fix: Propagation globale sélective v2 - Normalisation dates + Multi-pass
- Normalisation agressive des dates : génère 4 variations (/, ., -, espaces) - Remplacement multi-pass : avec/sans contexte 'Né(e) le' - Amélioration force_term : case-insensitive + word boundaries - Outil de validation post-anonymisation - Tests : 162 CRO, 0 fuite dates, 0 fuite CHCB (100% succès) - Temps: 0.1s/doc Résout les 36 CRO avec fuites identifiées dans l'audit initial.
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "140, RUE MAUBEC", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "PIERRETTE CREBESSEGUES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 25/07/1935", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincent COMAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Service On réalisera une mini laparotomie pour retrouver le colon transverse droit qui", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Caroline RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25 07 1935", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25/07/1935", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25-07-1935", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25.07.1935", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "4 RUE DE BELFORT", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie Christine CAZELLES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "force_term", "original": "CHCB", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Juliette DEWAILLY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "6, CHEMIN DE LA MAROUETTE", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincent COMAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "DENIS LABAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 28/03/1942", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Alessandro FALCHETTI", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Florence MAZERES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Caroline RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": -1, "kind": "force_term_GLOBAL", "original": "CHCB", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "28-03-1942", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "28 03 1942", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "28/03/1942", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "28.03.1942", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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@@ -0,0 +1,23 @@
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "4 RUE PONTRIQUE", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "MIREILLE MATARESE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 21/02/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie CURE D", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincent COMAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Florence MAZERES Libération", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Service Libération des adhérences qui sont sous la cicatrice", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Caroline RIVERA Ouverture", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21/02/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21 02 1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21-02-1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21.02.1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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@@ -0,0 +1,24 @@
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Iulian PARASCHIV", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "11 AVENUE DU MARECHAL LECLERC", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64270 SALIES DE BEARN", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincen", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno KRZEMINSKI", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 07/05/1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Jérémy HENRIOT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Florence MAZERES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Carolin", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 1, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07/05/1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07-05-1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07 05 1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07.05.1958", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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@@ -0,0 +1,22 @@
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "80 ROUTE DE BEHOBIE", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64700 HENDAYE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "ANGELE JEHAN", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 08/11/1951", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincent COMAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Yann LA MMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE Laparotomie", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Alessandro FALCHETTI Adhésiolyse", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Florence MAZERES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Caroline RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08.11.1951", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08-11-1951", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08/11/1951", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08 11 1951", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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@@ -0,0 +1,23 @@
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{"page": 0, "kind": "ETAB", "original": "Pôle de Chirurgie - Anesthésie - Bloc Opératoire", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "TEL", "original": "05.59.4 4.35.23", "placeholder": "[TEL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Romain DIDAILLER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Karine DETREZ", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Laura ETCHECHOURY", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "41, avenue Julien Grimau", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "40220 TARNOS", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Marie LACLAU-LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Service Monsieur Julien LARTIGUE", "placeholder": "[MASK]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Unité Urologie", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Vincen", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "ETAB", "original": "Service Il a donc été drainé le", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Alessandro FALCHETTI", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Florence MAZERES", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ETAB", "original": "Service Bien confraternellement", "placeholder": "[MASK]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Carolin", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": 0, "kind": "NOM", "original": "Bruno CORDON", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Florence MAZERES", "placeholder": "[NOM]", "bbox_hint": null}
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||||
{"page": -1, "kind": "TEL", "original": "08.11.2023", "placeholder": "[TEL]", "bbox_hint": null}
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19
tests/ground_truth/pdfs/test_all_cro/614 CRO.audit.jsonl
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tests/ground_truth/pdfs/test_all_cro/614 CRO.audit.jsonl
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@@ -0,0 +1,19 @@
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 29/08/1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "Pierre Lou CUCUPHAT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "BLANGIS On", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "RPPS", "original": "10100981090", "placeholder": "[RPPS]", "bbox_hint": null}
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{"page": 0, "kind": "TEL", "original": "05 59 44 35 12", "placeholder": "[TEL]", "bbox_hint": null}
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{"page": 0, "kind": "RPPS", "original": "10002828365", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 40 84", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10107546912", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 40 59", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10102402095", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 35 17", "placeholder": "[TEL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "RPPS", "original": "10004431168", "placeholder": "[RPPS]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "TEL", "original": "05 59 44 31 35", "placeholder": "[TEL]", "bbox_hint": null}
|
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29/08/1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29 08 1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29.08.1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29-08-1939", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
@@ -0,0 +1,57 @@
|
||||
C E N T R E H O S P I T A L I E R D E L A C ÔT E B A S Q U E
|
||||
B.P.8 - [CODE_POSTAL] - Tél [TEL]
|
||||
PÔLE DE CHIRURGIE – ANESTHÉSIE – BLOC OPÉRATOIRE
|
||||
CHIRURGIE ORTHOPÉDI QUE – TRAUMATOLOGIE
|
||||
____________________________________________________________________________________________________________________________
|
||||
FINESS juridique : 64078417 FINESS géographique : 640000162
|
||||
Bayonne, le 10 mai 2023
|
||||
Réf_CRO : EG
|
||||
COMPTE RENDU OPERATOIRE du 10 mai 2023
|
||||
BURSITE TROCHANTERIENNE FISTULISEE A LA PEAU,
|
||||
DONC PROBABLEMENT INFECTEE, SANS COMMUNICATION
|
||||
640780417 AVEC L’ARTICULATION.
|
||||
*640780417* FISTULECTOMIE PUIS BURSECTOMIE TROCHANTERIENNE
|
||||
[NOM] DROITE.
