{"id":1027,"date":"2021-11-14T23:21:05","date_gmt":"2021-11-14T22:21:05","guid":{"rendered":"http:\/\/10.14.1.26\/website\/specialite\/chirurgie-pediatrique\/"},"modified":"2022-03-27T21:56:23","modified_gmt":"2022-03-27T19:56:23","slug":"chirurgie-pediatrique","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/en\/service\/pediatrie\/chirurgie-pediatrique\/","title":{"rendered":"Chirurgie P\u00e9diatrique"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;3.22&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.14.7&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>Sa sp\u00e9cificit\u00e9 repose sur le fait qu&#8217;elle concerne des patients <strong>en cours de croissance<\/strong> et de <strong>d\u00e9veloppement<\/strong>, dont les pathologies et les attentes diff\u00e8rent largement du patient adulte.<\/p>\n<p>Pour chaque intervention chirurgicale se pose donc la question de l&#8217;avenir de l&#8217;enfant et de sa qualit\u00e9 de vie actuelle autant qu&#8217;\u00e0 l&#8217;\u00e2ge adulte. Les traitements chirurgicaux destin\u00e9s aux enfants sont donc bien sp\u00e9cifiques, n\u00e9cessitant une formation et des techniques chirurgicales particuli\u00e8res et sp\u00e9cialis\u00e9es. Ils sont discut\u00e9s de mani\u00e8re pluridisciplinaire avec d&#8217;autres m\u00e9decins sp\u00e9cialistes de l&#8217;enfant : p\u00e9diatres, radiologues p\u00e9diatriques, anesth\u00e9sistes p\u00e9diatriques, etc.<\/p>\n<p>Les enfants qui doivent b\u00e9n\u00e9ficier d&#8217;une intervention chirurgicale sont pris en charge dans un environnement p\u00e9diatrique :<\/p>\n<ul>\n<li>en <strong>h\u00f4pital de jour p\u00e9diatrique<\/strong> sur chaque site<\/li>\n<li>en salle d&#8217;<strong>hospitalisation p\u00e9diatriqu<\/strong>e, si l&#8217;importance de l&#8217;intervention l&#8217;impose<\/li>\n<li>pour les <strong>consultations<\/strong>, \u00e0 la polyclinique p\u00e9diatrique sur chacun des sites (3 jours par semaine), prise de rendez-vous du lundi au vendredi de 8 \u00e0 17h<\/li>\n<li>pour les urgences p\u00e9diatriques 24h\/7j<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<section class=\"section section--white section-contents\">\n<div class=\"typeset  first-letter\">\n<h4>Enseignement universitaire<\/h4>\n<ul>\n<li>Service de stage agr\u00e9\u00e9 par le Minist\u00e8re et l&#8217;ULB.<\/li>\n<li>Participation \u00e0 l&#8217;enseignement du DES de chirurgie g\u00e9n\u00e9rale de l&#8217;ULB.<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<p>[\/et_pb_text][et_pb_accordion icon_color=&#8221;#00B9B4&#8243; _builder_version=&#8221;4.14.7&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;|-198px||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; toggle_level=&#8221;h4&#8243; toggle_text_color=&#8221;#00B9B4&#8243; open_toggle_text_color=&#8221;#00B9B4&#8243; toggle_font=&#8221;|600|||||||&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_accordion_item title=&#8221;Chirurgie mini-invasive&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>Selon les indications, les interventions peuvent \u00eatre pratiqu\u00e9es par<span>\u00a0<\/span><strong>chirurgie mini-invasive<\/strong>. Elle consiste \u00e0 r\u00e9aliser des op\u00e9rations avec l&#8217;utilisation d&#8217;une