Titre : Abcès épidural

Abcès épidural : Questions médicales fréquentes

Termes MeSH sélectionnés :

Reoperation
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"headline": "Diagnostic sur Abcès épidural", "description": "Comment diagnostique-t-on un abcès épidural ?\nQuels tests sanguins sont utiles ?\nQuels symptômes indiquent un abcès épidural ?\nL'IRM est-elle toujours nécessaire ?\nPeut-on diagnostiquer sans imagerie ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Abcès épidural", "description": "Quels sont les symptômes principaux ?\nLes symptômes varient-ils selon l'âge ?\nY a-t-il des signes neurologiques ?\nComment la douleur se manifeste-t-elle ?\nPeut-on avoir des symptômes sans fièvre ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Abcès épidural", "description": "Comment prévenir un abcès épidural ?\nLes patients à risque doivent-ils être surveillés ?\nLes soins post-opératoires sont-ils importants ?\nLes vaccinations aident-elles à prévenir ?\nFaut-il éviter certaines activités ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Abcès épidural", "description": "Quel est le traitement principal ?\nLes antibiotiques sont-ils toujours nécessaires ?\nQuand faut-il envisager une intervention chirurgicale ?\nY a-t-il des traitements non chirurgicaux ?\nCombien de temps dure le traitement ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Abcès épidural", "description": "Quelles sont les complications possibles ?\nPeut-on avoir des séquelles après traitement ?\nComment la septicémie se développe-t-elle ?\nLes complications sont-elles fréquentes ?\nY a-t-il un risque de récidive ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Abcès épidural", "description": "Quels sont les principaux facteurs de risque ?\nLes diabétiques sont-ils plus à risque ?\nLe tabagisme influence-t-il le risque ?\nLes personnes âgées sont-elles plus vulnérables ?\nLes antécédents d'abcès augmentent-ils le risque ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Reoperation&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on un abcès épidural ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par IRM ou scanner, en plus des symptômes cliniques." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de laboratoire peuvent montrer une élévation des globules blancs et des marqueurs inflammatoires." } }, { "@type": "Question", "name": "Quels symptômes indiquent un abcès épidural ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs dorsales, fièvre, faiblesse, et parfois des troubles neurologiques." } }, { "@type": "Question", "name": "L'IRM est-elle toujours nécessaire ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM est souvent recommandée, mais un scanner peut suffire dans certains cas." } }, { "@type": "Question", "name": "Peut-on diagnostiquer sans imagerie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic préliminaire peut être fait cliniquement, mais l'imagerie est cruciale." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur intense, fièvre, et parfois des troubles moteurs." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'âge ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent être plus subtils chez les personnes âgées." } }, { "@type": "Question", "name": "Y a-t-il des signes neurologiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des signes comme la faiblesse ou des engourdissements peuvent apparaître." } }, { "@type": "Question", "name": "Comment la douleur se manifeste-t-elle ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "La douleur est souvent localisée dans le dos et peut irradier vers les membres." } }, { "@type": "Question", "name": "Peut-on avoir des symptômes sans fièvre ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains patients peuvent ne pas présenter de fièvre malgré un abcès." } }, { "@type": "Question", "name": "Comment prévenir un abcès épidural ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et traiter rapidement les infections cutanées." } }, { "@type": "Question", "name": "Les patients à risque doivent-ils être surveillés ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients immunodéprimés ou ayant des antécédents d'infections doivent être surveillés." } }, { "@type": "Question", "name": "Les soins post-opératoires sont-ils importants ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des soins appropriés après une chirurgie peuvent prévenir les infections." } }, { "@type": "Question", "name": "Les vaccinations aident-elles à prévenir ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Certaines vaccinations peuvent réduire le risque d'infections, mais pas spécifiquement d'abcès." } }, { "@type": "Question", "name": "Faut-il éviter certaines activités ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les activités à risque qui pourraient entraîner des infections est conseillé." } }, { "@type": "Question", "name": "Quel est le traitement principal ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est la chirurgie pour drainer l'abcès, souvent suivi d'antibiotiques." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils toujours nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antibiotiques sont essentiels pour traiter l'infection sous-jacente." } }, { "@type": "Question", "name": "Quand faut-il envisager une intervention chirurgicale ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une intervention chirurgicale est nécessaire si l'abcès provoque des symptômes neurologiques." } }, { "@type": "Question", "name": "Y a-t-il des traitements non chirurgicaux ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Dans certains cas, un traitement médical peut être suffisant, mais c'est rare." } }, { "@type": "Question", "name": "Combien de temps dure le traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La durée du traitement dépend de la gravité, mais peut durer plusieurs semaines." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des lésions nerveuses, une septicémie, et des douleurs chroniques." } }, { "@type": "Question", "name": "Peut-on avoir des séquelles après traitement ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des séquelles comme des douleurs chroniques ou des déficits neurologiques peuvent survenir." } }, { "@type": "Question", "name": "Comment la septicémie se développe-t-elle ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "La septicémie peut se développer si l'infection se propage dans le sang, nécessitant une attention urgente." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont rares mais peuvent être graves, surtout si le traitement est retardé." } }, { "@type": "Question", "name": "Y a-t-il un risque de récidive ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de récidive existe, surtout si les facteurs de risque ne sont pas gérés." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'immunodépression, les infections cutanées, et les antécédents chirurgicaux." } }, { "@type": "Question", "name": "Les diabétiques sont-ils plus à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients diabétiques ont un risque accru d'infections et d'abcès épiduraux." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut affaiblir le système immunitaire et augmenter le risque d'infections." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus vulnérables ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées sont plus susceptibles en raison d'un système immunitaire affaibli." } }, { "@type": "Question", "name": "Les antécédents d'abcès augmentent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, avoir des antécédents d'abcès épiduraux augmente le risque de récidive." } } ] } ] }