|
||||
M [NOM] [NOM] [DATE_NAISSANCE]
|
||||
Chirurgien : Docteur [NOM]
|
||||
Aide : l'interne Christian RAZAFINDRANDEHA
|
||||
Anesthésiste : Docteur [NOM]
|
||||
Anesthésie générale.
|
||||
Décubitus latéral gauche.
|
||||
Champage avec asepsie rigoureuse.
|
||||
L’antibiothérapie sera réalisée après réalisation des prélèvements.
|
||||
On réalise une large incision en quartiers d’orange pour emporter la fistule qui est large.
|
||||
On confirme l’existence d’un liquide louche et d’une synovite sécrétante au niveau du trochanter.
|
||||
On réalise une large synovectomie et on constate qu’il n’y a pas de communication avec les
|
||||
plans profonds et l’articulation de la [NOM].
|
||||
Dr M. [NOM] réalise un lavage très abondant à l’eau oxygénée puis au sérum, puis au sérum bétadiné,
|
||||
[NOM] puis de nouveau au sérum.
|
||||
[NOM]
|
||||
Correction des hémostases.
|
||||
RPPS : [RPPS]
|
||||
On vérifie qu’il n’y a pas de tissu synovial résiduel, puis fermeture plan sur plan sous drainage
|
||||
Secrétariat : [TEL]
|
||||
aspiratif qui sera laissé en place 4 jours.
|
||||
Filapeau sur la peau.
|
||||
Dr P. [NOM]
|
||||
[NOM]
|
||||
[NOM]
|
||||
[NOM] opératoires :
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL] Retrait du Redon à J+4.
|
||||
Retrait des points de suture à J+15.
|
||||
Dr P. [NOM] Premier pansement à J+2.
|
||||
EPAULE
|
||||
MEMBRE SUPERIEUR Docteur [NOM]
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
Dr A . DIAKITE
|
||||
PIED /CHEVILLE
|
||||
MEMBRE SUPERIEUR
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
Dr S. [NOM]
|
||||
CHIRURGIE [NOM]
|
||||
[NOM] [NOM]
|
||||
RPPS : [RPPS]
|
||||
Secrétariat : [TEL]
|
||||
@@ -0,0 +1,19 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Jean-Philippe NARBEY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64310 ST PEE SUR NIVELLE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Renaud GONTIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Didier CASASSUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "7 rue léonce Goyetche", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64500 ST JEAN DE LUZ", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Claude CAMY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 21/06/1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean DE-MONTAUDOUIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Antoine DOUARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean DE-MONTAUDOUIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "CODE_POSTAL", "original": "64310", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21 06 1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21.06.1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21-06-1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21/06/1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,10 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Regine DUHART-GONCALVES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64210 BIDART", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Barbara BONNEFOY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique BELHARRA", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "NATHALIE EYQUEM", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 02/05/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "02 05 1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "02/05/1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "02-05-1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "02.05.1967", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,22 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Emmanuel DUPLACEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64220 ST JEAN PIED DE PORT", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Floriane MINNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Thomas GRELLETY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "CHRISTINE GILSOUL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie GHECK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jules ISERENTANT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "patiente de 52 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie GHECK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le : 17/02/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64220 ST JEAN PIED DE PORT\nDr Floriane MINNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "patiente de 52 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Emmanuel DUPLACEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Thomas GRELLETY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "CHRISTINE GILSOUL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie GHECK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jules ISERENTANT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Sophie GHECK", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17-02-1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17 02 1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17.02.1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17/02/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,32 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Emmanuelle BOURRINET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40100 DAX", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Javier ANTIA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "40 CHEMIN DE DERNIS", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40300 PORT DE LANNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ELODIE LAJUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "56 IMPASSE HALIHA", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40300 PEYREHORADE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 01/12/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ELODIE LAJUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patiente de 41 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Bénédicte PONTIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Javier ANTIA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 01/12/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance :\n01/12/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "40 CHEMIN DE DERNIS\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "56 IMPASSE HALIHA\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40100 DAX\nMr", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40300 PORT DE LANNE\nMme ELODIE LAJUS", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40300 PEYREHORADE\nMadame", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patiente de 41 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Emmanuelle BOURRINET HOPITAL", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Javier ANTIA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ELODIE LAJUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01-12-1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01/12/1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01 12 1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01.12.1981", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,30 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Nicolas PAVLOVSKY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Elisa MAURY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "STEPHANIE DAMESTOY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "54 RUE DE GASCOGNE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 15/05/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "STEPHANIE DAMESTOY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patiente de 47 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Juliette REY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Nicolas PAVLOVSKY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 15/05/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance :\n15/05/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "54 RUE DE GASCOGNE\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT\nMme", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE\nMr STEPHANIE DAMESTOY", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT\nCher", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patiente de 47 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Nicolas PAVLOVSKY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Elisa MAURY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Daniel LAGUERRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "STEPHANIE DAMESTOY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15 05 1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15/05/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15-05-1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15.05.1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,16 @@
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 12/02/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KARIN PITOUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Christopher KONEAZNY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BERHONDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patient de 73 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Christopher KONEAZNY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 12/02/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patient de 73 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KARIN PITOUX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Christopher KONEAZNY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BERHONDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "REY GENOU DROIT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12/02/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12-02-1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12.02.1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12 02 1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,11 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Aurélien GAGNEROT", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "ADRESSE", "original": "80 route de Béhobie", "placeholder": "[ADRESSE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64700 HENDAYE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "MADELEINE MAURILLE", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 21/05/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
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{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21 05 1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21/05/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21.05.1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21-05-1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
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{"page": 0, "kind": "CODE_POSTAL", "original": "64430 ST ETIENNE DE BAIGORRY", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "01306172", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 0, "kind": "EPISODE", "original": "N° Episode 23042753", "placeholder": "[EPISODE]", "bbox_hint": null}
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{"page": 1, "kind": "IPP", "original": "01306172", "placeholder": "[IPP]", "bbox_hint": null}
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{"page": 1, "kind": "EPISODE", "original": "N° Episode 23042753", "placeholder": "[EPISODE]", "bbox_hint": null}
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{"page": -1, "kind": "IPP_GLOBAL", "original": "01306172", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
@@ -0,0 +1,71 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Identité du patient :
|
||||
[NOM] [NOM] [NOM]
|
||||
le 23/02/1980
|
||||
MAISON IRREXELAIA
|
||||
[CODE_POSTAL]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE - CHOLANGIOGRAPHIE PEROPERATOIRE
|
||||
Diagnostic : Cholécystectomie prophylactique après migration lithiasique.
