Titre : Lâchage de suture

Lâchage de suture : Questions médicales fréquentes

Termes MeSH sélectionnés :

Neoplasm Recurrence, Local
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?\nComment reconnaître une infection liée au lâchage ?\nLes symptômes varient-ils selon le type de chirurgie ?", "url": "https://questionsmedicales.fr/mesh/D013529?mesh_terms=Neoplasm+Recurrence,+Local&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Lâchage de suture", "description": "Comment prévenir un lâchage de suture ?\nL'alimentation joue-t-elle un rôle dans la prévention ?\nLes soins de plaie sont-ils importants ?\nLe tabagisme influence-t-il le risque de lâchage ?\nLes activités physiques doivent-elles être limitées ?", "url": "https://questionsmedicales.fr/mesh/D013529?mesh_terms=Neoplasm+Recurrence,+Local&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Lâchage de suture", "description": "Quel est le traitement principal du lâchage de suture ?\nDes antibiotiques sont-ils nécessaires ?\nComment gérer la douleur liée au lâchage ?\nLe traitement est-il différent pour les enfants ?\nPeut-on traiter un lâchage à domicile ?", "url": "https://questionsmedicales.fr/mesh/D013529?mesh_terms=Neoplasm+Recurrence,+Local&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Lâchage de suture", "description": "Quelles complications peuvent survenir ?\nLe lâchage peut-il entraîner une hospitalisation ?\nComment l'infection affecte-t-elle la cicatrisation ?\nLe lâchage de suture peut-il être fatal ?\nLes cicatrices peuvent-elles être esthétiquement inesthétiques ?", "url": "https://questionsmedicales.fr/mesh/D013529?mesh_terms=Neoplasm+Recurrence,+Local&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Lâchage de suture", "description": "Quels sont les facteurs de risque du lâchage ?\nL'âge influence-t-il le risque de lâchage ?\nLes antécédents chirurgicaux augmentent-ils le risque ?\nLe contrôle de la glycémie est-il important ?\nLes médicaments immunosuppresseurs augmentent-ils le risque ?", "url": "https://questionsmedicales.fr/mesh/D013529?mesh_terms=Neoplasm+Recurrence,+Local&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer un lâchage de suture ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'examen physique et l'observation de l'ouverture de la plaie." } }, { "@type": "Question", "name": "Quels examens peuvent aider au diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des examens d'imagerie comme l'échographie peuvent être utilisés pour évaluer la plaie." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent un lâchage ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme l'écoulement de liquide ou l'apparition de rougeurs autour de la plaie peuvent indiquer un lâchage." } }, { "@type": "Question", "name": "Quand consulter un médecin après une chirurgie ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Il est conseillé de consulter si la plaie présente des signes d'infection ou d'ouverture." } }, { "@type": "Question", "name": "Le lâchage de suture est-il visible immédiatement ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Pas toujours, il peut se développer progressivement, nécessitant une surveillance attentive." } }, { "@type": "Question", "name": "Quels sont les symptômes d'un lâchage de suture ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, écoulement, rougeur et ouverture de la plaie." } }, { "@type": "Question", "name": "La douleur est-elle un symptôme courant ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une douleur accrue autour de la plaie peut indiquer un lâchage de suture." } }, { "@type": "Question", "name": "Un écoulement est-il normal après une chirurgie ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Un léger écoulement peut être normal, mais un écoulement purulent est préoccupant." } }, { "@type": "Question", "name": "Comment reconnaître une infection liée au lâchage ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme rougeur, chaleur, gonflement et écoulement purulent peuvent indiquer une infection." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon le type de chirurgie ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier selon la localisation et le type de chirurgie effectuée." } }, { "@type": "Question", "name": "Comment prévenir un lâchage de suture ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Suivre les instructions post-opératoires et éviter les efforts physiques excessifs aide à prévenir." } }, { "@type": "Question", "name": "L'alimentation joue-t-elle un rôle dans la prévention ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une alimentation riche en protéines et en vitamines favorise la cicatrisation." } }, { "@type": "Question", "name": "Les soins de plaie sont-ils importants ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des soins appropriés de la plaie sont cruciaux pour éviter les infections et le lâchage." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il le risque de lâchage ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut retarder la cicatrisation et augmenter le risque de déhiscence." } }, { "@type": "Question", "name": "Les activités physiques doivent-elles être limitées ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il est conseillé de limiter les activités physiques intenses pendant la période de cicatrisation." } }, { "@type": "Question", "name": "Quel est le traitement principal du lâchage de suture ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement peut inclure la réouverture de la plaie et la réfection des sutures." } }, { "@type": "Question", "name": "Des antibiotiques sont-ils nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antibiotiques peuvent être prescrits si une infection est suspectée." } }, { "@type": "Question", "name": "Comment gérer la douleur liée au lâchage ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des analgésiques peuvent être administrés pour soulager la douleur associée au lâchage." } }, { "@type": "Question", "name": "Le traitement est-il différent pour les enfants ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le traitement peut être adapté en fonction de l'âge et de l'état général de l'enfant." } }, { "@type": "Question", "name": "Peut-on traiter un lâchage à domicile ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical est essentiel, mais des soins de plaie peuvent être effectués à domicile sous supervision." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'infection, la réouverture de la plaie et des cicatrices anormales." } }, { "@type": "Question", "name": "Le lâchage peut-il entraîner une hospitalisation ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une hospitalisation peut être nécessaire pour traiter les complications du lâchage." } }, { "@type": "Question", "name": "Comment l'infection affecte-t-elle la cicatrisation ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "L'infection peut retarder la cicatrisation et augmenter le risque de complications." } }, { "@type": "Question", "name": "Le lâchage de suture peut-il être fatal ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Rarement, mais des complications graves peuvent survenir si non traitées rapidement." } }, { "@type": "Question", "name": "Les cicatrices peuvent-elles être esthétiquement inesthétiques ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un lâchage peut entraîner des cicatrices hypertrophiques ou chéloïdes." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque du lâchage ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, le diabète, et les infections préexistantes." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque de lâchage ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées ont un risque accru de déhiscence de plaie." } }, { "@type": "Question", "name": "Les antécédents chirurgicaux augmentent-ils le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de déhiscence augmentent le risque lors de futures interventions." } }, { "@type": "Question", "name": "Le contrôle de la glycémie est-il important ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un bon contrôle de la glycémie est crucial pour réduire le risque de déhiscence chez les diabétiques." } }, { "@type": "Question", "name": "Les médicaments immunosuppresseurs augmentent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ces médicaments peuvent compromettre la cicatrisation et augmenter le risque de lâchage." } } ] } ] }