Sources (2117 au total)

Reoperation following urgent and emergent colectomy in the State of Michigan.

Reoperation is associated with unfavorable outcomes and increased healthcare utilization. This study seeks to investigate the incidence and factors related to reoperation in patients undergoing urgent... The Michigan Surgical Quality Collaborative (MSQC) database was used to identify patients undergoing urgent/emergent colectomies. Outcomes and risk factors of patients who underwent reoperation within... 16,004 patients undergoing urgent/emergent colon resection were identified. Reoperation occurred in 12.4% and was associated with increased 30-day mortality (16.7% vs. 9.6%, p < .0001), median hospita...

Comprehensive analysis of strabismus reoperations: clinical insights and progression factors.

To compare and analyze clinical characteristics of patients undergoing two surgeries and multiple surgeries and explore relevant factors to lay the foundation for clinical prediction.... A retrospective analysis was conducted on clinical data from all patients who underwent twice and multiple strabismus surgeries at Tianjin Eye Hospital between October 2012 and September 2021. Patient... Among the 910 included patients, 840 required two surgeries (Group A) and 70 underwent more than two surgeries (Group B). Significant differences were found in age, onset time, interval time, and seco... Interval time in patients with concomitant strabismus, as well as secondary and other ophthalmoplegia in non-concomitant strabismus, are the main factors for multiple reoperations....

Analysis of the unplanned reoperation following surgical treatment of pulmonary tumor.

In this study, we aimed to summarize the extremely important lesson and experience in the whole process of surgical treatments of lung tumors for the benefit of steps taken to prevent against unplanne... Demographical and clinical information of 7732 patients were retrospectively retrieved and reviewed, who were diagnosed with pulmonary tumor and underwent surgical treatments from January 2016 to Marc... A total of forty-one patients (41/7732) received 44 unplanned reoperations. Among them, eight and thirty-three patients were diagnosed with benign and malignant tumor, respectively. The incidence of u... Bronchi or vessel stumps, the surgical edges of the lung parenchyma, and pleural adhesions should be checked to avoid postoperative bleeding. Prophylactic ligation of the thoracic duct should be recom...

Complexity and Outcome of Reoperations After the Ross Procedure in the Current Era.

The Ross procedure has several advantages, but the need for reintervention is inevitable. The aim of this study was to examine the complexity and outcomes of reoperation after the Ross procedure.... Retrospective chart review was performed of patients with a prior Ross procedure who underwent reoperation at our institution from September 1991 to January 2021. Demographic, echocardiographic, surgi... A total of 105 patients underwent a reoperation at Mayo Clinic after the initial Ross procedure performed at our institution (n = 16; 16.2%) or elsewhere (n = 83; 83.8%). Mean age at the Ross procedur... Reoperations after the Ross procedure are performed for a wide range of indications, with most due to autograft dysfunction. The number of early deaths is not low. Reoperation after the Ross procedure...

