EMC - Chirurgie最新文献

{"title":"Dérivation chirurgicale du canal de Wirsung dans la pancréatite chronique","authors":"A. Sauvanet","doi":"10.1016/J.EMCCHI.2005.07.003","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.07.003","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"111 1","pages":"410-424"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90385796","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}

{"title":"Traitement des séquelles de brûlures. Brûlure de la région mammaire","authors":"J.-P. Comparin,&nbsp;K. Chekaroua,&nbsp;F. Jacquin,&nbsp;A. Mojallal,&nbsp;J.-L. Foyatier","doi":"10.1016/j.emcchi.2005.05.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.05.001","url":null,"abstract":"<div><p>Reconstruction of thoracic post-burn scars in young girls or adult women is a challenge for the plastic surgeon. The major role of the breast in women's feminity explains the importance of their rehabilitation. In children, the problem is to deal with the burn scars to allow harmonious breast development. In adults, the same techniques of breast reconstruction than those used in breast cancers can be used. Classification of post-burn scars is helpful to adapt the method of the treatment. The authors report their experience in treating acute cases of thoracic burns, and propose a 3-type classification and specific treatment for each.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 4","pages":"Pages 465-472"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72032869","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}

{"title":"Hypotrophie et ptôse mammaire","authors":"J.-P. Chavoin (Professeur des Universités, praticien hospitalier, chef de service),&nbsp;F. Canizares (Interne des Hôpitaux),&nbsp;A. Mojallal (Chef de clinique, assistant des Hôpitaux),&nbsp;G. Fabre (Interne des Hôpitaux),&nbsp;J.-L. Grolleau (Professeur des Universités, praticien hospitalier)","doi":"10.1016/j.emcchi.2004.07.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.07.001","url":null,"abstract":"<div><p>Hypotrophic breast treatment with implants achieves great success, specially in France, with about 30,000 implants for 2003, most of them for aesthetic indications. Beside augmentation alone – the most frequent – hypotrophy may be associated with a ptosis to be corrected by a cutaneous reduction procedure: without correction, the patient would be exposed to an imperfect or non adapted result. Nevertheless, patients have to be strictly informed on the localization of scars and the related risks.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 4","pages":"Pages 500-516"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72032878","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}

{"title":"Réparation des séquelles de brûlure du cou","authors":"A. Chichery,&nbsp;D. Voulliaume,&nbsp;N. Assiobo,&nbsp;J. Recchiutto,&nbsp;J.-L. Foyatier","doi":"10.1016/j.emcchi.2005.04.005","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.04.005","url":null,"abstract":"<div><p>Sequelae of cervical burn can be severe and responsible for post-burn deformities such as cervical retraction. Surgical reconstruction of post-burn deformities is difficult. The surface of the skin used for cervical reconstruction depends on the burn extent, and must be of the same quality than native skin in terms of coloration, texture and elasticity. Many reconstructive techniques exist (thick skin graft, local flaps, expanded thick skin graft, expanded flap), selected according to the lesion. All must respect the anatomic units of the neck. The purpose of this work is to explain the surgical procedures and its indications. Our personal experience makes us using the technique of skin expansion which showed optimal results in terms of coloration, texture and elasticity for neck reconstruction. Following a review of the different surgical techniques and their specific indications, some clinical cases are presented as illustration. It should be reminded that such surgery is somewhat tricky and must always be associated with adapted rehabilitation.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 4","pages":"Pages 484-499"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72032879","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}

{"title":"Chirurgie des carotides – Techniques de reconstruction","authors":"A. Branchereau (Professeur, Chef de service),&nbsp;B. Ede (Praticien hospitalier)","doi":"10.1016/j.emcchi.2004.08.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.08.001","url":null,"abstract":"<div><p>Although carotid endarterectomy is the gold standard and a very commonly utilized technique, it includes several variants and doesn't constitute the only solution for carotid reconstruction. Important technical problems associated to the results are known. Thus, complete awareness and knowledge of the endarterectomy, its variants, and other techniques appear necessary.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 3","pages":"Pages 292-316"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72109614","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}

