EMC - ChirurgiePub Date : 2005-04-01DOI: 10.1016/j.emcchi.2004.06.003
A. Branchereau (Professeur, chef de service), B. Ede (Praticien hospitalier)
{"title":"Chirurgie carotidienne - Lésions spécifiques","authors":"A. Branchereau (Professeur, chef de service), B. Ede (Praticien hospitalier)","doi":"10.1016/j.emcchi.2004.06.003","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.06.003","url":null,"abstract":"<div><p>Indications for carotid surgery are infrequent but highly important for patients who present with some specific, non-atherosclerotic lesions. In case of carotid tortuosity, surgery can be considered only in symptomatic patients, provided it has been ascertained that no other cause exists for the observed symptoms. Most of the time, such tortuosity is accompanied by dysplastic parietal lesions that may turn to aneurysm or dissection. Surgical treatment consists in a calibration and re-implantation of the internal carotid artery, or a venous grafting in case of very severe parietal lesions. Dissections generally expand up to the base of the skull; surgery is exceptionally indicated. A wide aetiology characterises carotid aneurysms; they may be of dysplastic, post-dissection, or post-traumatic origin. Infectious and atherosclerotic aneurysms are far less frequent. Most of the time, they are localized in the upper part of the cervical internal carotid artery. Surgical treatment by venous grafting may be undertaken by a specific approach – generally performed in cooperation with ENT surgeons – that allows to reach the first intrapetrous segment of the artery.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 2","pages":"Pages 221-233"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068014","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 : 2005-04-01DOI: 10.1016/j.emcchi.2004.12.002
J.-L. Faucheron (Professeur des Universités, praticien hospitalier), O. Risse (Praticien hospitalier)
{"title":"Techniques de sauvetage des anastomoses iléoanales avec réservoir","authors":"J.-L. Faucheron (Professeur des Universités, praticien hospitalier), O. Risse (Praticien hospitalier)","doi":"10.1016/j.emcchi.2004.12.002","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.12.002","url":null,"abstract":"<div><p>Complete coloproctectomy with ileoanal anastomosis is a complex surgical act with a considerable associate rate of complications that jeopardise the reservoir in over 5% of the cases. These complications are mainly suppuration, anastomotic stenosis, reservoir ischemia, and functional disorders such as polyexoneration and pouchitis. Acute life-threatening complications impose suppressing the anastomosis and performing an ileostomy, but in case of delayed complications, after complete assessment, one or several re-interventions may be undertaken in order to preserve the reservoir. Most of these techniques of ileal pouch preservation can be performed by lower approach. They consist in the dilatation of an anastomotic stenosis that may be repeated, drainage of a perineal suppuration, reservoir lowering, and section of a residual septum in the reservoir. In case of failure, or when the reservoir lesions are diffuse and severe, intervention must be realised by both abdominal and perineal approaches. Following a total viscerolysis, the reservoir must be repaired, most of the time after disinsertion, then re-anastomosed with a quite systematic lateral ileostomy.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 2","pages":"Pages 140-152"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068706","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 : 2005-04-01DOI: 10.1016/J.EMCCHI.2004.12.002
J. Faucheron, O. Risse
{"title":"Techniques de sauvetage des anastomoses iléoanales avec réservoir","authors":"J. Faucheron, O. Risse","doi":"10.1016/J.EMCCHI.2004.12.002","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2004.12.002","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 1","pages":"140-152"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74308028","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 : 2005-04-01DOI: 10.1016/j.emcchi.2004.11.001
S. Petoin (Ancien interne des Hôpitaux de Paris, ancien chef de clinique-assistant)
{"title":"Prothèses mammaires d’augmentation","authors":"S. Petoin (Ancien interne des Hôpitaux de Paris, ancien chef de clinique-assistant)","doi":"10.1016/j.emcchi.2004.11.001","DOIUrl":"https://doi.org/10.1016/j.emcchi.2004.11.001","url":null,"abstract":"<div><p>There is no strict medical indication for breast augmentation. All patients undergoing cosmetic breast augmentation surgery should be able to obtain comprehensive information about benefits and risks of such surgery. The present paper is an attempt to explain both possibilities and limits for each procedure and type of material to obtain this consent form. Advances in fabrication, standardization and legislation (Europe and France) are described. Local and general risks following implantation are explained: advantages and disadvantages for primary routine implantation (scar, type and position of implant), also in particular indications, long term revisions (imperfections and complications).</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 2","pages":"Pages 204-220"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2004.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068013","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 : 2005-04-01DOI: 10.1016/J.EMCCHI.2005.01.002
K. Chekaroua, J. Foyatier
{"title":"Traitement des séquelles de brûlures : généralités","authors":"K. Chekaroua, J. Foyatier","doi":"10.1016/J.EMCCHI.2005.01.002","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.01.002","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"39 1","pages":"153-161"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74097849","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 : 2005-04-01DOI: 10.1016/j.emcchi.2005.01.002
K. Chekaroua, J.-L. Foyatier
{"title":"Traitement des séquelles de brûlures : généralités","authors":"K. Chekaroua, J.-L. Foyatier","doi":"10.1016/j.emcchi.2005.01.002","DOIUrl":"https://doi.org/10.1016/j.emcchi.2005.01.002","url":null,"abstract":"<div><p>Management of burn sequelae must comply with two fundamental therapeutic principles: the first is functional, the other cosmetic. Surgical reconstruction of such lesions may be considered after scar maturation is achieved. During the maturation process, the use of specific drugs may be helpful in treating some of the symptoms associated with burn sequelae. Crenotherapy may improve the softness of the scars and facilitate subsequent surgery. Early surgery may be considered in a child when growth is likely to be compromised or in case of functional impairment due to burn sequelae. Local flaps and full-thickness grafts are the most commonly used means for the surgical correction of burn sequelae, whatever the time necessary for their management.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 2","pages":"Pages 153-161"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068705","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 : 2005-04-01DOI: 10.1016/J.EMCCHI.2004.07.002
A. Mojallal, P. Breton, E. Delay, J. Foyatier
{"title":"Greffe d'adipocytes : applications en chirurgie plastique et esthétique","authors":"A. Mojallal, P. Breton, E. Delay, J. Foyatier","doi":"10.1016/J.EMCCHI.2004.07.002","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2004.07.002","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"8 1","pages":"175-203"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81942997","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 : 2005-04-01DOI: 10.1016/J.EMCCHI.2005.01.001
Anne-Cécile Couchard, Y. Panis, A. Alvès, P. Mariani, P. Valleur
{"title":"Techniques d’anastomoses iléoanales avec réservoir","authors":"Anne-Cécile Couchard, Y. Panis, A. Alvès, P. Mariani, P. Valleur","doi":"10.1016/J.EMCCHI.2005.01.001","DOIUrl":"https://doi.org/10.1016/J.EMCCHI.2005.01.001","url":null,"abstract":"","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"65 1","pages":"123-139"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78746629","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}