EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/j.emcchi.2005.10.002
B. Marcheix, L. Brouchet, C. Renaud, J. Berjaud, M. Dahan
{"title":"Technique de l'ostéosynthèse costale","authors":"B. Marcheix, L. Brouchet, C. Renaud, J. Berjaud, M. Dahan","doi":"10.1016/j.emcchi.2005.10.002","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.10.002","url":null,"abstract":"<div><p>Flail chest remains one of the major complications of blunt thoracic traumatisms; it jeopardizes the vital prognosis by the related risk of acute respiratory insufficiency. After standard symptomatic medical treatment, different therapeutic options have to be considered in case of aggravation, among which surgical treatment with operative stabilization. Although indications remain debated and provided indications are well defined, osteosynthesis may limit the duration of mechanical ventilation, decrease immediate and long-term complications and reduce the cost of management of such diseases.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 644-658"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/j.emcchi.2005.10.004
C. Conessa, S. Hervé, E. Roguet, J. Gauthier, J.-L. Poncet
{"title":"Chirurgie des tumeurs bénignes du larynx","authors":"C. Conessa, S. Hervé, E. Roguet, J. Gauthier, J.-L. Poncet","doi":"10.1016/j.emcchi.2005.10.004","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.10.004","url":null,"abstract":"<div><p>There are two methods for extracting benign laryngeal tumours: the endoscopic approach, either with microsurgery or with laser, and the external, cervical approach. The choice of one of these two accesses depends essentially on the size of the tumour, and also on the anatomy of the larynx. Indeed, even if endoscopic surgery tends to become the gold standard, it can't be undergone when good larynx exposure, especially of the anterior commissure, is difficult or impossible to obtain. On the other hand, extended tumours, like great laryngoceles, necessitate external approach, through the thyro-hyoid membrane or through the thyroid cartilage's wing. Deep knowledge of all these techniques is essential for the surgeon.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 709-724"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/J.EMCCHI.2005.10.002
B. Marcheix, L. Brouchet, C. Renaud, J. Berjaud, M. Dahan
{"title":"Technique de l'ostosynthse costale","authors":"B. Marcheix, L. Brouchet, C. Renaud, J. Berjaud, M. Dahan","doi":"10.1016/J.EMCCHI.2005.10.002","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.10.002","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79603071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/j.emcchi.2005.10.001
C. Grapin, A. Bonnard, P.-G. Helardot
{"title":"Chirurgie du diverticule de Meckel","authors":"C. Grapin, A. Bonnard, P.-G. Helardot","doi":"10.1016/j.emcchi.2005.10.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.10.001","url":null,"abstract":"<div><p>Meckel's diverticulum (omphalomesenteric remnant) is the most common congenital abnormality of the small intestine. It may be completely asymptomatic, or revealed by a complication such as occlusion, peritonitis, or recurrent abdominal pain. The diagnosis can only be made by direct surgical investigation: laparotomy or laparoscopy. The complications are frequent and serious in children. Therefore, we recommend systematic ablation of Meckel's diverticulum. The technique of choice is short small bowel resection with termino-terminal anastomosis.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 613-620"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/J.EMCCHI.2005.10.005
J. Albertini, L. Muller, L. Fouilhé, C. Clement
{"title":"Techniques endoluminales de traitement des lésions de la bifurcation carotidienne","authors":"J. Albertini, L. Muller, L. Fouilhé, C. Clement","doi":"10.1016/J.EMCCHI.2005.10.005","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.10.005","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"69 1","pages":"659-685"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79155117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/S1762-570X(05)00041-1
{"title":"Index des mots clés","authors":"","doi":"10.1016/S1762-570X(05)00041-1","DOIUrl":"https://doi.org/10.1016/S1762-570X(05)00041-1","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 726-729"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1762-570X(05)00041-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/j.emcchi.2005.09.005
J.-P. Meningaud , G. Toure
