{"created":"2023-06-19T11:22:26.482222+00:00","id":39,"links":{},"metadata":{"_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":["14:17"]},"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","filename":"p87-91.pdf","filesize":[{"value":"419.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-06-05"},"publish_date":"2013-06-05","publish_status":"0","recid":"39","relation_version_is_last":true,"title":["大腿ヘルニア手術症例の臨床的検討"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-28T04:23:00.203651+00:00"}