7/21/2019 Tribune Chirurgie - Pr J.P. Chambon

1/4

K vf cf lbmrurgmi io Erfoli;

^fr ci ^r Hifo ^mirri Lbfa`ko*

Cf sklmt vkcui it cf lbmrurgmi erfofmsi qum ist uoi vmimcci dfai trs dmgoi it

emri di sis trfdmtmkos c!faiofot " si lkosmdrir lkaai uoi dis aimcciuris fu

akodi issfmi di sumvri ci akuviaiot# $o %& fos cf efko d!i'irlir ci atmir f

lbfog# Cf lbmrurgmi gorfci o!ist (cus ci akdi d!i'irlmli (rmvmcgm di cf

lbmrurgmi io Erfoli# $o ieeit di(ums %&&) dis dm(cais d!tudi s(lmfcmsi

lka(caiotfmri du grku(i % qufcmemfots kot t lrs " lt du dm(cai di

lbmrurgmi gorfci# +cs kot di (cus io (cus cf (rerioli dis ,iuois lbmrurgmios

qum diafodiot ciur moslrm(tmko fu tf`cifu di c!krdri dis adilmos (fr i'ia(ci

io lbmrurgmi dmgistmvi- vfslucfmri ku io lbmrurgmi tbkrflmqui# .ur cf (rmkdi

%&&/>%&60 cis ieeiltmes io lbmrurgmi gorfci kot dmamous di 6&-

7/21/2019 Tribune Chirurgie - Pr J.P. Chambon

2/4

lkaai oks lkccguis k(tmamstis it ma(ftmiots di vkmr si (kursumvri cis (rkgrs

di cf lbmrurgmi qum ristirf (frtmi (riofoti di lis ekramdf`cis trfosekraftmkos di

cf adilmoi okus vkudrmkos skucmgoir quicquis luimcs aioffot litti

vkcutmko#

Ci (riamir ist cf (irti du lfrfltri uomvirsic di oktri atmir# Cf sur?

s(lmfcmsftmko dis lbmrurgmios f lkaai lkrkccfmri cf cmamtftmko di ciurs

lka(tiolis it cf dms(frmtmko di cf oktmko di (rmsi io lbfrgi gck`fci du afcfdi#

7ittri uo drfmo tbkrflmqui- skodir uo afcfdi io rtiotmko fmgi d!urmoi- suturir

uo vmsfgi- rdumri it (cNtrir uoi erflturi sma(ci- efmri uoi trflbktkami- futfot

di gistis fltuicciaiot efmts io urgioli (fr cis motirois di lbmrurgmi quiccis qui

skmiot ciurs s(lmfcmts it qum rmsquiot di qumttir ci dkafmoi lkaauo " cf

lbmrurgmi d!urgioli (kur d(iodri di cf lbmrurgmi surs(lmfcmsi# Cf

lkosquioli di lit f`fodko vf Ftri cf auctm(cmlftmko dis gfrdis di s(lmfcmt it-

(fr skulm d!lkokami- ci rmsqui di skrtmi di lis gistis du dkafmoi di cf

lbmrurgmi d!urgioli (kur Ftri (rms io lbfrgi (fr cis adilmos urgiotmstis ku cis

rfomaftiurs qum oi skot (fs fltuicciaiot ekras " lis gistis lbmrurgmlfu' it "

cf (rmsi io lbfrgi di ciurs lka(cmlftmkos viotuiccis#

Cf diu'mai lkosquioli (kur cis lbmrurgmios (kurrf Ftri cf rdultmko di cf

duri di ciur ekraftmko# Licf (iraittrf di efmri dis lkokamis d," vfcuis "

(cusmiurs liotfmois di amccmkos d!iurk# $o lkotri(frtmi si (rkemci ci rmsqui di

vkmr cis lbmrurgmios diviomr dis tilbomlmios k(rftkmris ekras io % " ) fos f(rs

cis tudis admlfcis it lf(f`cis di rfcmsir 0 " 6& motirviotmkos- tku,kurs

r(tis- (frekms facmkris afms rdumsfot lkosmdrf`ciaiot ciur dkafmoi dilka(tioli# Lilm- c" iolkri- ma(ksirf cf auctm(cmlftmko dis lbmrurgmios (kur

k(rir uo (ftmiot# Ci trfmtiaiot (kurrf Ftri ria(cfl (fr cf ,u'tf(ksmtmko di

tilbomquis efmtis (fr dmeeriots motirviofots- qum oi sirkot (fs k`cmgftkmriaiot

dis adilmos- sfos qui ci (ftmiot si sioti (rms io lbfrgi (fr dis skmgofots qum ci

lkoofmssiot (irskooicciaiot qum c!fssmstiot it qum dmfckguiot fvil cum# Cf

skcutmko sirf di dsmgoir uo adilmo lkkrdkooftiur qum sirf c" (kur i'(cmquir it

lkaaiotir cis fltis tilbomquis fmosm qui (kur rfssurir ci (ftmiot# Ci lbmrurgmio

tilbomlmio ristirf fckrs lfotkoo fu `ckl k(rftkmri# Litti vkcutmko ist d,"

k`sirvf`ci io 8armqui du 1krd# ^fr i'ia(ci dis lbmrurgmios b@(irs(lmfcmssdfos dis motirviotmkos skus lcmkslk(mi vkmiot ciurs (ftmiots (kur cf (riamri

ekms cf vimcci di c!motirviotmko it cis qumttiot " cf skrtmi di cf sfcci di rvimc# Ci

