{"id":472595,"date":"2025-10-18T13:49:15","date_gmt":"2025-10-18T13:49:15","guid":{"rendered":"https:\/\/www.europesays.com\/fr\/472595\/"},"modified":"2025-10-18T13:49:15","modified_gmt":"2025-10-18T13:49:15","slug":"les-antibiotiques-peuvent-ils-remplacer-le-bistouri","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/fr\/472595\/","title":{"rendered":"les antibiotiques peuvent-ils remplacer le bistouri\u00a0?"},"content":{"rendered":"<p>    Le but n\u2019est pas de remplacer la chirurgie, mais de proposer une option raisonn\u00e9e.<br \/>\n                JR-50 \/ stock.adobe.com<\/p>\n<p>\n    D\u00c9CRYPTAGE &#8211; Une nouvelle m\u00e9ta analyse relance le d\u00e9bat\u00a0: si les antibiotiques peuvent parfois \u00e9viter une appendicectomie chez l\u2019enfant, ils ne peuvent emp\u00eacher des complications dans certains cas et de nombreux patients doivent ensuite \u00eatre op\u00e9r\u00e9s.<\/p>\n<p class=\"fig-paragraph\">En France, l\u2019appendicectomie, reste le traitement de choix d\u00e8s qu\u2019une\u00a0<a href=\"https:\/\/sante.lefigaro.fr\/sante\/maladie\/appendicite\/ce-que-je-ressens\" target=\"_blank\" data-fig-type=\"Keyword\" rel=\"sponsored noopener nofollow\" data-gtm-custom-categorie=\"navigation\" data-gtm-custom-action=\"crossclick\" data-gtm-custom-label=\"Contextuel\" data-gtm-event=\"customEventSPE\" data-fig-domain=\"SANTE\">appendicite aigu\u00eb est diagnostiqu\u00e9e<\/a>. H\u00e9ritage du c\u00e9l\u00e8bre adage d\u2019Henri Mondor \u00ab appendicectomie au moindre doute\u00a0\u00bb, ce r\u00e9flexe chirurgical s\u2019est profond\u00e9ment enracin\u00e9 dans la pratique m\u00e9dicale. La Haute Autorit\u00e9 de sant\u00e9 et la Soci\u00e9t\u00e9 fran\u00e7aise de chirurgie digestive continuent d\u2019ailleurs de recommander la chirurgie comme traitement de r\u00e9f\u00e9rence. Pourtant, depuis une quinzaine d\u2019ann\u00e9es, une alternative s\u2019invite dans le d\u00e9bat\u00a0: traiter certaines appendicites simples par\u00a0<a href=\"http:\/\/sante.lefigaro.fr\/social\/sante-publique\/d-ici-2050-39-millions-de-personnes-mourront-d-une-bacterie-resistante-aux-antibiotiques-20240917\" data-fig-type=\"Article\" data-gtm-custom-categorie=\"navigation\" data-gtm-custom-action=\"crossclick\" data-gtm-custom-label=\"Contextuel\" data-gtm-event=\"customEventSPE\" data-fig-domain=\"SANTE\" rel=\"nofollow noopener\" target=\"_blank\">antibiotiques<\/a>, sans passer par le bloc op\u00e9ratoire.<\/p>\n<p class=\"fig-paragraph\">\u00ab\u00a0Ce n\u2019est pas une question de confort, mais souvent une question d\u2019organisation du syst\u00e8me de soins\u00a0\u00bb, explique le Pr Guillaume Podevin, chirurgien p\u00e9diatrique au CHU d\u2019Angers et ancien pr\u00e9sident de la Soci\u00e9t\u00e9 fran\u00e7aise de chirurgie p\u00e9diatrique. \u00ab\u00a0Les appendicites arrivent souvent par \u201c\u00e9pid\u00e9mies\u201d, avec plusieurs cas par jour pendant une dizaine de jours. Alors, puisqu\u2019il s\u2019agit d\u2019une infection\u2026<\/p>\n<p class=\"fig-premium-paywall__infos\">\n        Cet article est r\u00e9serv\u00e9 aux abonn\u00e9s.        Il vous reste 77% \u00e0 d\u00e9couvrir.\n    <\/p>\n<p>                <img  data- alt=\"Le Figaro\" class=\"fig-img--complete fig-img\"\/><\/p>\n<p class=\"fig-premium-paywall__title\">Vous avez envie de lire la suite ?<\/p>\n<p class=\"fig-premium-paywall__subtitle\">D\u00e9bloquez tous les articles imm\u00e9diatement.<\/p>\n<p class=\"fig-premium-paywall__connect\">\n                D\u00e9j\u00e0 abonn\u00e9\u00a0?                <a class=\"fig-premium-paywall__connect-link\" href=\"https:\/\/connect.lefigaro.fr\/login?client=sante_web&amp;type=main&amp;redirect_uri=https%3A%2F%2Fsante.lefigaro.fr%2Fmedecine%2Fappendicite-de-l-enfant-les-antibiotiques-peuvent-ils-remplacer-le-bistouri-20251018\" data-js-gtm=\"{&quot;customCategorie&quot;: &quot;conversion&quot;, &quot;customAction&quot;: &quot;before_Landing_Connexion_paywall_auto&quot;, &quot;customLabel&quot;: &quot;c2FudGUubGVmaWdhcm8uZnJfXzFmMGFhYTUyLThhZTAtNjAwYS04YjRhLTY3ZGM1NWJkZDk0Nl9fQXJ0aWNsZQ==_Appendicite de l\u2019enfant\u00a0: les antibiotiques peuvent-ils remplacer le bistouri\u00a0?_396&quot;, &quot;customIDSPE&quot;: &quot;c2FudGUubGVmaWdhcm8uZnJfXzFmMGFhYTUyLThhZTAtNjAwYS04YjRhLTY3ZGM1NWJkZDk0Nl9fQXJ0aWNsZQ==&quot;, &quot;event&quot;: &quot;customEventSPE&quot;}\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n                    Connectez-vous<br \/>\n                <\/a>\n            <\/p>\n","protected":false},"excerpt":{"rendered":"Le but n\u2019est pas de remplacer la chirurgie, mais de proposer une option raisonn\u00e9e. JR-50 \/ stock.adobe.com D\u00c9CRYPTAGE&hellip;\n","protected":false},"author":2,"featured_media":472596,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[39227,30537,1011,27,72,71],"class_list":{"0":"post-472595","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-sante","8":"tag-appendicectomie","9":"tag-appendicite","10":"tag-fr","11":"tag-france","12":"tag-health","13":"tag-sante"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@fr\/115395491504131408","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts\/472595","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/comments?post=472595"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/posts\/472595\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/media\/472596"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/media?parent=472595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/categories?post=472595"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/fr\/wp-json\/wp\/v2\/tags?post=472595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}