著者

高橋 義雄 難波 祐三郎 岸本 晃司 光嶋 勲

出版者

岡山医学会

雑誌

岡山醫學會雜誌 (ISSN:00301558)

巻号頁・発行日

vol.113, no.3, pp.279-284, 2001-12-31

参考文献数

9

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GENDER IDENTITY DISORDER (GID) is a unique human condition that is classified behaviorally and treated medically with hormones and surgery in the severe form. This condition has been and still somewhat remains controversial by religious belief, social institutions and health care delivery systems. We described the surgical management of transsexuals, so called SEX REASSGINMENT SURGERY (SRS) and showed the team for gender treatment, GENDER CLINIC. A gender treatment team composing staff members from the Psychiatric, Plastic Surgery, Urology, Obstetric/Gynecological Surgery, and the Social Service, was established at the Hospital of Okayama University Medical schools in 1999. Female-to-Male procedures include mastectomy, phalloplasty, Phalloplasty are completion and an appurtenance, something pleasing to others. Male-to-Female program includes the genital surgery. The genital change surgery consists of the penile inversion, orchiectomy, vaginoplasty. Other prodedures include reduction thyroid chondroplasty, hair transplant, voice change, laryngeal surgery, epilation with the laser. SRS is the only effective treatment available today in the management of GID. The aesthetic and functional results achievable from various procedures are generally satisfactory and are acceptable to the patients. On the other hand, we should remember that the numerous steps of information for SRS will be required.

著者

高橋 義雄 難波 祐三郎 岸本 晃司 光嶋 勲

出版者

Okayama Medical Association

雑誌

岡山医学会雑誌 (ISSN:00301558)

巻号頁・発行日

vol.113, no.3, pp.279-284, 2001-12-31 (Released:2009-03-30)

参考文献数

9

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GENDER IDENTITY DISORDER (GID) is a unique human condition that is classified behaviorally and treated medically with hormones and surgery in the severe form. This condition has been and still somewhat remains controversial by religious beliefs, social institutions and health care delivery systems. We described the surgical management of transsexuals, so called SEX REASSGINMENT SURGERY (SRS) and showed the team for gender treatment, GENDER CLINIC. A gender treatment team composing staff members from the Psychiatric, Plastic Surgery, Urology, Obstetric/Gynecological Surgery, and the Social Service, was established at the Hospital of Okayama University Medical schools in 1999. Female-to-Male procedures include mastectomy, phalloplasty, Phalloplasty are completion and an appurtenance, something pleasing to others. Male-to-Female program includes the genital surgery. The genital change surgery consists of the penile inversion, orchiectomy, vaginoplasty. Other procedures include reduction thyroid chondroplasty, hair transplant, voice change, laryngeal surgery, epilation with the laser.SRS is the only effective treatment available today in the management of GID. The aesthetic and functional results achievable from various procedures are generally satisfactory and are acceptable to the patients. On the other hand, we should remember that the numerous steps of information for SRS will be required.

著者

山本 聡 辻 博治 原 信介 田川 泰 綾部 公懿 劉 中誠 澤田 貴裕 白藤 智之 田村 和貴 岸本 晃司 新宮 浩 赤嶺 晋治 岡 忠之

出版者

特定非営利活動法人 日本呼吸器内視鏡学会

雑誌

気管支学 (ISSN:02872137)

巻号頁・発行日

vol.19, no.6, pp.493-496, 1997

参考文献数

5

被引用文献数

4

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鈍的外傷による頸部気管完全断裂の2手術例を経験した。症例1は21歳, 男性。バイク乗車中転倒, チェーンにて頸部受傷。第1と第2気管軟骨間において完全断裂, 両側反回神経と食道の合併損傷も認めた。症例2は55歳, 男性。ショベルカーのアーム部にて前胸部, 頸部を受傷。第1と第2気管軟骨間において完全断裂, 両側反回神経と頸髄の損傷を認めた。両症例とも気管損傷に対しては気管端々吻合術を施行した。鈍的外傷による気管完全断裂症例は受傷早期の気道確保を確実に行えば, 比較的救命率の良い外傷であると考えられた。また, このような症例では気管のみではなく他臓器の合併損傷の可能性もあることが示唆され, 術中術後の充分な検索が必要と思われた。