{"created":"2024-04-17T06:33:28.141624+00:00","id":2000135,"links":{},"metadata":{"_buckets":{"deposit":"16ec3ae3-098f-4f68-8c27-40755ac3ce8a"},"_deposit":{"created_by":12,"id":"2000135","owner":"12","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"2000135"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:02000135","sets":["14:1713165776255"]},"author_link":[],"control_number":"2000135","item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"46","bibliographicPageStart":"41","bibliographicVolumeNumber":"46","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は67歳男性。ダンプカーを運転中，他のトラックに追突し受傷した。来院時ショック状態であったが輸血により改善したため外傷パンスキャンCTを施行した。CTでは，腸間膜の血管外漏出像を認めたため緊急開腹止血術を行った。手術では腸間膜に複数の動脈性出血と横行結腸穿孔を認め，止血術と横行結腸部分切除を行った。腹部コンパートメント症候群の危険因子である大量輸血，腹腔内感染，肥満を認めたため，一期的な閉腹は行わずOpen Abdominal Management（OAM）を開始した。初回手術から８日後，４回目の手術を行い炎症による腸管浮腫で閉腹が困難であったことから，陰圧閉鎖療法を併用したMesh mediated fascial tractionを導入し，20日後に一次筋膜閉鎖を達成した。陰圧閉鎖療法を併用したMesh mediated fascial tractionは，重症腹部外傷などでOAMを行い閉腹困難となった症例に対する閉腹方法の選択肢となる術式と考えられた。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Nobutaka, Watanabe","nameLang":"en"}]},{"names":[{"name":"Yoshimitsu, Izawa","nameLang":"en"}]},{"names":[{"name":"Masahiro, Shinpo","nameLang":"en"}]},{"names":[{"name":"Tsuyoshi, Kurai","nameLang":"en"}]},{"names":[{"name":"Daichi, Motomura","nameLang":"en"}]},{"names":[{"name":"Hiroyuki, Nakano","nameLang":"en"}]},{"names":[{"name":"Noriaki, Yui","nameLang":"en"}]},{"names":[{"name":"Kenjiro, Yamane","nameLang":"en"}]},{"names":[{"name":"Manaho, Sugita","nameLang":"en"}]},{"names":[{"name":"Naoya, Ishibashi,","nameLang":"en"}]},{"names":[{"name":"Yuri, Furuhashi","nameLang":"en"}]},{"names":[{"name":"Shoma, Fujiya","nameLang":"en"}]},{"names":[{"name":"Tomotaka, Takanosu","nameLang":"en"}]},{"names":[{"name":"Yasutaka, Tanaka","nameLang":"en"}]},{"names":[{"name":"Takafumi, Shinjo","nameLang":"en"}]},{"names":[{"name":"Tomohiro, Matsumura","nameLang":"en"}]},{"names":[{"name":"Chikara, Yonekawa","nameLang":"en"}]},{"names":[{"name":"Takashi, Mato","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学","subitem_publisher_language":"ja"}]},"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":"渡邊, 伸貴","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"伊澤, 祥光","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"新保, 雅大","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"倉井, 毅","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"本村, 太一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"中野, 裕幸","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"由井, 憲晶","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"山根, 賢二郎","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"杉田, 真穂","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"石橋, 尚弥","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"古橋, 柚莉","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"藤屋, 将眞","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"鷹栖, 相崇","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"田中, 保平","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"新庄, 貴文","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"松村, 福広","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"米川, 力","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"間藤, 卓","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":"2024-04-17"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X(46)p.41-46 2024.pdf","filesize":[{"value":"536 KB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"url":"https://jichi-ir.repo.nii.ac.jp/record/2000135/files/自治医科大学紀要 1881-252X(46)p.41-46 2024.pdf"},"version_id":"48c72a98-1056-45a0-ab0e-bd9524205fc8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"重症腹部外傷","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腹部コンパートメント症候群","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Open Abdominal Management","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"陰圧閉鎖療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Mesh mediated fascial traction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Severe abdominal injury","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Abdominal compartment syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Vacuum-assisted closure","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":"20日間にわたるOpen abdominal management後，陰圧閉鎖療法を併用したMesh mediated fascial tractionにより閉腹し得た重症腹部外傷の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"20日間にわたるOpen abdominal management後，陰圧閉鎖療法を併用したMesh mediated fascial tractionにより閉腹し得た重症腹部外傷の１例","subitem_title_language":"ja"},{"subitem_title":"A case of severe abdominal trauma successfully closed by Mesh mediated fascial traction with vacuum-assisted closure after 20 days of open abdominal management.","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["1713165776255"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-04-17"},"publish_date":"2024-04-17","publish_status":"0","recid":"2000135","relation_version_is_last":true,"title":["20日間にわたるOpen abdominal management後，陰圧閉鎖療法を併用したMesh mediated fascial tractionにより閉腹し得た重症腹部外傷の１例"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2024-04-17T07:09:31.952933+00:00"}