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Procédures de chirurgie opératoire
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Procédures de chirurgie gynécologique
Procédures de chirurgie gynécologique : Questions médicales fréquentes
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"@type": "Question",
"name": "Quelles sont les options chirurgicales pour l'endométriose ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les options incluent la laparoscopie pour retirer les lésions et l'hystérectomie."
}
},
{
"@type": "Question",
"name": "Comment traiter les fibromes utérins ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la myomectomie, l'hystérectomie ou des médicaments hormonaux."
}
},
{
"@type": "Question",
"name": "Quel est le rôle de la laparoscopie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La laparoscopie permet de diagnostiquer et traiter diverses affections gynécologiques."
}
},
{
"@type": "Question",
"name": "Quand envisager une hystérectomie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une hystérectomie est envisagée en cas de fibromes, cancer ou saignements anormaux persistants."
}
},
{
"@type": "Question",
"name": "Quels traitements pour les infections pelviennes ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections pelviennes sont traitées par antibiotiques et parfois chirurgie."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après une hystérectomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections, saignements et problèmes urinaires."
}
},
{
"@type": "Question",
"name": "Quels risques après une laparoscopie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent des lésions d'organes, infections et douleurs persistantes."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications d'une chirurgie gynécologique ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et une communication ouverte avec le médecin sont essentiels."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles des fibromes ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les fibromes peuvent causer des douleurs, des saignements et des complications pendant la grossesse."
}
},
{
"@type": "Question",
"name": "Quels effets secondaires des traitements hormonaux ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements hormonaux peuvent entraîner des nausées, des saignements irréguliers et des changements d'humeur."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'endométriose ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents familiaux, des menstruations précoces et des cycles menstruels longs."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de fibromes ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité, les antécédents familiaux et les déséquilibres hormonaux augmentent le risque de fibromes."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il les risques gynécologiques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque de nombreuses affections gynécologiques augmente avec l'âge, surtout après 30 ans."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque d'infections pelviennes ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les rapports sexuels non protégés et les antécédents d'infections augmentent le risque."
}
},
{
"@type": "Question",
"name": "Quels facteurs influencent le cancer de l'ovaire ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux, l'âge avancé et certains syndromes génétiques augmentent le risque."
}
}
]
}
]
}
This systematic review aims to identify causes of increased risk for and location and mechanism of gastric injury at laparoscopy for gynecologic indications and determine optimal management....
A prospectively registered systematic review (PROSPERO: CRD42021237999) was undertaken and performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Dat...
All study types were included involving female patients of any age with gastric injury at laparoscopy for gynecologic indication....
A total of 6294 articles were screened, from which 67 studies were selected for a full-text review. Twenty-eight articles were included, which contained 42 cases drawn from 7 observational studies, 4 ...
This systematic review of the literature reveals that gastric injury at laparoscopy for gynecologic indications is a rare complication predominantly occurring during laparoscopic entry, most commonly ...
The purpose of this review is to describe the state of the science of enhanced recovery after surgery (ERAS) in gynecologic oncology....
Over the last 5 years, there is mounting evidence supporting ERAS in gynecologic oncology surgery. Despite this, surveys have found suboptimal uptake of ERAS, and stakeholders have highlighted the dif...
Systems of care have been established for obstetrics, trauma, and neonatology. An American College of Obstetricians and Gynecologists Presidential Task Force was established to develop a care system f...
To evaluate the impact a tailored opioid prescription calculator has on meeting individual patient opioid needs while avoiding opioid over prescriptions....
Our group previously developed and published an opioid prescribing calculator incorporating patient risk factors (history of depression, anxiety, chronic opioid use, substance abuse disorder, and/or c...
Of the 355 patients included, 54.7% (N = 194) underwent laparoscopy and 45.4% (N = 161) underwent laparotomy. One hundred and forty-two patients (40%) had at least one risk factor for opioid usage. Th...