Sources (10000 au total)

Postoperative venous thromboembolism after surgery for locally recurrent rectal cancer.

Local recurrence is common after curative resections of rectal cancer. Surgical resection is considered a primary curative treatment option for patients with locally recurrent rectal cancer (LRRC). LR... From April 2010 to March 2022, a total of 166 patients underwent surgery for LRRC in the pelvic region at our institutions. Clinicopathological background and VTE incidence were compared retrospective... Among the 166 patients included in the study, 55 patients (33.1%) needed sacral resection. Pharmacological prophylaxis for prevention of VTE was performed in 121 patients (73.3%), and the incidence of... This study demonstrates that surgery for LRRC combined with sacral resection could be a significant risk factor for VTE....

Examination of the effectiveness of local therapy for oligo-recurrence of EGFR-mutated NSCLC.

The effectiveness of local therapy has been reported in patients with oligo-recurrence of non-small cell lung cancer (NSCLC), a metachronous recurrence with a limited number of recurrences, which can ... From 2004 to 2014, 811 patients underwent complete resection for NSCLC at Kitasato University Hospital and, of these, 244 patients developed recurrence. Oligo-recurrence was defined as the presence of... We retrospectively examined and compared the effects of EGFR-TKIs with those of radical local therapy in patients with oligo-recurrent EGFR-mutated NSCLC. The five-year post-recurrence survival (PRS) ... Radical local therapy did not affect PRS in patients with oligo-recurrent EGFR-mutated NSCLC. Even in cases of oligo-recurrence, the administration of local therapy in patients with EGFR-mutated NSCLC...

Development of a consensus-based delineation guideline for locally recurrent rectal cancer.

Neoadjuvant chemoradiotherapy (nCRT) is used in locally recurrent rectal cancer (LRRC) to increase chances of a radical surgical resection. Delineation in LRRC is hampered by complex disease presentat... Eight radiation oncologists, from Dutch and Swedish expert centres, participated in two meetings, delineating GTV and CTV in six cases. Regions at-risk for re-recurrence or irradical resection were id... Inter-observer variation in delineation of LRRC appeared large. Multidisciplinary evaluation per case is beneficial in determining target volumes. The following consensus regarding target volumes was ... This study provides a first consensus-based delineation guideline for LRRC. Analyses of re-recurrences is needed to understand disease behaviour and to optimize delineation guidelines accordingly....

The clinical relevance of various methods of classifying ipsilateral breast tumour recurrence as either true local recurrence or new primary.

Describes the relevance of -various classification methods for ipsilateral breast tumour recurrence (IBTR) as either true recurrence (TR) or new primary (NP) on both disease-specific survival (DSS) an... Two hundred and thirty-four of 4359 women undergoing breast-conserving therapy experienced IBTR. We compared the impact of four known classification methods and two newly created classification method... For three of the methods, a better DSS was observed for NP compared to TR with the hazard ratio (HR) ranging from 0.5 to 0.6. The new Twente method classification, comprising all classification criter... IBTR classified as TR or NP has a prognostic value for both DSS and DMFS, but depends on the classification method used. Developing and validating a generally accepted form of classification are imper...

