questionsmedicales.fr
Procédures de chirurgie opératoire
Laparotomie
Laparotomie : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Chirurgie abdominale
Diagnostic
Imagerie médicale
Scanner
Douleur abdominale
Saignement
Tests sanguins
Diagnostic
Symptômes
5
Douleur abdominale
Infection
Urgence médicale
Choc hypovolémique
Perforation
Urgence médicale
Prévention
5
Alimentation
Maladies digestives
Traitements
5
Anesthésie générale
Chirurgie
Soins postopératoires
Gestion de la douleur
Hospitalisation
Récupération
Complications
5
Adhérences
Douleur abdominale
Facteurs de risque
5
Antécédents médicaux
Traumatismes
Sexe
Maladies gynécologiques
Maladies chroniques
Diabète
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"description": "Quand une laparotomie est-elle indiquée ?\nQuels examens précèdent une laparotomie ?\nLa laparotomie est-elle toujours nécessaire ?\nQuels signes cliniques nécessitent une laparotomie ?\nPeut-on diagnostiquer sans laparotomie ?",
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"name": "Quand une laparotomie est-elle indiquée ?",
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"text": "Elle est indiquée pour explorer des douleurs abdominales, des hémorragies ou des masses."
}
},
{
"@type": "Question",
"name": "Quels examens précèdent une laparotomie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens d'imagerie comme l'échographie ou le scanner sont souvent réalisés."
}
},
{
"@type": "Question",
"name": "La laparotomie est-elle toujours nécessaire ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, d'autres méthodes comme la laparoscopie peuvent être envisagées selon le cas."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques nécessitent une laparotomie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une douleur aiguë, une distension abdominale ou des saignements."
}
},
{
"@type": "Question",
"name": "Peut-on diagnostiquer sans laparotomie ?",
"position": 5,
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"@type": "Answer",
"text": "Oui, des tests sanguins et des imageries peuvent suffire pour certains diagnostics."
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{
"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une laparotomie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales sévères, des vomissements ou des signes d'infection."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une urgence abdominale ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Par des douleurs intenses, une rigidité abdominale et parfois des signes de choc."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon la cause ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes dépendent de la pathologie sous-jacente, comme une appendicite."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques à surveiller ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la présence de sang dans les selles ou des douleurs irradiantes sont préoccupants."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils s'aggraver rapidement ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines conditions comme une perforation peuvent évoluer très vite."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir la nécessité d'une laparotomie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines conditions peuvent être évitées par un suivi médical régulier et une bonne hygiène."
}
},
{
"@type": "Question",
"name": "Quels comportements à risque peuvent l'augmenter ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des comportements comme la consommation excessive d'alcool ou le tabagisme peuvent aggraver des maladies."
}
},
{
"@type": "Question",
"name": "Les vaccinations peuvent-elles aider ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines vaccinations peuvent prévenir des infections abdominales graves."
}
},
{
"@type": "Question",
"name": "Comment une alimentation saine aide-t-elle ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée peut réduire le risque de maladies digestives nécessitant une chirurgie."
}
},
{
"@type": "Question",
"name": "Le dépistage précoce est-il utile ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le dépistage précoce de certaines maladies peut éviter des complications nécessitant une chirurgie."
}
},
{
"@type": "Question",
"name": "Quel est le but principal de la laparotomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le but est de diagnostiquer et traiter des affections abdominales graves."
}
},
{
"@type": "Question",
"name": "Quelles interventions peuvent suivre une laparotomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des interventions comme la résection d'organes ou la réparation de lésions peuvent être faites."
}
},
{
"@type": "Question",
"name": "La laparotomie nécessite-t-elle une anesthésie générale ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle est généralement réalisée sous anesthésie générale pour le confort du patient."
}
},
{
"@type": "Question",
"name": "Quels soins postopératoires sont nécessaires ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveillance des signes vitaux, gestion de la douleur et soins des plaies sont essentiels."
}
},
{
"@type": "Question",
"name": "Peut-on sortir rapidement après une laparotomie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, l'hospitalisation est souvent nécessaire pour surveiller la récupération."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une laparotomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections, hémorragies et adhérences abdominales."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections postopératoires ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "En suivant des protocoles d'asepsie et en administrant des antibiotiques si nécessaire."
}
},
{
"@type": "Question",
"name": "Les adhérences peuvent-elles causer des douleurs ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les adhérences peuvent provoquer des douleurs abdominales chroniques après la chirurgie."
}
},
{
"@type": "Question",
"name": "Quelles sont les signes d'une complication ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une douleur accrue, de la fièvre ou des saignements doivent alerter."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles sont relativement rares, mais le risque augmente avec la gravité de la condition initiale."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le besoin de laparotomie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies abdominales, des traumatismes ou des infections augmentent le risque."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru de complications lors de la chirurgie."
}
},
{
"@type": "Question",
"name": "Le sexe joue-t-il un rôle dans les indications ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines conditions, comme les maladies gynécologiques, peuvent être plus fréquentes chez les femmes."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques augmentent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète ou les maladies cardiaques peuvent compliquer la chirurgie."
}
},
{
"@type": "Question",
"name": "Le mode de vie influence-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter le risque de maladies abdominales."