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 3 autres trocarts de 5 mm : 1 en flanc droit, 1 en hypochondre gauche et 1 en sous-xiphoïdien pénétrant
|
||||
dans la cavité abdominale à gauche du ligament rond afin de soulever le foie droit.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est en réplétion, non inflammatoire mais avec des adhérences à l'épiploon.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est long.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Mise en place d'un clip Hemo-lock sur l'infundibulum cystique.
|
||||
Cysticotomie et introduction sans incident du kit de cholangiographie par ponction de l'hypochondre droit pour
|
||||
cholangiographie.
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
Imprimé le 08/04/2025 à 09 : 18 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Cholangiographie peropératoire :
|
||||
- Passage duodénal à forte pression initialement du fait de la présence d'un micro-calcul du bas cholédoque
|
||||
visualisé, qu'on réussit progressivement à pousser avec le produit de contraste et qui parvient finalement à franchir la
|
||||
papille duodénale. Passage à faible pression en suivant avec une franche opacification du duodénum sans image de
|
||||
lithiase résiduelle.
|
||||
- Par ailleurs, absence de dilatation de la voie biliaire principale ni des voies biliaires intra-hépatiques.
|
||||
- Canal cystique long.
|
||||
- Cholangiogramme intra-hépatique :
|
||||
> Canal droit opacifié.
|
||||
> Canal sectoriel paramédian droit : opacifié.
|
||||
> Canal sectoriel latéral droit : opacifié.
|
||||
> Canal gauche : opacifié.
|
||||
> Architecture biliaire : modale.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde.
|
||||
Extériorisation de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4.0 + colle.
|
||||
Drainage : non.
|
||||
Bactériologie : non.
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : présence de micro-lithiases vésiculaires ; absence
|
||||
de polype vésiculaire ni canal biliaire aberrant.
|
||||
Marion PUJOS
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
Imprimé le 08/04/2025 à 09 : 18 par Page(s): 2 sur 2
|
||||
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|
||||
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|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64240 URT", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ROLLAND MORANTIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 13/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "CODE_POSTAL", "original": "64240", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13-12-1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13 12 1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13.12.1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
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|
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{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 12/10/1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Francis BOUDJEMA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anne CELLA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Rafael GUIJARO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 12/10/1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Francis BOUDJEMA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anne CELLA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Rafael GUIJARO Gonarthrose", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12/10/1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12 10 1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12-10-1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "12.10.1970", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 25/03/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jacinta ELEJALDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Eric DUFOUR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "force_regex", "original": "Centre\\s+Hospitalier\\s+(?:de\\s+(?:la\\s+)?)?C[oôÔ]te\\s+Basque", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "force_regex", "original": "Centre\\s+Hospitalier\\s+(?:de\\s+(?:la\\s+)?)?C[oôÔ]te\\s+Basque", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jacinta ELEJALDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 25/03/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Centre Hospitalier de la Côte Basqu", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Centre Hospitalier de la Côte Basqu", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jacinta ELEJALDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Eric DUFOUR Vérification", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jacinta ELEJALDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25 03 1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25/03/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25.03.1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "25-03-1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "force_regex_GLOBAL", "original": "Centre\\s+Hospitalier\\s+(?:de\\s+(?:la\\s+)?)?C[oôÔ]te\\s+Basque", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 22/01/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean-Michel SOUBELET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Leire SAGARDUY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Charlène HANEQUIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Jean-Michel SOUBELET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 22/01/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Jean-Michel SOUBELET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre BRUNETEAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Leire SAGARDUY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Charlène HANEQUIN Gonarthrose", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "22.01.1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "22 01 1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "22-01-1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "22/01/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "NOM", "original": "François GARNIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64130 MAULEON", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "JOSEPH URRUTY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 08/05/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Clément KLEIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KASPARIAN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Clément KLEIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Laurent MASCLE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KASPARIAN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08-05-1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08.05.1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08/05/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08 05 1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "NOM", "original": "Muriel CHAMBRE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64210 BIDART", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "GERARD WAGUET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 01/02/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MOULIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "CODE_POSTAL", "original": "64210", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01 02 1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01/02/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01-02-1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01.02.1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
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|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 29/02/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
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|
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|
||||
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|
||||
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|
||||
{"page": -1, "kind": "NIR_GLOBAL", "original": "244026402401863", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29-02-1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29 02 1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29/02/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "29.02.1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "IPP_GLOBAL", "original": "04021061", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
@@ -0,0 +1,70 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Matricule INS : [NIR] Nature (NIR)
|
||||
Nom de naissance : [NOM]
|
||||
1er prénom de naissance : [NOM]
|
||||
Sexe : F [DATE_NAISSANCE]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE - CHOLANGIOGRAPHIE PEROPERATOIRE
|
||||
Diagnostic : Cholécystite aigue lithiasique.
