Titre : Instruments chirurgicaux

Instruments chirurgicaux : Questions médicales fréquentes

Termes MeSH sélectionnés :

Probability
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aux instruments ?\nQuels comportements augmentent les risques d'allergie ?\nComment le type d'intervention influence-t-il les risques ?\nQuels antécédents médicaux augmentent les risques ?", "url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Probability&page=272#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Quels sont les types d'instruments chirurgicaux ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Les types incluent scalpels, ciseaux, pinces, et écarteurs." } }, { "@type": "Question", "name": "Comment évaluer la qualité d'un instrument chirurgical ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "La qualité se mesure par la précision, la durabilité et la facilité d'utilisation." } }, { "@type": "Question", "name": "Quels matériaux sont utilisés pour les instruments chirurgicaux ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont souvent fabriqués en acier inoxydable, en titane ou en plastique médical." } }, { "@type": "Question", "name": "Comment stériliser les instruments chirurgicaux ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La stérilisation se fait par autoclave, chaleur sèche ou produits chimiques." } }, { "@type": "Question", "name": "Quels sont les critères de sécurité pour les instruments ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent l'absence de bords tranchants, la solidité et la facilité de nettoyage." } }, { "@type": "Question", "name": "Quels symptômes indiquent un instrument chirurgical défectueux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes incluent des coupures inégales, des défaillances de mécanisme ou des rouilles." } }, { "@type": "Question", "name": "Comment reconnaître une infection liée à un instrument ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent rougeur, gonflement, douleur et écoulement au site chirurgical." } }, { "@type": "Question", "name": "Quels signes d'allergie aux matériaux des instruments ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent éruptions cutanées, démangeaisons ou réactions anaphylactiques." } }, { "@type": "Question", "name": "Quels symptômes d'une mauvaise manipulation d'instruments ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes peuvent être des douleurs, des lésions tissulaires ou des saignements." } }, { "@type": "Question", "name": "Comment identifier une mauvaise stérilisation ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des signes incluent des infections postopératoires ou des complications inattendues." } }, { "@type": "Question", "name": "Comment prévenir les infections chirurgicales ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par une stérilisation adéquate et des techniques chirurgicales aseptiques." } }, { "@type": "Question", "name": "Quelles sont les bonnes pratiques d'utilisation des instruments ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Les bonnes pratiques incluent la formation, l'inspection régulière et le respect des protocoles." } }, { "@type": "Question", "name": "Comment choisir des instruments de qualité ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Choisissez des instruments certifiés, de marques reconnues et adaptés à l'intervention." } }, { "@type": "Question", "name": "Quelles sont les normes de sécurité pour les instruments ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Les normes incluent des tests de résistance, des contrôles de qualité et des certifications." } }, { "@type": "Question", "name": "Comment former le personnel à l'utilisation des instruments ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "La formation doit inclure des sessions pratiques, des démonstrations et des évaluations régulières." } }, { "@type": "Question", "name": "Quels traitements pour les infections liées aux instruments ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent antibiotiques et, si nécessaire, drainage chirurgical." } }, { "@type": "Question", "name": "Comment traiter une allergie aux matériaux chirurgicaux ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement consiste en l'évitement des matériaux et l'utilisation d'antihistaminiques." } }, { "@type": "Question", "name": "Quelles sont les alternatives aux instruments chirurgicaux traditionnels ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les alternatives incluent les instruments à usage unique et les technologies laser." } }, { "@type": "Question", "name": "Comment gérer les complications chirurgicales ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La gestion inclut une surveillance étroite, des traitements médicaux et parfois une réintervention." } }, { "@type": "Question", "name": "Quels soins postopératoires pour éviter les infections ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les soins incluent le nettoyage régulier, le changement de pansements et l'observation des signes d'infection." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec des instruments mal stérilisés ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections, des septicémies et des retards de guérison." } }, { "@type": "Question", "name": "Quels risques d'allergie aux instruments chirurgicaux ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des réactions cutanées, des chocs anaphylactiques et des complications respiratoires." } }, { "@type": "Question", "name": "Comment gérer une rupture d'instrument pendant une opération ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Il faut évaluer la situation, retirer les morceaux et continuer l'opération avec prudence." } }, { "@type": "Question", "name": "Quels effets secondaires des instruments à usage unique ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les effets incluent des coûts élevés et des déchets médicaux accrus, mais moins d'infections." } }, { "@type": "Question", "name": "Comment prévenir les complications liées aux instruments ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par une formation adéquate, une stérilisation rigoureuse et des contrôles réguliers." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'infection chirurgicale ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, le diabète, et une mauvaise hygiène préopératoire." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il les risques liés aux instruments ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes âgées ont un risque accru de complications en raison de la fragilité des tissus." } }, { "@type": "Question", "name": "Quels comportements augmentent les risques d'allergie ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les comportements incluent l'exposition répétée à des matériaux allergènes et des antécédents familiaux." } }, { "@type": "Question", "name": "Comment le type d'intervention influence-t-il les risques ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les interventions complexes présentent un risque plus élevé de complications liées aux instruments." } }, { "@type": "Question", "name": "Quels antécédents médicaux augmentent les risques ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de maladies auto-immunes ou d'infections récurrentes augmentent les risques." } } ] } ] }

