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Chirurgie generale

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https://www.readbyqxmd.com/read/28683941/stenting-or-surgery-for-de-novo-common-femoral-artery-stenosis
#1
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
https://www.readbyqxmd.com/read/28629781/position-paper-for-the-evaluation-and-management-of-oral-status-in-patients-with-valvular-disease-groupe-de-travail-valvulopathies-de-la-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-cardiologie-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-chirurgie-orale-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-parodontologie-et-d-implantologie
#2
REVIEW
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...
June 16, 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/28575906/-preoperative-evaluation-of-adult-patients-before-elective-non-cardiothoracic-surgery
#3
(no author information available yet)
Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e.g. blood chemistry, ECG, spirometry, chest x-ray) can contribute to a reduction of perioperative risk is often not very well known or controversial. Similarly, there is considerable uncertainty among anaesthesiologists, internists and surgeons with respect to the perioperative management of the patient's long-term medication...
June 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28573343/-preoperative-evaluation-of-adult-patients-before-elective-noncardiothoracic-surgery-joint-recommendation-of-the-german-society-of-anesthesiology-and-intensive-care-medicine-the-german-society-of-surgery-and-the-german-society-of-internal-medicine
#4
B Zwissler
Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e. g. blood chemistry, ECG, spirometry, chest x‑ray) can contribute to a reduction of perioperative risk is often not very well known or is controversial. Similarly, there is considerable uncertainty among anesthesiologists, internists and surgeons with respect to the perioperative management of the patient's long-term medication...
June 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28527614/n-o-344-salpingectomie-opportuniste-et-autres-m%C3%A3-thodes-pour-r%C3%A3-duire-le-risque-de-cancer-de-l-ovaire-de-la-trompe-de-fallope-et-du-p%C3%A3-ritoine-dans-la-population-g%C3%A3-n%C3%A3-rale
#5
Shannon Salvador, Stephanie Scott, Julie Ann Francis, Anita Agrawal, Christopher Giede
OBJECTIF: La présente directive clinique examine les avantages potentiels de la salpingectomie opportuniste pour prévenir le développement du cancer séreux de grade élevé de l'ovaire, de la trompe de Fallope et du péritoine à la lumière de données probantes actuelles selon lesquelles ce type de cancer prendrait naissance dans la trompe de Fallope. UTILISATEURS CIBLES: Gynécologues, obstétriciens, médecins de famille, infirmières autorisées, infirmières praticiennes, résidents et fournisseurs de soins de santé...
June 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28025611/evidence-and-evidence-gaps-an-introduction
#6
REVIEW
Gabriele Dreier, Jan Löhler
Background: Medical treatment requires the implementation of existing evidence in the decision making process in order to be able to find the best possible diagnostic, therapeutic or prognostic measure for the individual patient based on the physician's own expertise. Clinical trials form the evidence base and ideally, their results are assembled, analyzed, summarized, and made available in systematic review articles. Beside planning, conducting, and evaluating clinical trials in conformity with GCP (good clinical practice), it is essential that all results of conducted studies are publicly available in order to avoid publication bias...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/26877460/p-157-william-beuren-syndrome-wbs-a-multidisciplinary-approach
#7
D Batouche, S Merine, L Sadaoui, W Berrached, N Benatta
OBJECTIFS: Le SWB est une maladie génétique rare entraînant une micro délétion chromosomique du gène de l'élastine associant anomalies cardiovasculaires souvent une hypertension artérielle et un profil neuropsychique spécifique. Nous insistons pour la prise en charge éducative et médicale multidisciplinaire du cardio pédiatre, réanimateur pédiatre et surtout du psychologue. MéTHODES: Nous relatons 2 observations cliniques de 2 jeunes garçons présentant des manifestations cliniques d'un SWB...
December 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26877396/p-092-endovascular-repair-of-aortic-coarctation-in-adult-experience-of-our-department
#8
S Benallal, M N Bouayed
OBJECTIFS: La coarctation de l'aorte représente environ 7 % des malformations cardiaques congénitales, associée dans 50 % des cas à une bicuspidie aortique ; diagnostiquée le plus souvent chez l'enfant, rarement à l'âge adulte à l'occasion d'une complication. Le but de notre étude est de montrer l'apport du traitement endovasculaire dans la prise en charge des coarctations aortiques chez l'adulte, et d'évaluer les résultats à court, moyen et long terme. MéTHODES: Étude mono-centrique prospective, non randomisée sur 28 mois, allant de mars 2013 à juillet 2015, portant sur 15 cas, traités pour coarctation de l'aorte découverte à l'âge adulte, dont l'âge moyen était de 37,3ans, avec des extrêmes allant de 15ans à 50ans, et un Sex-ratio de 1/1...