Our tailored opioid calculator has a high prescriber compliance. Implementation of this calculator led to a standardization of tailored opioid prescribing, while limiting the number of over prescripti...
Postoperative nausea and vomiting occur in about 20-30% of women; however, some reports have estimated the rate at 70% in at-risk individuals. Gynecological and obstetrical operations are among the mo...
This study was conducted in order to compare the efficacy and safety of dexamethasone and ondansetron, alone or in combination, for prevention of postoperative nausea and vomiting in a sample of Iraqi...
The study was conducted in Al-Diwaniyah Province, a region belonging to the Mid-Euphrates sector of Iraq, at the Child and Maternity Teaching Hospital. The study started in June 2021 and the work with...
The rates of nausea in the different groups were analyzed. The rates of nausea in dexamethasone, ondansetron, and combined groups revealed a significant decrease compared with that of placebo group (P...
Based on our study and previous reports, both dexamethasone and ondansetron are efficient and safe in preventing nausea and vomiting in gynecological operations; however, combination of both provides ...
vNOTES hysterectomy is a scarless minimally invasive method with a vaginal approach to the abdominal cavity combined with endoscopic overview. Studies have shown that patients who underwent vNOTES hys...
Postoperative venous thromboembolism (VTE) can potentially be associated with significant morbidity, mortality, and healthcare costs. The aim of this study was to determine the utilization of Caprini ...
This was a retrospective cohort study of elective gynecologic surgical procedures performed between January 1, 2016, and May 31, 2021. Two study cohorts were generated: (1) those who received and (2) ...
A total of 5471 patients met inclusion criteria and the incidence of VTE up to 90 days postoperatively was 1.04%. Overall, 29.6% of gynecologic surgery patients received Caprini score-based guideline ...
While the overall incidence of VTE was low in this cohort, enhanced adherence to risk-based practice guidelines may provide more patient benefit than harm to postoperative gynecologic patients....
Enhanced recovery after surgery (ERAS) protocols improve outcomes. We investigated ERAS implementation in a population with comorbid conditions, inadequate insurance, and barriers to healthcare underg...
To investigate ERAS implementation in publicly insured/uninsured patients undergoing gynecologic surgery on hospital length of stay (LOS), 30-day hospital readmission rates, opioid administration, and...
Data were obtained pre- and post-ERAS implementation. Patients undergoing gynecologic surgery with private insurance, public insurance, and uninsured were included (N = 589). LOS, readmission <30 days...
Implementation of ERAS led to shorter LOS 1.75 vs. 1.49 days (p = 0.008). Average pain scores decreased from 3.07 pre-ERAS vs. 2.47 post-ERAS (p = <0.001). Opioid use decreased for ERAS patients (67.2...
ERAS decreased pain scores and opioid use without increasing LOS or readmissions....
The purpose of this study was to determine the reliability and validity of the pressure algometer in predicting gynecological surgery pain. We looked into the predictive value of preoperative pain sen...
The algometer revealed a high test-retest and intra-rater reliability. According to the calculation of Youden's index, there was a 73.1% chance of patients with moderate to severe postoperative pain h...
The pressure algometer has a high degree of accuracy in measuring the PPT and PTO of normal healthy individuals, making it a reliable tool for quantifying pain sensitivity. PTO can be used to predict ...
Robotic-assisted surgery in select patients has been shown to result in less peri-operative morbidity. Few studies have explored the association of robotic-assisted gynecology oncology surgery complic...
We performed a retrospective review of data from 765 consecutive minimally-invasive robotic-assisted surgeries performed by high-volume gynecologic oncologists. The patients were divided into "younger...
Of the 765 patients analyzed, 185 (24%) were ≥ 65. The intraoperative complication rate in patients <65 was 1.9% (11/580) versus 1.62% (3/185) in females ≥65 (p = 0.808). The postoperative complicatio...
Robotic gynecologic oncology surgery is common. When performed by expert surgeons, complications are not associated with increasing age....