Nous utilisons des cookies afin de vous garantir une navigation optimale sur notre site. En poursuivant votre navigation sur ce site, vous acceptez de fait l'utilisation de cookies.

L'université en ligne de l'IRCAD

Nous remercions nos partenaires. medtronic storz

Découvez WebSurg

La référence mondiale en ligne pour les techniques de chirurgie mini-invasive

Inscrivez-vous aujourd'hui, c'est gratuit et l'accès est illimité dans le temps !
Visitez le premier site d'e-learning au monde. Nous proposons du contenu pédagogique d'excellence dans toutes les spécialités de chirurgie mini-invasive, contenu fourni directement par des chirurgiens de renommée mondiale.

Notre contenu répond aux normes de la Fondation Health On the Net (HONCode), garantissant ainsi qualité et fiabilité.
Rejoignez nos 370 028 membres inscrits, pour faire partie de la communauté WebSurg dès aujourd'hui !

Rejoignez-nous !
Technique opératoires mini-invasives
Experts de renommée mondiale
Certifications pour chirurgiens
La plus grande communauté en ligne au monde

Vidéos mises en ligne récemment

Vidéo chirurgicale
08:14
Inanimate model to train for the thoracoscopic repair of all varieties of left congenital diaphragmatic hernia (CDH)
We present a new low-cost model designed for training skills and strategies for the thoracoscopic repair of left congenital diaphragmatic defects. We will present guidelines to make this type of models, the educational strategy that we use in our advanced training models, the defects that can be trained, and the scope of this model. Advanced training, learning tips and tricks from experts, and the use of innovative ideas from other authors used in our model are outlined. This educational tool was developed for pediatric surgeons requiring advanced training. It reinforces the concept of advanced and continuous training, in a safe environment, and it is assisted by experienced surgeons. This model shows a scenario where dimensions and anatomical repairs are carefully preserved.
We share our vision of continuous endosurgical education to encourage all enthusiastic surgeons to train in safe and controlled environments.
Materials and methods: The model consists in a plastic 3D printed left rib cage, extracted from a 6-month-old baby CT-scan combined with simulated mediastinal structures, diaphragm, bowel, lung, and spleen made of latex, silicone, and polyester sponge respectively. A self-adhesive film is used as parietal pleura. A removable part (spare part) represents the last three ribs where the diaphragm is partially inserted, and a base as the upper abdomen is assembled to the left rib cage (ribs 1 to 9). Abdominal viscera (plastic or animal) are placed in this base. The cost of materials is 150 US$.
The model is meant to simulate the most frequent diaphragmatic defects such as type A, B, and C, with or without sac. However, other rare defects can also be simulated. Live animal tissues such as diaphragm or intestine also can be used, as it was already published by other authors. However, the main characteristic of this model is to be inanimate, portable, and easily reloadable to be reused.
The video shows a junior surgeon in his advanced training process. In the model, we perform the reduction of the viscera slid to the thorax. In this case, it is the rabbit intestine, but we usually use latex simulated intestine. The spleen is completely synthetic and bleeds if the instruments damage it during the reduction.
We use 3mm regular instruments. The repair of the defect is made with separate stitches of 2/0 or 3/0 braided polyester as usual, and we encourage trainees to practice the intracorporeal sliding knot and running suture. We collect the performance data in a specially prepared form and carry out the debriefing.
Conclusions: With this model, we can reinforce the concept of low cost, but with a high precision environment simulation, included within a standardized training program in minimally invasive neonatal surgery. We believe that it is a very useful tool. In addition, this type of models allows the use of new surgical techniques, tips and tricks given by experienced surgeons who assist in the training process.
Inanimate model to train for the thoracoscopic repair of all varieties of left congenital diaphragmatic hernia (CDH)
M Maricic, M Bailez
232 vues
Il y a 1 mois
Vidéo chirurgicale
07:24
Laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney
In this video, we present the case of a 13-year-old girl presenting with a complicated urological anomaly discovered very late. The lower part of her right kidney is dysplastic (or destroyed) with pseudocystic pyelocalyceal cavities filled with stones and cloudy urine. The first hypothesis is that we are dealing with a true renal duplicity with a destroyed non-functional inferior pole. In this case, there is one ureter per kidney pole. As a result, polar ureteronephrectomy does not cause any potential vascular problems.
In this case, thanks to 3D reconstruction (Visible Patient™, a spinoff of IRCAD), it is clear that there is no kidney duplicity, but a pyelic bifurcation. It means that we should manage the only ureter, which drains the superior and inferior pelvis. For that reason, the placement of a double J catheter is essential prior to partial nephrectomy. This catheter should be pulled up until the superior pelvis.
Tridimensional reconstruction of the CT-scan images of a patient with a malformation is extremely helpful to better understand the original and unique anatomy of the patient and to determine a tailored operative strategy.
This video demonstrates a laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney in a 13-year-old girl as an outpatient surgery.
Laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney
F Becmeur, A Lachkar, L Soler
339 vues
Il y a 1 mois
Vidéo chirurgicale
08:30
Pheochromocytoma: laparoscopic right adrenalectomy in a child
In the context of major headaches in a 9-year-old patient whose brother had been operated on for pheochromocytoma, a right adrenal pheochromocytoma with severe arterial hypertension was found.
The given video aims to demonstrate the usefulness of performing a 3D reconstruction of the tumor (using Visible Patient™ 3D reconstruction tool). It is essential to have precise preoperative information and work out a surgical strategy taking into account observed anatomical anomalies, since tumor and/or vascular anatomy may have numerous variations in case of pheochromocytomas.
A reconstruction model can be easily manipulated on a touch screen. It can be oriented in such a way that the angle of view changes allowing for a better understanding of the anatomy, so that an approach to vessels or neighboring organs is easily decided upon. Additionally, the option of adding or deleting this or that anatomical element allows for a simplified visual approach, which usually represents a potential difficulty during dissection.
Finally, the 3D reconstruction of this patient perfectly corresponds to her real anatomy. Thanks to a mere scanning based on the reconstruction, the vascularization mode of the tumor as well as the existence of a hidden part of healthy tissue can be verified.
Pheochromocytoma: laparoscopic right adrenalectomy in a child
F Becmeur, A Lachkar, L Soler
469 vues
Il y a 1 mois