December 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26790831/periprosthetic-distal-femur-fracture-after-total-knee-arthroplasty-a-systematic-review
#9
REVIEW
Nabil A Ebraheim, Leanne H Kelley, Xiaochen Liu, Ian S Thomas, Robert B Steiner, Jiayong Liu
This study was designed to itemize and analyze the classification of fracture types and their corresponding outcomes in an attempt to provide a better understanding of the current treatment methods. Two PubMed searches were performed using the words "periprosthetic distal femur fracture" and "periprosthetic supracondylar femur fracture" in studies that were published in the previous 10 years (2004-2014). Data from 41 articlesthat met the general inclusion criteria, were collected and categorized into fracture type and treatment method groupings...
November 2015: Orthopaedic Surgery
https://www.readbyqxmd.com/read/26462741/the-french-advanced-course-for-deployment-surgery-acds-called-cours-avanc%C3%A3-de-chirurgie-en-mission-ext%C3%A3-rieure-cachirmex-history-of-its-development-and-future-prospects
#10
Stéphane Bonnet, F Gonzalez, L Mathieu, G Boddaert, E Hornez, A Bertani, J-P Avaro, X Durand, F Rongieras, P Balandraud, S Rigal, F Pons
INTRODUCTION: The composition of a French Forward Surgical Team (FST) has remained constant since its creation in the early 1950s: 12 personnel, including a general and an orthopaedic surgeon. The training of military surgeons, however, has had to evolve to adapt to the growing complexities of modern warfare injuries in the context of increasing subspecialisation within surgery. The Advanced Course for Deployment Surgery (ACDS)-called Cours Avancé de Chirurgie en Mission Extérieure (CACHIRMEX)-has been designed to extend, reinforce and adapt the surgical skill set of the FST that will be deployed...
October 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/25804207/modern-teaching-of-military-surgery-why-and-how-to-prepare-the-orthopaedic-surgeons-before-deployment-the-french-experience
#11
Laurent Mathieu, Benjamin Joly, Stéphane Bonnet, Antoine Bertani, Frédéric Rongiéras, François Pons, Sylvain Rigal
PURPOSE: Improved survival of combat casualties in modern conflicts is especially due to early access to damage control resuscitation and surgery in forward surgical facilities. In the French Army, these small mobile units are staffed with one general surgeon and one orthopaedic surgeon who must be able to perform any kind of trauma or non trauma emergency surgery. METHODS: This concept of forward surgery requires a solid foundation in general surgery which is no longer provided by the current surgical programs due to an early specialization of the residents...
October 2015: International Orthopaedics
https://www.readbyqxmd.com/read/24193667/post-operative-infections-of-the-spine-technique-indications-and-results-of-the-surgical-treatment-a-retrospective-study-of-90-cases
#12
J Y Lazennec, C Laville, B Konel, R Roy-Camille, G Saillant, M P Poloujadoff
Post operative infection in spine surgery is a well known complication. The authors studied a series of 90 patients in accordance with an homogenous strategy based on the excision of necrotic and infected tissues, associated with appropriate antibiotics.The results are analyzed according to the degree of infection (which is based on the type of germs and their associations), and type of patients, the delay in diagnosis and the anatomical extension of the infected lesions.Making a difference between superficial and deep infection is of no therapeutic value and may lead to wrong and inadequate treatment...
May 1996: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/23883506/interest-and-applicability-of-acute-care-surgery-among-surgeons-in-quebec-a-provincial-survey
#13
Émilie Joos, Vincent Trottier, Daniel Thauvette
BACKGROUND: Acute care surgery (ACS) comprises trauma and emergency surgery. The purpose of this new specialty is to involve trauma and nontrauma surgeons in the care of acutely ill patients with a surgical pathology. In Quebec, few acute care surgery services (ACSS) exist, and the concept is still poorly understood by most general surgeons. This survey was meant to determine the opinions and interest of Quebec general surgeons in this new model. METHODS: We created a bilingual electronic survey using a Web interface and sent it by email to all surgeons registered with the Association québécoise de chirurgie...