petite cam\u00e9ra vid\u00e9o et d&#8217;instruments chirurgicaux tr\u00e8s fins, introduits dans l&#8217;organisme par de toutes petites incisions. Cette chirurgie vid\u00e9o-assist\u00e9e a plusieurs avantages:\u00a0<\/p>\n<ul>\n<li>R\u00e9duction des douleurs postop\u00e9ratoires<\/li>\n<li>R\u00e9duction de la dur\u00e9e d&#8217;hospitalisation<\/li>\n<li>Reprise rapide de l&#8217;activit\u00e9 quotidienne<\/li>\n<li>R\u00e9duction des cicatrices visibles cutan\u00e9es<\/li>\n<li>R\u00e9duction du risque d&#8217;\u00e9ventration postop\u00e9ratoire<\/li>\n<\/ul>\n<p><strong>Autres<\/strong><\/p>\n<ul>\n<li>Malformations cong\u00e9nitales:<span>\u00a0<\/span><strong>kystes, fistules<\/strong>.<\/li>\n<li>Pathologies infectieuses ou tumorales:<span>\u00a0<\/span><strong>ex\u00e9r\u00e8se de ganglions, traitement des abc\u00e8s<\/strong>.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Urgences chirurgicales p\u00e9diatriques&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Les urgences chirurgicales p\u00e9diatriques les plus fr\u00e9quemment trait\u00e9es :<\/p>\n<ul>\n<li>Affections digestives:<span>\u00a0<\/span><strong>appendicite &#8211; p\u00e9ritonite &#8211; invagination intestinale &#8211; volvulus<\/strong><\/li>\n<li>Affections urologiques:<span>\u00a0<\/span><strong>paraphimosis &#8211; colique n\u00e9phr\u00e9tique &#8211; torsion testicule<\/strong><\/li>\n<li>Affections gyn\u00e9cologiques:<span>\u00a0<\/span><strong>torsion ovarienne \u2013 h\u00e9matocolpos<\/strong><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Anesth\u00e9sie&#8221; _builder_version=&#8221;4.14.7&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><strong>Notre activit\u00e9 pr\u00e9-op\u00e9ratoire consiste \u00e0<\/strong><\/p>\n<ul>\n<li>accompagner l&#8217;enfant durant son p\u00e9riple hospitalier;<\/li>\n<li>anticiper tout acte potentiellement douloureux (pose de perfusion &#8211; soins de plaie);<\/li>\n<li>l&#8217;encadrer durant l&#8217;acte chirurgical pour assurer qu&#8217;il dorme, qu&#8217;il n&#8217;ait pas mal;<\/li>\n<li>veiller \u00e0 sa s\u00e9curit\u00e9, en pr\u00e9venant les complications potentielles de l&#8217;acte chirurgical dont il a b\u00e9n\u00e9fici\u00e9 et les effets secondaires des m\u00e9dicaments puissants que nous utilisons.<\/li>\n<\/ul>\n<ul><\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Le syst\u00e8me digestif chez l&#8217;enfant&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><strong>Deux types de traitements sont possibles:\u00a0<\/strong><\/p>\n<ul>\n<li>Traitement chirurgical des<span>\u00a0<\/span><strong>maladies du syst\u00e8me digestif<\/strong><span>\u00a0<\/span>: \u0153sophage, estomac, duod\u00e9num, intestin gr\u00eale, gros intestin (colon), rectum, anus, foie, v\u00e9sicule, voies biliaires, pancr\u00e9as.<\/li>\n<li>Traitement chirurgical des<span>\u00a0<\/span><strong>hernies de l&#8217;abdomen:\u00a0<\/strong>les hernies inguinales, \u00e9pigastriques, ombilicales ou les \u00e9ventrations apr\u00e8s chirurgie plus rarement.