Lâchage de suture : Questions médicales fréquentes
Nom anglais: Surgical Wound Dehiscence
Descriptor UI:D013529
Tree Number:C23.550.767.887
Termes MeSH sélectionnés :
Transurethral Resection of Prostate
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"@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."
}
}
]
}
]
}
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To explore the effect of continuous psychological nursing based on the grey clustering algorithm on erectile function, bad psychological emotion, and complications in patients after transurethral rese...
98 patients who underwent TURP were randomly divided into observation and control groups (routine nursing). The observation group first used the grey clustering algorithm to evaluate the psychological...
The grey clustering algorithm can accurately reflect the characteristics of patients' psychological changes. After targeted nursing, compared with the control group, the IIEF-5 in the observation grou...
Mental intelligence evaluation based on the grey clustering algorithm combined with pelvic floor muscle exercise can significantly improve the rehabilitation effect of erectile function in patients af...
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Patients who had undergone TURP for BPH at a single institution between 2014 and 2018 were included. The study population was divided into three cohorts: those with no histological inflammation, those...
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To determine the oncological impact and adverse events of performing simultaneous transurethral resection of bladder tumour (TURB) and transurethral resection of the prostate (TURP), as evidence on th...
Patients from 12 European hospitals treated with either TURB alone or simultaneous TURB and TURP (TURB+TURP) were retrospectively analysed. A propensity score matching (PSM) 1:1 was performed with pat...
A total of 762 men were included, among whom, 76% (581) underwent a TURB alone and 24% (181) a TURB+TURP. There was no difference in terms of tumour characteristics between the groups. We observed com...
In our contemporary cohort, simultaneous TURB and TURP seems to be an oncologically safe option that may, even, improve RFS by potentially preventing disease recurrence at the bladder neck and in the ...
We aimed to compare the first-year results of Transurethral resection of the prostate (TURP), the gold standard method, and Transperineal laser ablation (TPLA) techniques....
This study was designed as a prospective, randomized, controlled, and single-center and was conducted between November 2021 and February 2023. TURP candidates were included in the study. Demographic d...
Fifty patients were included in the study and were assigned to equal numbers of groups. TPLA group had a higher ASA score (p = 0.03). There was improvement in IPSS, Q...
According to the first-year results of TPLA, the symptomatic improvement effect without sacrificing ejaculatory functions is comparable to TURP. We think that this method will can be an alternative, e...
Bleeding and bleeding-related complications remain common after bipolar transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. This may possibly lead to prolonged postoperati...
We conducted a single-center, prospective, double-blind, randomized controlled trial. Eighty patients were screened for inclusion between March 2020 and January 2023. After exclusion, 65 patients were...
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Perioperative high-dose TXA seems beneficial in reducing hemoglobin loss, postoperative irrigation, catheterization time, and hospital stay in bipolar TURP for prostate sizes between 30 and 80 g, with...