La procédure est une hystérectomie radicale pour traiter le cancer avancé du col de l'utérus, impliquant l'ablation de l'utérus, des tissus environnants et des ganglions lymphatiques.
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plus de 1000 procédures de stimulation cérébrale profonde (DBS).","linkedin":"","specialities":[{"id":"nrs.001","name":"Neurosurgeon","illness_kind_id":2},{"id":"nrs.005","name":"Stereotactic and functional neurosurgeon","illness_kind_id":2}]},"direction":{"id":2,"name":"Neurochirurgie","alias":"neurosurgery"},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Single-level ACDF: desk work at about 2-3 weeks; manual or heavy work 6 weeks or longer."},"complication_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Any perioperative complication including transient dysphagia; serious complications such as hematoma, nerve or cord injury under 2%."},"contraindications":["Active infection at the surgical site or systemic infection","Medical unfitness for general anesthesia","Relative: pathology needing a posterior approach, e.g., posterior compression","Severe osteoporosis (relative; may compromise fixation and fusion)","Active smoking or nicotine use (relative; impairs fusion)","Relative: prior anterior neck surgery, radiation, or vocal cord problems","Asymptomatic degenerative changes without correlating symptoms or imaging findings"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Single-level ACDF; many patients stay 0-1 night, with 1-2 nights common in inpatient practice."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; gentle exercise after surgeon clearance; impact and heavy lifting later, once fusion progresses on imaging."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Bony fusion on imaging takes about 6-12 months; arm pain often improves sooner, numbness or weakness slowly."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Single-level ACDF; 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arm pain from radiculopathy often improves quickly after surgery. Sore throat and swallowing discomfort are common early.","preparation":["Preoperative medical assessment and anesthesia evaluation","Stop smoking and nicotine before surgery","Review of current medications and supplements with the surgical team","Fasting before general anesthesia","Arrange help at home after discharge"],"recovery_timeline":[{"phase":"First days","description":"Discharge same day to 2 days; sore throat, swallowing discomfort, neck stiffness; walking encouraged; soft collar sometimes used.","restrictions":["No heavy lifting","No driving on opioids or with limited neck mobility","Keep wound dry"]},{"phase":"Weeks 2-6","description":"Gradual return to daily activities and desk work; swallowing and neck pain improve; walking program.","restrictions":["Avoid lifting more than a few kilograms","Avoid strenuous neck movements and impact activity"]},{"phase":"Weeks 6-12","description":"Follow-up imaging; progressive return to normal activity and strengthening, with physiotherapy if prescribed.","restrictions":["Avoid heavy lifting and contact sports until surgeon clears"]},{"phase":"Months 6-12","description":"Solid fusion typically established on imaging; maximal neurologic recovery.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for single-level ACDF to return to usual daily activities; formal physiotherapy is optional."},"result_longevity":"Fusion is intended to be permanent once solid bony union occurs; symptom relief is often durable, but adjacent-segment degeneration may develop over years and some patients need further surgery.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Cumulative reoperation for pseudarthrosis, hardware or adjacent-segment disease; 2-10% long-term."},"scars":"A small transverse skin incision (about 3-5 cm) on the front of the neck, usually placed in a skin crease; typically fades to a thin, inconspicuous line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure for a single-level ACDF."},"stages":[{"code":"surgery","label":"Single-stage anterior discectomy with decompression and interbody fusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Typical uncomplicated single-level ACDF in one operation; multilevel cases are longer but still usually single-stage."},"success":{"metric":"Meaningful arm pain and neurologic symptom relief","value":85,"unit":"percent of patients","horizon":"1-2 years after surgery","population":"Adults with single-level degenerative cervical radiculopathy or myelopathy and concordant imaging","evidence_status":"limited"},"techniques":[{"name":"ACDF with structural interbody cage (PEEK/titanium) and anterior plate","suits_whom":"Most common approach for symptomatic single- or multilevel degenerative cervical disc disease with radiculopathy or myelopathy.","recovery":"Discharge in 0-2 days; return to desk work in about 2-3 weeks; fusion over 6-12 months."},{"name":"ACDF with structural allograft or autograft and plate","suits_whom":"Selected patients where a graft is preferred over a synthetic cage.","recovery":"Similar to cage-based ACDF; autograft adds donor-site pain if iliac crest bone is used."},{"name":"Stand-alone cage ACDF (without plate)","suits_whom":"Selected single-level cases with good bone quality.","recovery":"Similar recovery, with possibly less swallowing discomfort in some patients."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a single-level ACDF; multilevel procedures take longer."},"initial_assessment_documents":["Cervical spine MRI report and images","Cervical spine X-rays, including flexion-extension views","Neurological examination or neurologist report","EMG/nerve conduction report (if available)","Cervical CT scan (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days for surgery, wound check and fitness to fly. 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