Titre : Interventions chirurgicales robotisées

Interventions chirurgicales robotisées : Questions médicales fréquentes

Termes MeSH sélectionnés :

Visual Field Tests
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Interventions chirurgicales robotisées", "description": "Comment évaluer l'éligibilité à la chirurgie robotisée ?\nQuels examens préalables sont nécessaires ?\nQuels signes indiquent une chirurgie robotisée ?\nComment diagnostiquer une maladie nécessitant une chirurgie robotisée ?\nQuels spécialistes impliqués dans le diagnostic ?", "url": "https://questionsmedicales.fr/mesh/D065287?mesh_terms=Visual+Field+Tests&page=4#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Interventions chirurgicales robotisées", "description": "Quels symptômes nécessitent une intervention robotisée ?\nComment les symptômes varient selon la maladie ?\nLes symptômes sont-ils toujours évidents ?\nQuels symptômes post-opératoires sont normaux ?\nQuand consulter après une chirurgie robotisée ?", "url": "https://questionsmedicales.fr/mesh/D065287?mesh_terms=Visual+Field+Tests&page=4#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", 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"@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Interventions chirurgicales robotisées", "description": "Quelles sont les complications possibles de la chirurgie robotisée ?\nComment gérer une infection post-opératoire ?\nLes complications sont-elles fréquentes ?\nQuels signes indiquent une complication ?\nComment prévenir les complications chirurgicales ?", "url": "https://questionsmedicales.fr/mesh/D065287?mesh_terms=Visual+Field+Tests&page=4#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Interventions chirurgicales robotisées", "description": "Quels facteurs augmentent le risque de complications ?\nLe poids influence-t-il le risque chirurgical ?\nLes antécédents médicaux jouent-ils un rôle ?\nLe tabagisme affecte-t-il la chirurgie robotisée ?\nComment évaluer les facteurs de risque avant la chirurgie ?", "url": "https://questionsmedicales.fr/mesh/D065287?mesh_terms=Visual+Field+Tests&page=4#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer l'éligibilité à la chirurgie robotisée ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation inclut l'examen médical, les antécédents et les tests d'imagerie." } }, { "@type": "Question", "name": "Quels examens préalables sont nécessaires ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des analyses sanguines, des échographies et des IRM peuvent être requis." } }, { "@type": "Question", "name": "Quels signes indiquent une chirurgie robotisée ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des indications incluent des tumeurs, des maladies cardiaques ou des problèmes gynécologiques." } }, { "@type": "Question", "name": "Comment diagnostiquer une maladie nécessitant une chirurgie robotisée ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des examens cliniques et des tests d'imagerie ciblés." } }, { "@type": "Question", "name": "Quels spécialistes impliqués dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les chirurgiens, radiologues et oncologues participent au diagnostic." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une intervention robotisée ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs persistantes, des saignements anormaux ou des masses peuvent indiquer une intervention." } }, { "@type": "Question", "name": "Comment les symptômes varient selon la maladie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes dépendent de la localisation et de la gravité de la maladie." } }, { "@type": "Question", "name": "Les symptômes sont-ils toujours évidents ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Non, certains symptômes peuvent être subtils ou confondus avec d'autres conditions." } }, { "@type": "Question", "name": "Quels symptômes post-opératoires sont normaux ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs légères, fatigue et gonflement sont courants après la chirurgie." } }, { "@type": "Question", "name": "Quand consulter après une chirurgie robotisée ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Consultez si vous ressentez des douleurs intenses, des saignements ou de la fièvre." } }, { "@type": "Question", "name": "Comment prévenir les complications post-opératoires ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Suivez les instructions du médecin, hydratez-vous et évitez les efforts excessifs." } }, { "@type": "Question", "name": "Y a-t-il des mesures préventives avant la chirurgie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, arrêter de fumer et maintenir un poids santé peuvent aider." } }, { "@type": "Question", "name": "Comment réduire le risque d'infection après la chirurgie ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Maintenez la zone opérée propre et suivez les conseils d'hygiène du médecin." } }, { "@type": "Question", "name": "Quels conseils pour une récupération rapide ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Reposez-vous, suivez un régime équilibré et assistez aux suivis médicaux." } }, { "@type": "Question", "name": "Les vaccinations sont-elles importantes avant la chirurgie ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, être à jour sur les vaccinations peut réduire le risque d'infections." } }, { "@type": "Question", "name": "Quels types de chirurgies sont robotisées ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les chirurgies urologiques, gynécologiques et thoraciques sont couramment robotisées." } }, { "@type": "Question", "name": "Quels sont les avantages des interventions robotisées ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Elles offrent une précision accrue, moins de douleur et un temps de récupération réduit." } }, { "@type": "Question", "name": "Comment se déroule une chirurgie robotisée ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le chirurgien contrôle le robot via une console, réalisant des mouvements précis." } }, { "@type": "Question", "name": "Quels sont les risques associés à la chirurgie robotisée ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des infections, des saignements et des complications anesthésiques." } }, { "@type": "Question", "name": "Quelle est la durée typique d'une chirurgie robotisée ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La durée varie, mais elle est généralement de 1 à 4 heures selon la procédure." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de la chirurgie robotisée ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections, des lésions organiques et des saignements." } }, { "@type": "Question", "name": "Comment gérer une infection post-opératoire ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Consultez un médecin pour un traitement antibiotique et un suivi approprié." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont rares mais peuvent survenir, nécessitant une surveillance." } }, { "@type": "Question", "name": "Quels signes indiquent une complication ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs intenses, des rougeurs ou des écoulements anormaux peuvent indiquer une complication." } }, { "@type": "Question", "name": "Comment prévenir les complications chirurgicales ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Suivez les recommandations médicales et signalez tout symptôme inhabituel rapidement." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de complications ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, les maladies chroniques et le tabagisme augmentent les risques." } }, { "@type": "Question", "name": "Le poids influence-t-il le risque chirurgical ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'obésité peut augmenter le risque de complications pendant et après la chirurgie." } }, { "@type": "Question", "name": "Les antécédents médicaux jouent-ils un rôle ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies cardiaques ou respiratoires augmentent les risques." } }, { "@type": "Question", "name": "Le tabagisme affecte-t-il la chirurgie robotisée ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut retarder la guérison et augmenter le risque d'infections." } }, { "@type": "Question", "name": "Comment évaluer les facteurs de risque avant la chirurgie ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation complète des antécédents médicaux et des tests de santé est nécessaire." } } ] } ] }

