{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205337652608.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11310/jsswc.4.87"}},{"identifier":{"@type":"NAID","@value":"130004553007"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2013335235"}}],"dc:title":[{"@language":"en","@value":"Developmental Application of Negative-Pressure Wound Therapy"},{"@language":"ja","@value":"局所陰圧閉鎖処置における種々の工夫"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"I present three advanced methods for negative-pressure wound therapy ; combined use with artificial dermis, combined use with the shoelace technique, and the application to skin grafts.<BR>In combined use with artificial dermis, the formation of good dermis-like granulation tissue was obtained by the early phase of invasion of fibroblasts and vascular endothelial cells into the collagen layer of the artificial dermis.<BR>In addition, it has advantage, such as prevention of the loss or displacement of artificial dermis, control of infection of artificial dermis, and augmentation of the soft tissue.<BR>In combined use with the shoelace technique, the size of ulcer was reduced horizontally by the shoelace technique, and the depths of the ulcer and pocket were reduced by negative-pressure wound therapy.<BR>In the application to skin grafts, by its use together with a self-adhesive polyethylene mesh, there was no displacement of skin graft fixation, which could thus be performed easily ; it also reduced the operative time."},{"@language":"ja","@value":"局所陰圧閉鎖処置における工夫として，①人工真皮との併用，②シューレース法との併用，③植皮への応用，の 3 通りの方法について述べる。人工真皮との併用では，早期の人工真皮のコラーゲン層内への線維芽細胞および血管内皮細胞の侵入による，良好な真皮様肉芽組織の形成が目的となる。そのほかに人工真皮の脱落やずれの予防，人工真皮の感染の抑制，軟部組織の増量などの利点がある。シューレース法との併用では，シューレース法による水平方向の縮小と，局所陰圧閉鎖処置による垂直方向とポケットの縮小による創収縮の促進が目的となる。植皮への応用では，自着性ポリエチレン・メッシュと併用することで植皮片のずれがなく，固定が簡便に行え，手術時間の短縮にもなった。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410572172090639488","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258250277"}],"foaf:name":[{"@language":"en","@value":"Kurokawa Masato"},{"@language":"ja","@value":"黒川 正人"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Plastic and Reconstructive Surgery, Takarazuka City Hospital"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"1884880X"},{"@type":"LISSN","@value":"1884880X"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Surgical Wound Care"},{"@language":"ja","@value":"創傷"},{"@language":"en","@value":"Japanese Journal of Surgical Wound Care"},{"@language":"en","@value":"Jpn. J. Surg. Wound Care"},{"@language":"en","@value":"Plastic Surgery"},{"@language":"en","@value":"Sosyo"},{"@language":"en","@value":"surgery"},{"@language":"en","@value":"Wound Care"},{"@language":"en","@value":"Reconstructive Surgery"},{"@language":"ja","@value":"創傷"},{"@language":"ja","@value":"再建外科"}],"dc:publisher":[{"@language":"en","@value":"Japan Society for Surgical Wound Care"},{"@language":"ja","@value":"一般社団法人 日本創傷外科学会"}],"prism:publicationDate":"2013","prism:volume":"4","prism:number":"2","prism:startingPage":"87","prism:endingPage":"95"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2013335235"}],"availableAt":"2013","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=negative-pressure%20wound%20therapy","dc:title":"negative-pressure wound therapy"},{"@id":"https://cir.nii.ac.jp/all?q=artificial%20dermis","dc:title":"artificial dermis"},{"@id":"https://cir.nii.ac.jp/all?q=shoelace%20technique","dc:title":"shoelace technique"},{"@id":"https://cir.nii.ac.jp/all?q=skin%20graft","dc:title":"skin graft"},{"@id":"https://cir.nii.ac.jp/all?q=vacuum-assisted%20closure","dc:title":"vacuum-assisted closure"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%B1%80%E6%89%80%E9%99%B0%E5%9C%A7%E9%96%89%E9%8E%96%E5%87%A6%E7%BD%AE","dc:title":"局所陰圧閉鎖処置"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%BA%BA%E5%B7%A5%E7%9C%9F%E7%9A%AE","dc:title":"人工真皮"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%B7%E3%83%A5%E3%83%BC%E3%83%AC%E3%83%BC%E3%82%B9%E6%B3%95","dc:title":"シューレース法"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%A4%8D%E7%9A%AE","dc:title":"植皮"},{"@id":"https://cir.nii.ac.jp/all?q=VAC%E7%99%82%E6%B3%95","dc:title":"VAC療法"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1001666613"},{"@type":"CIA","@value":"130004553007"}]}