{"id":365966,"date":"2020-10-11T20:03:00","date_gmt":"2020-10-11T17:03:00","guid":{"rendered":"https:\/\/kinsta.unitedwithisrael.org\/?p=365966"},"modified":"2020-10-12T16:54:36","modified_gmt":"2020-10-12T13:54:36","slug":"premiere-mondiale-les-israeliens-realisent-des-operations-de-la-colonne-vertebrale-sans-anesthesie-generale","status":"publish","type":"post","link":"https:\/\/kinsta.unitedwithisrael.org\/fr\/premiere-mondiale-les-israeliens-realisent-des-operations-de-la-colonne-vertebrale-sans-anesthesie-generale\/","title":{"rendered":"Premi\u00e8re mondiale: les isra\u00e9liens r\u00e9alisent des op\u00e9rations de la colonne vert\u00e9brale sans anesth\u00e9sie g\u00e9n\u00e9rale"},"content":{"rendered":"

Grande premi\u00e8re des chirurgiens isra\u00e9liens pour r\u00e9parer les fractures vert\u00e9brales sans anesth\u00e9sie g\u00e9n\u00e9rale.<\/strong><\/em><\/p>\n

Par le personnel d’ISRAEL21c<\/em><\/p>\n

Apr\u00e8s la chute David Avital, 74 ans, \u00e0 son domicile, il a \u00e9t\u00e9 transport\u00e9 sur le campus Ein Kerem du Hadassah University Medical Center \u00e0 J\u00e9rusalem avec plusieurs fractures de la colonne vert\u00e9brale. Il avait besoin d’une intervention chirurgicale pour soulager la douleur et le remettre sur pied.<\/p>\n

Cependant, Avital souffre de probl\u00e8mes cardiaques et pulmonaires, ce qui rendait l’anesth\u00e9sie g\u00e9n\u00e9rale trop risqu\u00e9e.<\/p>\n

Les chirurgiens d’Hadassah ont donc d\u00e9cid\u00e9 de pratiquer la chirurgie sous anesth\u00e9sie locale. Cette nouvelle proc\u00e9dure, \u00e0 leur connaissance, n’a \u00e9t\u00e9 tent\u00e9e nulle part ailleurs mais a d\u00e9j\u00e0 fait ses preuves \u00e0 Hadassah \u00e0 plusieurs reprises.<\/p>\n

Le Dr Josh E. Schroeder, chef de l’\u00e9quipe chirurgicale d’Hadassah pour les malformations du dos, explique: \u00abEn collaboration avec le directeur de l’unit\u00e9 de cath\u00e9t\u00e9risme c\u00e9r\u00e9bral, le professeur Jos\u00e9 Cohen, nous avons commenc\u00e9 \u00e0 effectuer des chirurgies complexes du dos sur des patients \u00e0 Hadassah pendant qu’ils sont \u00e9veill\u00e9s. , en utilisant uniquement une anesth\u00e9sie locale<\/em>. \u00bb<\/p>\n

Avec le patient couch\u00e9 face vers le bas, les chirurgiens ins\u00e8rent des vis et des tiges pour r\u00e9parer les fractures sous une navigation d’imagerie avanc\u00e9e qui permet une pr\u00e9cision maximale avec des incisions minimales, a d\u00e9clar\u00e9 Schroeder.<\/p>\n

\u00ab\u00a0Prof. Cohen et moi avons stabilis\u00e9 la colonne vert\u00e9brale du patient et avec la surveillance constante de l’anesth\u00e9siste Dr Rawhi Hashem, nous avons effectu\u00e9 l’op\u00e9ration sans anesth\u00e9sie g\u00e9n\u00e9rale et sans avoir besoin d’intuber le patient, ce qui n’est pas anodin.<\/em> \u00a0\u00bb<\/p>\n

\u00ab\u00a0Ce cas d\u00e9montre l’approche moderne de la chirurgie<\/em>\u00ab\u00a0, a d\u00e9clar\u00e9 Cohen. \u00abNous prenons des chirurgies majeures et les transformons en chirurgies avec des incisions minimales et donc six heures de chirurgie deviennent une heure, l’anesth\u00e9sie g\u00e9n\u00e9rale devient une anesth\u00e9sie locale, deux semaines [de r\u00e9cup\u00e9ration] sont raccourcies \u00e0 deux jours. Le risque d’infections est consid\u00e9rablement r\u00e9duit.<\/em> \u00bb<\/p>\n

Qu’a dit le patient \u00e0 propos de la proc\u00e9dure?<\/p>\n

\u00abQuand je suis entr\u00e9 dans la salle d’op\u00e9ration, j’avais tr\u00e8s peur<\/em>\u00bb, a d\u00e9clar\u00e9 Avital, un militaire \u00e0 la retraite.<\/p>\n

\u00abEt quand ils m’ont expliqu\u00e9 que je serais r\u00e9veill\u00e9 pendant toute l’op\u00e9ration, j’\u00e9tais encore plus stress\u00e9. Il me semblait impossible de subir une intervention chirurgicale majeure de la colonne vert\u00e9brale tout \u00e9veill\u00e9. Tout le monde dans l’\u00e9quipe \u00e9tait encourageant, m’expliquant toute la proc\u00e9dure. L\u2019op\u00e9ration a \u00e9t\u00e9 rapide et je n\u2019ai ressenti aucune douleur. Je suis tr\u00e8s reconnaissant envers les m\u00e9decins et le personnel.<\/em> \u00bb<\/p>\n

Avital a ajout\u00e9 qu’il avait h\u00e2te de reprendre bient\u00f4t ses activit\u00e9s de b\u00e9n\u00e9volat.<\/p>\n

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Grande premi\u00e8re des chirurgiens isra\u00e9liens pour r\u00e9parer les fractures vert\u00e9brales sans anesth\u00e9sie g\u00e9n\u00e9rale. Par le personnel d’ISRAEL21c Apr\u00e8s la chute David Avital, 74 ans, \u00e0 son domicile, il a \u00e9t\u00e9 transport\u00e9 sur le campus Ein Kerem du Hadassah University Medical Center \u00e0 J\u00e9rusalem avec plusieurs fractures de la colonne vert\u00e9brale. Il avait besoin d’une intervention… Read more 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