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Quelle information délivrer à une patiente avant une chirurgie de prolapsus ?
Institution:1. Service de gynécologie-obstétrique, hôpital Carémeau, CHU de Nîmes, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France;2. Service de gynécologie-obstétrique, centre hospitalier Félix-Guyon, CHR Réunion, 97405 Saint-Denis cedex, France;3. Service de gynécologie-obstétrique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France;4. Service de gynécologie, CMC Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France;1. Department of Gynecological Surgery, Jeanne-de-Flandre Hospital, Regional University Hospital of Lille, avenue Eugène-Avinée, 59000 Lille, France;2. Department of Anesthesiology in Obstetrics, Gynecology and Reproductive Medicine, Jeanne-de-Flandre Hospital, avenue Eugène-Avinée, 59000 Lille, France;3. Department of Gynecology and Obstetrics, Hospital of Bethune, 27, rue Delbecque, 62131 Verquigneul, France;4. Department of anesthesia, groupement des hôpitaux de l’institut catholique de Lille, hôpital Saint-Philibert, rue du Grand-But, 59160 Lomme, France;1. Mechanical Engineering Department, New York University, 6 Metrotech Center, Brooklyn, NY 11201, USA;2. New York University Abu Dhabi, PO Box 129188, Saadiyat Island, Abu Dhabi, United Arab Emirates;1. Service de gynécologie-obstétrique, CHI Poissy-Saint-Germain-en-Laye, 78300 Poissy, France;2. Laboratoire privé d’explorations périnéales, 78300 Poissy, France;3. Inserm CIC802, service de gynécologie-obstétrique, université de Poitiers, CHU de Poitiers, 86000 Poitiers, France;4. Service de médecine physique et de réadaptation, UPMC, Paris 6, hôpital Rothschild, AP–HP, 75012 Paris, France;1. Institute of Safety Science and Engineering, South China University of Technology, Guangzhou, 510640, China;2. Safety and Security Science Group, Delft University of Technology, Delft, The Netherlands;3. Antwerp Research Group on Safety and Security, University of Antwerp, 2000, Antwerp, Belgium;4. Center for Economics and Corporate Sustainability, University of Leuven, 1000, Brussels, Belgium;1. Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France;2. Université de Lorraine, 54000 Nancy, France;3. Service de chirurgie reconstructrice de l’appareil locomoteur et chirurgie de la main, 54000 Nancy, France;4. EI ETHOS Axe 2, faculté de médecine, université de Lorraine, 54000 Nancy, France;5. Parc, CHRU, 54500 Vandœuvre-les-Nancy, France
Abstract:Inform consent is a major objective in the relation patient–physician. Patient's information becomes doubt when it is insufficient. To answer to medical persons asking about patient's information, pretreatment clinical and paraclinical assessment will be discussed. Reflexion delay, surgical alternative therapy and pre-operatory examination will be exposed. Several critical situations, such as associated hysterectomy, patient's comorbidity (tobacco, obesity) or synthetic mesh reinforcement have to be well-known to inform patient about failures and outcomes.
Keywords:
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