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Radiographic Study Evaluating Perforator Vessels in the Ischiorectal Fossa for Safe Elevation of Island Flaps
https://tokushima-u.repo.nii.ac.jp/records/2010935
https://tokushima-u.repo.nii.ac.jp/records/20109358e85f7bc-6e10-4019-a218-708a5bc77b2f
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k3669_abstract.pdf (114 KB)
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k3669_review.pdf (110 KB)
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k3669_fulltext.pdf (1.07 MB)
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| Item type | 文献 / Documents(1) | |||||||||||
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| 公開日 | 2023-04-11 | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
| 資源タイプ | doctoral thesis | |||||||||||
| 出版社版DOI | ||||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | https://doi.org/10.1097/GOX.0000000000004561 | |||||||||||
| 言語 | ja | |||||||||||
| 関連名称 | 10.1097/GOX.0000000000004561 | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | NA | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Radiographic Study Evaluating Perforator Vessels in the Ischiorectal Fossa for Safe Elevation of Island Flaps | |||||||||||
| 言語 | en | |||||||||||
| タイトル別表記 | ||||||||||||
| その他のタイトル | 島状皮弁を安全に挙上するための坐骨直腸窩内穿通枝に関する放射線学的評価 | |||||||||||
| 言語 | ja | |||||||||||
| タイトル別表記 | ||||||||||||
| その他のタイトル | Perforator Vessels in Ischiorectal Fossa | |||||||||||
| 言語 | en | |||||||||||
| 著者 |
長坂, 信司
× 長坂, 信司× 安倍, 吉郎× 山下, 雄太郎× ヤマサキ, ヒロユキ
× 峯田, 一秀× 島田, 光生× 橋本, 一郎 |
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| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Background: Perforator flaps based on the ischiorectal fossa (IRF) (ie, internal pudendal artery perforator flaps) are useful for perineal reconstruction. The three-dimensional characterization of perforator arteries in the IRF remains unclear, as the IRF contains thick adipose tissue as well as organs, such as the rectum, vagina, and urethra. This study aimed to evaluate perforators in the IRF to guide the safe elevation of skin flaps designed based on the IRF. Methods: IRF vessels were examined in 200 bilateral computed tomography angiography scans performed in 100 patients. We examined branching patterns arising from the internal iliac artery and the origins of the skin perforators in the IRF. Results: The branching patterns of the internal iliac artery were divided into three groups: perforators derived exclusively from the internal pudendal artery (78%), perforators derived from the internal pudendal artery and the inferior gluteal artery (18%), and perforators derived exclusively from the inferior gluteal artery (4%). The average number of perforators in the IRF was 1.5 ± 0.7. The number of perforators was significantly higher in women than in men. The perforator arteries were found exclusively around the medial and dorsal sides of the ischial tuberosity. Conclusions: We found that perforators in the IRF were stable. All cases had more than one skin perforator, which was mainly derived from the internal pudendal artery. Although perforators cannot be identified during flap elevation because the fatty tissue in the IRF is very thick, physicians must focus on preserving the perforator-containing fatty tissue around the ischial tuberosity. |
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| 言語 | en | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | Radiographic Study | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | Perineal reconstruction | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | Perforator flaps | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | Ischiorectal Fossa | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | internal pudendal artery | |||||||||||
| 書誌情報 |
en : Plastic and Reconstructive Surgery - Global Open 巻 10, 号 10, p. e4561, 発行日 2022-10-11 |
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| 収録物ID | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 21697574 | |||||||||||
| 収録物ID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA12786168 | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | Wolters Kluwer Health | |||||||||||
| 言語 | en | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | American Society of Plastic Surgeons | |||||||||||
| 言語 | en | |||||||||||
| 備考 | ||||||||||||
| 言語 | ja | |||||||||||
| 値 | 内容要旨・審査要旨・論文本文の公開 本論文は，著者Shinji Nagasakaの学位論文として提出され，学位審査・授与の対象となっている。 学位授与者所属 : 徳島大学大学院医学研究科（医学専攻） |
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| 権利情報 | ||||||||||||
| 言語 | en | |||||||||||
| 権利情報 | This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| 報告番号 | ||||||||||||
| 学位授与番号 | 甲第3669号 | |||||||||||
| 学位記番号 | ||||||||||||
| 言語 | ja | |||||||||||
| 値 | 甲医第1551号 | |||||||||||
| 学位授与年月日 | ||||||||||||
| 学位授与年月日 | 2023-01-26 | |||||||||||
| 学位名 | ||||||||||||
| 言語 | ja | |||||||||||
| 学位名 | 博士（医学） | |||||||||||
| 学位授与機関 | ||||||||||||
| 言語 | ja | |||||||||||
| 学位授与機関名 | 徳島大学 | |||||||||||
