腹腔内内ヘルニア大全

出版社: 中外医学社
著者:
発行日: 2021-01-20
分野: 臨床医学:外科  >  外科学一般
ISBN: 9784498043503
電子書籍版: 2021-01-20 (1版1刷)
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腹腔内内ヘルニアの歴史は非常に古いにもかかわらず,その概念・定義もいまだ明確ではない.この状況を打破するために,最新の論文はもちろん,多数の歴史的な原著・原論文を実際に参照して腹腔内内ヘルニアの歴史を辿った上で,現代の発生学・筋膜解剖学に則った正確な膜構造の理解を礎として,腹腔内内ヘルニアを俯瞰した.添えられた多数の分かりやすいイラストが,読者の理解をさらに深める.まさに唯一無二の1冊.

目次

  • 序章
       1 ヒト発生と筋膜構成が明らかになったことによる理解の変遷
       2 根本的な用語の定義の問題解決
       3 重複記載について
       4 腹腔内内ヘルニアを統合再定義することの意義

    総論

    第1章 基礎編―人体発生―
     I ヒトの発生段階
       1 受精(fertilization)
       2 卵割(cleavage)
       3 着床
       4 胚盤葉上層と胚盤葉下層
       5 原腸形成(gastrulation)
       6 ボディプラン(体の設計;body plan)
       7 器官形成(organogenesis)
     II 消化管の発生
       1 3週の初め
       2 3週と4週の間
       3 原腸発生の早期
       4 中腸発生に関するStageについての考え方の変遷
     III 腸管回転と固定,そして癒合
       1 「一括回転(en—bloc rotation)」概念
       2 Soffers概念
     IV Treitz靱帯(十二指腸提筋;superior retention band),
              Inferior retention bandと横隔結腸靱帯
       1 Treitz靱帯(あるいは,十二指腸提筋)
       2 Inferior retention bandと横隔結腸靱帯
       3 Retention bandのまとめ

    第2章 腸回転異常と固定異常(Malrotation and Malfixation)
       はじめに
       1 歴史
       2 言葉の定義
       3 分類の考え方
       4 発生学的分類
       附1)Bill分類
       附2)腹腔内の膜様構造物
       
    第3章 腹腔内内ヘルニア(総論)(Internal intra-abdominal hernia)
       はじめに
     I 胎生期の腹膜配置・体壁の概念
     II 後腹膜と後腹膜腔
     III 言葉の定義―hernia―
       1 基本用語
       2 外ヘルニアと内ヘルニア
     IV 本書における腹腔内内ヘルニアの分類
       V 臨床所見と診断
       1 臨床症状
       2 診断
     VI 腸閉塞症

    各論

    第1章 傍十二指腸ヘルニア(Paraduodenal hernia)
       はじめに
     I 傍十二指腸ヘルニアの歴史
     II 傍十二指腸ヘルニアの定義
     III 傍十二指腸窩とヘルニア
       1 傍十二指腸窩の形成理論と概念
       2 傍十二指腸ヘルニアの形成理論と概念
     IV 統計
     V 症状
     VI 放射線学的診断
     VII 治療
     VIII 傍十二指腸ヘルニアの各型
       附1)網囊(omental bursa, lesser peritoneal sac)
       附2)腹部血管解剖

    第2章 結腸間膜が関係する内ヘルニア(Mesocolic hernia)
       はじめに
       1 総論
       2 横行結腸間膜が関与した内ヘルニア
       3 S状結腸間膜に関与した内ヘルニア
       4 その他の結腸間膜ヘルニア
       附)Interparietal herniaとinterstitial hernia

    第3章 小腸間膜ヘルニア(Mesenteric hernia)
     I 小腸間膜裂孔ヘルニア(Transmesenteric hernia)
     II 小腸間膜内ヘルニア〔Intramesenteric(pourch)hernia〕

    第4章 大網ヘルニア(Omental hernia;Epiploic hernia)
     I 網囊と大網の発生学
     II 大網ヘルニアの分類
     III 大網内ヘルニア(Intra-omental hernia)
       1 発生学
       2 臨床所見
     IV大網裂孔ヘルニア(Trans-omental hernia,Trans-epiploic hernia)
       1 歴史的背景
       2 大網欠損の発生学
       3 分類
       4 統計
       5 臨床的特徴
       6 放射線学的検査
       7 複合型大網裂孔ヘルニア
       8 外科治療

    第5章 小網裂孔ヘルニア(Lesser omental hernia)
       1 発生と解剖
       2 原因
       3 分類
       4 統計
       5 臨床的所見
       6 放射線学的検査
       7 複合型小網裂孔ヘルニア
       8 外科治療