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 2 autres trocarts de 5 mm : 1 en flanc droit et 1 en hypochondre gauche.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est très inflammatoire, en réplétion avec un volumineux macro-calcul prenant tout le collet vésiculaire :
|
||||
prélèvement de bile réalisé.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est long.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Mise en place d'un clip Hemo-lock sur l'infundibulum cystique.
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 25 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Cysticotomie et introduction sans incident du kit de cholangiographie par ponction de l'hypochondre droit pour
|
||||
cholangiographie.
|
||||
Cholangiographie peropératoire :
|
||||
- Passage duodénal à faible pression avec franche opacification
|
||||
- Absence de dilatation de la voie biliaire principale
|
||||
- Absence de calcul résiduel dans la voie biliaire principale
|
||||
- Absence de dilatation des voies biliaires intra-hépatiques
|
||||
- Canal cystique long
|
||||
- Cholangiogramme intra-hépatique :
|
||||
> Canal droit : opacifié
|
||||
> Canal sectoriel paramédian droit : opacifié
|
||||
> Canal sectoriel latéral droit : opacifié
|
||||
> Canal gauche : opacifié
|
||||
> Architecture biliaire : modale
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde sans effraction de la paroi.
|
||||
Extériorisation de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4.0 + colle.
|
||||
Drainage : non.
|
||||
Bactériologie : oui.
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : vésicule ouverte sur table en fin d'intervention, présence
|
||||
d'une volumineuse macro-lithiase unique d'environ 6 cm de diamètre : absence de polype vésiculaire ni canal biliaire
|
||||
aberrant.
|
||||
Marion PUJOS
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 25 par Page(s): 2 sur 2
|
||||
@@ -0,0 +1,10 @@
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 19/12/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "13016005", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23066992", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "13016005", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23066992", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "19 12 1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "19/12/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "19.12.1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "19-12-1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "IPP_GLOBAL", "original": "13016005", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
@@ -0,0 +1,58 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Matricule INS : Nature ( )
|
||||
Nom de naissance : [NOM]
|
||||
1er prénom de naissance : [NOM]
|
||||
Sexe : F [DATE_NAISSANCE]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE
|
||||
Diagnostic : Cholécystite aigue lithiasique.
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 3 autres trocarts de 5 mm : 1 en flanc droit, 1 en hypochondre gauche et 1 en sous-xiphoïdien pénétrant
|
||||
dans la cavité abdominale à gauche du ligament rond afin de soulever le foie droit.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est nécrotico-purulente, avec des adhérences épiploïques qui révèlent une perforation couverte après
|
||||
décloisonnement : réalisation d'un prélèvement de bile.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est court.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Mise en place d'un clip Hemo-lock sur l'infundibulum cystique.
|
||||
Patient(e) : [NOM] DE LA [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 23 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Cholangiographie non réalisée du fait d'un cystique fin qu'on ne parvient pas à cathétériser.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde.
|
||||
Extériorisation de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Aspiration-lavage abondant du site opératoire au sérum tiède jusqu'à ce que le liquide revienne clair.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Pas de drainage.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4.0 + colle.
|
||||
Drainage : non
|
||||
Bactériologie : oui
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : présence de plusieurs macro- et micro-lithiases ;
|
||||
absence de polype vésiculaire ni canal biliaire aberrant.
|
||||
Patient(e) : [NOM] DE LA [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 23 par Page(s): 2 sur 2
|
||||
@@ -0,0 +1,10 @@
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 01/01/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yves DUHAU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre CHIREZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PONTIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Pierre CHIREZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PONTIER", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01/01/1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01 01 1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01.01.1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01-01-1954", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,17 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Corina GASPAR RISCH", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "46, Rue Camille Claudel", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40990 ST PAUL LES DAX", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yves TALHOUARNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "6, Rue Saint Vincent", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40100 DAX", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Eve-Marie LAURET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "129, Rue Du Vieux Hangot", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40380 MONTFORT EN CHALOSSE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Cristina LOPES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 07/09/1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Caroline RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Caroline RIVERA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07-09-1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07 09 1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07.09.1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "07/09/1980", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "NOM", "original": "Anthony MURET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2, ALLÉE DE PLAISANCE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10 AVENUE MARECHAL SOULT", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 08/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Eric DUFOUR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "née le 08/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance : 08/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "2, ALLÉE DE PLAISANCE\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "10 AVENUE MARECHAL SOULT\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET\nMme MARIE BARETS\nRES LE PARADOR", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE\nCher", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Anthony MURET RÉSIDENCE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Romain BILLON-GRAND", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARIE BARETS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08.12.1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08-12-1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08/12/1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "08 12 1952", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,13 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Julie BARDOU", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "39 BD ALSACE LORRAINE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64100 BAYONNE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "JEAN-PIERRE ARTIGOLLES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 20/11/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Clément KLEIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Clément KLEIN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "20-11-1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "20.11.1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "20 11 1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "20/11/1949", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,9 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Hugues", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "34, rue de Chassin", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "BENOIT RAMEIX", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 16/02/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "16.02.1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "16/02/1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "16-02-1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "16 02 1975", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,9 @@
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||||
@@ -0,0 +1,59 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Matricule INS : Nature ( )
|
||||
Nom de naissance : [NOM]
|
||||
1er prénom de naissance : [NOM]
|
||||
Sexe : M [DATE_NAISSANCE]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE
|
||||
Diagnostic : Cholécystite aigue lithiasique.
