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"name": "Comment diagnostiquer une hernie?",
"position": 1,
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"text": "Un examen physique et des imageries comme l'échographie peuvent confirmer une hernie."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une hernie?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une bosse visible, douleur ou inconfort, surtout en position debout."
}
},
{
"@type": "Question",
"name": "Quand consulter un médecin pour une hernie?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez si vous ressentez douleur intense, nausées ou si la bosse devient rouge."
}
},
{
"@type": "Question",
"name": "Les examens d'imagerie sont-ils nécessaires?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, mais une échographie ou un scanner peut aider à évaluer la hernie."
}
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"@type": "Question",
"name": "Peut-on confondre une hernie avec autre chose?",
"position": 5,
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"text": "Oui, des conditions comme les lipomes ou les kystes peuvent être confondues avec une hernie."
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{
"@type": "Question",
"name": "Quels sont les symptômes d'une hernie inguinale?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bosse dans l'aine, douleur lors de l'effort, et parfois des douleurs testiculaires."
}
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{
"@type": "Question",
"name": "Les hernies peuvent-elles être asymptomatiques?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines hernies ne présentent pas de symptômes visibles ou de douleur."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une hernie hiatale?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer des brûlures d'estomac, des reflux acides et des douleurs thoraciques."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon le type de hernie?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, chaque type de hernie a des symptômes spécifiques selon sa localisation."
}
},
{
"@type": "Question",
"name": "Une hernie peut-elle causer des complications?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une hernie peut entraîner des complications comme l'étranglement ou l'incarcération."
}
},
{
"@type": "Question",
"name": "Comment prévenir les hernies?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir un poids santé, éviter les efforts excessifs et renforcer les muscles abdominaux."
}
},
{
"@type": "Question",
"name": "Les exercices peuvent-ils aider à prévenir les hernies?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des exercices de renforcement abdominal peuvent réduire le risque de hernie."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque de hernie?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de hernie."
}
},
{
"@type": "Question",
"name": "Les hernies peuvent-elles être héréditaires?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines personnes ont une prédisposition génétique aux hernies."
}
},
{
"@type": "Question",
"name": "L'alimentation joue-t-elle un rôle dans la prévention des hernies?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation riche en fibres peut prévenir la constipation, réduisant le risque de hernie."
}
},
{
"@type": "Question",
"name": "Quelle est la principale méthode de traitement des hernies?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "La herniorraphie est la méthode chirurgicale standard pour réparer les hernies."
}
},
{
"@type": "Question",
"name": "La herniorraphie est-elle toujours nécessaire?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, certaines hernies asymptomatiques peuvent être surveillées sans intervention."
}
},
{
"@type": "Question",
"name": "Quelles sont les techniques chirurgicales utilisées?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les techniques incluent la herniorraphie ouverte et la laparoscopie, selon le cas."
}
},
{
"@type": "Question",
"name": "Quels sont les risques associés à la herniorraphie?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent infection, saignement, et récidive de la hernie après la chirurgie."
}
},
{
"@type": "Question",
"name": "Quel est le temps de récupération après une herniorraphie?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La récupération varie, mais la plupart des patients reprennent leurs activités en 1 à 2 semaines."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une hernie non traitée?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'étranglement, l'incarcération et des douleurs chroniques."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une hernie étranglée?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une hernie étranglée se manifeste par une douleur intense, une bosse rouge et des nausées."
}
},
{
"@type": "Question",
"name": "Les récidives de hernie sont-elles fréquentes?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les récidives peuvent survenir, surtout si les facteurs de risque ne sont pas gérés."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'infection après une herniorraphie?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, chaleur, gonflement et écoulement au site chirurgical peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Comment gérer les douleurs post-opératoires?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques prescrits et le repos sont recommandés pour gérer la douleur après la chirurgie."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour les hernies?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'obésité, le vieillissement, les efforts physiques et les antécédents familiaux."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque de hernie?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes sont plus susceptibles de développer des hernies inguinales que les femmes."
}
},
{
"@type": "Question",
"name": "Les antécédents de chirurgie abdominale augmentent-ils le risque?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les interventions chirurgicales antérieures peuvent affaiblir les tissus et favoriser les hernies."
}
},
{
"@type": "Question",
"name": "Les activités sportives augmentent-elles le risque de hernie?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines activités sportives, surtout celles avec des efforts intenses, peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le vieillissement est-il un facteur de risque pour les hernies?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le vieillissement affaiblit les muscles et les tissus, augmentant le risque de hernie."
}
}
]
}
]
}
When introducing new techniques, attention must be paid to learning curve. Besides quantitative outcomes, qualitative factors of influence should be taken into consideration. This retrospective cohort...
All patients undergoing complex EVAR in the Leiden University Medical Center (LUMC) between July 2013 and April 2021 were included (n = 90). Quantitative outcomes were as follows: operating time, bloo...
Length of hospital stay (P = 0.008) and operating time (P = 0.010) decreased significantly over time. Fewer cardiac complications occurred in the third group (3: 0% vs. 2: 17% vs. 1: 17%, P = 0.042). ...
In addition to factors previously identified in the literature, new learning curve factors were found (mutual learning and shared goals in the operating room (OR)) that should be taken into account wh...
To identify the morbidity that is associated with the learning curve of inflatable mediastinoscopic and laparoscopic-assisted esophagectomy (IMLE), and investigate the strategies to ride out the early...