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Le syst\u00e8me g\u00e9nital chez l&#8217;enfant&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><strong>Chez la fille<\/strong><\/p>\n<ul>\n<li>Chirurgie des<span>\u00a0<\/span><strong>malformations gyn\u00e9cologiques:\u00a0<\/strong>cloaque, sinus urog\u00e9nital, imperforation hymen\u00e9ale, malformation vaginale<\/li>\n<li>Chirurgie des<span>\u00a0<\/span><strong>ovaires<\/strong>: kyste ou tumeur ovariens et torsion d&#8217;annexe<\/li>\n<\/ul>\n<p><strong>Chez le gar\u00e7on<\/strong><\/p>\n<ul>\n<li>Chirurgie des<span>\u00a0<\/span><strong>malformations de la verge<span>\u00a0<\/span><\/strong>(hypospadias, coudure, enfouissement), prise en charge du varicoc\u00e8le.<\/li>\n<li>Pathologie du<span>\u00a0<\/span><strong>testicule<\/strong>: position (cryptorchidie), torsion, tumeur.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Syst\u00e8me urologique chez l&#8217;enfant&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Une partie importante de notre activit\u00e9 est repr\u00e9sent\u00e9e par la<span>\u00a0<\/span><strong>chirurgie urologique p\u00e9diatrique<\/strong>.<\/p>\n<p>La prise en charge des pathologies urologiques est discut\u00e9e lors d&#8217;une r\u00e9union multidisciplinaire, \u00e0 laquelle participent les chirurgiens, mais \u00e9galement des p\u00e9diatres n\u00e9phrologues, des radiologues et des isotopistes.<\/p>\n<p>Il s&#8217;agit de pathologies des<span>\u00a0<\/span><strong>reins<\/strong>, de l&#8217;<strong>uret\u00e8re<\/strong><span>\u00a0<\/span>(syndrome de la jonction py\u00e8lo-ur\u00e9t\u00e9rale, duplicit\u00e9, calculs, ur\u00e9t\u00e9roc\u00e8le), de la<span>\u00a0<\/span><strong>vessie<\/strong><span>\u00a0<\/span>(reflux v\u00e9sico-ur\u00e9t\u00e9ral, diverticules), de l&#8217;<strong>ur\u00e8tre<\/strong><span>\u00a0<\/span>(valves de l&#8217;ur\u00e8tre post\u00e9rieur, hypospadias).<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Syst\u00e8me pulmonaire chez l&#8217;enfant&#8221; _builder_version=&#8221;4.14.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span>Traitement chirurgical des maladies du\u00a0<\/span><strong>syst\u00e8me pulmonaire<\/strong><span>\u00a0comme empy\u00e8me, kyste bronchog\u00e9nique, s\u00e9questration, emphys\u00e8me lobaire (g\u00e9ant), pneumothorax, malformation ad\u00e9nomatoide kystique pulmonaire.<\/span><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La Chirurgie P&eacute;diatrique s&#39;adresse aux enfants de tous &acirc;ges, du nouveau-n&eacute; pr&eacute;matur&eacute; jusqu&#39;&agrave; l&#39;adolescent de 15 ans.&nbsp;<\/p>\n","protected":false},"featured_media":875,"parent":835,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"Sa sp\u00e9cificit\u00e9 repose sur le fait qu'elle concerne des patients <strong>en cours de croissance<\/strong> et de <strong>d\u00e9veloppement<\/strong>, dont les pathologies et les attentes diff\u00e8rent largement du patient adulte.\n\nPour chaque intervention chirurgicale se pose donc la question de l'avenir de l'enfant et de sa qualit\u00e9 de vie actuelle autant qu'\u00e0 l'\u00e2ge adulte. Les traitements chirurgicaux destin\u00e9s aux enfants sont donc bien sp\u00e9cifiques, n\u00e9cessitant une formation et des techniques chirurgicales particuli\u00e8res et sp\u00e9cialis\u00e9es. Ils sont discut\u00e9s de mani\u00e8re pluridisciplinaire avec d'autres m\u00e9decins sp\u00e9cialistes de l'enfant : p\u00e9diatres, radiologues p\u00e9diatriques, anesth\u00e9sistes p\u00e9diatriques, etc.