    第6章 Winslow孔ヘルニア(網囊孔ヘルニア)
        (Hernia through the epiploic foramen of Winslow)
     I 歴史
     II 網囊と大網の発生学
     III 解剖学
     IV Winslow孔ヘルニアの発生機序因子と特徴
     V 統計
     VI 分類
     VII臨床的特徴
       1 臨床症状
       2 身体所見
     VIII 臨床検査
     IX 放射線学的検査
       1 腹部単純X線検査
       2 造影検査
       3 超音波検査
       4 腹部CT検査
       5 Multidetector CT-Scan(MDCT)
     X 鑑別診断
     XI 外科治療
     XII 複合型Winslow孔ヘルニア(Re-entrant hernia)
     XIII 手術を終了するに際しての注意
     XIV 予後

    第7章 肝鎌状間膜に関与するヘルニア(Hernia involving the falciform ligament)
     I 腹側胃間膜の発生学
     II 解剖学
     III 歴史
     IV 分類
     V 成因
     VI 統計
     VII 臨床的特徴
       1 新生児
       2 成人
     VIII 臨床症状および臨床所見
     IX 放射線学的検査
       1 腹部・胸部単純X線検査
       2 腹部CT検査
     X 外科治療
       附1)Aberrant umbilical vein症例
       附2)肝鎌状間膜のヘルニア化

    第8章 盲腸周囲ヘルニア(Pericecal hernia,Paracecal hernia)
     I 発生学
     II 解剖学
     III 盲腸周囲の窩
       1 上回盲窩
       2 下回盲窩
       3 後盲腸窩
       4 傍結腸窩
       5 盲腸窩
       6 Hartmann窩
     IV 成因
     V 盲腸周囲ヘルニアの分類
     VI 統計
     VII 臨床的特徴
       1 上回盲窩ヘルニア
       2 下回盲窩ヘルニア
       3 後盲腸窩ヘルニア
       4 傍結腸窩ヘルニア
       5 盲腸窩ヘルニア
       6 Hartmann窩ヘルニア
     VIII 放射線学的検査
       1 造影検査
       2 腹部CT検査
     IX 外科治療
       附)腸骨筋膜下窩ヘルニア(Hernia of fossa iliaco-subfascialis)

    第9章 Mesodiverticular vascular band herniaおよび他の先天性血管バンド
     I Meckel憩室
     II Mesodiverticular vascular bandの発生学
     III 血管発生学
     IV Mesociverticular vascular bandの分類
     V 統計
     VI Mesodiverticular vascular band herniaの臨床的特徴
     VII その他の先天性血管バンド
     VIII 外科治療
       附)偶発的に検出されたMeckel憩室の対策

    第10章 子宮広間膜ヘルニア(Hernia of the broad ligament of the uterus)
     I 発生学
     II 解剖学
     III 分類
       1 歴史
       2 Cilley分類
       3 新しい型分類
     IV 統計
     V 臨床的特徴
     VI 子宮広間膜ヘルニア各論
       1 子宮広間膜裂孔ヘルニア(Transligamentuous hernia of the broad ligament)
       2 子宮広間膜内ヘルニア(子宮広間膜内ポーチヘルニア)
     VII 外科治療

    第11章 内膀胱上窩ヘルニア(Internal supravesical hernia)
     I 歴史
     II 解剖学
       1 臍襞(臍靱帯)
       2 腹部・骨盤内筋膜構成
       3 膀胱周囲腔
     III 分類
     IV 統計
     V 病因
     VI 臨床的特徴
       1 症状
       2 臨床所見
     VII 放射線学的検査
       1 膀胱鏡検査
       2 骨盤CT検査
     VIII 外科治療
     IX 予後
       附1)外膀胱上窩ヘルニア(External supravesical hernia)
       附2)その他の骨盤内内ヘルニア

    第12章 手術既往のない後天性腹腔内ヘルニア
     I 炎症過程に続発するヘルニア
       1 急性虫垂炎
       2 手術既往のない腹部の癒着
     II 鈍的外傷に続発するヘルニア

    第13章 医原性腹腔内内ヘルニア(Iatrogenic intra-abdominal hernias)
     I 吻合後ヘルニア(Retroanastomotic hernia)
       1 歴史的背景
       2 吻合部背側腔
       3 ヘルニアの型
       4 臨床的特徴
       5 臨床検査所見
       6 放射線学的検査
       7 外科的治療
       8 予防
     II 人工肛門(ストーマ)に関係した腹腔内内ヘルニア
     III 横行結腸切除術後後胃ヘルニアと術後小網裂孔ヘルニア
     IV 肥満に対するバイパス手術による内ヘルニア
     V 根治的後腹膜リンパ節郭清による内ヘルニア
     VI 子宮懸垂術後の内ヘルニア
     VII 腹腔内内ヘルニアの病因としての腹膜外手術
       1 腹膜外傍移植片内ヘルニア
       2 恥骨後大腿—大腿バイパス移植片後内ヘルニア

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総論

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