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  1. Article ; Online: Head Face and Neck Surgeon Deployment in the New French Role 2: The Damage Control Resuscitation and Surgical Team.

    Fawaz, Rayan / Dagain, Arnaud / Pons, Yoann / Haen, Pierre / Froussart, Françoise / Caruhel, Jean Baptiste

    Military medicine

    2022  Volume 188, Issue 9-10, Page(s) e2868–e2873

    Abstract: Introduction: High-intensity conflict is back after decades of asymmetric warfare. With the increase in the incidence of head, face, and neck (HFN) injuries, the French Medical Military Service has decided to deploy HFN surgeons in the new French Role 2: ...

    Abstract Introduction: High-intensity conflict is back after decades of asymmetric warfare. With the increase in the incidence of head, face, and neck (HFN) injuries, the French Medical Military Service has decided to deploy HFN surgeons in the new French Role 2: the Damage Control, Resuscitation, and Surgical Team (DCRST). This study aims to provide an overview of HFN French surgeons from their initial training, including the surgical skills required, to their deployment on the DCRST.
    Materials and methods: The DCRST is a tactical mobile medico-surgical structure with several configurations depending on the battlefield, mission, and flux of casualties. It represents the new French paradigm for the management of combat casualties, including HFN injuries.
    Results: The HFN's military surgeon training starts during residency with rotation in the different subspecialties. The HFN surgeon follows a training course called "The French Course for Deployment Surgery" that provides sufficient background to manage polytrauma, including HFN facilities on modern warfare. We have reviewed the main surgical procedures required for an HFN military surgeon.
    Conclusion: The systematic deployment of HFN surgeons in Role 2 is a specificity of the French army as well as the HFN surgeon's training.Currently, the feedback from an asymmetric conflict is encouraging. However, it will have to innovate to adapt to modern warfare.
    MeSH term(s) Humans ; Military Medicine/education ; Military Personnel/education ; Multiple Trauma ; Neck Injuries/surgery ; Surgeons
    Language English
    Publishing date 2022-10-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usac329
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: SURGICAL TREATMENT OF VITREORETINAL COMPLICATIONS DURING DISSEMINATED INTRAVASCULAR COAGULATION SECONDARY TO MENINGOCOCCEMIA.

    Keilani, Chafik / Delbarre, Maxime / Rambaud, Camille / Marechal, Marie / Froussart, Françoise

    Retinal cases & brief reports

    2020  Volume 16, Issue 4, Page(s) 500–506

    Abstract: Purpose: To report a case of the surgical management of vitreoretinal complications during disseminated intravascular coagulation secondary to meningococcemia.: Methods: A case report.: Results: A 25-year-old man presented with loss of vision due ... ...

    Abstract Purpose: To report a case of the surgical management of vitreoretinal complications during disseminated intravascular coagulation secondary to meningococcemia.
    Methods: A case report.
    Results: A 25-year-old man presented with loss of vision due to retinal and vitreous hemorrhages during disseminated intravascular coagulation secondary to meningococcemia. Examination revealed the visual acuity to be counting fingers in the right eye and light perception in the left eye. Bilateral vitreous hemorrhages were found on fundus examination. A dome-shaped lesion overlying the macula consistent with a subinternal limiting membrane hemorrhage was seen on optical coherence tomography. Bilateral vitrectomy was performed. Multiple subinternal limiting membrane hemorrhages were evident in the posterior pole. A membrane forceps was used to peel the internal limiting membrane and remove the fibrin under it. The internal limiting membrane and vitreous samples were sent for anatomopathological examination confirming our hypothesis. The peripheral retina revealed bilateral multiple ischemic areas, and argon laser photocoagulation was performed on it. Both eyes were filled with silicone oil. Eight months after surgery, his vision improved to 70 and 65 on the early diabetic retinopathy study scale in the right and left eyes, respectively.
    Conclusion: Published cases of retinal and vitreous hemorrhages during disseminated intravascular coagulation secondary to meningococcemia are few. There is no specific and codified management of these ocular complications. This case is the first reporting positive visual recovery after surgical treatment. Surgical procedure seems to be effective to treat multiple vitreoretinal hemorrhages secondary to meningococcemia.
    MeSH term(s) Adult ; Diabetic Retinopathy/surgery ; Disseminated Intravascular Coagulation/complications ; Disseminated Intravascular Coagulation/pathology ; Humans ; Male ; Meningococcal Infections/complications ; Retina/pathology ; Vitrectomy/adverse effects ; Vitreous Hemorrhage/etiology ; Vitreous Hemorrhage/pathology ; Vitreous Hemorrhage/surgery
    Language English
    Publishing date 2020-06-14
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 1937-1578
    ISSN (online) 1937-1578
    DOI 10.1097/ICB.0000000000001017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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