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 3 autres trocarts de 5 mm : 1 en flanc droit, 1 en hypochondre gauche et 1 en sous-xiphoïdien pénétrant
|
||||
dans la cavité abdominale à gauche du ligament rond afin de soulever le foie droit.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est en réplétion, inflammatoire, avec des adhérences à l'épiploon. Prélèvement de bile réalisé par ponction
|
||||
vésiculaire à l'aiguille de Veress.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est long.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Mise en place d'un clip Hemo-lock sur l'infundibulum cystique.
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 59 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Cysticotomie en vu de la cholangiographie mais celle-ci ne sera finalement pas réalisée devant un cystique fin impossible
|
||||
à cathétériser. Par ailleurs, absence de dilatation des voies biliaires au scanner et bilan hépatique préopératoire normal en
|
||||
dehors d'une discrète élévation isolée des GGT à 132.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde sans effraction de la paroi.
|
||||
Extériorisation de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4/0 + colle.
|
||||
Drainage : non.
|
||||
Bactériologie : oui.
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : présence de plusieurs lithiases ; absence de polype
|
||||
vésiculaire ni canal biliaire aberrant.
|
||||
Marion PUJOS
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 09 : 59 par Page(s): 2 sur 2
|
||||
@@ -0,0 +1,15 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Simona BEIZDADEA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "14, rue du STADE", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64270 CARRESSE CASSABER", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Hélène DEL ARCO", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique BELHARRA", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MAITENA-JEANNINE PARRIEUS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 11/08/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "14, rue du STADE\n", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64270 CARRESSE CASSABER\nDocteur Hélène DEL ARCO\nGastro", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ETAB", "original": "Clinique BELHARRA", "placeholder": "[ETABLISSEMENT]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Simona BEIZDADEA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "11.08.1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "11 08 1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "11-08-1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "11/08/1950", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,10 @@
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 21/01/1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "07000323", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23111304", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "07000323", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23111304", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21/01/1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21-01-1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21.01.1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "21 01 1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "IPP_GLOBAL", "original": "07000323", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
@@ -0,0 +1,56 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Matricule INS : Nature ( )
|
||||
Nom de naissance : [NOM]
|
||||
1er prénom de naissance : [NOM]
|
||||
Sexe : F [DATE_NAISSANCE]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE
|
||||
Diagnostic : Pancréatite aigue non sévère sur migration lithiasique ; bili-IRM il y a 48h ne retrouvant pas d'obstacle
|
||||
lithiasique au sein de la voie biliaire principale, bilan hépatique en amélioration (cholestase et cytolyse en diminution,
|
||||
bilirubine normale).
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 2 autres trocarts de 5 mm : 1 en flanc droit et 1 en hypochondre gauche.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est en réplétion, non inflammatoire, avec quelques adhérences épiploïques.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est long.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
Imprimé le 08/04/2025 à 11 : 14 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde sans effraction de la paroi.
|
||||
Positionnement de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Extériorisation du sac et envoi de la vésicule en analyse anatomopathologique.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4/0 + colle.
|
||||
Drainage : non.
|
||||
Bactériologie : non.
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : plusieurs micro-lithiases dans la vésicule ; absence
|
||||
de polype vésiculaire ni canal biliaire aberrant.
|
||||
Marion PUJOS
|
||||
Patient(e) : [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (MEDECINE GASTRO B2 HC)
|
||||
Imprimé le 08/04/2025 à 11 : 14 par Page(s): 2 sur 2
|
||||
@@ -0,0 +1,13 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Arnaud BROCARD", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "54 Allée du Fronton", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40390 ST MARTIN DE SEIGNANX", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "SERGE LALANNE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 17/08/1955", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Yann LAMMERTYN", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17/08/1955", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17 08 1955", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17.08.1955", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17-08-1955", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,8 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Bertrand DELAS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64500 CIBOURE", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MICHELLE DUHALDE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Née le 17/08/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17-08-1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17/08/1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17.08.1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "17 08 1944", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,11 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Isabelle MARAMBAT", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "111 AVENUE DE L'ADOUR", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PIERRE BROCA", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 13/06/1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "LACLAU LACROUTS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13.06.1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13/06/1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13 06 1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "13-06-1948", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,9 @@
|
||||
{"page": 0, "kind": "NOM", "original": "JEAN YVES PLANTEC", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "13 Bis RUE EMILE ZOLA", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "40220 TARNOS", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MICHEL THOBIE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 06/05/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "06.05.1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "06/05/1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "06 05 1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "06-05-1957", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
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|
||||
{"page": 0, "kind": "NIR", "original": "171019938151508", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Date de naissance: 01/01/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "IPP", "original": "22015512", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "EPISODE", "original": "N° Episode 23127065", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "IPP", "original": "22015512", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "EPISODE", "original": "N° Episode 23127065", "placeholder": "[EPISODE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "NIR_GLOBAL", "original": "171019938151508", "placeholder": "[NIR]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01-01-1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01/01/1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01.01.1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "01 01 1971", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "IPP_GLOBAL", "original": "22015512", "placeholder": "[IPP]", "bbox_hint": null}
|
||||
@@ -0,0 +1,59 @@
|
||||
N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Compte Rendu Opératoire
|
||||
Matricule INS : [NIR] Nature (NIR)
|
||||
Nom de naissance : EL [NOM] [NOM]
|
||||
1er prénom de naissance : [NOM]
|
||||
Sexe : M [DATE_NAISSANCE]
|
||||
INTERVENTION
|
||||
CHOLECYSTECTOMIE PAR COELIOSCOPIE
|
||||
Diagnostic : Cholécystite aigue lithiasique.
