{"title":"Revue de presse no 4","authors":"","doi":"10.1016/j.jchirv.2024.05.007","DOIUrl":"10.1016/j.jchirv.2024.05.007","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 308-317"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843686","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 d’une hernie lombaire primaire de Grynfeltt","authors":"","doi":"10.1016/j.jchirv.2024.03.002","DOIUrl":"10.1016/j.jchirv.2024.03.002","url":null,"abstract":"<div><p>Les hernies lombaires sont des affections rares. Ces hernies peuvent être acquises spontanées ou secondaires (post-traumatiques, postopératoires…) ou congénitales. Elles sont la conséquence de l’existence de zones de faiblesse entre les différents muscles formant la paroi abdominale postérieure : le triangle de Grynfeltt en profondeur et le triangle de Jean-Louis Petit superficiellement.</p></div><div><p>Lumbar hernia is a rare disease, which can be acquired spontaneously or secondarily (post-traumatically, postoperatively…) or congenitally. It results from the existence of areas of weakness between the different muscles forming the posterior abdominal wall: the deep-seated Grynfeltt triangle and the superficial Jean-Louis Petit triangle.</p></div>","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 299-301"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763333","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":"L’intelligence artificielle pourrait-elle aider le chirurgien digestif dans la prise en charge du cancer du rectum ?","authors":"","doi":"10.1016/j.jchirv.2024.05.003","DOIUrl":"10.1016/j.jchirv.2024.05.003","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 253-255"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397741","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":"De l’usage du masculin dans la littérature chirurgicale en langue française : évoluons ensemble vers une langue plus progressiste !","authors":"Louise Barbier , Pascal Gygax","doi":"10.1016/j.jchirv.2024.05.004","DOIUrl":"10.1016/j.jchirv.2024.05.004","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 256-258"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878786X24000949/pdfft?md5=c40fa85e5f369a7cc872091ccfeed832&pid=1-s2.0-S1878786X24000949-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963477","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}
David Gozalichvili , Isabelle Fournel , Amadou Khalilou Sow , Adeline Guiraud , Nathan Moreno-Lopez , David Orry , Olivier Facy , Pablo Ortega-Deballon
{"title":"Gestion des patients avec protéine C réactive élevée après chirurgie colorectale élective : étude pilote sur une attitude diagnostique et thérapeutique proactive (GESPACE)","authors":"David Gozalichvili , Isabelle Fournel , Amadou Khalilou Sow , Adeline Guiraud , Nathan Moreno-Lopez , David Orry , Olivier Facy , Pablo Ortega-Deballon","doi":"10.1016/j.jchirv.2024.05.005","DOIUrl":"10.1016/j.jchirv.2024.05.005","url":null,"abstract":"<div><h3>But de l’étude</h3><p>Évaluer la faisabilité et le bénéfice d’un algorithme diagnostique et thérapeutique de gestion des patients présentant une protéine C réactive (CRP) élevée après chirurgie colorectale.</p></div><div><h3>Patients et méthodes</h3><p>Étude prospective incluant les patients ayant une CRP<!--> <!-->><!--> <!-->125<!--> <!-->mg/L au 4<sup>e</sup> jour postopératoire d’une chirurgie colorectale élective. Le protocole impliquait la réalisation d’un scanner qui guidait la prise en charge ultérieure : antibiotiques, drainage radiologique, endoscopie ou reprise chirurgicale. Le succès (critère de jugement principal) était la proportion de patients avec une durée totale d’hospitalisation inférieure à 15<!--> <!-->jours. Les critères secondaires étaient l’applicabilité du protocole en conditions réelles, le nombre de stomies créés, la durée d’hospitalisation en réanimation.</p></div><div><h3>Résultats</h3><p>Cent-six patients ont été inclus : 51 patients (48 %) ont présenté une complication chirurgicale postopératoire dont 21 (41 %) complications graves. Il n’y a pas eu de décès. Parmi les patients inclus, 68 % ont eu un séjour<!--> <!--><<!--> <!-->15<!--> <!-->jours. Il y a eu 38 % de déviations majeures à l’algorithme de prise en charge. L’endoscopie précoce s’est avérée non applicable. Il n’y avait pas de différence significative dans les critères secondaires selon que le protocole soit strictement respecté ou pas.</p></div><div><h3>Conclusion</h3><p>Il est nécessaire de définir un protocole de gestion des patients qui présentent une CRP élevée après chirurgie colorectale pour diminuer l’impact des complications et éviter un rallongement excessif de l’hospitalisation. Celui-ci commence par la réalisation d’un scanner qui guide la suite de la prise en charge.</p></div><div><h3>Study objective</h3><p>To evaluate the feasibility and benefit of a diagnostic and therapeutic algorithm for management of patients presenting with a high C-reactive protein (CRP) level after colorectal surgery.</p></div><div><h3>Patients and methods</h3><p>Prospective study including patients with CRP<!--> <!-->><!--> <!-->125<!--> <!-->mg/L at the 4th postoperative day following elective colorectal surgery. The protocol involved CT-scan of which the results were to orient subsequent management: antibiotics, radiological drainage, endoscopy or surgical redo. Success (primary endpoint) consisted in the proportion of patients with total duration of hospitalization fewer than 15 days. Secondary endpoints were: applicability of the protocol in real-life conditions, number of stomas created, and duration of hospitalization in an intensive care unit.</p></div><div><h3>Results</h3><p>One hundred and six (106) patients were included: 51 patients (48%) presented with postoperative complications, of which 21 (41%) were severe. No death occurred. Among the included patients, 68% had a hospital stay<!--> <!--><<!--> <!-->15 days. Major deviations from ","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 259-266"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878786X24001141/pdfft?md5=fac1753b630b36555ceb0514ac85e879&pid=1-s2.0-S1878786X24001141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963474","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}
{"title":"Un twist inattendu de l’anse alimentaire après gastrectomie totale pour cancer","authors":"","doi":"10.1016/j.jchirv.2024.01.004","DOIUrl":"10.1016/j.jchirv.2024.01.004","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 292-294"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271797","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}
Julien Epailly , Olivier Georges , Florence De Dominicis
{"title":"Réparation d’une plaie diaphragmatique traumatique","authors":"Julien Epailly , Olivier Georges , Florence De Dominicis","doi":"10.1016/j.jchirv.2024.03.006","DOIUrl":"10.1016/j.jchirv.2024.03.006","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"161 4","pages":"Pages 286-291"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714188","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}