{"id":173217,"date":"2019-11-05T12:10:00","date_gmt":"2019-11-05T12:10:00","guid":{"rendered":"https:\/\/www.webdo.tn\/fr\/actualite\/blog\/exploit-chirurgical-a-bizerte-resection-complete-du-sternum-grace-a-une-technique-originale\/173217\/"},"modified":"2019-11-05T12:10:00","modified_gmt":"2019-11-05T12:10:00","slug":"exploit-chirurgical-a-bizerte-resection-complete-du-sternum-grace-a-une-technique-originale","status":"publish","type":"post","link":"https:\/\/www.webdo.tn\/fr\/actualite\/tunis-hebdo\/exploit-chirurgical-a-bizerte-resection-complete-du-sternum-grace-a-une-technique-originale\/173217\/","title":{"rendered":"Exploit chirurgical \u00e0 Bizerte : R\u00e9section compl\u00e8te du sternum gr\u00e2ce \u00e0 une technique originale"},"content":{"rendered":"<p>Pr. Mohamed Ridha Cherif (orthop\u00e9diste), accompagn\u00e9 de Dr. Driss Cherif (chirurgien) et Dr. Nomen Abid (chirurgien cardiaque), ont r\u00e9alis\u00e9 une prouesse m\u00e9dicale \u00e0 la clinique Amen Bizerte, consistant en une r\u00e9section compl\u00e8te du sternum gr\u00e2ce \u00e0 une technique originale.<\/p>\n<p>C\u2019est une premi\u00e8re en Tunisie, un exploit technique au sens m\u00e9dical du terme au regard de la complexit\u00e9 de l\u2019intervention.<\/p>\n<p>La patiente pr\u00e9sentant une tumeur maligne du sternum (os plat situ\u00e9 au niveau de la partie ant\u00e9rieure de la cage thoracique), le traitement de cette tumeur consiste en une r\u00e9section compl\u00e8te du sternum.<\/p>\n<p>Mais la question qui se posait pour l\u2019\u00e9quipe m\u00e9dicale, sous le leadership du professeur Mohamed Ridha Cherif, consiste dans la technique qui sera employ\u00e9e pour reconstruire la perte de substance (PDS).<\/p>\n<p>Et avouons que la d\u00e9cision n\u2019\u00e9tait pas aussi simple \u00e0 prendre, car apr\u00e8s revue de la litt\u00e9rature, les solutions chirurgicales d\u00e9j\u00e0 pratiqu\u00e9es sont nombreuses, des plus simples aux plus complexes, \u00e0 l\u2019instar de la couverture par lambeau musculaire simple jusqu\u2019aux proth\u00e8ses sternales et l\u2019allogreffe par os de banque.<\/p>\n<p>Finalement, l\u2019\u00e9quipe chirurgicale a d\u00e9cid\u00e9 de r\u00e9aliser une technique originale : couverture des organes vitaux thoraciques par plaque biface, confection de n\u00e9ocotes par la mise en place de trois plaques viss\u00e9es, type LCP, reliant les cotes de part et d\u2019autre de la perte de substance et couverture par lambeaux musculaires.<\/p>\n<p>Les suites ont \u00e9t\u00e9 simples, notamment gr\u00e2ce au cath\u00e9ter thoracique, r\u00e9alis\u00e9 par les anesth\u00e9sistes qui ont assur\u00e9 l\u2019indolence totale \u00e9vitant ainsi l\u2019encombrement pulmonaire.<br \/>\nChapeau bas \u00e0 toute l\u2019\u00e9quipe !<br \/>\nChahir CHAKROUN<br \/>\nTunis-Hebdo du 04\/11\/2019<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exploit chirurgical \u00e0 Bizerte : R\u00e9section compl\u00e8te du sternum gr\u00e2ce \u00e0 une technique originale<\/p>\n","protected":false},"author":3222,"featured_media":376290,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7653],"tags":[],"class_list":["post-173217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tunis-hebdo"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Exploit chirurgical \u00e0 Bizerte : R\u00e9section compl\u00e8te du sternum gr\u00e2ce \u00e0 une technique originale<\/title>\n<meta name=\"description\" content=\"Exploit chirurgical \u00e0 Bizerte : R\u00e9section compl\u00e8te du 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