

The purpose of this study was to determine the usefulness of a new flap model, the superficial inferior epigastric artery (SIEA) flap for supermicrosurgical training. Experimental groups were randomly divided into three groups of 10 rats each. In each group REA flaps were elevated and then returned to their original locations with or without vascular anastomosis of the superficial inferior epigastric vessels. Group 1: free SIEA flap, group 2: free SIEA flap with 1 hour ischemia time, group 3: free SIEA flap with 4 hours ischemia time, group 4: SIEA flap without vascular anastomosis. The viability rate was 80% with group 1, 50% with group 2, and 40% with group 3. All nonvascularized flaps (group 4) underwent complete necrosis. These findings suggest that preservation of blood flow in a flap has a beneficial effect on the prevention of microthrombosis in the subcutaneous capillary network of the skin and increases the flap survival rate. The SIEA flap with preserved circulation is an ideal model for developing supermicrosurgical skills.

DOI： 10.1055/s-0028-1088226

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Phantom erectile penis after sex reassignment surgery

Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Eijiro Tokuyama, Kenjiro Hasegawa, Yoshihiro Kimata

ACTA MEDICA OKAYAMA 62 ( 3 ) 213 - 216 2008年6月

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

Between January 2001 and December 2007, we performed vaginoplasty as sex reassignment surgery in a total of 14 male-to-female transsexual (MTFTS) patients [1]. Several complications occurred such as partial flap necrosis, rectovaginal fistula formation and hypersensitivity of the neoclitoris. just after the operation, some patients feel that their penises still exist, but by several weeks postoperatively, this sensation has disappeared. Herein we report a case of MTFTS in whom the sensation of a phantom erectile penis persisted for much longer.

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United Stay Suture法によるリンパ管静脈吻合とリンパ管静脈吻合術の有効性

長谷川健二郎, 杉山成史, 難波祐三郎, 木股敬裕

PEPARES 22 60 - 65 2008年

性同一性障害に対する造腟術の経験

難波祐三郎, 長谷川健二郎, 木股敬裕, 那須保友, 石井和史

形成外科 51 ( 10 ) 1197 - 1204 2008年

1.陰圧閉鎖法による創傷治療2)早期運動療法を取り入れた袋型陰圧閉鎖療法

長谷川健二郎, 難波祐三郎, 木股敬裕

形成外科増刊号 51 250 - 254 2008年

整形外科手術に役立つ皮弁とそのコツその他の穿通枝皮弁

難波祐三郎, 木股敬裕

MB Orthopaedics 21 ( 5 ) 122 - 128 2008年

性同一性障害に対する乳房切除の経験第２報：下垂型乳房に対する治療

難波祐三郎, 長谷川健二郎, 山下修二, 杉山成史, 徳山英二郎, 木股敬裕

形成外科 51 ( 2 ) 203 - 209 2008年

遊離皮弁、皮弁・中核皮弁、その他の穿通枝皮弁

難波祐三郎, 木股敬裕

Orthopaedics 122 - 133 2008年

Vaginoplasty with an M-shaped perineo-scrotal flap in a male-to-female transsexual

Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Kenjiro Hasegawa, Yoshihiro Kimata, Kazushi Ishii, Yasutomo Nasu

ACTA MEDICA OKAYAMA 61 ( 6 ) 355 - 360 2007年12月

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

To date, many techniques have been reported for vaginoplasty in male-to-female trans-sexual (MTFTS) patients, such as the use of a rectum transfer, a penile-scrotal flap and a reversed penile flap. However, none of these procedures is without its disadvantages. We developed a newly kind of flap for vaginoplasty, the M-shaped perineo-scrotal flap (M-shaped flap), using skin from both sides of the scrotum, shorn of hair by preoperative laser treatment. We applied this new type of flap in 7 MTFTS patients between January 2006 and January 2007. None of the flaps developed necrosis, and the patients could engage in sexual activity within 3 months of the operation. The M-shaped flap has numerous advantages: it can be elevated safely while retaining good vascularity, it provides for the construction of a sufficient deep vagina without a skin graft, the size of the flap is not influenced entirely by the length of the penis, and it utilizes skin from both sides of the scrotal area, which is usually excised.

