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"description": "Comment diagnostiquer une hernie nécessitant un filet chirurgical ?\nQuels sont les signes d'une complication après pose de filet ?\nQuels tests sont utilisés pour évaluer la nécessité d'un filet ?\nQuand consulter un médecin après une chirurgie avec filet ?\nQuels examens sont recommandés après la pose d'un filet ?",
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"description": "Quelles sont les complications possibles d'un filet chirurgical ?\nComment gérer la douleur chronique après la pose d'un filet ?\nQuels sont les signes d'une obstruction intestinale après chirurgie ?\nComment prévenir les adhérences après une chirurgie ?\nQuand consulter pour des complications liées au filet ?",
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"description": "Quels facteurs augmentent le risque de hernie ?\nComment l'âge influence-t-il le risque de complications ?\nLe tabagisme est-il un facteur de risque pour les complications ?\nQuels médicaments peuvent affecter la guérison après chirurgie ?\nComment le diabète influence-t-il le risque de complications ?",
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"@type": "Question",
"name": "Comment diagnostiquer une hernie nécessitant un filet chirurgical ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un examen physique et des imageries comme l'échographie ou le scanner peuvent aider."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une complication après pose de filet ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur intense, rougeur, gonflement ou fièvre peuvent indiquer une complication."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer la nécessité d'un filet ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests d'imagerie et des évaluations cliniques sont souvent réalisés."
}
},
{
"@type": "Question",
"name": "Quand consulter un médecin après une chirurgie avec filet ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez si vous ressentez des douleurs persistantes ou des symptômes inhabituels."
}
},
{
"@type": "Question",
"name": "Quels examens sont recommandés après la pose d'un filet ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des suivis réguliers et des examens cliniques sont conseillés pour surveiller l'état."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer un rejet du filet chirurgical ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, douleur accrue et écoulement au site opératoire peuvent signaler un rejet."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection après la pose d'un filet ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre, douleur, et écoulement purulent sont des signes d'infection potentielle."
}
},
{
"@type": "Question",
"name": "Quels symptômes sont normaux après une chirurgie avec filet ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Légère douleur, gonflement et ecchymoses sont courants et généralement normaux."
}
},
{
"@type": "Question",
"name": "Quand les symptômes post-opératoires doivent-ils alerter ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes persistants ou aggravants après une semaine doivent être évalués."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une bonne cicatrisation après chirurgie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une diminution de la douleur et une peau intacte sans rougeur sont des signes positifs."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications après la pose d'un filet ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les recommandations post-opératoires et éviter les efforts excessifs aide à prévenir."
}
},
{
"@type": "Question",
"name": "Quelles sont les meilleures pratiques post-opératoires ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Repos, éviter les mouvements brusques et suivre les conseils médicaux sont essentiels."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque de hernie après chirurgie ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir un poids santé et renforcer les muscles abdominaux peut réduire le risque."
}
},
{
"@type": "Question",
"name": "Quels conseils pour une bonne cicatrisation après chirurgie ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Hydratation, alimentation équilibrée et éviter le tabac favorisent une bonne cicatrisation."
}
},
{
"@type": "Question",
"name": "Comment éviter les infections après une chirurgie ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène et suivre les instructions médicales aide à prévenir les infections."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour les complications du filet ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des antibiotiques, des analgésiques ou une chirurgie corrective."
}
},
{
"@type": "Question",
"name": "Comment se déroule la pose d'un filet chirurgical ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La pose se fait généralement sous anesthésie, par laparoscopie ou incision ouverte."
}
},
{
"@type": "Question",
"name": "Quels types de filets chirurgicaux existent ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe des filets résorbables et non résorbables, chacun ayant des indications spécifiques."
}
},
{
"@type": "Question",
"name": "Quel suivi est nécessaire après la pose d'un filet ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des consultations régulières sont nécessaires pour surveiller la guérison et les complications."
}
},
{
"@type": "Question",
"name": "Peut-on retirer un filet chirurgical si nécessaire ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un retrait est possible en cas de complications ou de douleurs persistantes."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'un filet chirurgical ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infection, rejet, douleur chronique et adhérences."
}
},
{
"@type": "Question",
"name": "Comment gérer la douleur chronique après la pose d'un filet ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des thérapies physiques peuvent aider à gérer la douleur chronique."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une obstruction intestinale après chirurgie ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales sévères, vomissements et absence de selles peuvent indiquer une obstruction."
}
},
{
"@type": "Question",
"name": "Comment prévenir les adhérences après une chirurgie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des techniques chirurgicales minimales et éviter les traumatismes tissulaires aide."
}
},
{
"@type": "Question",
"name": "Quand consulter pour des complications liées au filet ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez immédiatement si vous ressentez des douleurs intenses ou des symptômes inquiétants."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de hernie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Obésité, efforts physiques intenses et antécédents familiaux augmentent le risque de hernie."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque de complications ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru de complications en raison de la cicatrisation plus lente."
}
},
{
"@type": "Question",
"name": "Le tabagisme est-il un facteur de risque pour les complications ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut retarder la cicatrisation et augmenter le risque d'infections."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent affecter la guérison après chirurgie ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les anticoagulants et certains anti-inflammatoires peuvent retarder la guérison."
}
},
{
"@type": "Question",
"name": "Comment le diabète influence-t-il le risque de complications ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diabète peut compromettre la circulation sanguine et retarder la guérison, augmentant les risques."
}
}
]
}
]
}
Most brain biopsies are performed using the frame-based stereotactic technique and several studies describe the time taken and rate of complications, often allowing an early discharge. In comparison, ...
