{"created":"2023-06-19T10:43:15.715470+00:00","id":3463,"links":{},"metadata":{"_buckets":{"deposit":"4b3e313f-3799-48f4-ba18-1e810c4918c4"},"_deposit":{"created_by":11,"id":"3463","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3463"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003463","sets":["30:62:231"]},"author_link":["7651","3321","3061"],"item_4_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"脳神経学的手技に関する電気メス皮膚切開　テクニカルノート"}]},"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"91","bibliographicPageStart":"88","bibliographicVolumeNumber":"51","bibliographic_titles":[{},{"bibliographic_title":"Neurologia medico-chirurgica","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新田, 直樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"深見, 忠輝"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"野﨑, 和彦"}],"nameIdentifiers":[{},{},{}]}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The reluctance to incise skin with electrocautery is partly attributable to concerns about excessive scarring and poor wound healing. However, recently no difference was reported in wound complications between the cold scalpel and electrocautery scalpel. We assessed the safety and efficacy of electrocautery skin incision in 22 scalp incisions, including 4 cases of reoperation. Electrocautery skin incisions were created using a sharp needle electrode. The generator unit was set on cutting mode, with power of 6 W and 330 kHz sinusoid waveform. Subcutaneous dissections also used the sharp needle electrode, set on coagulating mode, with power of 10 W and 1 MHz pulse-modulated waveform. Galea incisions used a standard blade tip, set on coagulating mode, with power of 20 W and 1 MHz pulse-modulated waveform. Skin incision with the sharp needle electrode caused no charring of the wound. Little bleeding or oozing were observed and skin clips were not necessary. No wound complication such as necrosis or infection occurred. Electrocautery skin incisions for re-operations were also performed safely without complications. Electrocautery skin incision is sufficiently safe procedure not only for first operation but also for re-operation. Electrocautery skin incision is efficacious, especially for extended operation times, because of little blood loss from the edges of skin incision and possible avoidance of skin edge necrosis or alopecia caused by skin clips.","subitem_description_type":"Abstract"},{"subitem_description":"頭蓋切開を行なった22例(うち4例は再手術)を対象に、安全で有効な電気メス皮膚切開を行なった。皮膚切開は鋭利針電極を用い、Generator unitをカットモード、パワーを6W、330kHz sinusoid waveformにセットした。皮下解離も鋭利針電極を用い、凝固モード、パワー10W、1MHz pulse-modulated waveformeにセットした。帽状腱膜切開は標準かみそりチップを用い、凝固モード、パワー20W、1MHz pulse-modulated waveformeにセットした。その結果、電気メス皮膚切開では傷の根焼きは認めなかった。出血やにじみは観察されず、クリップは必要なかった。壊死や感染などの傷合併症もなかった。電気メス皮膚切開は出血が少ないため、特に手術時間が長引いた場合に有効であり、またクリップによる皮膚端壊死や脱毛症の予防に役立つと考えられた。","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本脳神経外科学会"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"21273756","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.2176/nmc.51.88"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2176/nmc.51.88","subitem_relation_type_select":"DOI"}}]},"item_4_relation_28":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10028104805","subitem_relation_type_select":"NAID"}}]},"item_4_relation_29":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2011165160","subitem_relation_type_select":"ICHUSHI"}}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0470-8105","subitem_source_identifier_type":"ISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00358613","subitem_source_identifier_type":"NCID"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"NITTA, Naoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKAMI, Tadateru"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"NOZAKI, Kazuhiko"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-12-02"}],"displaytype":"detail","filename":"nmc.51.88.pdf","filesize":[{"value":"203.9 kB"}],"format":"application/pdf","license_note":"This article is licensed under a Creative Commons\n [Attribution-NonCommercial-NoDerivatives 4.0 International] license.\nhttps://creativecommons.org/licenses/by-nc-nd/4.0/","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"nmc.51.88","url":"https://shiga-med.repo.nii.ac.jp/record/3463/files/nmc.51.88.pdf"},"version_id":"916dc462-dcc7-46b8-a826-7a5148032f95"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"electrocautery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"skin incision","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"reoperation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"skin clip","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"sharp needle electrode","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Electrocautery skin incision for neurosurgery procedures--technical note.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Electrocautery skin incision for neurosurgery procedures--technical note."}]},"item_type_id":"4","owner":"11","path":["231"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-12-02"},"publish_date":"2019-12-02","publish_status":"0","recid":"3463","relation_version_is_last":true,"title":["Electrocautery skin incision for neurosurgery procedures--technical note."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T12:24:30.850969+00:00"}