Our study included a retrospective series of 108 consecutive patients undergoing IMLE by a single surgeon with advanced training in minimally invasive esophageal surgery in independent practice at hig...
A total of 108 patients were included. Three patients converted into thoracoscopic surgery. The number of patients with postoperative pulmonary infection was 16 (14.8%), and vocal cord palsy had occur...
IMLE is technically feasible, in terms of perioperative outcomes, for using as a radical surgery for thoracic esophageal cancer. For a surgeon experienced in minimally invasive esophageal surgery, exp...
To determine the minimum number of endotracheal intubation (ETI) attempts necessary for a novice emergency medicine (EM) trainee to become proficient with this procedure. This single-center study retr...
In recent years there has been an increasing implementation of robotic technology in arthroplasty. Due to the unclear data situation the aim of this study was to analyze the learning curve for robotic...
After its introduction, the first 351 consecutive robotic knee replacements were prospectively included in the study. Surgical times, preoperative and postoperative radiographs, intraoperatively recor...
A learning curve of between 3 and 53 procedures was identified, depending on the surgeon, with further reductions in time measured even after 1 year of use. The operative times of the navigated techni...
The study showed that there was a learning curve in terms of duration of surgery but not in terms of precision, complications, and patient satisfaction. Robotic tutorial surgery requires more time but...
Retinoscopy is one of the most effective objective techniques for evaluating refractive status, especially in non-cooperative patients. However, it presents a slow learning curve that often leads to s...
We conducted a study to evaluate the retinoscopy learning curve using a new training protocol proposal. One hundred trainees were assessed in four stages, corresponding to 08, 12, 16, and 20 hours of ...
The mean performance score at 08 hrs was 32.49% (±16.69 SD); at 12 hrs was 59.75% (±18.80 SD); at 16 hrs was 70.83% (±18.53 SD) and at 20 hrs was 84.26% (±13.18 SD). Performance at 12 hrs was signific...
This study showed that an increasing number of hours of practice positively correlates with performance in retinoscopy. The elaboration of a protocol and standardization of performance per hour also a...
Open inguinal hernia repair is the most commonly performed procedure in general surgery in sub-Saharan Africa, but data on its learning curve are lacking. This study evaluated the learning curve chara...
Logbook data of associate clinicians enrolled in a surgical training program in Sierra Leone were collected and their first 55 hernia surgeries following the Bassini technique (herniorrhaphies) were a...
Seventy-five trainees enrolled in the training program between 2011 and 2020 were eligible for inclusion. Thirty-one (41.3%) performed the minimum of 55 herniorrhaphies, and had also complete personal...
The learning curve of inguinal hernia surgery for associate clinicians flattens after 31-35 procedures. Training programs can be tailored based on this finding. The recorded learning curve may serve a...
To investigate the impact of learning curve (LC) on flexible ureterorenoscopy (f-URS)....
Patients who underwent kidney stone surgery in a urology clinic from a tertiary health care institution with f-URS were enrolled in the study. Patient characteristics, the properties of kidney and kid...
Time from the induction of anaesthesia to insertion of flexible ureterorenoscope was 18.6 min in group 1 and 17.2 min in group 2; then it significantly decreased to 15.0 min for cases 40 through 60 an...
Flexible ureterorenoscopy is a surgery that requires high technique and experience. The present study found that success of f-URS reached satisfactory levels after 20th cases. In addition, 40 cases ma...
retrograde intrarenal surgery (CRIR) is an evolving tool. Its learning curve is not well established, despite the common use of flexible ureteroscopes today. Our aim is to estimate the number of proce...
a urology resident had his first 80 RIRS for nephrolithiasis analyzed quantitatively and qualitatively. The procedures were divided into 4 groups containing 20 surgeries each (I to IV), according to t...
there was no difference in stone sizes between groups. All qualitative variables varied significantly between groups (p<0.001), except between III and IV. In the quantitative analysis, there was a dif...
the differences between the qualitative and quantitative variables show the relation between number of surgeries performed and proficiency in the procedure. Intergroup comparisons show sequential opti...
we found that 60 is a reasonable number of surgeries to be performed in order to reach the plateau of RIRSs learning curve....
The purpose of this study was to evaluate the surgical outcomes and learning curve of multiport robot-assisted hysterectomy....
Eighty-eight patients were identified who underwent multiport robot-assisted surgery for hysterectomy. A retrospective analysis was performed. The cumulative summation technique (CUSUM) was used to in...
The patients' median age was 51 years. In addition, the median operative time was 120.5 min (range 56-344 min). The most common indication for surgery was myoma (33.0%). The median estimated blood los...
The multiport robot-assisted surgery is an easy and safe procedure with minimal postoperative complications and can be quickly learned. The learning curve was 23 cases to significantly decrease the op...
Peroral endoscopic myotomy (POEM) is a novel endoscopic procedure used to treat achalasia and other spastic esophageal disorders that is an alternative to Heller myotomy. We seek to define the learnin...
The first 38 consecutive patients undergoing POEM by a single foregut surgeon were included in this retrospective study. Inverse curve regression models were used to analyze total operative time (TOT)...
All patients had type II achalasia with no post-operative complications observed. Eckardt scores improved postoperatively (median (range): 1 (0-4)) compared with the preoperative scores (10 (8-12)) (P...
The number of cases for a foregut surgeon to become proficient in a POEM procedure was found to be 12-14 cases. The learning curve for a POEM in a formally trained foregut surgeon may be comparable to...