Sources (10000 au total)

Smoking Cessation May Reduce Risk of Visual Field Progression in Heavy Smokers.

The earlier a person quits smoking the more likely is the optic nerve be spared from damage.... To investigate the effect of smoking cessation on visual field (VF) progression in glaucoma.... Primary open angle glaucoma patients with a minimum of 3 years follow-up and 5 VFs were included. Linear mixed models were used to investigate the effects of smoking on the rates of 24-2 VF mean devia... Five hundred eleven eyes of 354 patients were included over the mean follow-up of 12.4 years. Mean baseline age (95% confidence interval) was 62.3 (61.2, 63.4) years. One hundred forty nine (42.1%) pa... After ≥25 years of smoking cessation, the risk of VF progression in former heavy smokers becomes similar to never smokers. Long-term smoking cessation may be associated with lower VF progression in gl...

Correlation between Interocular Asymmetry of Corneal Hysteresis and Visual Field Defect in Glaucoma.

To evaluate the relationship between interocular asymmetries of corneal hysteresis (CH) and visual field defects in Korean patients with glaucoma.... A total of 444 eyes from 222 participants with glaucoma in at least one eye were enrolled. CH was measured using an ocular response analyzer (Reichert Technologies Inc). Eyes of each participant were ... Median (interquartile range) MD value was -3.71 dB (-6.87 to -1.30 dB) in the better eye and -10.20 dB (-16.32 to -5.62 dB) in the worse eye. When the correlation between the asymmetry of the MD value... The interocular asymmetry of CH was significantly correlated with the interocular asymmetry of visual field defects in glaucoma....

Comparing the Accuracy of Peripapillary OCT Scans and Visual Fields to Detect Glaucoma Worsening.

To compare the accuracy of detecting moderate and rapid rates of glaucoma worsening over a 2-year period with different numbers of OCT scans and visual field (VF) tests in a large sample of glaucoma a... Descriptive and simulation study.... The OCT sample comprised 12 150 eyes from 7392 adults with glaucoma or glaucoma suspect status followed up at the Wilmer Eye Institute from 2013 through 2021. The VF sample comprised 20 583 eyes from ... Within-eye rates of change in retinal nerve fiber layer (RNFL) thickness and mean deviation (MD) were measured using linear regression. For each measured rate, simulated measurements of RNFL thickness... The accuracy of diagnosing moderate and rapid rates of glaucoma worsening for different numbers of OCT scans and VF tests over a 2-year period.... Accuracy was less than 50% for both OCT and VF when diagnosing worsening after a 2-year period. OCT accuracy was 5 to 10 percentage points higher than VF accuracy at detecting moderate worsening and 1... More frequent OCT scans and VF tests are needed to improve the accuracy of diagnosing glaucoma worsening. Accuracy greatly increases when relying on both OCT and VF to detect worsening.... The author(s) have no proprietary or commercial interest in any materials discussed in this article....

