{"_buckets": {"deposit": "e60a4835-4929-4c42-b3dc-6e1e6c259afe"}, "_deposit": {"id": "2016925", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2016925"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02016925", "sets": ["1642838232560", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "\u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u3092\u884c\u3044\u8179\u8154\u93e1\u4e0b\u5375\u5de3\u56a2\u816b\u6838\u51fa\u88534\u65e5\u5f8c\u306b\u5927\u91cf\u51fa\u8840\u3092\u304d\u305f\u3057\u305f\u5375\u5de3\u6210\u719f\u5947\u5f62\u816b\u306e1\u4f8b : \u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u306e\u30ea\u30b9\u30af\u3092\u518d\u8003\u3059\u308b", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "case of the ovarian mature cystic teratoma performed perioperative bridging of anticoagulation therapy and caused massive hemorrhage 4days after laparoscopic ovarian cystectomy : To reconsider the risk of bleeding of perioperative anticoagulation therapy", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u5927\u77f3, \u6749\u5b50", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u9298\u82c5, \u6842\u5b50", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u4ef2\u6751, \u7406\u6075", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u5bae\u57ce, \u771f\u5e06", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u8d64\u5dba, \u3053\u305a\u3048", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u9752\u6728, \u967d\u4e00", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Oishi, Sugiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Mekaru, Keiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nakamura, Rie", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Miyagi, Maho", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Akamine, Kozue", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Aoki, Yoichi", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186499011": {"attribute_name": "Rights", "attribute_value_mlt": [{"subitem_1522650717957": "ja", "subitem_1522651041219": "\u7409\u7403\u533b\u5b66\u4f1a"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "anticoagulant therapy"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "laparoscopic cystectomy"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "hemostasis"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "Laparoscopic ovarian cystectomy usually does not require ovarian suturing. However\uff0cin patients receiving anticoagulant therapy after a surgical procedure\uff0cthere is a risk of increased bleeding when perioperative bridging of anticoagulation therapy with heparin is performed. This case report discusses the risk of bleeding with anticoagulation therapy. A 38-year-old\uff0cnulliparous female underwent laparoscopic ovarian cystectomy for mature cystic teratoma in the left ovary. Because she was administered warfarin for paroxysmal atrial fibrillation before\uff0canticoagulation bridging with heparin was prescribed after hospitalization and 1 week before the surgery. We performed laparoscopic cystectomy with bipolar coagulation. Absence of bleeding from the surgical site was confirmed\uff0cand the patient had stable vital signs; therefore\uff0cwe restarted anticoagulation bridging with heparin 6 hours after the surgery and warfarin approximately 27 hours after the surgery. Severe abdominal pain and hypotension were suddenly observed 4 days after the procedure; computed tomography revealed arterial bleeding from the left ovary\uff0cand laparoscopic hemostasis was performed immediately. Arterial bleeding was observed around the left proper ovarian ligament\uff0cand the internal abdominal hemorrhage volume was 2,060 ml. We obtained hemostasis by suturing the ovary. After the second surgery\uff0cwarfarin was discontinued\uff0cand the patient was discharged 6 days later. Because 4 days after surgery is too late for bleeding to occur due to surgery\uff0cit was considered that the bleeding occurred due to compounded effect of warfarin and heparin . However\uff0cit is important to perform elaborate hemostasis by not only inducing coagulation but also including suturing the ovary. Moreover\uff0ccareful follow-up is required in patients who undergo laparoscopic ovarian cystectomy and receive anticoagulant therapy.", "subitem_description_type": "Other"}, {"subitem_description": "\u8ad6\u6587", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "\u7409\u7403\u533b\u5b66\u4f1a"}, {"subitem_1522300295150": "en", "subitem_1522300316516": "Ryukyu Medical Association"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "jpn"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "1346-888X"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10369445"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "\u7409\u7403\u533b\u5b66\u4f1a\u8a8c = Ryukyu Medical Journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueNumber": "1-4", "bibliographicPageEnd": "64", "bibliographicPageStart": "59", "bibliographicVolumeNumber": "39"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "Vol39p59.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2016925/files/Vol39p59.pdf"}, "version_id": "4c11db10-d6c3-45da-93fd-38a0f0190e87"}]}, "item_title": "\u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u3092\u884c\u3044\u8179\u8154\u93e1\u4e0b\u5375\u5de3\u56a2\u816b\u6838\u51fa\u88534\u65e5\u5f8c\u306b\u5927\u91cf\u51fa\u8840\u3092\u304d\u305f\u3057\u305f\u5375\u5de3\u6210\u719f\u5947\u5f62\u816b\u306e1\u4f8b : \u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u306e\u30ea\u30b9\u30af\u3092\u518d\u8003\u3059\u308b", "item_type_id": "15", "owner": "1", "path": ["1642838232560", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002016925", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2021-11-19"}, "publish_date": "2021-11-19", "publish_status": "0", "recid": "2016925", "relation": {}, "relation_version_is_last": true, "title": ["\u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u3092\u884c\u3044\u8179\u8154\u93e1\u4e0b\u5375\u5de3\u56a2\u816b\u6838\u51fa\u88534\u65e5\u5f8c\u306b\u5927\u91cf\u51fa\u8840\u3092\u304d\u305f\u3057\u305f\u5375\u5de3\u6210\u719f\u5947\u5f62\u816b\u306e1\u4f8b : \u5468\u8853\u671f\u6297\u51dd\u56fa\u7642\u6cd5\u306e\u30ea\u30b9\u30af\u3092\u518d\u8003\u3059\u308b"], "weko_shared_id": -1}