{"id":151859,"date":"2018-08-28T08:15:42","date_gmt":"2018-08-28T15:15:42","guid":{"rendered":"https:\/\/clarius.com\/blog\/imagerie-par-ultrasons-lors-dune-mission-chirurgicale-sur-lile-de-biri\/"},"modified":"2026-03-12T22:39:33","modified_gmt":"2026-03-13T05:39:33","slug":"imagerie-par-ultrasons-lors-dune-mission-chirurgicale-sur-lile-de-biri","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/imagerie-par-ultrasons-lors-dune-mission-chirurgicale-sur-lile-de-biri\/","title":{"rendered":"Imagerie par ultrasons lors d&rsquo;une mission chirurgicale sur l&rsquo;\u00eele de Biri"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Lorsque le Dr Pete Tonseth a \u00e9t\u00e9 invit\u00e9 \u00e0 participer \u00e0 une mission chirurgicale sur l&rsquo;\u00eele de Biri, aux Philippines, il n&rsquo;\u00e9tait pas certain de pouvoir apporter une aide pr\u00e9cieuse. Il \u00e9tait radiologue et, pendant les ann\u00e9es o\u00f9 la mission s&rsquo;est rendue sur l&rsquo;\u00eele, il n&rsquo;y avait pas d&rsquo;\u00e9quipement d&rsquo;imagerie m\u00e9dicale disponible. La premi\u00e8re r\u00e9action de l&rsquo;\u00e9quipe a \u00e9t\u00e9 : \u00ab\u00a0\u00c0 quoi va-t-il bien pouvoir servir ?\u00a0\u00bb  <\/p>\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Au d\u00e9part, je devais faire ce dont ils avaient besoin, c&rsquo;est-\u00e0-dire nettoyer l&rsquo;\u00e9quipement, r\u00e9curer les sols ou tenir un \u00e9carteur\u00a0\u00bb, explique-t-il. Mais il a apport\u00e9 un scanner Clarius et, d\u00e8s le premier jour, il est apparu clairement qu&rsquo;un radiologue capable d&rsquo;utiliser les ultrasons faisait une grande diff\u00e9rence pour la mission. <\/p>\n<\/blockquote>\n\n<p class=\"wp-block-paragraph\"><iframe src=\"https:\/\/www.youtube.com\/embed\/aUOHs7isKIE\" width=\"720\" height=\"405\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\"><\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\"><\/span><\/iframe><\/p>\n\n<p class=\"wp-block-paragraph\">Le Dr Pete Tonseth, radiologue et m\u00e9decin nucl\u00e9aire, a voyag\u00e9 dans le cadre des Missions chirurgicales internationales (ISM) au sein d&rsquo;un groupe de 35 volontaires compos\u00e9 de chirurgiens, d&rsquo;anesth\u00e9sistes, d&rsquo;infirmi\u00e8res et d&rsquo;une \u00e9quipe de soutien.<\/p>\n\n<p class=\"wp-block-paragraph\">Au fil des ans, l&rsquo;\u00e9quipe de l&rsquo;ISM avait apport\u00e9 du mat\u00e9riel en mission et l&rsquo;avait laiss\u00e9 sur l&rsquo;\u00eele. Mais ils n&rsquo;avaient pas d&rsquo;imagerie m\u00e9dicale &#8211; il n&rsquo;y avait pas de machine \u00e0 rayons X, de tomodensitom\u00e8tre ou d&rsquo;\u00e9chographe. Le transport de gros \u00e9quipements devait se faire par route et par ferry, et l&rsquo;\u00eele se trouvait \u00e0 deux jours de Manille. Il n&rsquo;y avait pas de soins chirurgicaux sur l&rsquo;\u00eele, et les soins dispens\u00e9s dans de nombreux h\u00f4pitaux de Samar du Nord \u00e9taient privatis\u00e9s et inaccessibles aux personnes qui n&rsquo;avaient pas les moyens de se les offrir.   <\/p>\n\n<p class=\"wp-block-paragraph\">Il n&rsquo;a pas fallu longtemps pour montrer aux chirurgiens et aux anesth\u00e9sistes comment utiliser le scanner. Le Dr Tonseth raconte qu&rsquo;il a pos\u00e9 le scanner, la batterie, son t\u00e9l\u00e9phone et les instructions sur la table et qu&rsquo;il a dit : \u00ab\u00a0Faites-le fonctionner.\u00a0\u00bb <\/p>\n\n<p class=\"wp-block-paragraph\">Il a fallu environ six minutes \u00e0 une personne qui n&rsquo;avait jamais touch\u00e9 un appareil \u00e0 ultrasons pour cr\u00e9er une image. Si l&rsquo;interpr\u00e9tation d&rsquo;une image est une autre affaire, la facilit\u00e9 de capture d&rsquo;une image de haute qualit\u00e9 jette les bases d&rsquo;une utilisation plus r\u00e9pandue de l&rsquo;\u00e9chographie. \u00ab\u00a0En tant qu&rsquo;appareil d&rsquo;\u00e9chographie au point de service, la qualit\u00e9 de l&rsquo;image est importante car vous prenez des d\u00e9cisions sur la base d&rsquo;une \u00e9tude limit\u00e9e\u00a0\u00bb, explique-t-il.  <\/p>\n\n<p class=\"wp-block-paragraph\">L&rsquo;\u00e9quipe de la mission a commenc\u00e9 par trier les patients de quatre sites du nord de Samar et \u00e0 \u00e9valuer qui serait le plus apte \u00e0 subir les types d&rsquo;interventions chirurgicales qu&rsquo;elle \u00e9tait en mesure d&rsquo;effectuer. L&rsquo;\u00e9ventail des pathologies \u00e9tait large, allant des hernies inguinales aux grosses masses ovariennes en passant par les maladies thyro\u00efdiennes. Au cours de la mission, l&rsquo;\u00e9quipe s&rsquo;est \u00e9galement pench\u00e9e sur les maladies chroniques. Comme la mission ne durait que deux semaines, l&rsquo;\u00e9quipe s&rsquo;est \u00e9galement pench\u00e9e sur la correction des maladies chroniques afin d&rsquo;\u00e9liminer les probl\u00e8mes qui pourraient survenir tout au long de l&rsquo;ann\u00e9e lorsqu&rsquo;elle ne serait pas sur place, comme la chol\u00e9cystite due \u00e0 la chol\u00e9lithiase.   <\/p>\n\n<p class=\"wp-block-paragraph\">Le Dr Tonseth partage sa chambre avec un pathologiste. Il a install\u00e9 le scanner, le ventilateur de refroidissement et le chargeur de batterie sur une petite table, juste \u00e0 c\u00f4t\u00e9 du lit. Cette proximit\u00e9 leur a permis de travailler en \u00e9troite collaboration : il effectuait une biopsie du sein, remettait le sp\u00e9cimen au pathologiste pour qu&rsquo;il \u00e9tablisse un diagnostic et apprenait si la patiente pr\u00e9sentait une l\u00e9sion b\u00e9nigne ou maligne. La patiente \u00e9tait alors op\u00e9r\u00e9e en toute connaissance de cause.   <\/p>\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">La portabilit\u00e9 de l&rsquo;\u00e9chographie en a fait un \u00e9l\u00e9ment presque essentiel des soins chirurgicaux\u00a0\u00bb, explique-t-il. Il \u00e9tait inattendu de constater \u00e0 quel point la gestion chirurgicale a chang\u00e9 depuis l&rsquo;arriv\u00e9e d&rsquo;un appareil \u00e0 ultrasons. Les chirurgiens qui exer\u00e7aient auparavant sur l&rsquo;\u00eele de Biri sans imagerie m\u00e9dicale adaptaient d\u00e9sormais leur pratique, lui demandant d&rsquo;examiner les patients et prenant des d\u00e9cisions sur la base de l&rsquo;imagerie.  <\/p>\n<\/blockquote>\n\n<p class=\"wp-block-paragraph\">La valeur de l&rsquo;acc\u00e8s aux ultrasons est apparue clairement d\u00e8s le premier jour. L&rsquo;un des premiers patients du Dr Tonseth \u00e9tait une jeune femme atteinte de spina bifida et soup\u00e7onn\u00e9e d&rsquo;avoir un abc\u00e8s. Il \u00e9tait essentiel de diff\u00e9rencier le sac dural de l&rsquo;abc\u00e8s. L&rsquo;imagerie du patient a permis au chirurgien d&rsquo;op\u00e9rer en toute confiance, sachant qu&rsquo;il ne travaillait pas \u00e0 proximit\u00e9 de structures dangereuses.   <\/p>\n\n<p class=\"wp-block-paragraph\">Dans un autre cas, l&rsquo;\u00e9quipe a trait\u00e9 une femme pr\u00e9sentant une masse pelvienne importante. Les chirurgiens \u00e9taient d&rsquo;abord inquiets \u00e0 l&rsquo;id\u00e9e d&rsquo;op\u00e9rer, car ils ne savaient pas \u00e0 quoi ils avaient affaire. Mais gr\u00e2ce \u00e0 l&rsquo;\u00e9chographie, ils ont pu voir ce qui se passait et localiser avec pr\u00e9cision l&#8217;emplacement exact de la masse, \u00e9vitant ainsi de couper la partie solide d&rsquo;une grosse tumeur ovarienne.  <\/p>\n\n<p class=\"wp-block-paragraph\">Apr\u00e8s l&rsquo;op\u00e9ration, les ultrasons ont \u00e9t\u00e9 utilis\u00e9s pour l&rsquo;analg\u00e9sie. Clarius a permis aux anesth\u00e9sistes de localiser l&#8217;emplacement de l&rsquo;aiguille pour un bloc du plan transversal de l&rsquo;abdomen (TAP), et les patients ont pu quitter l&rsquo;h\u00f4pital sans avoir besoin d&rsquo;analg\u00e9siques. Le Dr Tonseth n&rsquo;avait pas envisag\u00e9 cette possibilit\u00e9, car il \u00e9tait sp\u00e9cialis\u00e9 dans l&rsquo;imagerie diagnostique et n&rsquo;avait pas envisag\u00e9 les possibilit\u00e9s d&rsquo;utilisation th\u00e9rapeutique.  <\/p>\n\n<p class=\"wp-block-paragraph\">L&rsquo;\u00e9chographie s&rsquo;est r\u00e9v\u00e9l\u00e9e essentielle \u00e0 chaque \u00e9tape, du triage \u00e0 la p\u00e9riode p\u00e9riop\u00e9ratoire, puis au soulagement de la douleur post-op\u00e9ratoire. Lors des prochaines missions, le Dr Tonseth pr\u00e9voit d&rsquo;\u00e9largir son r\u00f4le et d&#8217;emmener un r\u00e9sident en radiologie et un \u00e9chographiste. M\u00eame en dehors du domaine de l&rsquo;imagerie diagnostique, les ultrasons changent la donne pour les m\u00e9decins g\u00e9n\u00e9ralistes, les infirmi\u00e8res, les internistes, etc. Pour la premi\u00e8re fois, les patients pourraient avoir leur propre dossier m\u00e9dical sur leur t\u00e9l\u00e9phone.   <\/p>\n\n<p class=\"wp-block-paragraph\">\u00ab\u00a0Il est difficile d&rsquo;exprimer l&rsquo;impact que cela a eu\u00a0\u00bb, d\u00e9clare le Dr Tonseth. Scanner le patient, travailler avec le chirurgien pour voir les d\u00e9tails dont il a besoin, faire l&rsquo;op\u00e9ration &#8211; \u00ab\u00a0vous devez \u00eatre l\u00e0\u00a0\u00bb. <\/p>\n\n<p class=\"wp-block-paragraph\"><iframe src=\"https:\/\/www.youtube.com\/embed\/c453HbM7F-Q\" width=\"720\" height=\"405\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lorsque le Dr Pete Tonseth a \u00e9t\u00e9 invit\u00e9 \u00e0 participer \u00e0 une mission chirurgicale sur l&rsquo;\u00eele de Biri, aux Philippines, il n&rsquo;\u00e9tait pas certain de pouvoir apporter une aide pr\u00e9cieuse. Il \u00e9tait radiologue et, pendant les ann\u00e9es o\u00f9 la mission s&rsquo;est rendue sur l&rsquo;\u00eele, il n&rsquo;y avait pas d&rsquo;\u00e9quipement d&rsquo;imagerie m\u00e9dicale disponible. La premi\u00e8re r\u00e9action&#8230;<\/p>\n","protected":false},"author":4,"featured_media":30829,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[993,729,990],"tags":[],"specialities":[],"class_list":["post-151859","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-missions","category-news-fr","category-perspectives"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Imagerie par ultrasons lors d&#039;une mission chirurgicale sur l&#039;\u00eele de Biri | Clarius | Blog Post<\/title>\n<meta name=\"description\" content=\"Lorsque le Dr Pete Tonseth a \u00e9t\u00e9 invit\u00e9 \u00e0 participer \u00e0 une mission chirurgicale sur l&#039;\u00eele de Biri, aux Philippines, il n&#039;\u00e9tait pas certain de pouvoir\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clarius.com\/fr\/blog\/imagerie-par-ultrasons-lors-dune-mission-chirurgicale-sur-lile-de-biri\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Imagerie par ultrasons lors d&#039;une mission chirurgicale sur l&#039;\u00eele de Biri\" \/>\n<meta property=\"og:description\" content=\"Lorsque le Dr Pete Tonseth a \u00e9t\u00e9 invit\u00e9 \u00e0 participer \u00e0 une mission chirurgicale sur l&#039;\u00eele de Biri, aux Philippines, il n&#039;\u00e9tait pas certain de pouvoir\" \/>\n<meta property=\"og:url\" content=\"https:\/\/clarius.com\/fr\/blog\/imagerie-par-ultrasons-lors-dune-mission-chirurgicale-sur-lile-de-biri\/\" \/>\n<meta property=\"og:site_name\" content=\"Clarius\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/clariusmhealth\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-28T15:15:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-13T05:39:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/clarius.com\/wp-content\/uploads\/2018\/08\/blog_image-0.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1008\" \/>\n\t<meta property=\"og:image:height\" content=\"756\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Roderick\" \/>\n<meta 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