{"id":18501,"date":"2020-01-27T10:56:39","date_gmt":"2020-01-27T09:56:39","guid":{"rendered":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-thoracique\/chirurgie-de-la-paroi-thoracique\/"},"modified":"2022-02-10T15:52:25","modified_gmt":"2022-02-10T14:52:25","slug":"chirurgie-de-la-paroi-thoracique","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-thoracique\/interventions\/chirurgie-de-la-paroi-thoracique\/","title":{"rendered":"Chirurgie de la paroi thoracique"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Les tumeurs primitives ou secondaires de la paroi thoracique (sternum, c\u00f4tes, voire extension vert\u00e9brale), les sarcomes radio-induits ou les pari\u00e9tites post-radiques, notamment apr\u00e8s radioth\u00e9rapie des cancers du sein, peuvent \u00eatre r\u00e9s\u00e9qu\u00e9es au prix de proc\u00e9d\u00e9s parfois originaux que nous avons d\u00e9velopp\u00e9s ces 15 derni\u00e8res ann\u00e9es.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les grandes ex\u00e9r\u00e8ses de la paroi thoracique ant\u00e9rieure, lorsque la peau doit \u00eatre r\u00e9s\u00e9qu\u00e9e, sont recouvertes par des plasties cutan\u00e9o-musculaires \u00e0 partir des muscles grand droit de l\u2019abdomen, du grand dorsal, du grand pectoral et parfois en lambeau libre au prix de revascularisations microchirurgicales faites en collaboration avec les plasticiens de l\u2019Institut Gustave Roussy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019utilisation d\u2019un nouveau mat\u00e9riel d\u2019ost\u00e9osynth\u00e8se costale a permis de faire d\u2019importants progr\u00e8s sur la conservation de la fonction respiratoire en maintenant une m\u00e9canique respiratoire subnormale apr\u00e8s sternectomie totale.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les tumeurs primitives ou secondaires de la paroi thoracique (sternum, c\u00f4tes, voire extension vert\u00e9brale), les sarcomes radio-induits ou les pari\u00e9tites post-radiques, notamment apr\u00e8s radioth\u00e9rapie des cancers du sein, peuvent \u00eatre r\u00e9s\u00e9qu\u00e9es au prix de proc\u00e9d\u00e9s parfois originaux que nous avons d\u00e9velopp\u00e9s ces 15 derni\u00e8res ann\u00e9es. Les grandes ex\u00e9r\u00e8ses de la paroi thoracique ant\u00e9rieure, lorsque la [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":16234,"menu_order":2,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-18501","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/charlotte-gmm\/","display_name":"Charlotte"},"relative_dates":{"created":"Publi\u00e9 6 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 27 janvier 2020","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 27 janvier 2020 10 h 56 min","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022 15 h 52 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":0,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18501\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/16234"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=18501"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=18501"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=18501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}