pp doi: /jjsps.54.6_ The 34th Autumn Symposium of The Japanese Society of Pediatric Surgeons

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1 pp doi: /jjsps.54.6_ The 34th Autumn Symposium of The Japanese Society of Pediatric Surgeons HP URL 34 PSJM F TEL: FAX: contact@psjm2018.com PSJM QOL

2 PSJM PSJM PSJM, 34

3 SY1-1 SY1-2 SY1-3 SY1-4 SY1-5 total urogenital mobilization SY SY2-1 6

4 SY SY2-3 6 SY2-4 6 SY2-5 Vaginal switch PSARUVP 1 6 SY2-6 6 SY / / SY3-1 3 / SY3-2 tissue expander 1 3 / SY

5 SY SY3-5 6 SY SY3-7 6 SY3-8 6 SY Transition SY4-1 6 / SY4-2 6 SY4-3 6 SY4-4 6 SY4-5 6 SY4-6 6

6 SY4-7 6 SY4-8 6 SY MRKH

7 challenge CLA CLA CLA QOL QOL CIC CLA QOL CLA 1179 SY cm ,072 3,438 g 2,926 g cm 3 cm 3.4 cm BUN/Crn

8 SY1-2 1) 2) 3) 1) 2) 1) 1) 1) 1) 1) 1) 1) 3) 30 MRI CRP mg/ dl cm SY ,814 3, SY1-4 1) 2) 1) 1) 1) 1) 1) 1) 1) 1) 2) PC

9 Total urogenital mobilization TUM partial urogenital mobilization PUM 10 8 kg PUM 5 PUM PUM SY1-5 total urogenital mobilization total urogenital mobilization TUM cm jack-knife posterior sagittal anorectoplasty UGS USG U USG U kg g 1 pubourethral ligament 2 cm 2 UGS TUM 5 TUM SY Fr S 9 N S 1.0 N 0.8 S 8.5 N 10.1 S 3.5 cm N 2.3 cm S 1.6 cm N 1.6 cm S 5 N 4 VUR S 4 N S 2 N S 1 1

10 S 1 TUM 1 3 N egfr-cre [ml/min/1.73 m 2 ] S 88.6 N VUR SY2-1 1) 2) 1) 1) 2) 2) 2) 2) 2) 2) 2) 2) 1) cm cm cm pull through 1 partial urogenital mobilization 1 vaginal switch skin flap SY VS 10 VS VS S VS 11 CT S VS S VS 4 VS

11 SY2-3 1) 2) 1) 1) 1) 1) 1) 2) 2) follow-up SY2-4 1) 2) 3) 1) 1) 1) 1) 1) 1) 2) 2) 2) 2) 3) / cm 11 3 cm 3 1 / total urogenital mobilization TUM 6 rectal segment 3 vaginal flap 3 skin flap / cm TUM vaginal /skin flap 3/ TUM flap

12 SY2-5 Vaginal switch PSARUVP 1 Vaginal switch PSARUVP AYA 18 GA 32w4d GA 34w2d BW 2,250 g DIC 3 4 cm 7 pull-through Jack-knife MRSA PSRAUVP CIC 2 UTI 4 Cohen 1 2 CIC UTI CIC Hegar GE SY2-6 1) 2) 1) 1) 2) 2) 2) 2) 2) 2) 2) 1) anorectal malformation cm 4.4cm partial urogenital mobilization PUM vaginal switch 1 PUM pull through 2 pull through urodynamic study SY2-7

13 QOL US VCUG VUR VUR CIC CIC UTI partial urogenital mobilization VCUG UDS CIC CIC CISC tethered cord syndrome SY3-1 1) 2) 3) 1)3) 2) 3) ,248 g Apgar score 8/ SY3-2 tissue expander 1 1) 2) 1)2) 2) 1) 2) 2) 2) 2) 1) 1) tissue expander 2 17

14 ,792 g Silo 10 skin closure ml 250 ml tissue expander expander 3 1 expander Tissue expander SY ,700 g ,826 gapgar ,144 g Apgar SY ,400 g ml 12 Monti

15 SY skin flap skin flap CIC , CIC dry time QOL SY ) 2) 1) 1) 2) 1) 1) 1) 1) 1) SY3-7 QOL

16 Y-V plasty QOL SY3-8 1) 2) 1) 1) 1) 1) 1)2) 1) VUR 1 QOL SY3-9 CE CE

17 Mitrofanoff STEP CE SY4-1 1) 2) 1)2) 1) 1)2) 1) 1) 1) 1) PC CE follow PC CE 10 6 PC 3 CE 2 Cloacal dysgenesis sequence PC 5 total urogenital mobilization TUM S 11 PC 17 posterior sagittal anorecto-vagino-urethroplasty PC TUM 12 CE CE 17 follow CE PC CE 1189 SY4-2 Variance follow

18 SY4-3 1) 2) 3) 1) 1) 1) 1) 1) 1) 3) 2) 1) 1) TUM SY4-4 1) 2) 1) 1) 1) 1) 1) 1) 1) 1) 2) 1) QOL mm / w6d 35 mm

19 SY SY4-6 1) 2) 3) 1) 1) 1) 1) 1) 1) 1) 2) 3) 1191 QOL SY4-7 cloacal malformations, CM CM high confluence H 6

20 low confluence L 5 VUR H 6 H 2 L 2 H 6 L 5 H 2 L 6 0y7m 7y0m 1y9m 5 1 PSARP5 2 H 0y8m 12y8m 2y2m skin flap 1 pull-through 3 replacement 2 L 1y4m 21y4m 1y5m skin flap 3 pull-through 1 replacement 1 H 2 H 6 L 1 H 2 H 1 H 4 L 1 H 1 L VUR 17y H 1 14y8m 27y5m H 2 H y5m 43y0m 24y4m 1 H CM SY ESWL SY4-9 MRKH QOL Minds Pediatr Surg Int 33; , CQ CQ1. CQ2.

21 CQ3. CQ4. CQ5. CQ PICO CQ2 3

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