基本情報
- 所属
- 自治医科大学 附属さいたま医療センター 外科系診療部 形成外科 病院助教
- 学位
- 学士(医学)(防衛省防衛医科大学校/独立行政法人大学改革支援・学位授与機構)
- J-GLOBAL ID
- 202301010105168121
- researchmap会員ID
- R000052892
日本形成外科学会専門医
日本リンパ浮腫治療学会認定 リンパ浮腫療法士
日本静脈学会認定 弾性ストッキング・圧迫療法コンダクター
研究分野
1経歴
2-
2023年4月 - 現在
-
2014年4月 - 2023年3月
学歴
2-
2024年4月 - 現在
-
2008年4月 - 2014年3月
論文
11-
JPRAS Open 41 52-60 2024年5月 査読有り筆頭著者
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Journal of Vascular Surgery Cases, Innovations and Techniques 101332-101332 2023年9月 査読有り
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International Journal of Surgical Wound Care 3(4) 132-137 2022年12月 査読有り筆頭著者責任著者Polycythemia vera is a myeloproliferative neoplasm that can cause opposite complications: thrombosis and bleeding. Since arterial or venous thrombosis is often fatal, prevention of thrombogenesis is the main treatment measure for polycythemia vera, both in daily life and perioperatively. However, reports of bleeding are less frequent than reports of thrombosis. Herein, we report a case of polycythemia vera in which significant postoperative bleeding was a perioperative complication. A 72-year-old woman with polycythemia vera had a subcutaneous hematoma after bruising her left lower leg, and was admitted to another hospital. As skin necrosis gradually appeared, the patient was transferred to our hospital. Following debridement and wound bed preparation, we applied a split-thickness skin graft using the right inguinal region as the donor site. After surgery, significant bleeding was observed at the donor and recipient sites, and this persisted until the next morning, which required transfusion of four units of blood. Hemostasis was difficult but finally achieved with strong and firm pressure. The skin graft survived, and the troublesome wound healed. Regarding the perioperative complications of polycythemia vera, not only thrombosis, but also bleeding should be considered. Strict control of patients' hematocrit and platelet count with phlebotomy and/or hydroxyurea as cytoreduction therapy is essential.