ABSTRACT
Over the last decade, Physical and Rehabilitation Medicine (PRM) is a medical specialty that has evolved considerably in the various fields that concern it : from the management of low back pain and lumbosciatalgia or osteoporosis in a multidisciplinary manner, through the use of new technologies in neuro-locomotor rehabilitation and robotisation in amputee patients for example, the development of regenerative medicine and prevention in sports traumatology and, finally, the progress of electrophysiology techniques for the diagnosis of small-fibre neuropathies. These various advances will be discussed in this article.
Au cours de la dernière décennie, la Médecine Physique et Réadaptation (MPR) est une spécialité médicale qui a fortement évolué dans les différents domaines qui la concernent : de la prise en charge des lombalgies et lombosciatalgies ou encore de l'ostéoporose de manière pluridisciplinaire, en passant par l'utilisation des nouvelles technologies en rééducation neuro-locomotrice et de la robotisation en rééducation, chez les patients amputés par exemple, le développement de la médecine à vocation régénérative et la prévention en traumatologie du sport et, enfin, les progrès des techniques d'électrophysiologie pour le diagnostic des neuropathies à petites fibres. Ces différentes avancées seront abordées dans cet article.
Subject(s)
Low Back Pain , Osteoporosis , Physical and Rehabilitation Medicine , Clinical Competence , Humans , Low Back Pain/therapy , Osteoporosis/therapy , Physical and Rehabilitation Medicine/trendsABSTRACT
Fatal complications during laparoscopy mostly originate from injury to major pelvic vessels, causing severe hemorrhage or carbon dioxide embolism. We report a case of a 30-year-old patient who--after unsuccessful resuscitation--died during gynecologic laparoscopy. The noted signs corresponded to acute gas embolism, particularly as ultrasound revealed intravascular gas pulsation. At autopsy, 2 days post mortem, a puncture of the left common iliac vein was discovered. Despite this, gas bubbles in the right heart could not be confirmed. Pre-conditions for fatal carbon dioxide embolism are stressed. To prove the presence of carbon dioxide gas post mortem, autopsy has to be performed as soon as possible and the corpse has to be stored without cooling.