Annales de chirurgie最新文献_第10页

Prise en charge chirurgicale des hémorragies sévères du post-partum 严重产后出血的手术管理

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2005.11.002

F. Sergent, B. Resch, E. Verspyck, L. Marpeau

{"title":"Prise en charge chirurgicale des hémorragies sévères du post-partum","authors":"F. Sergent, B. Resch, E. Verspyck, L. Marpeau","doi":"10.1016/j.anchir.2005.11.002","DOIUrl":"10.1016/j.anchir.2005.11.002","url":null,"abstract":"<div>Surgical management of an intractable postpartum haemorrhage after failure of medical and obstetric measures is not limited to the emergency peripartum hysterectomy. Uterine atony and abnormal placental insertions are the major causes of primary postpartum haemorrhages. Involving mostly young women, having few or no child, before with a healthy uterus, in first intention conservative option is recommended. The simplest methods must be known and be applied. It will be essentially progressive uterine arteries' ligation, which can be adapted to the majority of situations. Internal iliac arteries' ligation is a little less effective and technically more difficult to carry out. It remains interesting in obstetrical traumatic hurts, which do not concern the uterus. New and easier surgical methods, such as uterine compression or hemostatic suturing techniques have been described for which we lack experience. The quality of the result depends of the length of intervention and the cause of the bleeding. Nevertheless the main cause of failure with conservative treatments is placenta accreta. In case of failure of a conservative treatment, it would be dangerous to multiply techniques. Emergency peripartum hysterectomy then should remain the choice procedure.</div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 4","pages":"Pages 236-243"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25913855","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}

引用次数: 9

Rein thoracique : origine congénitale ou traumatique ? 胸肾:先天性还是外伤性起源?

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2005.09.008

P. Esquis, L. Osmak, P. Ognois, P. Goudet, P. Cougard

引用次数: 6

Gastrectomie : incision médiane ou bi-sous-costale ? [胃切除术:剖腹正中切口还是双侧肋下横切口?]

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2006.02.006

A. Sauvanet , S. Msika

引用次数: 3

Vécu de la douleur postopératoire et résultats à long terme après chirurgie hémorroïdaire par anopexie 术后疼痛经历及无刺痔疮手术后的长期结果

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2006.01.003

F. Pigot , M. Dao Quang , A. Castinel , F. Juguet , D. Bouchard , F.-A. Allaert , J. Bockle

{"title":"Vécu de la douleur postopératoire et résultats à long terme après chirurgie hémorroïdaire par anopexie","authors":"F. Pigot , M. Dao Quang , A. Castinel , F. Juguet , D. Bouchard , F.-A. Allaert , J. Bockle","doi":"10.1016/j.anchir.2006.01.003","DOIUrl":"https://doi.org/10.1016/j.anchir.2006.01.003","url":null,"abstract":"<div>Aims. – Anopexy allows treatment of hemorrhoidal symptoms with a less painful postoperative course. This information is important for the patient, but may lead to dissatisfaction if pain level is higher than expected. To evaluate perceived pain and physical limitation levels in relation to patient's expectation. Evaluate long-term functional results.Results. – Sixty-eight consecutive patients (56 males) were prospectively included. Distribution of haemorrhoid grades were 4 grade 2 (6%), 52 grade 3 (76%) and 12 grade 4 (18%). Postoperative pain level was less or equal than expected for 85% of patients, with a better acceptance superior to 45 years. Physical limitation was equally or less important than expected for 89%. At the 32 weeks follow-up hemorrhoidal symptoms were present in 23%, uninfluenced by any patient's or operative characteristics. Incontinence with urgency was reported by 17%. Presence of an alliterated continence was linked to stapled line inferior to 6,5 mm from pectineate line, doughnut height inferior to 22 mm, external hemorrhoids and related to surgeon.Conclusion. – Pragmatic information, although vague, about postoperative pain does not expose to patient's dissatisfaction. Functional results are not influenced by technical variation. Continence alterations are not severe, but frequent when stapled line is too close from pectineate line.</div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 4","pages":"Pages 262-267"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2006.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91966634","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}

引用次数: 1

Abécédaire des Annales. Partie 12 年鉴的字母。12部

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2005.12.018

K. Slim

引用次数: 0

Les tumeurs stromales extradigestives : à propos de quatre observations 经外基质肿瘤:关于四种观察