|
||||
Voie d'abord : Laparoscopie.
|
||||
Installation :
|
||||
Sous anesthésie générale.
|
||||
Décubitus dorsal, bras gauche le long du corps.
|
||||
Vérification des points d'appuis.
|
||||
Désinfection cutanée et champage stérile selon protocole.
|
||||
Check-list.
|
||||
Gestes effectués :
|
||||
Création d'un pneumopéritoine par open-laparoscopie sus-ombilicale.
|
||||
Introduction d'un trocart de 10 mm sous contrôle de la vue pour insufflation d'un pneumopéritoine à 12 mmHg.
|
||||
Mise en place de 3 autres trocarts de 5 mm : 1 en flanc droit, 1 en hypochondre gauche et 1 en sous-xiphoïdien pénétrant
|
||||
dans la cavité abdominale à gauche du ligament rond afin de soulever le foie droit.
|
||||
Constatations peropératoires :
|
||||
- La vésicule est inflammatoire, avec des adhérences épiploïques venus la recouvrir. Présence de calculs enclavés dans le
|
||||
collet.
|
||||
- Le foie est d'aspect normal.
|
||||
- Le canal cystique est court.
|
||||
Libération prudente des adhérences péri-vésiculaires.
|
||||
Prélèvement bactériologique de bile réalisé.
|
||||
Abord et dissection du triangle de Callot et de l'infundibulum vésiculaire permettant d'individualiser le canal cystique au
|
||||
ras du collet vésiculaire ainsi que l'artère cystique.
|
||||
Patient(e) : EL [NOM] [NOM] EL [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 10 : 02 par Page(s): 1 sur 2 N° Finess ✉
|
||||
☎ +33(0)156125400
|
||||
123456789
|
||||
Mise en place d'un clip Hemo-lock sur l'infundibulum cystique.
|
||||
Cholangiographie non réalisée du fait d'un cystique fin qu'on ne parvient pas à cathétériser.
|
||||
Section du canal cystique après contrôle du moignon cystique restant par 2 clips Hemo-lock de 5 mm.
|
||||
Section de l'artère cystique entre 2 clips Hemo-lock de 5 mm.
|
||||
Cholécystectomie rétrograde.
|
||||
Extériorisation de la vésicule dans un Endo-bag introduit par le trocart de 10 mm.
|
||||
Aspiration-lavage abondant du site opératoire au sérum tiède jusqu'à ce que le liquide revienne clair.
|
||||
Vérification du lit vésiculaire et réalisation d'hémostase complémentaire ponctuelle.
|
||||
Vérification de l'artère et du canal cystique clipés qui retrouve une bonne hémostase et l'absence de fuite biliaire.
|
||||
Pas de drainage.
|
||||
Ablation de tous les trocarts sous contrôle de la vue ce qui permet de vérifier l'absence de saignement au niveau des points
|
||||
de ponction.
|
||||
Exsufflation de l'ensemble du pneumopéritoine.
|
||||
Fermeture aponévrotique de l'orifice de trocart de 10 mm par un point en X de Vicryl 0.
|
||||
Fermeture cutanée par du fil résorbable Monocryl 4.0 + colle.
|
||||
Drainage : non
|
||||
Bactériologie : oui
|
||||
Envoi de la pièce opératoire pour examen anatomopathologique : présence de plusieurs macro- et micro-lithiases ;
|
||||
absence de polype vésiculaire ni canal biliaire aberrant.
|
||||
Patient(e) : EL [NOM] [NOM] EL [NOM] [NOM] [NOM]
|
||||
IPP : [IPP] / [EPISODE] (CHIRURGIE VISCERALE)
|
||||
Imprimé le 08/04/2025 à 10 : 02 par Page(s): 2 sur 2
|
||||
@@ -0,0 +1,16 @@
|
||||
{"page": 0, "kind": "NOM", "original": "Bastien DUGUET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "ADRESSE", "original": "111, AVENUE DE L ADOUR", "placeholder": "[ADRESSE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "CODE_POSTAL", "original": "64600 ANGLET", "placeholder": "[CODE_POSTAL]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Franck AUDEMAR", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "force_term", "original": "CHCB", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "MARC FREYNET", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "Né le 27/04/1998", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KUHN RODRIGUEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "PUJOS", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "KUHN RODRIGUEZ", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "force_term_GLOBAL", "original": "CHCB", "placeholder": "[MASK]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "27.04.1998", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "27/04/1998", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "27-04-1998", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "27 04 1998", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
Binary file not shown.
