2 research outputs found
Analyse écorégionale marine de Nouvelle-Calédonie : atelier d'identification des aires de conservation prioritaires
- Author
- Andréfouët Serge (collab.)
- Baillon N. (collab.)
- Bargibant Georges (collab.)
- Boblin P. (collab.)
- Bouvet G. (collab.)
- Cabioch Guy (collab.)
- Cassan J.J. (collab.)
- Chabanet Pascale (collab.)
- Chauvet C. (collab.)
- Chevillon C. (ed.)
- Chevillon Christophe (collab.)
- Clua E. (collab.)
- Cornuet N. (collab.)
- Couteau C. (collab.)
- Coutures E. (collab.)
- Cros A. (ed.)
- D'auzon J.L. (collab.)
- Douillet Pascal (collab.)
- Downer A. (ed.)
- Dumas P. (collab.)
- Farman R. (collab.)
- Flouhr C. (collab.)
- Friedman K. (collab.)
- Gabrié C. (ed.)
- Garrigue C. (collab.)
- Goiran C. (collab.)
- Kulbicki Michel (collab.)
- Laboute Pierre (collab.)
- Le Bolé M. (collab.)
- Lebigre J.M. (collab.)
- LefĂšvre JĂ©rĂŽme (collab.)
- LĂ©opold Marc (collab.)
- Menou Jean-Louis (collab.)
- Mou-Tham GĂ©rard (collab.)
- Mounier J. (collab.)
- Nash W. (collab.)
- Pandolfi M. (collab.)
- Payri Claude (collab.)
- Pelletier Bernard (collab.)
- Ponton Dominique (collab.)
- Richer de Forges Bertrand (collab.)
- Sarramegna S. (collab.)
- Spaggiari J. (collab.)
- Vega A. (collab.)
- Wantiez L. (collab.)
- Publication venue
- CRISP
- Publication date
- 01/01/2006
- Field of study
Dans le cadre de l'initiative pour les rĂ©cifs coralliens du Pacifique sud (CRISP), le WWF-France a souhaitĂ© dĂ©velopper un projet pour la protection des rĂ©cifs et des lagons nĂ©o-calĂ©doniens. L'atelier, qui s'est dĂ©roulĂ© les 10 et 11 aoĂ»t Ă NoumĂ©a, avait pour objectif de rassembler les scientifiques et les experts du lagon nĂ©ocalĂ©donien pour identifier, sur la base de leur connaissance experte, les zones les plus remarquables du lagon (richesse, endĂ©misme, originalitĂ© des faunes et flores, espĂšces emblĂ©matiques, zones d'intĂ©rĂȘt fonctionnel) sur lesquelles doivent porter en prioritĂ© les efforts de conservation. Il a permis d'identifier 20 aires prioritaires pour la conservation, parmi lesquelles 6 ont un intĂ©rĂȘt mondial, 4 ont un intĂ©rĂȘt sur le plan rĂ©gional, les autres ayant un intĂ©rĂȘt local
Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: an international snapshot audit
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2017
- Field of study
Aim The anastomosis technique used following right-sided colonic
resection is widely variable and may affect patient outcome. This study
aimed to assess the association between leak and anastomosis technique
(stapled vs handsewn).
Method This was a prospective, multicentre, international audit
including patients undergoing elective or emergency right hemicolectomy
or ileo-caecal resection operations over a 2-month period in early 2015.
The primary outcome measure was the presence of anastomotic leak within
30 days of surgery, determined using a prespecified definition. Mixed
effects logistic regression models were used to assess the association
between leak and anastomosis method, adjusting for patient, disease and
operative cofactors, with centre included as a random-effect variable.
Results This study included 3208 patients, of whom 78.4\% (n = 2515)
underwent surgery for malignancy and 11.7\% (n = 375) underwent surgery
for Crohn's disease. An anastomosis was performed in 94.8\% (n = 3041)
of patients, which was handsewn in 38.9\% (n = 1183) and stapled in
61.1\% (n = 1858). Patients undergoing hand-sewn anastomosis were more
likely to be emergency admissions (20.5\% handsewn vs 12.9\% stapled)
and to undergo open surgery (54.7\% handsewn vs 36.6\% stapled). The
overall anastomotic leak rate was 8.1\% (245/3041), which was similar
following handsewn (7.4\%) and stapled (8.5\%) techniques (P = 0.3).
After adjustment for cofactors, the odds of a leak were higher for
stapled anastomosis (adjusted OR = 1.43; 95\% CI: 1.04-1.95; P = 0.03).
Conclusion Despite being used in lower-risk patients, stapled
anastomosis was associated with an increased anastomotic leak rate in
this observational study. Further research is needed to define patient
groups in whom a stapled anastomosis is safe