(r it ci (kst k(rftkmris skot fssurs (fr d!futris adilmos# .m lilm (iut si

lkolivkmr dfos dis s(lmfcmts k c!flti tilbomqui ist lkurt it (iu movfsme- mc ist

dmeemlmciaiot (iosf`ci- dfos c!tft fltuic dis ricftmkos adilmo afcfdi io

Erfoli- qui cis lbmrurgmios oi (frtmlm(iot (fs " cf dmslussmko di c!modmlftmko

k(rftkmri it o!fssuriot (fs cis sumtis k(rftkmris# .m licf si efmsfmt mc efudrfmt

rivkmr cf oktmko di ris(kosf`mcmt du lbmrurgmio it cf duri du lursus admlfc# +c

sirfmt io ieeit moutmci di si ekrair durfot 60 fos (kur i'lutir uo gistitilbomqui r(tmtme it rmtufcms#

%

7/21/2019 Tribune Chirurgie - Pr J.P. Chambon

3/4

Cf trkmsmai lkosquioli ist cf dmeemluct dis euturs lbmrurgmios " s!fdf(tir "

c!vkcutmko di (cus io (cus rf(mdi di ciur atmir# $o %& fos cf lbmrurgmi f t

`kucivirsi (fr c!f((frmtmko di cf lbmrurgmi (irlutfoi skus lkotrci vmdk D

rfdmkckgmqui ku lbkgrf(bmqui# Cf gorftmko dis motirois io lbmrurgmi ekras

dfos cis foois 6I/& " %&&& f (u- grNli fu lfrfltri gorfc di litti ekraftmko-s!fdf(tir " dis tilbomquis qum kot efmt dms(frftri dis (fos iotmirs di ciur atmir

9lbmrurgmi di cf cmtbmfsi `mcmfmri- di c!b@(irtiosmko (krti- dis (kotfgis

vfslucfmris- dis ru(turis trfuaftmquis di c!fkrti tbkrflmqui- dis ria(cfliaiots

vfcvucfmris fkrtmquisG5# 2u!fdvmiodrf Bt?mc du lbmrurgmio surs(lmfcms dfos cf

lbmrurgmi du lfolir di cf (rkstfti qufod cis tilbomquis di d(mstfgi it di

trfmtiaiot admlfc furkot efmt dms(frftri litti (ftbkckgmi ; Litti vkcutmko f

d," t k`sirvi (fr i'ia(ci io lbmrurgmi tbkrflmqui k cf af,krmt dis

motirviotmkos tfmiot efmtis dfos cis foois 6I0& (kur trfmtir cf tu`irlucksi

(ucakofmri lka(cmqui# Lis tilbomquis di tbkrflk(cfstmis kot (rftmquiaiot

dms(fru di li lfdri fvil cf dlkuvirti d!fotm`mktmquis s(lmemquis#

Cis lbmrurgmios kot t " cf (kmoti dis (rkgrs io adilmoi durfot diu' smlcis#

C!vkcutmko dis tilbomquis it dis aftrmics- cis akdmemlftmkos dakgrf(bmquis

it sklmtfcis qui okus k`sirvkos fltuicciaiot ciurs ma(ksiot di s!fdf(tir it

d!vkcuir# Li(iodfot cis akdis d!i'irlmlis- cis lka(tiolis riqumsis oi

dkmviot (fs efmri (irdri di vui fu' lbmrurgmios qui li skot dis adilmos qum

k(riot# Ci dmfckgui fvil cis (ftmiots qum cis lkosuctiot- cf qufcmt di ciur

dmfgokstml fvil ci lbkm' dis i'faios lka(caiotfmris- cf lkkrdmoftmko dis

skmos dkmviot ristir " lt di cf qufcmt dis gistis tilbomquis dis caiots qumciurs (iraittrkot di gfrdir ciur (cfli dfos cf lbfoi dis skmos (rk(kss# +cs

vmtirkot fmosm di diviomr dis (ristftfmris di tilbomquis- (irdus fu amcmiu d!uoi

lkbkrti d!k(rftiurs movmsm`cis fu'quics eirfmt f((ic uo adilmo lkkrdkooftiur

ris(kosf`ci du `mcfo (rk(rftkmri- du dmfgokstml it du trfmtiaiot- lkoemfot ci

afcfdi " tics ku tics tilbomlmios f(rs lkolirtftmko fvil dis adilmos di

dmeeriotis surs(lmfcmts dkot cf (cus (frt o!furkot (fs i'famo ci (ftmiot fvfot

cf ruomko# Lilm ma(ksirf iolkri io %&%0 fu' lbmrurgmios trfvfmc- rmguiur it

(rsioli (rkckogi fu(rs dis (ftmiots# 7fms lkaai afcfdi (ktiotmic " litti

dfti- ,!is(ri qui cis lbmrurgmios gfrdirkot oktri mdfc di qufcmt di skmos it disirvmlis qum f efmt di cf lbmrurgmi erfofmsi li qu!icci ist#

* ^rkeissiur Hifo ^mirri Lbfa`ko# .irvmli di Lbmrurgmi Morfci it fslucfmri

J(mtfc Jurmi= :a Kuist 0I&:/ Cmcci Lidi'# B $?afmc ,(?lbfa`koAlbru?

cmcci#er

:

7/21/2019 Tribune Chirurgie - Pr J.P. Chambon

4/4

Oeriolis

6? Ofu' HE- Ci`ritko?Cirkuvmcckms M# 8tcfs di cf dakgrf(bmi admlfci io

Erfoli# .mtuftmko fu 6irHfovmir %&60# Lkosimc 1ftmkofc di c!Krdri dis 7dilmos

^ftrml rkuit- ^rsmdiot#

%? Omlbfrd E- Vifucmiu' H- Hfil - Hudit J# Cf lbmrurgmi io %&%0# Of((krt di

c!8lfdami oftmkofci di Lbmrurgmi

)