Publications by authors named "T Masuno"
Purpose: To determine the effectiveness of vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) in patients undergoing open abdomen management (OAM).
Methods: Data from cases with OAM for at least five days who were admitted to our institution between January 2011 and December 2020 were included. We compared the patient's age, sex, medical history, indication for initial surgery, APACHE II scores, indication for OAM, operative time, intraoperative blood loss, intraoperative transfusion, success of primary fascial closure (rectus fascial closure and bilateral anterior rectus abdominis sheath turnover flap method), success of planned ventral hernia, duration of OAM, and in-hospital mortality between patients undergoing VAWCM (VAWCM cases, n = 27) and vacuum-assisted wound closure (VAWC) alone (VAWC cases, n = 25).
Subcutaneous emphysema is a common complication of thoracic surgery. Tension subcutaneous emphysema that causes airway obstruction is rare but life-threatening. This report presents a patient who developed tension subcutaneous emphysema after recurrent secondary pneumothorax surgery which was treated with minimally invasive open-window thoracostomy.
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- Opioids, which are commonly used for pain relief, often cause constipation, particularly in older adults—this study focuses on a treatment for that issue called naldemedine for patients over 75 with cancer.* -
- The researchers analyzed medical records from 10 hospitals in Japan, studying 60 cancer patients who were hospitalized for at least a week before and after starting naldemedine.* -
- Results showed a 68.3% response rate in increasing bowel movements, with diarrhea being the most frequent side effect, mostly mild, indicating that naldemedine is both effective and safe for older cancer patients dealing with opioid-induced constipation.*
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- The study analyzed data from the Tokyo 2020 Games to understand why athletes were transferred to local medical facilities, focusing on 567 injuries and illnesses treated at on-site clinics.
- During the Olympics, most athlete transfers were due to injuries (72.7%), with a small percentage requiring hospitalization for more than 7 days, while the Paralympics had a more balanced distribution with half of the cases being other illnesses.
- This research highlights the significant volume and types of medical issues athletes faced, providing insights not previously recorded in earlier Olympic and Paralympic events.*
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- A study investigated the relationship between coagulopathy and patient outcomes in sepsis-induced acute respiratory distress syndrome (ARDS), focusing on which coagulopathy parameters could predict mortality and guide anticoagulant use.
- The researchers identified specific coagulopathy markers—prothrombin time and platelet count—as significant predictors of in-hospital mortality, with patients with certain coagulopathy types showing worse oxygenation recovery.
- Findings indicated that anticoagulants positively affected mortality and oxygenation recovery for patients with specific coagulopathy, highlighting the need for tailored treatment approaches in ARDS patients.