Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
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Volume 121, Issue 3
Displaying 1-17 of 17 articles from this issue
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The 2008 Okayama Medical Association Awards
Review
Original Paper
  • A retrospective study of the PROLENE hernia system compared with the mesh-plug technique
    Ryosuke Hamano, Shinya Ohtsuka, Sayaka Fujii, Manabu Nishie, Naoyuki T ...
    2009 Volume 121 Issue 3 Pages 169-171
    Published: December 01, 2009
    Released on J-STAGE: January 04, 2010
    DOIhttps://doi.org/10.4044/joma.121.169
    JOURNAL FREE ACCESS
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    To compare the results of the PROLENE hernia system (PHS) and mesh-plug technique (MPT), a retrospective study of adult patients with inguinal hernia was performed. The total number of inguinal herniorrhaphies for the past 9 years was 376, and the numbers of operative treatments by PHS, MPT and the Bassini procedure were 79, 291 and 6, respectively. There were no significant differences either in the operating time or the hospitalization days. No postoperative complications were observed in the PHS group; however, 8 complications were found among the 291 cases (2.75 %) of the MPT group (hematoma, 3 ; seroma, 2 ; testitis, 1 ; mesh infection, 2). Out of the total 376 cases, the number of initial and recurrence cases was 355 and 21, respectively, and out of the 21 recurrence cases the number of initial surgeries by Bassini and MPT was 14 and 7, respectively. Among the 21 recurrence cases there were no recurrences after PHS.
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Case Report
  • Relief of cancer pain in a non small cell lung cancer patient by a polyhedral approach
    Eiki Ichihara, Junji Matsuoka, Nagio Takigawa, Takashi Matsuzaki, Kuni ...
    2009 Volume 121 Issue 3 Pages 173-175
    Published: December 01, 2009
    Released on J-STAGE: January 04, 2010
    DOIhttps://doi.org/10.4044/joma.121.173
    JOURNAL FREE ACCESS
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    We report a case of cancer-related pain relieved by a polyhedral approach. A woman in her late 30s with advanced non small cell lung cancer suffered from back pain caused by the cancer invasion to a thoracic vertebra. She could not take a sufficient dose of opioid due to its adverse effects. A supplementary analgesic was not found to be effective. Palliative radiation was considered desirable, but she could not maintain a dorsal position for irradiation due to back pain. Continuous epidural anesthesia was then introduced. Epidural anesthesia allowed her to lie in a spine position for radiation therapy. After completion of radiation therapy, her back pain was relieved with a low dose of transdermal fentanyl without epidural anesthesia.
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