女児低位鎖肛(Ano-Vestibular Fistula)に対するAnal Transplantation新術式 : Nixon's Inversion Proctoplastyの応用

抄録

Anal transplantation by Potts' procedure has been widely accepted as a standard operation for imperforate anus with ano-vestibular fistula. In 1968, Nixon proposed "Inversion proctoplasty" on the basis of a new concept that the skin at the anal dimple was the everted proctodeum and should be inverted to get better rectal sensation. This procedure was modified and applied to anal transplantation for ano-vestibular fistula with excellent results. The operative method and its pre- & post-operative care are discussed in detail.