Optimal surveillance of intraductal papillary mucinous neoplasms of the pancreas focusing on remnant pancreas recurrence after surgical resection.

The international consensus guidelines for intraductal papillary mucinous neoplasm of the pancreas (IPMN) presented clinical features as indications for surgery. Whereas surveillance for recurrence, i... This study aimed to assess the clinical features of recurrence at the remnant pancreas (Rem-Panc) and extra-pancreas (Ex-Panc) after surgery for IPMN. Ninety-one patients of IPMN that underwent detail... The IPMNs were finally diagnosed as low-grade dysplasia (LDA, n = 42), high-grade dysplasia (HAD, n = 19), and invasive carcinoma (IPMC, n = 30). Recurrence was observed in 26 patients (29%), of which... The risk factors for Rem-Panc and Ex-Panc recurrence differ. Therefore, optimal surveillance on these features is desirable to ensure that repeat pancreatectomy for Rem-Panc recurrence can be an appro...

Brain magnetic resonance spectroscopy to differentiate recurrent neoplasm from radiation necrosis: A systematic review and meta-analysis.

Postradiation treatment necrosis is one of the most serious late sequelae and appears within 6 months. The magnetic resonance spectroscopy imaging (MRSI) has been used for the detection of brain tumor... The research was performed in accordance with the preferred reporting items for systematic review and meta-analysis guidelines. International electronic databases including 15 English sources were inv... Nine studies were enrolled in the meta-analysis with a total of 354 patients (203 male and 151 female) whose average age ranged from 4 to 74 years. Anbarloui et al., Elias et al., Nemattalla et al., S... MR spectroscopy is effective in distinguishing recurrent brain tumors from necrosis. Our meta-analysis revealed that Cho/NAA, Cho/Cr, and NAA/Cr ratios were significantly better predictor of detected ...

A systematic review of the pathological determinants of outcome following resection by pelvic exenteration of locally advanced and locally recurrent rectal cancer.

Despite multimodal therapy 5-15% of patients who undergo resection for advanced rectal cancer (LARC) will develop local recurrence. Management of locally recurrent rectal cancer (LRRC) presents a sign... A systematic review was carried out searching MEDLINE, EMBASE and COCHRANE Trials database for all studies assessing pathological factors influencing survival following pelvic exenteration for LARC or... Nine cohort studies met inclusion criteria, reporting outcomes for 2864 patients. Meta-analysis was not possible due to significant heterogeneity of reported outcomes. Resection margin status and noda... Pathological resection margin status is widely demonstrated to influence disease free and overall survival following pelvic exenteration for rectal cancer. With increasing R0 rates, other adverse tumo...

Image-guided navigation for locally advanced primary and locally recurrent rectal cancer: evaluation of its early cost-effectiveness.

A first pilot study showed that an image-guided navigation system could improve resection margin rates in locally advanced (LARC) and locally recurrent rectal cancer (LRRC) patients. Incremental surgi... A Markov decision model was constructed to estimate the expected costs and outcomes for navigated and standard surgery. The input parameters were based on pilot data from a prospective (navigation coh... Based on this early evaluation, navigated surgery showed incremental costs of €3141 and €2896 in LARC and LRRC. In LARC, navigated surgery resulted in 2.05 Quality-Adjusted Life Years (QALYs) vs 2.02 ... Adding navigation system use is expected to be cost-effective in LRRC and has the potential to become cost-effective in LARC. To increase the probability of being cost-effective, it is crucial to opti...

The role of surgery in recurrent local cerebral metastases: a multi-institutional retrospective analysis.

Local recurrent brain metastases are defined as lesions that recur in the brain at the same site after a previous local therapy. In patients already submitted to surgery, a second operation may be pot... 37 patients submitted to surgery for a local, histologically confirmed, recurrent brain metastases between 2000 and 2022 were retrospectively analyzed with respect to the following parameters: age, hi... A significant improvement of post-operative KPS status was obtained after second surgery. At multivariate analysis better results in terms of OS were achieved in patients with a pre-operative KPS ≥ 70... Surgical resection of local recurrent brain metastases may improve patients ́ neurologic conditions allowing more time for systemic therapies to act with a low incidence of surgery-related morbidity a...

Salvage radiotherapy for locally recurrent cervical and endometrial carcinoma: clinical outcomes and toxicities.

The management of locally recurrent gynecological carcinoma remains a challenge due to the limited availability of data. This study aims to share our institutional experience in using definitive radio... The study retrospectively reviewed 20 patients in our hospital completing salvage 3D image-based HDR brachytherapy, with or without EBRT, for locally recurrent cervical and endometrial carcinoma after... During a median observation period of 21 months, the study reported a tumor objective response rate of 95%. The 3-year DFS and OS rates were 89.4% and 90.9%, respectively. The EBRT combined with brach... 3D image-guided brachytherapy combined with EBRT shows effective tumor control and acceptable toxicity profile for women with locally recurrent gynecologic cancer. The success in managing vaginal recu...