{"id":209624,"date":"2021-05-14T11:25:47","date_gmt":"2021-05-14T15:25:47","guid":{"rendered":"https:\/\/drbrutus.com\/?p=209624"},"modified":"2023-07-18T14:03:39","modified_gmt":"2023-07-18T14:03:39","slug":"why-walant-is-revolutionizing-hand-surgery","status":"publish","type":"post","link":"https:\/\/www.drbrutus.com\/fr\/pourquoi-walant-revolutionne-la-chirurgie-de-la-main\/","title":{"rendered":"Pourquoi WALANT r\u00e9volutionne la chirurgie de la main"},"content":{"rendered":"<p>Les patients redoutent souvent l'id\u00e9e de subir une op\u00e9ration de la main en raison de craintes ou d'inqui\u00e9tudes li\u00e9es \u00e0 l'anesth\u00e9sie. Heureusement, de nouvelles avanc\u00e9es dans les techniques de chirurgie de la main permettent aux chirurgiens d'\u00e9viter le recours \u00e0 la s\u00e9dation ou \u00e0 l'anesth\u00e9sie g\u00e9n\u00e9rale pour une vari\u00e9t\u00e9 de proc\u00e9dures courantes.<\/p>\n<p>Wide Awake Local Anesthesia No Tourniquet (W.A.L.A.N.T) est une m\u00e9thode \u00e9mergente et r\u00e9volutionnaire qui permet d'op\u00e9rer les patients sous anesth\u00e9sie locale sans utiliser de garrot, tout en restant totalement conscient.\u00a0<\/p>\n<h2>Qu\u2019est-ce que la chirurgie WALANT?<\/h2>\n<p>WALANT utilise une combinaison d'un m\u00e9dicament anesth\u00e9sique local (lidoca\u00efne) et d'un m\u00e9dicament vasoconstricteur (\u00e9pin\u00e9phrine) pour contr\u00f4ler les saignements. La m\u00e9thode \u00e9limine le besoin de tests pr\u00e9op\u00e9ratoires, am\u00e9liore le confort du patient et les r\u00e9sultats de la chirurgie, et permet un temps de r\u00e9cup\u00e9ration plus rapide.\u00a0<\/p>\n<h2>Les indications pour la chirurgie du WALANT<\/h2>\n<p>La chirurgie de WALANT peut \u00eatre indiqu\u00e9e pour les blessures et les maladies suivantes de la main :<\/p>\n<ul>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/tunnel-carpien\/\" target=\"_blank\" rel=\"noopener\">-Syndrome du canal carpien<\/a><\/li>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/lesions-des-tendons-extenseurs\/\" target=\"_blank\" rel=\"noopener\">-Blessures du tendon extenseur<\/a><\/li>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/lesion-des-tendons-flechisseurs\/\" target=\"_blank\" rel=\"noopener\">-L\u00e9sion des tendons fl\u00e9chisseurs<\/a><\/li>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/tenosynovite-de-de-quervain\/\" target=\"_blank\" rel=\"noopener\">-La maladie de De Quervain<\/a><\/li>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/doigt-a-gachette\/\" target=\"_blank\" rel=\"noopener\">-Doigt \u00e0 g\u00e2chette<\/a><\/li>\n<li><a href=\"https:\/\/www.drbrutus.com\/fr\/diagnoses\/maladie-de-dupuytren\/\" target=\"_blank\" rel=\"noopener\">-Contracture de Dupuytren<\/a><\/li>\n<\/ul>\n<h2>Avantages de la chirurgie WALANT<\/h2>\n<p>La chirurgie WALANT est b\u00e9n\u00e9fique \u00e0 la fois pour le patient et pour le chirurgien de la main:<\/p>\n<h3><strong>Facilite l'\u00e9valuation pr\u00e9op\u00e9ratoire:<\/strong><\/h3>\n<p>Comme il n'est pas n\u00e9cessaire de passer des tests tels qu'un \u00e9lectrocardiogramme, il est beaucoup plus rapide et facile de pr\u00e9qualifier un patient pour une op\u00e9ration.\u00a0\u00a0<\/p>\n<h3><strong>Gain de temps: <\/strong><\/h3>\n<p>Elle n'est pas associ\u00e9e \u00e0 un s\u00e9jour prolong\u00e9 \u00e0 l'h\u00f4pital et les patients peuvent reprendre le travail peu apr\u00e8s l'intervention.<\/p>\n<h3><strong>Am\u00e9liore le confort: <\/strong><\/h3>\n<p>Il n'est pas n\u00e9cessaire d'effectuer des pr\u00e9parations pr\u00e9op\u00e9ratoires comme le je\u00fbne, ni de faire des insertions intraveineuses, ni de ressentir un inconfort d\u00fb au garrot.<\/p>\n<h3><strong>Favorise la communication perop\u00e9ratoire: <\/strong><\/h3>\n<p>Il existe une communication \u00e0 double sens entre le chirurgien et le patient pendant l'op\u00e9ration WALANT. Cela permet au chirurgien de conseiller et d'\u00e9duquer le patient pendant l'op\u00e9ration.<\/p>\n<h3><strong>Assurer la surveillance et l'\u00e9valuation pr\u00e9op\u00e9ratoires<\/strong>:<\/h3>\n<p>Le chirurgien de la main peut tester les structures r\u00e9par\u00e9es et faire des ajustements si n\u00e9cessaire car les patients sont r\u00e9actifs et coop\u00e9ratifs pendant la proc\u00e9dure.\u00a0<\/p>\n<h2>Comparaison entre la chirurgie du WALANT et l\u2019anesth\u00e9sie g\u00e9n\u00e9rale<\/h2>\n<p>Un groupe de chercheurs a men\u00e9 une<a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1558944716669693\"> \u00e9tude<\/a> pour comparer les r\u00e9sultats de l'utilisation de WALANT et de l'anesth\u00e9sie g\u00e9n\u00e9rale sur des patients diagnostiqu\u00e9s avec un doigt \u00e0 g\u00e2chette. Les chercheurs ont divis\u00e9 les patients en 2 groupes: un groupe pour WALANT et l'autre pour l'anesth\u00e9sie contr\u00f4l\u00e9e.<\/p>\n<p>Il a \u00e9t\u00e9 d\u00e9couvert que la dur\u00e9e de l'op\u00e9ration et le temps de r\u00e9cup\u00e9ration du groupe WALANT \u00e9taient plus courts et que le co\u00fbt de l'op\u00e9ration \u00e9tait moins \u00e9lev\u00e9 que dans le groupe ayant subi une anesth\u00e9sie g\u00e9n\u00e9rale.<\/p>\n<h2>Conclusion<\/h2>\n<p>Wide Awake Local Anesthetic No Tourniquet (WALANT) est une technique d\u2019anesth\u00e9sie en plein essor parmi les chirurgiens de la main. WALANT permet au patient de rester conscient et confortable pendant une op\u00e9ration de la main.<\/p>","protected":false},"excerpt":{"rendered":"<p>Patients often dread the thought of going for a hand surgery because of fears or concerns related to anesthesia. Fortunately, new advances in hand surgery&#8230;<\/p>","protected":false},"author":1,"featured_media":210073,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[68,69,63],"tags":[],"class_list":["post-209624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs","category-pathologies","category-walant"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why WALANT Is Revolutionizing Hand Surgery | Dr Brutus<\/title>\n<meta name=\"description\" content=\"Patients often dread the thought of going for a hand surgery because of fears or concerns related to anesthesia. 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