\n\nLes enfants qui doivent b\u00e9n\u00e9ficier d'une intervention chirurgicale sont pris en charge dans un environnement p\u00e9diatrique :\n<ul>\n \t<li>en <strong>h\u00f4pital de jour p\u00e9diatrique<\/strong> sur chaque site<\/li>\n \t<li>en salle d'<strong>hospitalisation p\u00e9diatriqu<\/strong>e, si l'importance de l'intervention l'impose<\/li>\n \t<li>pour les <strong>consultations<\/strong>, \u00e0 la polyclinique p\u00e9diatrique sur chacun des sites (3 jours par semaine), prise de rendez-vous du lundi au vendredi de 8 \u00e0 17h<\/li>\n \t<li>pour les <a href=\"https:\/\/www.stpierre-bru.be:\/fr\/services-medicaux\/urgences\">urgences&nbsp; p\u00e9diatriques<\/a>&nbsp;24h\/7j<\/li>\n<\/ul>\n<h2>Chirurgie mini-invasive<\/h2>\nSelon les indications, les interventions peuvent \u00eatre pratiqu\u00e9es par <strong>chirurgie mini-invasive<\/strong>. Elle consiste \u00e0 r\u00e9aliser des op\u00e9rations avec l'utilisation d'une petite cam\u00e9ra vid\u00e9o et d'instruments chirurgicaux tr\u00e8s fins, introduits dans l'organisme par de toutes petites incisions. Cette chirurgie vid\u00e9o-assist\u00e9e a plusieurs avantages:&nbsp;\n<ul>\n \t<li>R\u00e9duction des douleurs postop\u00e9ratoires<\/li>\n \t<li>R\u00e9duction de la dur\u00e9e d'hospitalisation<\/li>\n \t<li>Reprise rapide de l'activit\u00e9 quotidienne<\/li>\n \t<li>R\u00e9duction des cicatrices visibles cutan\u00e9es<\/li>\n \t<li>R\u00e9duction du risque d'\u00e9ventration postop\u00e9ratoire<\/li>\n<\/ul>\n<h2>Autres<\/h2>\n<ul>\n \t<li>Malformations cong\u00e9nitales: <strong>kystes, fistules<\/strong>.<\/li>\n \t<li>Pathologies infectieuses ou tumorales: <strong>ex\u00e9r\u00e8se de ganglions, traitement des abc\u00e8s<\/strong>.<\/li>\n<\/ul>\n<h2>Urgences chirurgicales p\u00e9diatriques<\/h2>\nLes urgences chirurgicales p\u00e9diatriques les plus fr\u00e9quemment trait\u00e9es :\n<ul>\n \t<li>Affections digestives: <strong>appendicite - p\u00e9ritonite - invagination intestinale - volvulus<\/strong><\/li>\n \t<li>Affections urologiques: <strong>paraphimosis - colique n\u00e9phr\u00e9tique - torsion testicule<\/strong><\/li>\n \t<li>Affections gyn\u00e9cologiques: <strong>torsion ovarienne \u2013 h\u00e9matocolpos<\/strong><\/li>\n<\/ul>\n<h2>Enseignement universitaire<\/h2>\n<ul>\n \t<li>Service de stage agr\u00e9\u00e9 par le Minist\u00e8re et l'ULB.<\/li>\n \t<li>Participation \u00e0 l'enseignement du DES de chirurgie g\u00e9n\u00e9rale de l'ULB.<\/li>\n<\/ul>","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1870,44],"tags":[136,62,199,188,198,180,196],"class_list":["post-1027","service","type-service","status-publish","has-post-thumbnail","hentry","category-pediatrie","category-specialite","tag-bebe","tag-chirurgie","tag-chirurgie-mini-invasive","tag-enfant","tag-hospitalisation","tag-premature","tag-quartier-operatoire"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Chirurgie P\u00e9diatrique - CHU Saint-Pierre | UMC Sint-Pieter<\/title>\n<meta name=\"description\" content=\"Elle s&#039;adresse aux enfants, du nouveau-n\u00e9 pr\u00e9matur\u00e9 jusqu&#039;\u00e0 l&#039;adolescent de 15 ans. 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