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Chirurgie AND Surgery AND Technique

Christophe Mariette, Sheraz R Markar, Tienhan S Dabakuyo-Yonli, Bernard Meunier, Denis Pezet, Denis Collet, Xavier B D'Journo, Cécile Brigand, Thierry Perniceni, Nicolas Carrère, Jean-Yves Mabrut, Simon Msika, Frédérique Peschaud, Michel Prudhomme, Franck Bonnetain, Guillaume Piessen
BACKGROUND: Postoperative complications, especially pulmonary complications, affect more than half the patients who undergo open esophagectomy for esophageal cancer. Whether hybrid minimally invasive esophagectomy results in lower morbidity than open esophagectomy is unclear. METHODS: We performed a multicenter, open-label, randomized, controlled trial involving patients 18 to 75 years of age with resectable cancer of the middle or lower third of the esophagus. Patients were randomly assigned to undergo transthoracic open esophagectomy (open procedure) or hybrid minimally invasive esophagectomy (hybrid procedure)...
January 10, 2019: New England Journal of Medicine
Jean Breaud, Isabelle Talon, Laurent Fourcade, Guillaume Podevin, Julien Rod, Georges Audry, Bruno Dohin, Jean-Francois Lecompte, Ronny Bensaid, Virginie Rampal, Georges Azzie
BACKGROUND/PURPOSE: To implement resident curriculum in France based on theoretical teaching and bed side training, the national council known as the "Collège Hospitalier et Universitaire de Chirurgie Pédiatrique" examined the relevance and feasibility of systematically introducing simulation program in the pediatric surgery resident training. MATERIAL AND METHODS: A national simulation training program was developed and took place in a 2-day session organized in 7 simulation centers in France...
September 21, 2018: Journal of Pediatric Surgery
Flore-Anne Lecoq, Jean-Jacques Parienti, James Murison, Nicolas Ruiz, Khaled Bouacida, Jérémy Besse, Vincent Morin, Giovany Padiolleau, Thomas Cucurulo, Nicolas Graveleau, Christophe Hulet
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is important to prevent knee osteoarthritis. Neither of the 2 most common graft techniques-the patellar tendon (PT) or hamstring tendon (HS) graft-has demonstrated superiority in terms of the long-term osteoarthritis rate. HYPOTHESIS: Based on the International Knee Documentation Committee (IKDC) radiographic grading system, PT grafts decrease the incidence of osteoarthritis by providing better knee stability as compared with HS grafts over 12 years of follow-up...
October 2018: American Journal of Sports Medicine
Yann Gouëffic, Nellie Della Schiava, Fabien Thaveau, Eugenio Rosset, Jean-Pierre Favre, Lucie Salomon du Mont, Jean-Marc Alsac, Réda Hassen-Khodja, Thierry Reix, Eric Allaire, Eric Ducasse, Raphael Soler, Béatrice Guyomarc'h, Bahaa Nasr
OBJECTIVES: The TECCO (Traitement des Lésions Athéromateuses de l'Artère Fémorale Commune par Technique Endovasculaire Versus Chirurgie Ouverte [Endovascular Versus Open Repair of the Common Femoral Artery]) trial is a randomized comparison of safety and efficacy of stenting versus open surgery for de novo common femoral artery (CFA) stenosis. BACKGROUND: Surgery for CFA lesions is considered effective and durable. Despite the widespread use of endovascular repair for infrainguinal disease, the value of this procedure for such lesions is uncertain...
July 10, 2017: JACC. Cardiovascular Interventions
Valentin Crespy, Lucie Salomon du Mont, Adrien Kaladji, Michel Bartoli, Yann Gouëffic, Nicolas Abello, Pierre-Edouard Magnan, Alain Cardon, Philippe Chaillou, Eric Steinmetz
BACKGROUND: Beyond the age of 80 years, the preventive treatment of an asymptomatic abdominal aortic aneurysm (AAA) has to be decided in light of the life expectancy which it is difficult to evaluate, but it is important to determine who in this population will benefit from it. The objective of our study was to determine the factors influencing short-term mortality and long-term survival in patients aged 80 years and older after the endovascular treatment of AAAs (EVAR). MATERIAL AND METHODS: We present a retrospective analysis of the prospective databases of 4 French academic departments of vascular surgery, bringing together the data of all the patients presenting an AAA who were treated by EVAR between 1998 and 2011...
November 2017: Annals of Vascular Surgery
Sarah Millot, Philippe Lesclous, Marie-Laure Colombier, Loredana Radoi, Clément Messeca, Mathieu Ballanger, Jean-Luc Charrier, Philippe Tramba, Stéphane Simon, Alain Berrebi, Fabien Doguet, Emmanuel Lansac, Christophe Tribouilloy, Gilbert Habib, Xavier Duval, Bernard Iung
Oral health is of particular importance in patients with heart valve diseases because of the risk of infective endocarditis. Recommendations for antibiotic prophylaxis before dental procedures have been restricted, but the modalities of oral evaluation and dental care are not detailed in guidelines. Therefore, a multidisciplinary working group reviewed the literature to propose detailed approaches for the evaluation and management of buccodental status in patients with valvular disease. Simple questions asked by a non-dental specialist may draw attention to buccodental diseases...