{"title":"Prise en charge des anévrismes thoracoabdominaux de type IV","authors":"C.-M. Wahlgren,&nbsp;E. Wahlberg","doi":"10.1016/j.emcchi.2005.04.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.04.001","url":null,"abstract":"<div><p>Background. – Thoracoabdominal aneurysm type IV (TAA IV) represents only a minority of aortic aneurysms, but as it is an entirely abdominally located aneurysm, vascular surgeons are likely to see such aneurysms in their practice. The current surgical management of TAA IV is reviewed.</p><p>Methods. – A PubMed/Medline-literature search for TAA IV.</p><p>Results and conclusions. – A detailed preoperative evaluation to determine the rupture and operative risk is required. A threshold size of 5.5–6 cm is recommended for elective repair of TAA IV, which then is adjusted for age and other risk factors. Operative simplicity with the clamp and sew approach to obtain a short aortic cross-clamp time seems to have most support in the literature. The necessity of adjunct treatment to prevent visceral and spinal cord ischemia seems to be needed rarely. Uncomplicated repair has a minimal risk of neurological injury and a low risk of renal failure requiring dialysis in patients without preoperative renal dysfunction or renal artery stenosis. The role of endovascular repair of these aneurysms remains to be established.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 3","pages":"Pages 282-291"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72109660","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}

{"title":"Traitement chirurgical des éventrations diaphragmatiques","authors":"J.-P. Favre (Professeur des Universités, chirurgien des Hôpitaux, chef de service),&nbsp;P. Favoulet (Chef de clinique, assistant des Hôpitaux),&nbsp;N. Cheynel (Maître de conférences des Universités, chirurgien des Hôpitaux),&nbsp;L. Benoit (Chirurgien des Hôpitaux)","doi":"10.1016/j.emcchi.2005.03.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.03.001","url":null,"abstract":"<div><p>Diaphragmatic eventration is a permanent distention of a part or of the whole diaphragm without rupture. Neonatal and children's eventrations that are from congenital origin differ from adults' palsies that are, most of the time, due to a palsy of the phrenic nerve. The paralyzed diaphragmatic muscle can not contract and becomes a flaccid membrane, resulting in a paradoxical breathing. In left eventration, stomach can switch under the diaphragm, creating emptying disorders, disphagia or volvulus. Surgery is indicating only if symptoms are present. Two types of interventions may be proposed: gastropexy with abdominal wall, and phrenoplicatures. Phrenoplicature with thoracotomy is the most frequent intervention except for gastric volvulus.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 3","pages":"Pages 235-241"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72109661","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}

{"title":"Traitement chirurgical des ruptures traumatiques du diaphragme","authors":"J. Favre, N. Cheynel, L. Benoît, P. Favoulet","doi":"10.1016/J.EMCCHI.2005.04.004","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.04.004","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"82 8 1","pages":"242-251"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83945413","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}

{"title":"Place de la chirurgie dans le traitement de l’ulcère veineux de jambe","authors":"M. Perrin","doi":"10.1016/J.EMCCHI.2004.08.003","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2004.08.003","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 1","pages":"332-345"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84894085","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}

{"title":"Place de la chirurgie dans le traitement de l’ulcère veineux de jambe","authors":"M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon)","doi":"10.1016/j.emcchi.2004.08.003","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.08.003","url":null,"abstract":"<div><p>Venous ulcer is the most frequent lower leg ulcer and is considered as the most severe complication of the chronic venous disease. Its prevalence has been estimated between 0.2 and 0.3 %. Chronicity and recurrence of venous ulcer are responsible of its major impact on Health expenses. In terms of etiology primary venous insufficiency is identified in half of the patients presenting a venous ulcer and at less two thirds out the 3 venous systems (superficial, deep and perforator) are pathologic. Microcirculation abnormalities and their tissue consequences are presently better understood and identified. Clinical examination is the key for deciding what investigations may be undertaken and allows to establish a prognosis both in terms of healing and recurrence. Surgical procedures can be classified in 2 groups, those that are devoted to ulcer healing and those that aim to prevent recurrence. Superficial venous surgery provides excellent results in absence of deep venous insufficiency. The exact benefice of combined perforator surgery is still debated. Deep venous reconstructive surgery gives better results for preventing ulcer recurrence in primary etiology than in secondary. In ulcer with combined arterial and venous insufficiency when reconstructive arterial is successful in association with superficial venous surgery results are good in primary venous insufficiency. Results are less satisfactory in postthrombotic insufficiency. In terms of indications, surgery is exceptionally justified for healing venous ulcer. Conversely venous surgery is strongly recommended in absence of deep venous insufficiency for preventing ulcer recurrence in primary varicose veins. Perforator surgery indication remains unclear, but a relative consensus has been established for treating large incompetent calf perforators. Indications of deep venous reconstructive surgery are controversial. It looks to be considered after failure of the conservative treatment. In ulcer with combined arterial and venous insufficiency reconstructive arterial surgery when potentially feasible is mandatory both for healing and preventing ulcer recurrence.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 3","pages":"Pages 332-345"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72072248","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}