DOI： 10.18926/AMO/32875

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鼠径部の軟部組織再建

木股敬裕, 難波祐三郎, 長谷川健二郎, 杉山成史, 尾崎敏文, 別府保男, 中馬広一, 川井章, 中谷文彦, 桜庭実

関節外科 26 108 - 114 2007年

ラットを用いたマイクロサージャリーの経験

新田薫彬, 難波祐三郎, 筒井哲也, 杉山成史, 山下修, 松本洋, 小松星児, 小野田聡, 平川久美子, 木股敬裕

日本形成外科学会会誌 26 ( 12 ) 838 - 838 2006年12月

大きな皮弁採取部の欠損に対する一期的縫縮の為のDivided flap technique(The Divided Flap Techinique for Primary Closure of Large Donor Site Defects)

小野田聡, 難波祐三郎, 筒井哲也, 杉山成史, 山下修二, 松本洋, 小松星児, 平川久美子, 木股敬裕

日本形成外科学会会誌 26 ( 12 ) 839 - 839 2006年12月

下顎区域切除後の再建例における早期離床を目指した術後管理

平川久美子, 難波祐三郎, 筒井哲也, 杉山成史, 山下修二, 松本洋, 小松星児, 小野田聡, 木股敬裕

日本形成外科学会会誌 26 ( 12 ) 839 - 839 2006年12月

性同一性障害患者に対する陰茎形成術の経験

平川久美子, 筒井哲也, 杉山成史, 山下修二, 小松星児, 中川彩, 松本洋, 小野田聡, 難波祐三郎, 木股敬裕, 毛山章, 岡博昭

日本形成外科学会会誌 26 ( 11 ) 778 - 778 2006年11月

顔面神経麻痺の数次再建術

長尾聖子, 筒井哲也, 難波祐三郎, 山田潔, 藤津美佐子, 伊藤聖子, 石井直弘, 牛尾茂子, 杉山成史, 山下修二, 光嶋勲

日本形成外科学会会誌 26 ( 9 ) 614 - 614 2006年9月

Free combined ALT+TFL flapを用いた頭頸部再建術

山田潔, 難波祐三郎, 筒井哲也, 藤津美佐子, 伊藤聖子, 石井直弘, 長尾聖子, 牛尾茂子, 杉山成史, 山下修二, 光嶋勲

日本形成外科学会会誌 26 ( 9 ) 616 - 616 2006年9月

Fibular osteoadiposal flap for treatment of tibial adamantinoma: A case report

Yuzaburo Namba, Yoshihiro Kimata, Isao Koshima, Shinsuke Sugihara, Tohru Sato

ACTA MEDICA OKAYAMA 60 ( 4 ) 233 - 236 2006年8月

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

We treated a case with left tibial adamantinoma by use of a contralateral. fibular osteoadiposal flap. The donor site of conventional fibular osteocutaneous flap must be covered with a skin graft because if we close the donor skin defect directly, compartment syndrome might occur. We were able to close the donor skin defect because this combined type flap included only a small monitoring skin paddle. We present herein the utility of the osteoadiposal flap and show the value of a skin-sparing approach with a minimal aesthetic defect.

DOI： 10.18926/AMO/30718

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Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps

Koshima, I, Y Nanba, A Nagai, M Nakatsuka, T Sato, S Kuroda

JOURNAL OF RECONSTRUCTIVE MICROSURGERY 22 ( 3 ) 137 - 142 2006年4月

記述言語：英語出版者・発行元：THIEME MEDICAL PUBL INC

The free radial forearm flap is a very common material for penile reconstruction. Its major problems are donor-site morbidity with large depressive scar after Skin grafting, urethra] fistula due to insufficiency of suture line for the urethra, and need for microvascular anastomosis. A new method using combined bilateral island SCIP flaps for the urethra and penis is developed for gender identity disorder (GID) patients. The advantages of this method are minimal donor-site morbidity with a concealed donor scar, and possible one-stage reconstruction for a longer urethra of 22 cm in length without insufficiency, even for GID female-to-male patients. A disadvantage is poor sensory recovery.

DOI： 10.1055/s-2006-939957

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口腔・中咽頭の再建

木股敬裕, 難波祐三郎, 杉山成史

ENTONI 67,,62-67. 2006年

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