}
}
]
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}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 30/03/2025
Contenu vérifié selon les dernières recommandations médicales
9 publications dans cette catégorie
3 publications dans cette catégorie
Affiliations :
Department of Colorectal Surgery, Bradford Royal Infirmary, Bradford, UK.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20814, USA. patfwalker@gmail.com.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20814, USA.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Brooke Army Medical Center, JBSA Fort Sam Houston, TX, USA.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, MD, USA.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, MD, USA.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Publications dans "Laparotomie" :
3 publications dans cette catégorie
Affiliations :
Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20814, USA.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Medicine and Health Science, University of Nottingham at Derby, Royal Derby Hospital, Derby, UK.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Medicine and Health Science, University of Nottingham at Derby, Royal Derby Hospital, Derby, UK.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Salford Royal NHS Foundation Trust, Stott Lane, Salford, UK.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Royal Alexandra Hospital, Paisley, Scotland, UK.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Los Angeles County + USC Medical Center, 2051 Marengo Street, Room C5L100, Los Angeles, CA, 90033, USA.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Auckland Hospital, Auckland District Health Board, Auckland, New Zealand.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand.
Department of Surgery, Middlemore Hospital, Counties Manukau District Health Board, Auckland, New Zealand.
Publications dans "Laparotomie" :
2 publications dans cette catégorie
Affiliations :
Academic Department of Military Surgery and Trauma, Birmingham; University Hospitals Coventry and Warwickshire National Health Service Trust, Coventry, UK.
Publications dans "Laparotomie" :
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020....
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fai...
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables "family history of cancer" (p<0.001), "alcoholism" (p<0.001), "smoking" (p<0.001), "TNM stagi...
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholi...
18 F-DCFPyl is a Food and Drug Administration-approved radiotracer that targets prostate-specific membrane antigen and is used in the detection of recurrent or metastatic prostate cancer. As its use h...
We report the case of a 63-year-old male who came to the urology clinic with an increasing value of the prostate specific antigen and an asymmetrical enlargement at the digital rectal examination. The...
Biomarkers of DNA damage repair deficiency provide opportunities for personalized treatment with immunotherapy. However, there is limited research on the immune microenvironment of adeno-neuroendocrin...
A retrospective medical record review of 66 patients with prostate cancer (PCa) was performed. PCa samples from the 66 patients were analyzed using immunohistochemical staining for the detection of ch...
Twenty patients presented with adeno-NEPC, whereas 46 presented with adeno-PCa. The median age of patients at PCa diagnosis was 67.86 ± 7.05 years (68.65 ± 7.23 years, adeno-NEPC; 67.52 ± 7.02 years, ...
Our study revealed clinicopathological manifestations of adeno-NEPC and some possible predictive factors significantly associated with better outcomes in patients with adeno-NEPC. These findings might...
The purpose of the study was to evaluate the diagnostic significance of two new and a few clinical markers for prostate cancer (PCa) at various prostate volumes (PV)....
The study subjects were divided into two groups. Among them, there were 70 cases in the PV ≤30 ml group (benign prostatic hyperplasia [BPH]: 32 cases, PCa: 38 cases) and 372 cases in the PV > 30 ml gr...
In the PV ≤30 ml group, the diagnostic parameters based on prostate-specific antigen (PSA) had a decreased diagnostic significance for PCa. In the PV > 30 ml group, PSAD (AUC = 0.709), AVR (AVR = Age/...
Choosing appropriate indicators for different PVs could contribute to the early screening and diagnosis of PCa. The difference in the diagnostic value of two new indicators (A-PSAD and AVR), and PSAD ...
The optimal treatment of metastatic castration-resistant prostate cancer (mCRPC) continues to be challenging, given the multitude of life prolonging treatment options. Radionuclide therapy delivers co...
This study aims to compare the ability of the PHI versus tPSA test to predict the presence of PCa in our population....
A prospective observational study was performed. We included patients with tPSA ≥ 2.5 ng/ml, biopsy naïve or previous negative biopsy, undergoing a blood test, which includes tPSA, fPSA, and p2PSA, an...
140 men were included. Fifty-seven (40.7%) had a positive prostate biopsy result (Group A), and 83 (59.3%) had a negative biopsy result (Group B). The mean age was similar in both groups (mean ± stand...
The PHI test improves PCa detection compared to tPSA in our population....
Holmium laser enucleation of the prostate (HoLEP) is a size-independent surgical option for treating benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) with excellent, durable ...
Noninvasive methods for the early identify diagnosis of prostatitis, benign prostatic hyperplasia (BPH), and prostate cancer (PCa) are current clinical challenges....
The serum metabolites of 20 healthy individuals and patients with prostatitis, BPH, or PCa were identified using untargeted liquid chromatography-mass spectrometry (LC-MS). In addition, targeted LC-MS...
Organic acid metabolites had good sensitivity and specificity in differentiating prostatitis, BPH, and PCa. Three diagnostic models identified patients with PROSTATITIS: phenyllactic acid (area under ...
We compare Prostate Health Index, Prostate Health Index density, and PSA density in predicting clinically significant prostate cancer in MRI-guided prostate biopsy....
This is a multicenter evaluation of prospectively maintained prostate biopsy databases at 10 urology centers. Men with Prostate Health Index and MRI-guided targeted and systematic prostate biopsy perf...
A total of 1,215 men were analyzed. Prostate cancer and clinically significant prostate cancer were diagnosed in 51% (617/1,215) and 35% (422/1,215) of men, respectively. Clinically significant prosta...
Prostate Health Index density outperformed Prostate Health Index or PSA density in clinically significant prostate cancer detection in men with multiparametric MRI performed, and further reduced unnec...