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1. 成人における鼠径ヘルニアおよび大腿ヘルニアの開放修復術open surgical repair of inguinal and femoral hernia in adults [show details]
… sigmoid colon, bladder, ureter, or only the preperitoneal fat associated with any of these structures. When the cecum, terminal ileum, appendix, or sigmoid colon contributes to the sac,… 3773 participants; RR 0.88, 95% CI 0.68-1.13, I² = 0%, low-quality evidence) and urinary retention (eight studies, 1539 participants; RR 0.53, 95% CI 0.38-0.73, I² = 56%, moderate-quality evidence) …
2. 女性骨盤の外科的解剖学：子宮および関連構造surgical female pelvic anatomy uterus and related structures [show details]
… Once the sigmoid colon has descended into the pelvis, its course straightens and it enters the retroperitoneum at the pelvic posterior cul-de-sac and becomes the rectum.… resulting in short-term postoperative voiding dysfunction and urinary retention.…
3. 傍食道型食道裂孔ヘルニアへの外科的マネージメントsurgical management of paraesophageal hernia [show details]
… hernia sac from the mediastinum, rather than the mere reduction of hernia contents from the sac. The dissection of the hernia sac begins with gentle reduction of any organs (eg, colon,… The ideal hernia repair should result in a permanent retention of the stomach in the abdominal cavity.…
4. 妊婦や出産後の患者に生じた急性腹痛／骨盤痛の治療法approach to acute abdominal pelvic pain in pregnant and postpartum patients [show details]
…of incomplete emptying, voiding small volumes due to overflow incontinence, and, often, urinary retention . The diagnosis is based on ultrasound examination after the first trimester showing severe anterior … for identification and characterization of the ovarian neoplasm and to look for fluid in the cul-de-sac. Constipation is common in pregnancy and may cause considerable abdominal discomfort. It is due … of ileus characterized by massive dilation of the colon in the absence of mechanical obstruction.…
5. クモによる咬刺が疑われる患者の診断アプローチ：概要diagnostic approach to the patient with a suspected spider bite an overview [show details]
…Fab fragment antivenom is available and indicated for patients with systemic envenomation. Yellow sac spiders (Cheiracanthium spp.) are common indoor resident spiders in North America, but can occupy …