August 2017: Archives of Cardiovascular Diseases
P-H Flurin, P Hardy, P Valenti, N Meyer, P Collin, J-F Kempf
BACKGROUND: Joint surgery is often complicated by gradual bone and cartilage deterioration that eventually leads to secondary osteoarthritis. The primary objective of this study was to identify preoperative risk factors for gleno-humeral osteoarthritis after rotator cuff repair. The secondary objectives were to assess whether the risk of gleno-humeral osteoarthritis was influenced by the operative technique, occurrence of postoperative complications, cuff healing, and muscle degeneration and to determine whether gleno-humeral osteoarthritis affected the clinical outcome...
June 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
Guillaume Passot, Laurent Villeneuve, Charles Sabbagh, Yohann Renard, Jean-Marc Regimbeau, Pierre Verhaeghe, Reza Kianmanesh, Jean-Pierre Palot, Delphine Vaudoyer, Olivier Glehen, Eddy Cotte
BACKGROUND: Giant ventral hernias represent a real handicap for patients and constitute a challenge for surgeons. European Hernia Society classification defines all ventral hernia over 10 cm in the same group. However, this group represents different clinical entities with numerous therapeutic possibilities, and no standardized recommendation has been made. The objective of our work was to define consensual criteria that define giant ventral hernias requiring specific management and determine management modalities...
April 2016: International Journal of Surgery
E Warein, P Feugier, X Chaufour, V Molin, S Malikov, M A Bartoli, R Coscas, J Picquet, H Peyrot, J-P Favre, E Steinmetz, S Ben Ahmed, E Rosset
OBJECTIVE: During endovascular repair of abdominal aortic aneurysms (EVAR), in the absence of a distal iliac landing zone, the Amplatzer plug is increasingly being used to replace other internal iliac artery (IIA) embolization techniques. This study aimed at assessing the technical success, complication occurrence, and durability of the Amplatzer plug for IIA embolization. METHOD: From January 1, 2007 to December 31, 2013, all consecutive patients who underwent internal iliac embolization with an Amplatzer plug during EVAR were included in the study...
May 2016: European Journal of Vascular and Endovascular Surgery
Pierre Maitrias, Adrien Kaladji, Didier Plissonnier, Sébastien Amiot, Jean Sabatier, Marc Coggia, Jean-Luc Magne, Thierry Reix
BACKGROUND: Persistent type II endoleaks (T2Ls) with sac enlargement after endovascular abdominal aortic aneurysm repair are still of concern in view of the potential for rupture. Current treatments (embolization and stent graft [SG] explantation) are associated with lack of efficacy or high perioperative morbidity and mortality. This study evaluated an alternative technique that combines sacotomy, ligation of patent back-bleeding vessels, and SG preservation for T2L or unspecified endoleak repair...
April 2016: Journal of Vascular Surgery
Sheraz Markar, Caroline Gronnier, Alain Duhamel, Jean-Yves Mabrut, Jean-Pierre Bail, Nicolas Carrere, Jérémie H Lefevre, Cécile Brigand, Jean-Christophe Vaillant, Mustapha Adham, Simon Msika, Nicolas Demartines, Issam El Nakadi, Bernard Meunier, Denis Collet, Christophe Mariette
OBJECTIVE: The aim of this study was to the determine impact of severe esophageal anastomotic leak (SEAL) upon long-term survival and locoregional cancer recurrence. BACKGROUND: The impact of SEAL upon long-term survival after esophageal resection remains inconclusive with a number of studies demonstrating conflicting results. METHODS: A multicenter database for the surgical treatment of esophageal cancer collected data from 30 university hospitals (2000-2010)...
December 2015: Annals of Surgery
K Mohkam, O Farges, F-R Pruvot, F Muscari, J-M Régimbeau, N Regenet, A Sa Cunha, S Dokmak, J-Y Mabrut
Laparoscopic distal pancreatectomy is currently a commonly performed procedure. Twenty-five retrospective studies comparing laparotomy and laparoscopy have dealt with the feasibility of this approach for localized benign and malignant tumors. However, these studies report several different techniques. The aim of this review was to determine if a standardized procedure could be proposed. Based on the literature and the experience of surgeons in the French Association of Hepatobiliary Surgery and Liver Transplantation (ACBHT-Association française de chirurgie hépato-biliaire et de transplantation hépatique), we recommend primary control of the splenic artery, use of linear staplers for pancreatic transection, splenic vein control either at its end or its origin, and, depending on local conditions, preservation of the splenic vessels when splenic preservation is envisioned...
June 2015: Journal of Visceral Surgery
Cherng Huei Kong, Glenn D Guest, Douglas A Stupart, Ian G Faragher, Steven T F Chan, David A Watters
BACKGROUND: Colorectal surgery carries a significant mortality risk, with reported rates of 1-6% for elective surgery and up to 22% in the emergency setting. Both clinicians and patients will benefit from being able to predict the likelihood of death before surgery. Recently, we have described and validated two risk stratification models for colorectal surgery, the Barwon Health 2012 and Association Française de Chirurgie models. However, these models are not suitable for assessment at patient's bedside...