Sources (2731 au total)

Management of neonates at risk of early onset sepsis: a probability-based approach and recent literature appraisal : Update of the Swiss national guideline of the Swiss Society of Neonatology and the Pediatric Infectious Disease Group Switzerland.

In Switzerland and other high-income countries, one out of 3000 to 5000 term and late preterm neonates develops early onset sepsis (EOS) associated with a mortality of around 3%, while incidence and m... This guideline, developed through a critical review of the literature, facilitates a probability-based approach to the management of neonates at risk of early onset sepsis.... • Neonatal exposure to antibiotics is disproportionally high compared with the incidence of early onset sepsis with implications for future health and antimicrobial resistance.... • A probability-based approach may facilitate a more balanced management of neonatal sepsis and antibiotic stewardship....

Splenectomy and azygoportal disconnection decreases the risk of hepatocellular carcinoma for cirrhosis patients with portal hypertension bleeding: a 10-year retrospective follow-up study based on the inverse probability of treatment weighting method.

Liver cirrhosis is the highest risk factor for hepatocellular carcinoma (HCC) worldwide. However, etiological therapy is the only option in cirrhosis patients to decrease the HCC risk. The aim of this... Between April 2012 and April 2021, we identified 595 CPH patients in our hepatobiliary pancreatic center who were diagnosed with gastroesophageal variceal bleeding and secondary hypersplenism, and per... According to the method of therapy, patients were divided into LSD (n = 345) and endoscopic therapy (ET; n = 250) groups. Kaplan-Meier analysis revealed that patients who underwent LSD had higher surv... Considering the better postoperative survival and the ability to prevent HCC in CPH patients with gastroesophageal variceal bleeding and secondary hypersplenism, LSD is worth popularization in situati...

Impact of three-dimensional reconstruction visualization technology on short-term and long-term outcomes after hepatectomy in patients with hepatocellular carcinoma: a propensity-score-matched and inverse probability of treatment-weighted multicenter study.

Three-dimensional reconstruction visualization technology (3D-RVT) is an important tool in the preoperative assessment of patients undergoing liver resection. However, it is not clear whether this tec... A total of 3402 patients from five centers were consecutively enrolled from January 2016 to December 2020, and grouped based on the use of 3D-RVT or 2D imaging for preoperative assessment. Baseline ch... A total of 1681 patients underwent 3D-RVT assessment before hepatectomy (3D group), while 1721 patients used 2D assessment (2D group). The PSM cohort included 892 patient pairs. In the IPTW cohort, th... In this multicenter study, perioperative outcomes and RFS of HCC patients following 3D-RVT assessment were significantly different from those following 2D imaging assessment. Thus, 3D-RVT may be a fea...

Comparison of Survival Outcomes Between Larynx-Preserving Open Partial Pharyngectomy and Radiotherapy or Chemoradiotherapy in Patients with Hypopharyngeal Squamous Cell Carcinoma: A Single-Center Retrospective Analysis with Inverse Probability of Treatment Weighting Adjustments.

There is a group of hypopharyngeal squamous cell carcinoma (HPSCC) patients for whom larynx-preserving open partial pharyngectomy (PP) and radiotherapy/chemoradiotherapy (RT/CRT) are indicated. We aim... This study evaluated HPSCC patients who were initially treated by PP or RT/CRT at our institution between January 2007 and October 2019. Overall survival (OS), disease-specific survival (DSS), larynge... Overall, 198 patients were enrolled; 63 and 135 underwent PP and RT/CRT, respectively. IPTW-adjusted 5-year OS, DSS, LFS, and LRFS rates in the PP and RT/CRT groups were 84.3% and 61.9% (p = 0.019), 8... Despite the risk of bias related to unadjusted factors, our results suggest that PP is associated with significantly better OS and LFS compared with RT/CRT for HPSCC....