Évènements à venir

Université virtuelle internationale

en chirurgie mini-invasive

4443
Vidéos de chirurgie mini-invasive
1514
Conférences
108
Techniques opératoires
751
Avis d'experts
7
Langues
370 028
Membres

Une large gamme de médias,

abordant la chirurgie mini-invasive dans son ensemble

State-of-the-art

Un de nos experts vous propose une synthèse exhaustive de la revue scientifique sur un thème donné.

Focus du mois

Découvrez nos thématiques mensuelles incluant des conférences et interventions chirurgicales.

How to

Renforcez votre savoir-faire avec une série de vidéos pédagogiques.

Webinars

Participez virtuellement aux webinars de l’IRCAD grâce à la retransmission en ligne de nos conférences et échangez avec nos experts avec le chat en ligne.

Hall of Fame

Participez au concours Hall of Fame en envoyant vos contributions à WebSurg. Ce sera l’occasion de partager vos connaissances avec des milliers de chirurgiens à l’international.

Faites partie de notre Université Virtuelle


Apprenez

  • Regardez des vidéos
  • Apprenez les dernières techniques de chirurgie mini-invasive
  • Posez des questions
  • Echangez avec les experts
  • Entraînez-vous avec des techniques opératoires
  • Devenez le meilleur dans votre domaine

Contribuez

  • Opérez
  • Filmez votre opération
  • Envoyez-la à WebSurg
  • Répondez aux questions
  • Partagez vos connaissances
  • Devenez une référence

Contribuez maintenant

Formation d'excellence / Certifié par des Organismes de Référence

WebSurg offre la possibilité d'apprendre une multitude de techniques en regardant des vidéos. Il est également possible de consolider vos compétences en passant un test, et si vous validez ce dernier, vous pouvez obtenir une certification.

Les activités de e-learning de WebSurg sont accréditées par l'UEMS-EACCME (European Accreditation Council for Continuing Medical Education, Institution de l'European Union of Medical Specialists).

WebSurg délivre des points ECMEC aux chirurgiens ayant répondu aux activités d'e-learning avec succès.

L'IRCAD est accredité en tant que Accredited Education Institute (AEI) par le American College of Surgeons (ACS). Cette certification inclut également WebSurg, un programme en ligne de l'IRCAD.

Health on the net
https://www.hon.ch/

Le code de conduite de la Health On the Net Foundation (HONcode) : le HONcode atteste de la fiabilité et de la crédibilité des informations fournies par WebSurg. WebSurg respecte les 8 principes éthiques définis par le HONcode.

FREE CME Credits
https://websurg.com/cme/

WebSurg délivre des points ECMEC aux chirurgiens ayant répondu aux activités d'e-learning avec succès.
Points ECMEC convertibles en AMA PRA catégorie 1 Credits™.

Sélection de cours dans nos centres partenaires

Tenez-vous informé des prochains cours qui ont lieu dans l'ensemble des instituts IRCAD et chez nos partenaires. 

IRCAD France

    Voir plus

    IRCAD Barretos

      Voir plus

      IRCAD Rio

        Voir plus

        IRCAD Taïwan

          Voir plus

          IRCAD Africa


          Prochainement

            IHU

              Voir plus