A Clinical Analysis of Thirty-Five Patients Undergoing Aortic Reoperation.

At present, there are few reports regarding the issue of aortic reoperation due to its complexity and high risk and individual differences among patients.... From November 2016 to December 2017, the data from 35 cases of aortic reoperation at our institution, out of 212 consecutive aortic repairs, were reviewed. We retrospectively summarized and analyzed t... Patients' mean age was 40.9±14.5 years, and 25 of them were men (71.4%). The indications for reoperation were aortic valvular problem (14.3%), aneurysmal dilatation (25.7%), pseudoaneurysm formation d... Patients with acute aortic dissection required repeat surgery significantly earlier compared to other diseases. As to reoperation strategy, we recommend Sun's procedure as the choice for extended arch...

The Impact of Reoperations Following Bariatric Surgery on Mid-term Outcomes.

With the obesity epidemic, the number of bariatric procedures is increasing, and although considered relatively safe, major postoperative complications still occur. In cancer surgery, major complicati... A population-based cohort study was performed within the Dutch Audit for Treatment of Obesity (DATO), including all patients that underwent a primary gastric bypass procedure or sleeve gastrectomy. Fo... A total of 40,640 patients underwent a gastric bypass procedure or sleeve gastrectomy between 2015 and 2018. Within this cohort, 709 patients (1.7%) suffered a major complication requiring reoperation... Major complications requiring reoperation within 30 days of gastric bypass surgery or sleeve gastrectomy did not affect long-term outcomes with regard to weight loss or remission of comorbidities....

Diverting stomas reduce reoperation rates for anastomotic leak but not overall reoperation rates within 30 days after anterior rectal resection: a national cohort study.

A diverting stoma is commonly formed to reduce the rate of anastomotic leak following anterior resection with anastomosis, although some studies question this strategy. The aim of this study was to as... A 5-year national cohort with prospectively registered data of patients who underwent elective anterior resection for rectal cancer located < 15 cm from the anal verge. Data were retrieved from the No... Some 1018 patients were included of whom 567 had a diverting stoma and 451 had not. Rate of reoperation for anastomotic leak was 13 out of 567 (2.3%) for patients with diverting stoma and 35 out of 45... Diverting stoma formation after anterior resection is protective against reoperation for anastomotic leak but does not affect overall rates of reoperation or complications within 30 days....

Reoperation for residual or recurrent hemifacial spasm after microvascular decompression.

Microvascular decompression (MVD) surgery is the only potential curative method for hemifacial spasm (HFS). Little attention is paid to those recurrent/residual HFS cases. We want to study the potenti... We retrospectively reviewed reoperation hemifacial spasm patients in our hospital. Intraoperative videos or images were carefully reviewed, and the etiology of recurrent/residual HFS is roughly divide... A total of 28 cases were included in our case series. Twenty-three of them are recurrent HFS cases, and 5 of them are residual HFS cases. The mean follow-up duration is 24.96 months. There are sevente... Re-operation for recurrent/residual HFS is an effective therapy and can achieve a higher cure rate. However, the complication rate is higher compared to the first MVD surgery. Accurately identifying R... UIN: researchregistry7603. Date of registration: Jan. 31st, 2022 "retrospectively registered"....

Reoperation after surgical treatment for benign prostatic hyperplasia: a systematic review.

Surgical treatment is important for male lower urinary tract symptom (LUTS) management, but there are few reviews of the risks of reoperation.... To systematically evaluate the current evidence regarding the reoperation rates of surgical treatment for LUTS in accordance with current recommendations and guidelines.... Eligible studies published up to July 2023, were searched for in the PubMed... A total of 119 studies with 130,106 patients were included. The reoperation rate of transurethral resection of the prostate (TURP) at 1, 2, 3, and 5 years was 4.0%, 5.0%, 6.0%, and 7.7%, respectively.... Our results summarized the reoperation rates of 10 surgical procedures over follow-up durations of 1, 2, 3, and 5 years, which could provide reference for urologists and LUTS patients.... https://www.crd.york.ac.uk/PROSPERO, identifier CRD42023445780....