June 2015: ANZ Journal of Surgery
O Gille, V Challier, H Parent, R Cavagna, A Poignard, A Faline, S Fuentes, O Ricart, E Ferrero, M Ould Slimane
UNLABELLED: Degenerative spondylolisthesis is common in adults. No consensus is available about the analysis or surgical treatment of degenerative spondylolisthesis. In 2013, the French Society for Spine Surgery (Societe francaise de chirurgie du rachis) held a round table discussion to develop a classification system and assess the outcomes of the main surgical treatments. A multicentre study was conducted in nine centres located throughout France and Luxembourg. We established a database on a prospective cohort of 260 patients included between July 2011 and July 2012 and a retrospective cohort of 410 patients included in personal databases between 2009 and 2013...
October 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
E Hansson, E Tegelberg
INTRODUCTION: The French language is less and less used as an international scientific language and many French researchers publish their work in English. Nowadays, Annales de Chirurgie Plastique Esthétique is the only international plastic surgical journal published completely in French. The use of English loan words in French plastic surgery has never been studied. AIM OF THE STUDY: The aim of this study was to describe the frequency and types of English loan words in French plastic surgery...
October 2014: Annales de Chirurgie Plastique et Esthétique
P Alfonsi, K Slim, M Chauvin, P Mariani, J-L Faucheron, D Fletcher
Early recovery after surgery provides patients with all means to counteract or minimize the deleterious effects of surgery. This concept is suitable for a surgical procedure (e.g., colorectal surgery) and comes in the form of a clinical pathway that covers three periods (pre-, intra- and postoperative). The purpose of this Expert panel guideline is firstly to assess the impact of each parameter usually included in the rehabilitation programs on 6 foreseeable consequences of colorectal surgery: surgical stress, postoperative ileus, water and energy imbalance, postoperative immobility, sleep alterations and postoperative complications; secondly, to validate the usefulness of each as criteria of efficiency criteria for success of rehabilitation programs...
May 2014: Annales Françaises D'anesthèsie et de Rèanimation
E Rosset, S Ben Ahmed, G Galvaing, J P Favre, C Sessa, P Lermusiaux, R Hassen-Khodja, M Coggia, S Haulon, S Rinckenbach, B Enon, P Feugier, E Steinmetz, J P Becquemin
OBJECTIVES: The aim of this study was to assess the results of hybrid techniques for the treatment of thoracic, thoracoabdominal, and abdominal aortic aneurysms based on multicenter results and the various series regarding hybrid procedures reported in the literature. METHODS: The results of 76 hybrid procedures performed in 19 French university hospital centers between November 2001 and October 2011 were collected. There were 50 men and 26 women, mean age 68.2 (35-86) years...
May 2014: European Journal of Vascular and Endovascular Surgery
E Abet, E Duchalais, F Denimal, B de Kerviler, M-H Jean, A-G Brau-Weber, M Comy
OBJECTIVE: The aim of this prospective monocenter study was to evaluate the long-term results of laparoscopic treatment of incisional hernias using intra-peritoneal prosthetic mesh. PATIENTS AND METHODS: Seventy-seven patients underwent laparoscopic treatment of incisional hernia between January 2002 and January 2008. All patients were followed for at least five years after surgery. The parameters assessed were hernia recurrences and post-operative pain. In case of doubt as to the diagnosis of recurrence or pain, a CT examination was performed...
April 2014: Journal of Visceral Surgery
Danijela Tomić, Stanislava Laginja
The oldest library in Istria (Croatia) is located in the Franciscan Monastery of Pazin, with a rich fund of worthy old books. Our attention was attracted by the book "Chirurgie" written by the German physician, surgeon and anatomist Lorenz Heister in the first half of the 18th century. This worthy book is relatively scanty known in Croatian history of surgery. By studying the contents of the book written in the 18th century, numerous surgical instruments, as well as surgical operations may be found, many of them being used even today with little modifications...
February 2014: Medicinski Glasnik
P Alfonsi, K Slim, M Chauvin, P Mariani, J L Faucheron, D Fletcher
Enhanced recovery after surgery provides patients with optimal means to counteract or minimize the deleterious effects of surgery. This concept can be adapted to suit a specific surgical procedure (i.e., colorectal surgery) and comes in the form of a program or a clinical pathway covering the pre-, intra- and postoperative periods. The purpose of these Expert Panel Guidelines was firstly to assess the impact of each parameter typically included in the fast-track programs on six foreseeable consequences of colorectal surgery: surgical stress, postoperative ileus, fluid and electrolyte imbalances, decreased postoperative mobility, sleep disorders and postoperative complications; secondly, to validate the value of each parameter in terms of efficacy criteria for success of rapid rehabilitation programs...
February 2014: Journal of Visceral Surgery
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