{"title":"Recherche évaluative en chirurgie esthétique maxillofaciale","authors":"J.-P. Meningaud , G. Toure","doi":"10.1016/j.emcchi.2005.09.005","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.09.005","url":null,"abstract":"<div><p>Both clinical research and evaluation research focus on the therapeutic outcomes. But unlike clinical research, evaluation research examines such results from the patient's perspective, the criteria being what the patient feels rather than physical or laboratory data. Such research is of utmost importance in aesthetic surgery since the real benefit is subjective rather than functional. Evaluation research provides some solution to the ethic problem of the risk: benefit ratio of aesthetic surgery. Parallel with its improvements, its indications are being better identified. In this type of research, the evaluation tools may be a satisfaction index, a quality of life rating scale, or a psychological rating scale. Satisfaction indexes are easy to use but there have a related limitation since responses may be easily inferred. They are obtained using visual analogue scales comparable to those used for pain assessment. Quality of life tests combine in a single composite score many dimensions such as physical, social, psychological and emotional criteria. Quality of life tests may be generic or specific. Specific tests take into account the disease or the patient's care-seeking, i.e. his (her) need for aesthetic surgery. Generic tests provide an overall quantification of the patient's quality of life regardless of the care-seeking dimension, and with a lesser risk of bias. Finally, psychological rating scales are naturally the most frequently used due to the psychological aspect related to the need for aesthetic surgery. They investigate depression, anxiety, bodily image, etc. A literature review shows that maxillofacial aesthetic surgery does not improve depression indexes but it clearly improves self-confidence, self-esteem and bodily image. Aesthetic surgery improves the results of generic or specific quality of life tests when they include some of the above-mentioned psychological parameters.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 686-693"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.09.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-12-01DOI: 10.1016/j.emcchi.2005.09.007
P. Mathevet, D. Dargent
{"title":"Hystérectomie élargie par voie basse ou opération de Schauta-Stoeckel","authors":"P. Mathevet, D. Dargent","doi":"10.1016/j.emcchi.2005.09.007","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.09.007","url":null,"abstract":"<div><p>Radical vaginal hysterectomy, also named Schauta's operation, is an old concept. The current use of this surgery has benefited from laparoscopy advances, in particular from laparoscopy-assisted full lymphadenectomies. The procedure begins with a laparoscopic pelvic lymph-node dissection and a laparoscopic assistance of the subsequent vaginal operative steps leading to radical colpohysterectomy, including the resection of the proximal parametrium (Piver II type radical hysterectomy). Indications of radical vaginal hysterectomy are early cervical cancer (stage IA2 or IB1). This surgical technique may result in reduced per and post operative morbidity in comparison with the abdominal approach (Wertheim procedure). Over all, a good knowledge of Schauta's operative technique allows achieving radical trachelectomy, an operation that preserves the fertility of young patients affected by an early cervical cancer.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 6","pages":"Pages 630-643"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.09.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-10-01DOI: 10.1016/j.emcchi.2005.09.001
A. Mojallal, J.-P. Comparin, A. Chichery, D. Voulliaume, J.-L. Foyatier
{"title":"Traitement des séquelles de brûlures des membres","authors":"A. Mojallal, J.-P. Comparin, A. Chichery, D. Voulliaume, J.-L. Foyatier","doi":"10.1016/j.emcchi.2005.09.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.09.001","url":null,"abstract":"<div><p>Burn injuries, regardless of the aetiology, rarely involve the joint. However, the joint function is often impaired due to burn cutaneous sequelae. Articular or non articular scar contracture can reduce joint movements. Prevention consists in tangential excision and split thickness skin graft before the end of the third week, immediately followed by rehabilitation and physiotherapy. The surgical management of the scar contracture consists in an incision or excision of the scar and the covering of the soft tissue loss by full thickness skin graft or cutaneous flaps (local, regional or free). The aesthetic and functional sequelae of the limb joints (except the hand) are described with their different techniques of reconstruction.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 5","pages":"Pages 565-578"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72063664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMC - ChirurgiePub Date : 2005-10-01DOI: 10.1016/J.EMCCHI.2005.09.003
D. Voulliaume, I. Papalia, A. Chichery, A. Mojallal, J. Foyatier
{"title":"Traitement des séquelles de brûlures. Brûlures des mains","authors":"D. Voulliaume, I. Papalia, A. Chichery, A. Mojallal, J. Foyatier","doi":"10.1016/J.EMCCHI.2005.09.003","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.09.003","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"48 1","pages":"579-591"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90479600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}