Assessing the effectiveness and safety of surufatinib versus everolimus or sunitinib in advanced neuroendocrine neoplasms: insights from a real-world, retrospective cohort study using propensity score and inverse probability treatment weighting analysis.

While surufatinib, sunitinib, and everolimus have shown efficacy for advanced neuroendocrine neoplasms (NENs) in randomized controlled trials (RCTs), direct comparisons in a real-world setting remain ... A retrospective, observational study was conducted at Fudan University Shanghai Cancer Center, including patients with advanced NENs treated with surufatinib, sunitinib, or everolimus between July 202... The study enrolled 123, 56, and 68 locally advanced or metastatic NEN patients treated with surufatinib, sunitinib, and everolimus, respectively. Before adjusting for confounding factors, surufatinib ... In a real-world Chinese cohort, surufatinib significantly outperformed sunitinib and everolimus in prolonging PFS among advanced NEN patients, with identifiable clinical features impacting survival, a...

A glycosylated hemoglobin A1c above 6% (42 mmol/mol) is associated with a high risk of developing Cystic Fibrosis-Related Diabetes and a lower probability of weight gain in both adults and children with Cystic Fibrosis.

The classical glycosylated hemoglobin A1c threshold of 6.5% is an insensitive screening test for cystic fibrosis-related diabetes (CFRD). We sought to identify CF-specific A1C thresholds associated wi... We studied the cross sectional and longitudinal associations between A1c, BMI, and FEV1 in 2 cohorts of 223 children (followed for up to 8 years) and 289 adults (followed for a mean of 7.5 ± 4.3 years... For the onset of OGTT-defined CFRD optimal A1c threshold was 5.9% in adults (sensitivity: 67% and specificity: 71%) and 5.7% for children (sensitivity: 60% and specificity: 47%). Kaplan-Meier analysis... An A1C above 6% may be associated with a high risk of developing CFRD and a lower probability of weight gain in both adults and children with CF....

Proteomic profiling reveals KRT6C as a probable hereterodimer partner for KRT9: New insights into re-classifying epidermolytic palmoplantar keratoderma (EPPK) and a milder form of pachyonychia congenita (PC-K6c) as a group of genetic cutaneous disorders.

Epidermolytic palmoplantar keratoderma (EPPK), a highly penetrant autosomal dominant genodermatosis, is characterized by diffuse keratoses on palmplantar epidermis. The keratin 9 gene (KRT9) is respon...

Cluster-Based Toxicity Estimation of Osteoradionecrosis via Unsupervised Machine Learning: Moving Beyond Single Dose-Parameter Normal Tissue Complication Probability by Using Whole Dose-Volume Histograms for Cohort Risk Stratification.

Given the limitations of extant models for normal tissue complication probability estimation for osteoradionecrosis (ORN) of the mandible, the purpose of this study was to enrich statistical inference... The analysis was conducted on retrospective data of 1,259 head and neck cancer (HNC) patients treated at XXX between 2005 and 2015. During a minimum 12-month post-therapy follow-up period, 173 patient... The K-means clustering method identified six clusters among the DVHs. Based on the first five clusters, the dose-volume space was partitioned by the soft-margin SVM into distinct regions with differen... This study presents an unsupervised-learning analysis of a large-scale data set to evaluate the risk of mandibular ORN among HNC patients. The results provide a visual risk-assessment tool for ORN (ba...

Long-term oral administration of Huaier granules improves survival outcomes in hepatocellular carcinoma patients within Milan criteria following microwave ablation: a propensity score matching and stabilized inverse probability weighting analysis.

This study aimed to elucidate the therapeutic effects of Huaier granules on hepatocellular carcinoma (HCC) within the Milan criteria in patients who underwent microwave ablation (MWA).... A total of 228 patients were included, with 97 in the Huaier group and 131 in the control group. We evaluated progression-free survival (PFS), overall survival (OS), and extrahepatic metastasis surviv... Following PSM, the 1-, 3-, and 5-year PFS rates in the Huaier and control groups were 83.5% vs 70.7%, 57.7% vs 42.6%, and 43.6% vs 31.9% (... Huaier granules can reduce the risk of recurrence and improve the OS of patients with HCC within the Milan criteria following MWA. Administering Huaier granules for over 6 months proved beneficial....