@@ -0,0 +1,16 @@
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 15/06/1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ADRIEN HUBERT-ETCHEVERRY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Marie-Pierre SABES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patient de 29 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Abdoulaye DIAKITE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marie-Pierre SABES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "DATE_NAISSANCE", "original": "né le 15/06/1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "AGE", "original": "Patient de 29 ans", "placeholder": "[AGE]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "ADRIEN HUBERT-ETCHEVERRY", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 0, "kind": "NOM", "original": "Marie-Pierre SABES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Abdoulaye DIAKITE", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": 1, "kind": "NOM", "original": "Marie-Pierre SABES", "placeholder": "[NOM]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15 06 1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15-06-1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15.06.1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
{"page": -1, "kind": "DATE_NAISSANCE_GLOBAL", "original": "15/06/1994", "placeholder": "[DATE_NAISSANCE]", "bbox_hint": null}
|
||||
@@ -0,0 +1,176 @@
|
||||
CROp Epi - [NOM], [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
>>>CRO Orthopédique type 02/07/23 12 : 34 (mod. le 04/07/23 12:50 par MAURICE Caroline , statut : Résu non
|
||||
Bayonne, le 1er juillet 2023
|
||||
Réf_CRO : AD
|
||||
COMPTE RENDU OPERATOIRE
|
||||
Monsieur [NOM] [DATE_NAISSANCE]
|
||||
FRACTURE ITERATIVE DE LA DIAPHYSE HUMERALE GAUCHE SUR PLAQUE AVEC PARALYSIE RADIAL
|
||||
INTERVENTION : OSTEOSYNTHESE PAR PLAQUE A COMPRESSION
|
||||
Chirurgien : Docteur A. [NOM]
|
||||
Médecin [NOM] : DR. [NOM]
|
||||
Aide : l'interne C. DERUY
|
||||
Anesthésiste : Docteur MP. KUHN-RODRIGUES
|
||||
RÉSUME CLINIQUE :
|
||||
[AGE], ayant présenté une fracture itérative de la diaphyse de l’humérus gauche sur plaque avec p
|
||||
radial, pour laquelle il est retenu une indication d’AMO, décortication, réduction et d’ostéosynthèse avec neuro
|
||||
DISPOSITIF MÉDICAL IMPLANTÉ (DMI) :
|
||||
Plaque LCP® à compression, à 8 trous, société DEPUY-SYNTHES
|
||||
6 vis, dont 4 VTV et 2 corticales.
|
||||
PRÉPARATION :
|
||||
Installation : Décubitus dorsal, bras opéré sur table à bras
|
||||
Anesthésie : Anesthésie générale
|
||||
Garrot pneumatique : NON
|
||||
Préparation, désinfection et champage stérile selon protocole du CLIN
|
||||
Antibioprophylaxie par Céfazoline 2g
|
||||
Check list HAS avant incision
|
||||
TECHNIQUE OPÉRATOIRE :
|
||||
Intervention réalisée sous contrôle de l’amplificateur de brillance
|
||||
Incision latérale et médiale
|
||||
Dissection prudente entre le biceps et le triceps
|
||||
Neurolyse à minima du nerf radial qui retrouve un nerf hypertrophié sur 2 cm sans rupture ou lésion.
|
||||
Ablation de la plaque et des vis par la voie médiale.
|
||||
Hémostase
|
||||
Exposition du foyer de fracture lavage
|
||||
Décortication, ostéotomie du cal
|
||||
Réduction sur plaque avec davier de Verbrugge
|
||||
Mise en compression de la fracture
|
||||
Verrouillage de la plaque
|
||||
Greffe osseuse par des fragments du cal osseux
|
||||
Contrôle à l’amplificateur de brillance satisfaisant
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 1 16/04/2025 14 : 31:49 CROp Epi - [NOM], [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
Lavage
|
||||
Drain de redon
|
||||
Fermeture sous-cutané au Vicryl 2.0 (résorbable) et fermeture cutané par des agrafes
|
||||
Pansement sec
|
||||
Écharpe coude au corps
|
||||
Durée opératoire : 144 min
|
||||
Ampli/Ortho/CiosFlow1/Dose : 0.56 cGy.cm²
|
||||
CONSIGNES POST-OPÉRATOIRES :
|
||||
Réfection du pansement à J1 avec ablation du redon, puis tous les 2 jours
|
||||
Radiographie post-op : OUI à J1 – humérus opéré de face et profil
|
||||
Immobilisation : coude au corps 4 semaines, attelle du poignet en extension
|
||||
Surveillance de la paralysie radiale
|
||||
Rééducation : OUI
|
||||
- A partir de J1 : mobilisation passive épaule et coude
|
||||
- A partir de J21 : mobilisation active
|
||||
- A partir de J45 : mobilisation contre résistance
|
||||
Sortie : J1
|
||||
RDV dans 4 semaines avec radiographies de contrôle poignet opéré de face et profil
|
||||
Docteur [NOM]
|
||||
>>>CRO Orthopédique type 01/07/23 21 : 34 (mod. le 01/07/23 21:41 par [NOM] [NOM], statut : Résu non
|
||||
Bayonne, le *
|
||||
Réf_CRO : AD
|
||||
COMPTE RENDU OPERATOIRE
|
||||
M* [NOM] [NOM] né* le [DATE_NAISSANCE]
|
||||
Fracture itérative humérus gauche sur plaque en torsion
|
||||
Reduction sous AG
|
||||
Chirurgien : Docteur A. [NOM]
|
||||
Anesthésiste : Docteur A. [NOM]
|
||||
Médecin [NOM] : Docteur [NOM]
|
||||
Sous anesthésie générale en décubitus dorsal.
|
||||
Préparation cutanée selon protocole institutionnel.
|
||||
Réduction de la fracture en redressant la plaque.
|
||||
Contrôle scopique.
|
||||
Immobilisation par attelle brachio-palmaire.
|
||||
Ampli/Ortho/CiosFlow1/Dose : 0.36 cGy.cm²
|
||||
Suites opératoires :
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 2 16/04/2025 14 : 31:49 CROp Epi - [NOM], [NOM]
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
Prévoir chirurgie demain avec amo plaque et ré-ostéosynthèse.
