京都大学医学研究科肿疡外科学天理医学研究所小野寺久-J-Stage.PDFVIP

日本大腸肛門病会誌(年 間1-10号)第56巻第9号2003年9月 ・第58回総会抄録号 449特別企画 TIC-1 Transvaginal Anterior Levatorplasty with TIC-2 Novel surgical repair with bilateral gluteus Posterior Colporrhaphy for Symptomatic Rectocele muscle patching for intractable or recurrent rectovagi- 藤 田保健衛生大学外科 nal fistula 前 田耕太郎,丸 田守人,花 井恒一,佐 藤美信, 京都大学医学研究科腫瘍外科学,天 理医学研究所 升森宏次,小 出欣和,松 本 昌久 小野寺久,前 谷俊三,今 村正之 Purpose : To evaluate outcomes with functional and Rectovaginal fistula occurs most commonly following morphological changes by transvaginal anterior leva- trauma, especially obstetric injury. Several techniques torplasty with posterior colporrhaphy for symptomatic have been advocated to repair this fistula, but if the re- rectocele. Methods : Ten patients (all female, median 68 pair fails it is very stressful for the patient. We created years) underwent this procedure for symptomatic rec- a novel surgical repair using bilateral gluteus muscle tocele. Symptoms, continence were interview