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Master Thesis

Développement d’une vidéo didactique d’aide à l’exérèse initiale d’un naevus suspect en cabinet de médecine générale

Abstract : The initial excision of a suspicious nevus is an achievable procedure to general practitionners (GP). In the current context, a real benefit could be brought to patients if surgery is properly performed. Here, our task aims at creating a didactic movie to assist GPs removing the skin lesion. The different steps - antisepsis, anesthesia, excision technique and haemorrhage risk management – have been thoroughly studied through narrative reviews, while - suture, anatomopathological examination and rates of medical excision - have been analysed in official references and practices. Quality criteria for an instructional video have been looking for as well. Our results enabled to establish the excision modalities. Antisepsis is performed with alcoholic chlorhexidine and anesthesia with lidocaïne and epinephrine. The excision, done with scalpel blade or punch, is performed with a 2 mm safety margin. Most of the time, antithrombotic therapy should be followed up. These results permitted to create a didactic video broadcast on a public network. Even if this study seems to promote the Hospital- General Practice link, it should not however encourage GPs to carry out procedures that should come from specialist doctors.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02283705
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, September 11, 2019 - 9:54:08 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Friday, February 7, 2020 - 5:08:38 PM

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  • HAL Id : dumas-02283705, version 1

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Yohan Walch, Adrien de Massias de Bonne. Développement d’une vidéo didactique d’aide à l’exérèse initiale d’un naevus suspect en cabinet de médecine générale. Médecine humaine et pathologie. 2019. ⟨dumas-02283705⟩

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