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2005.09.010

L. Ferchichi , N. Kourda , R. Zermani , J. Aouem , A. Zaouche , Z. Abdjellil , N. Najah , S. Baltagi Ben Jilani

{"title":"Les tumeurs stromales extradigestives : à propos de quatre observations","authors":"L. Ferchichi , N. Kourda , R. Zermani , J. Aouem , A. Zaouche , Z. Abdjellil , N. Najah , S. Baltagi Ben Jilani","doi":"10.1016/j.anchir.2005.09.010","DOIUrl":"https://doi.org/10.1016/j.anchir.2005.09.010","url":null,"abstract":"<div>Gastrointestinal stromal tumors (GIST) are mesenchymal tumors that arise from the wall of the gastrointestinal tract expressing CD117 and/or the CD34. Similar tumors were described in the soft tissue of the abdomen and are so-called extragastrointestinal stromal tumors (EGIST). We report 4 new cases of EGIST. The tumors occurred in 2 women and 2 men, who ranged in age from 42 to 71 years. Three tumors arose from the soft tissue of the abdominal cavity, and the remainder arose from the retroperitoneum. They ranged in size from 10 to 27 cm. Three cases were composed purely of short fusiform cells tumors, the last case showed an epithelioid pattern. All the tumors expressed CD117. One patient presented with local recurrence and metastasis, one was lost to the follow-up and two patients were doing well. Immunohistochemistry is useful in distinguishing EGIST from other mesenchymal tumors. Intra-abdominal aggressive fibromatosis may express actin and CD117 but catenin is also positive, leiomyosarcoma expresses the actin and/or desmin but CD117 is usually negative, retroperitoneal dedifferentiated liposarcoma is CD117 negative and PS100 positive, inflammatory myofibroblastic tumor is negative for CD117 and CD34. The solitary fibrous tumor expresses CD34 and is negative to CD117. Some tumors expressing CD117 such desmoplastic round cell tumor should not be confused with EGIST. On the occasion of these four observations, we will discuss the clinical aspects and the main differential diagnoses of this tumor.</div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 4","pages":"Pages 271-275"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.09.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91991115","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}

引用次数: 13

La cure d'éventration par laparoscopie : un gold standard ? 腹腔镜开腹治疗:黄金标准?

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2006.01.015

G. Fourtanier, F. Muscari, J.-P. Duffas, B. Suc

引用次数: 1

Traitement conservateur des cancers du sein : zonectomie vs oncoplastie. Étude prospective à propos de 99 patientes 乳腺癌的保守治疗:区域切除术与肿瘤成形术。99例患者的前瞻性研究

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2005.12.011

P.-L. Giacalone , P. Roger , O. Dubon , N. El Gareh , J.-P. Daurés , F. Laffargue

{"title":"Traitement conservateur des cancers du sein : zonectomie vs oncoplastie. Étude prospective à propos de 99 patientes","authors":"P.-L. Giacalone , P. Roger , O. Dubon , N. El Gareh , J.-P. Daurés , F. Laffargue","doi":"10.1016/j.anchir.2005.12.011","DOIUrl":"https://doi.org/10.1016/j.anchir.2005.12.011","url":null,"abstract":"<div>The integration of oncoplastic techniques with a concomitant contralateral symmetrization procedure is a novel surgical approach that allows wide excisions and prevents breast deformities.Aim of the study. – This prospective study was undertaken to compare the accuracy of breast resection, between standard narrow lumpectomy and oncoplastic surgery.Patients and methods. – Ninety-nine consecutive women undergoing breast cancer resection were enrolled in a prospective study comparing oncoplastic surgery (42 women) and standard lumpectomy (57 women). The size of the glandular resection, the width of the nearest margins, the ratio of clear margins and the need for further surgery were recorded.Results. – The oncoplastic approach resulted in significantly greater glandular resection and wider free histological margins than did standard lumpectomy. The need for re-exicsional surgery was significantly lower in the oncoplastic group than in the lumpectomy group. Furthermore, a trend towards fewer secondary mastectomies was seen for the oncoplastic approach versus standard lumpectomy.Conclusions. – The use of oncoplastic techniques and concomitant symmetrization of the contralateral breast allows extensive resections for conservative treatment of breast carcinoma achieves accurate tumour resection and reduces the need for further surgery.</div>","PeriodicalId":75499,"journal":{"name":"Annales de chirurgie","volume":"131 4","pages":"Pages 256-261"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.anchir.2005.12.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91991114","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}

引用次数: 43

Informations congres 国会信息

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/S0003-3944(06)00092-7

引用次数: 0

Court-circuit gastrique (« bypass » gastrique) avec anse en Y de Roux sous laparoscopie : technique princeps 腹腔镜下Roux Y型手柄胃旁路:技术原理

Annales de chirurgie Pub Date : 2006-04-01 DOI: 10.1016/j.anchir.2006.03.001

P. Lointier

引用次数: 0