Two-Year Visual Field Outcomes of the Treatment of Advanced Glaucoma Study (TAGS).

to compare visual field (VF) progression between the 2 arms of the Treatment of Advanced Glaucoma Study (TAGS).... Post hoc analysis of VF data from a 2-arm, multicenter, randomized controlled clinical trial.... A total of 453 patients with newly diagnosed advanced open-angle glaucoma in at least 1 eye from 27 centers in the United Kingdom were randomized to either trabeculectomy (n = 227) or medication in th... This study analyzed 211 eyes in the trabeculectomy first arm and 203 eyes in the medication first arm. The average RoP (estimate [95% credible intervals]) was -0.59 [-0.88, -0.31] dB/year in the medic... There was no significant difference in the average RoP at 2 years....

Visual Field Endpoints for Neuroprotective Trials: A Case for AI-Driven Patient Enrichment.

To evaluate whether an artificial intelligence (AI) model can better select candidates that would demonstrate visual field (VF) progression, in order to shorten the duration or the number of patients ... Retrospective cohort study.... 7428 eyes of 3871 patients from the University of Washington Department of Ophthalmology VF Dataset were included. Progression was defined as at least 5 locations with >7 dB of change compared with ba... A total of 13% of all patients met the criteria for progression at 5 years. Differences in survival were observed when stratified by MD and age (P < .0001). Those at risk of progression included patie... An AI model can identify high-risk patients to substantially reduce the number of patients needed or study duration required to meet clinical trial endpoints....

Fast Progressors in Glaucoma: Prevalence Based on Global and Central Visual Field Loss.

To determine the prevalence of fast global and central visual field (VF) progression in individuals with glaucoma under routine care.... Observational study.... Six hundred ninety-three eyes of 461 individuals with glaucoma followed up over a median of 4.5 years.... This study included (1) patients at a private ophthalmology clinic in Melbourne, Australia, and (2) individuals in 2 prospective longitudinal observational studies across 3 sites in the United States.... Prevalence of progression based on the rate of MD and the MTD... Based on the MD and the MTD... This study found that approximately 1 in 8 eyes with glaucoma receiving routine care showed fast progression based on global MD values (< -1.0 dB/year) and that nearly 1 in 3 eyes showed a < -0.5 dB/y... Proprietary or commercial disclosure may be found after the references....

Accuracy of Visual Fields in Localizing MRI Lesions in Posterior Cerebral Artery Infarction.

The representation of the visual field in visual cortex was established over a century ago by correlating perimetric defects with the estimated location of war wounds. The availability of high-definit... Homonymous hemianopias disclosed on automated visual fields (HVFs) were drawn from an electronic medical record search from 2009 to 2020 at the Michigan Medicine, a tertiary care academic medical cent... Among the 77 VFDs confined to 1 hemifield, 74 (96%) correctly predicted the side of the visual cortex lesion. In 3 cases, the MRI lesion in the opposite cerebral hemisphere was not foretold. Among the... In this study of PCA ischemic stroke, VFDs limited to 1 hemifield were accurate in locating the side and quadrant of the MRI visual cortex lesions. However, the quadrantic VFDs sometimes failed to pre...

Baseline 10-2 Visual Field Loss as a Predictor for Future Glaucoma Progression.

Presence of baseline 10-2 visual field (VF) loss was the strongest predictor of future rate of 24-2 VF loss and development of new 24-2 progression events, suggesting a role for 10-2 VF testing in bas... The purpose of this study is to examine the relationship between baseline 10-2 VF loss and future 24-2 VF loss.... Subjects were participating in a prospective longitudinal study within a VA Medical Center outpatient eye clinic. Eligibility required 2 good quality baseline 10-2 VF tests followed by a minimum of 5 ... We studied 394 eyes of 202 subjects (119 primary open angle glaucoma and 83 glaucoma suspect). Over 6.7 (±1.5) years, 9.9 (±2.3) good quality 24-2 VF tests were completed. In mixed model regression an... Baseline 10-2 VF defect was the most effective predictor of subsequent 24-2 VF progression in this study. These findings imply that presence of baseline 10-2 VF loss may provide unique value for predi...