{"_buckets": {"deposit": "ec38b039-de76-4b3b-b2dc-8cda474e27b6"}, "_deposit": {"created_by": 12, "id": "39", "owners": [12], "pid": {"revision_id": 0, "type": "depid", "value": "39"}, "status": "published"}, "_oai": {"id": "oai:jichi-ir.repo.nii.ac.jp:00000039", "sets": ["17"]}, "author_link": [], "control_number": "39", "item_2_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2013-03", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "91", "bibliographicPageStart": "87", "bibliographicVolumeNumber": "35", "bibliographic_titles": [{"bibliographic_title": "自治医科大学紀要"}, {"bibliographic_title": "Jichi Medical University Journal", "bibliographic_titleLang": "en"}]}]}, "item_2_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "2001年~2011年に施行した大腿ヘルニア手術症例52例を検討した。全例でCT 施行し,大腿ヘルニアの術前診断は41例(CT 正診率80%)だった。嵌頓群は37例(71%)で,イレウス症状は20例(嵌頓群の54%)で認め,全例緊急手術を要した。ヘルニア内容は小腸27例(73%)が最も多かった。腸切除は16例(43%)で施行した。発症から手術までの経過時間は,切除群と非切除群で平均値は同等で有意差を認めなかった(P=0.621)。後壁補強は McVay 法が37例(95%)で施行され,非嵌頓群では各種メッシュ法が53%で選択されていた。術後合併症は嵌頓群で有意に多かったが,腸切除の有無では有意差を認めなかった。腸切除を避けるためには,早期診断・治療が必要であり,発症からできるだけ早いタイミングでの介入が有効と考えられた。", "subitem_description_type": "Abstract"}, {"subitem_description": "[Aim] Determine the outcome of surgical evaluation of femoral hernias.[Methods] From 2001 to 2011, 52 patients were retrospectively evaluated according to clinical manifestations.[ Results] Before surgery, 41 patients( 80%) were accurately diagnosed by computed tomography. 35 of 37 incarcerated patients( 95%) and 6 of 15 non-incarcerated patients( 40%) were accurately diagnosed by CT scan. 19 of 21 resected patients( 90%) and all non-resected patients( 100%) were accurately diagnosed. Emergent surgery was performed for 37( 71%) patients having incarceration and 20 having bowel obstruction( 54% of those with incarceration). The hernial sac contained small intestine in 27( 73%) cases. Intestinal resection was performed for 16 patients( 43%), and McVay repair for 37 patients, 95% of whom had incarceration. Mesh repair was performed in 53% of the patients without incarceration. Average time from onset of symptoms to surgery did not differ significantly between the intestinal resection and non-resection groups( P=0.621). Postoperative complications were significantly more common in incarcerated patients, but were not significantly different when comparing the resection and non-resection groups.[ Conclusions] To avoid the need for intestinal resection, early diagnosis and treatment is needed. Surgery should be performed as early as possible after the onset of symptoms.", "subitem_description_type": "Abstract"}]}, "item_2_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"names": [{"name": "KOIZUMI, Masaru", "nameLang": "en"}]}, {"names": [{"name": "SATA, Naohiro", "nameLang": "en"}]}, {"names": [{"name": "TAGUCHI, Masanobu", "nameLang": "en"}]}, {"names": [{"name": "KASAHARA, Naoya", "nameLang": "en"}]}, {"names": [{"name": "ISHIGURO, Yasunao", "nameLang": "en"}]}, {"names": [{"name": "ENDO, Kazuhiro", "nameLang": "en"}]}, {"names": [{"name": "SASANUMA, Hideki", "nameLang": "en"}]}, {"names": [{"name": "SAKUMA,, Yasunaru", "nameLang": "en"}]}, {"names": [{"name": "SHIMIZU, Atsushi", "nameLang": "en"}]}, {"names": [{"name": "LEFOR, Alan", "nameLang": "en"}]}, {"names": [{"name": "YASUDA, Yoshikazu"}]}]}, "item_2_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "自治医科大学"}]}, "item_2_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1881-252X", "subitem_source_identifier_type": "PISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "小泉, 大", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "佐田, 尚宏", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "田口, 昌延", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "笠原, 尚哉", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "石黒, 保直", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "遠藤, 和洋", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "笹沼, 英紀", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "佐久間, 康成", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "清水, 敦", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "LEFOR, Alan", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "安田, 是和", "creatorNameLang": "ja"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2013-06-05"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "p87-91.pdf", "filesize": [{"value": "419.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_11", "mimetype": "application/pdf", "size": 419600.0, "url": {"label": "p87-91", "url": "https://jichi-ir.repo.nii.ac.jp/record/39/files/p87-91.pdf"}, "version_id": "f00b858f-03a5-462e-8b95-36f354f14040"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "大腿ヘルニア", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "嵌頓", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "腸切除", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "McVay 法", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "メッシュ法", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "femoral hernia", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "infarcted hernia", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "intestinal resection", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "McVay repair", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "mesh repair", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "大腿ヘルニア手術症例の臨床的検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "大腿ヘルニア手術症例の臨床的検討", "subitem_title_language": "ja"}, {"subitem_title": "Surgical evaluation of femoral hernias:a retrospective analysis", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "12", "path": ["17"], "permalink_uri": "https://jichi-ir.repo.nii.ac.jp/records/39", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2013-06-05"}, "publish_date": "2013-06-05", "publish_status": "0", "recid": "39", "relation": {}, "relation_version_is_last": true, "title": ["大腿ヘルニア手術症例の臨床的検討"], "weko_shared_id": -1}
https://jichi-ir.repo.nii.ac.jp/records/39
https://jichi-ir.repo.nii.ac.jp/records/39