All adults who underwent a neuronavigation-assisted brain biopsy for a supratentorial lesion from Jan, 2015, to Jan, 2021, in the Neurosurgical Department of the University Hospital Center of Bordeaux...
The study included 240 patients. The median postoperative Glasgow score was 15. Thirty patients (12.6 %) showed acute postoperative clinical worsening, including 14 (5.8 %) with permanent neurological...
Optical neuronavigation-assisted brain biopsies might require longer postoperative observation than frame-based biopsies. Based on strict preoperative clinical criteria, we consider to plan postoperat...
Stereoencephalography (SEEG) is becoming a widespread diagnostic procedure for drug-resistant epilepsy investigation. Techniques include frame-based and robot-assisted implantation, and more recently,...
To assess in a prospective study the accuracy and safety of a specific FNS use for SEEG implantation....
Twelve patients who underwent SEEG implantation using FNS (Varioguide [Brainlab]) were included in this study. Data were collected prospectively and included demographic data, postoperative complicati...
Eleven patients underwent SEEG-FNS implantation from May 2019 to March 2020. One patient did not undergo surgery because of a bleeding disorder. The mean target deviation was 4.06 mm, and mean entry p...
Implantation of depth electrodes for SEEG using FNS seems to be safe, but larger prospective studies are needed to validate these results. Accuracy is sufficient for noninsular trajectories but warran...
In spinal surgery, precise instrumentation is essential. This study aims to evaluate the accuracy of navigated, O-arm-controlled screw positioning in thoracic and lumbar spine instabilities....
Posterior instrumentation procedures between 2010 and 2015 were retrospectively analyzed. Pedicle screws were placed using 3D rotational fluoroscopy and neuronavigation. Accuracy of screw placement wa...
Thoracic and lumbar spine surgery was performed in 285 patients. Of 1704 pedicle screws, 1621 (95.1%) showed excellent positioning in 3D rotational fluoroscopy imaging. The lateral rim of either pedic...
Combination of neuronavigation and 3D rotational fluoroscopy control ensures excellent accuracy in pedicle screw positioning. As misplaced screws can be detected reliably and revised intraoperatively,...
Klinger's fiber dissection technique is widely used for studying the anatomy of white matter. Herein, we present a technical description of Klinger's proposed fiber dissection algorithm with neuronavi...
An anatomical study was conducted on 8 hemispheres of the human brain, prepared according to the Klingler fiber dissection technique. In all the cases, a frameless electromagnetic navigation system wa...
The average time required to register an anatomical specimen in the navigation system was 7 minutes 28 seconds. In all of the 8 cases, the anatomical structures were correctly identified using neurona...
Electromagnetic navigation is an accurate and useful technique. It allows the researcher the ability to virtually project the association fibers and their cortico-cortical terminations to the surface ...
To evaluate the efficacy of neuronavigation-assisted stereotactic drilling drainage compared with that of craniotomy in the treatment of massive intracerebral haemorrhage (ICH) in elderly patients. Th...
The use of robot-assisted frameless stereotactic electroencephalography (SEEG) is becoming more common. Among available robotic arms, Stealth Autoguide (SA) (Medtronic, Minneapolis, MN, USA) functions...
Treatment-resistant depression (TRD) is a challenging issue to address. Repetitive transcranial magnetic stimulation (rTMS) is commonly used but shows varying efficacy, necessitating a deeper understa...
Computer-assisted neuronavigation (CAN) during spine fusions has increasingly been utilized in the United States. The aim of this study was to analyze the trends, health care utilization, and clinical...
The MarketScan database was queried using the ICD-9/10 and CPT 4th edition, from 2003 to 2019. We included patients aged ≥18 years with at least 2 years of follow-up. Outcomes were repeat/new fusions,...
Of 183,620 patients who underwent spine fusions, 5046 (2.75%) were identified to have CAN utilized. CAN is increasingly being utilized for spine fusions since 2010, reaching 10.76% of all fusions in 2...
CAN is increasing being used for spine fusions primarily for thoracolumbar procedures. No difference in complications, discharge disposition, and LOS were noted across the cohorts at index hospitaliza...
MRI-negative drug-resistant epilepsy presents a challenge when it comes to surgical planning, and surgical outcome is worse than in cases with an identified lesion. Although increasing implementation ...
Patients undergoing epilepsy surgery in the Department of Neurosurgery at the University Hospital Erlangen between 2012 and 2020 were included in the study. Inclusion criteria were: (1) failure to ide...
We identified 8 patients corresponding to the inclusion criteria. Second look MRI analysis by an experienced neuroradiologist including the most recent analysis algorithm utilized in our clinic reveal...
We demonstrate that extra-temporal MRI-negative epilepsy can be treated successfully provided an extensive preoperative planning is performed. The most important diagnostic was stereo-EEG, whereas add...
This study aimed to integrate intraoperative ultrasound (IUS) and magnetic resonance imaging (IMRI) with neuronavigation (NN) to create a multimodal surgical protocol for diffuse gliomas. Clinical out...
Adult patients with diffuse gliomas scheduled for gross total resection (GTR) were consecutively enrolled to undergo either NN-guided surgery (80 patients, July 2019-January 2022) or multimodal-integr...
GTR was achieved in 69% of patients who underwent multimodal-integrated surgery, compared to 43% of those who received NN-guided surgery (P=0.002). Residual tumor was detected by IMRI in 53 patients (...
Compared to standard NN-guided surgery, multimodal-integrated surgery using NN, IMRI, and IUS significantly increased the EOR and GTR rates for diffuse gliomas....