August 2013: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/23550450/-pre-hospital-management-of-adults-with-life-threatening-emergencies
#14
Francis Wattel, François Dubois
In France, acute life-threatening situations are handled by the French Secours a Personne (assistance to persons) and emergency medical facilities. An unequivocal success, this early management of life-threatening emergency situations relies upon centralized call reception, medical dispatching, and immediate on-site emergency medical care. We describe the different emergency care providers and steps involved in the response to emergency situations. Each call centre (Samu, phone number 15; Sapeurs-Pompiers, 18) provides a response tailored to the nature of incoming calls for assistance...
April 2012: Bulletin de L'Académie Nationale de Médecine
https://www.readbyqxmd.com/read/23494054/-competency-based-medical-education-national-catalogue-of-learning-objectives-in-surgery
#15
M Kadmon, M J Bender, F Adili, D Arbab, M K Heinemann, H S Hofmann, S König, M A Küper, U Obertacke, H-O Rennekampff, U Rolle, M Rücker, R Sader, M Tingart, M M Tolksdorf, V Tronnier, B Will, F Walcher
Competency-based medical education is a prerequisite to prepare students for the medical profession. A mandatory professional qualification framework is a milestone towards this aim. The National Competency-based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) of the German Medical Faculty Association (MFT) and the German Medical Association will constitute a basis for a core curriculum of undergraduate medical training. The Surgical Working Group on Medical Education (CAL) of the German Association of Surgeons (DGCH) aims at formulating a competency-based catalogue of learning objectives for surgical undergraduate training to bridge the gap between the NKLM and the learning objectives of individual medical faculties...
April 2013: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/22853835/fedor-krause-the-first-systematic-use-of-x-rays-in-neurosurgery
#16
Ali M Elhadi, Samuel Kalb, Nikolay L Martirosyan, Abhishek Agrawal, Mark C Preul
Within a few months of Wilhelm Conrad Röntgen's discovery of x-rays in 1895, Fedor Krause acquired an x-ray apparatus and began to use it in his daily interactions with patients and for diagnosis. He was the first neurosurgeon to use x-rays methodically and systematically. In 1908 Krause published the first volume of text on neurosurgery, Chirurgie des Gehirns und Rückenmarks (Surgery of the Brain and Spinal Cord), which was translated into English in 1909. The second volume followed in 1911. This was the first published multivolume text totally devoted to neurosurgery...
August 2012: Neurosurgical Focus
https://www.readbyqxmd.com/read/22836956/-a-guide-to-the-peer-review-of-scientific-papers
#17
R E Giunta, K-J Prommersberger
The "peer-review" of scientific manuscripts is an honorable and important task to optimize the quality of a medical journal. The reviewer has the following 2 tasks: first, to provide to the editor an overall assessment of the manuscript and make a recommendation regarding the acceptance, revision or rejection of a scientific manuscript. Second, to supply the authors with objective and constructive criticism and also with detailed suggestions for improvement of a manuscript -aiming to improve its scientific quality...
August 2012: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/22009545/-on-the-100th%C3%A2-birthday-of-professor-walter-schmitt-1911-2005-editor-of-zentralblatt-fuer-chirurgie-from-1972-to-1985
#18
P Heinrich, S Kiene
No abstract text is available yet for this article.
October 2011: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/21879434/-preoperative-evaluation-of-adult-patients-prior-to-elective-non-cardiac-surgery-joint-recommendations-of-german-society-of-anesthesiology-and-intensive-care-medicine-german-society-of-surgery-and-german-society-of-internal-medicine
#19
(no author information available yet)
Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e.g. blood chemistry, ECG, spirometry, chest-x-ray) can contribute to a reduction of perioperative risk is often not very well known or controversial. Similarly, there is considerable uncertainty among anesthesiologists, internists and surgeons with respect to the perioperative management of the patient's long-term medication...
September 2011: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/21548278/-forgotten-great-men-of-medicine-baron-dominique-jean-larrey-1766-1842
#20
Vladimir Gajić
BIOGRAPHY: Baron Dominique Jean Larrev was a French army surgeon who rose to become a surgeon-in-chief of Napoleon's Grande Armée. Many advances in the field of surgery have been attributed to him: he was one of the first to amputate at the hip-joint (1812); he pioneered the use of maggots to prevent infection in wounds; he gave the first description of a trench foot, and originated the first aid to combatants by getting stretcher-bearers to take wounded men immediately from the battlefield. EDUCATION AND CAREER: Larrey studied medicine in Paris and spent a short time in the navy before resuming his studies at the Parisian College de Chirurgie...
January 2011: Medicinski Pregled
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