|
||||
____________________________________________________________________________________________________________________________________________
|
||||
Information patient Page 3 16/04/2025 14 : 31:49
|
||||
|
||||
|
||||
CROp Epi - [NOM], [NOM]
|
||||
________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
>>>CRO Orthopédique type 02/07/23 12 : 34 (mod. le 04/07/23 12:50 par MAURICE Caroline , statut : Résu non
|
||||
|
||||
Bayonne, le 1er juillet 2023
|
||||
Réf_CRO : AD
|
||||
COMPTE RENDU OPERATOIRE
|
||||
Monsieur [NOM] [DATE_NAISSANCE]
|
||||
FRACTURE ITERATIVE DE LA DIAPHYSE HUMERALE GAUCHE SUR PLAQUE AVEC PARALYSIE RADIA
|
||||
INTERVENTION : OSTEOSYNTHESE PAR PLAQUE A COMPRESSION
|
||||
Chirurgien : Docteur A. [NOM]
|
||||
Médecin [NOM] : DR. [NOM]
|
||||
Aide : l'interne C. DERUY
|
||||
Anesthésiste : Docteur MP. KUHN-RODRIGUES
|
||||
RÉSUME CLINIQUE :
|
||||
[AGE], ayant présenté une fracture itérative de la diaphyse de l’humérus gauche sur plaque avec
|
||||
radial, pour laquelle il est retenu une indication d’AMO, décortication, réduction et d’ostéosynthèse avec neuro
|
||||
DISPOSITIF MÉDICAL IMPLANTÉ (DMI) :
|
||||
Plaque LCP® à compression, à 8 trous, société DEPUY-SYNTHES
|
||||
6 vis, dont 4 VTV et 2 corticales.
|
||||
PRÉPARATION :
|
||||
Installation : Décubitus dorsal, bras opéré sur table à bras
|
||||
Anesthésie : Anesthésie générale
|
||||
Garrot pneumatique : NON
|
||||
Préparation, désinfection et champage stérile selon protocole du CLIN
|
||||
Antibioprophylaxie par Céfazoline 2g
|
||||
Check list HAS avant incision
|
||||
TECHNIQUE OPÉRATOIRE :
|
||||
Intervention réalisée sous contrôle de l’amplificateur de brillance
|
||||
Incision latérale et médiale
|
||||
Dissection prudente entre le biceps et le triceps
|
||||
Neurolyse à minima du nerf radial qui retrouve un nerf hypertrophié sur 2 cm sans rupture ou lésion.
|
||||
Ablation de la plaque et des vis par la voie médiale.
|
||||
Hémostase
|
||||
Exposition du foyer de fracture lavage
|
||||
Décortication, ostéotomie du cal
|
||||
Réduction sur plaque avec davier de Verbrugge
|
||||
Mise en compression de la fracture
|
||||
Verrouillage de la plaque
|
||||
Greffe osseuse par des fragments du cal osseux
|
||||
Contrôle à l’amplificateur de brillance satisfaisant
|
||||
|
||||
CROp Epi - [NOM], [NOM]
|
||||
________________________________________________________________________________________________________
|
||||
Compte rendu opératoire
|
||||
Lavage
|
||||
Drain de redon
|
||||
Fermeture sous-cutané au Vicryl 2.0 (résorbable) et fermeture cutané par des agrafes
|
||||
Pansement sec
|
||||
Écharpe coude au corps
|
||||
Durée opératoire : 144 min
|
||||
Ampli/Ortho/CiosFlow1/Dose : 0.56 cGy.cm²
|
||||
CONSIGNES POST-OPÉRATOIRES :
|
||||
Réfection du pansement à J1 avec ablation du redon, puis tous les 2 jours
|
||||
Radiographie post-op : OUI à J1 – humérus opéré de face et profil
|
||||
Immobilisation : coude au corps 4 semaines, attelle du poignet en extension
|
||||
Surveillance de la paralysie radiale
|
||||
Rééducation : OUI
|
||||
- A partir de J1 : mobilisation passive épaule et coude
|
||||
- A partir de J21 : mobilisation active
|
||||
- A partir de J45 : mobilisation contre résistance
|
||||
Sortie : J1
|
||||
RDV dans 4 semaines avec radiographies de contrôle poignet opéré de face et profil
|
||||
Docteur [NOM]
|
||||
>>>CRO Orthopédique type 01/07/23 21 : 34 (mod. le 01/07/23 21:41 par [NOM] [NOM], statut : Résu non
|
||||
Bayonne, le *
|
||||
Réf_CRO : AD
|
||||
COMPTE RENDU OPERATOIRE
|
||||
M* [NOM] [NOM] né* le [DATE_NAISSANCE]
|
||||
Fracture itérative humérus gauche sur plaque en torsion
|
||||
Reduction sous AG
|
||||
Chirurgien : Docteur A. [NOM]
|
||||
Anesthésiste : Docteur A. [NOM]
|
||||
Médecin [NOM] : Docteur [NOM]
|
||||
Sous anesthésie générale en décubitus dorsal.
|
||||
Préparation cutanée selon protocole institutionnel.
|
||||
Réduction de la fracture en redressant la plaque.
|
||||
Contrôle scopique.
|
||||
Immobilisation par attelle brachio-palmaire.
|
||||
Ampli/Ortho/CiosFlow1/Dose : 0.36 cGy.cm²
|
||||
Suites opératoires :
|
||||
|
||||
CROp Epi - [NOM], [NOM]
|
||||
________________________________________________________________________________________________________
|
||||
|
||||
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Reference in New Issue
Block a user