[Operative risk related to tobacco in gynecology].
If tobacco has been recognized for many years as a major risk factor for cardiovascular, lung diseases and cancer in the general population, women are insufficiently aware of the consequences and the specific gynecological operative risks related to this intoxication. Thus, a regular tobacco consumption increases the risk for many gynecological conditions may require surgical treatment with in addition a significant negative impact on the healing process and the risk of postoperative complications. The operative risk must be explained by surgeons in daily practice gynecological, pelvic surgery or breast screening. The issue of smoking cessation should precede surgery has been established by a consensus conference of experts on perioperative smoking held in 2005. The implementation of these recommendations during the preoperative period requires improvement of staff training and better practices to allow smoking cessation effective and sustainable. It is lawful in this context to delay scheduled surgery of 6 to 8 weeks to allow an optimal smoking cessation and to continue smoking cessation for the time necessary for healing to reduce the excess operative risk associated with smoking.
Service de gynécologie-obstétrique, maternité régionale universitaire de Nancy, université Nancy I Henri-Poincaré, 10, rue du Dr.-Heydenreich, 54000 Nancy, France. Electronic address: shaghayari@gmail.com.
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Yaribakht
Service de gynécologie-obstétrique, maternité régionale universitaire de Nancy, université Nancy I Henri-Poincaré, 10, rue du Dr.-Heydenreich, 54000 Nancy, France.
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Malartic
Service de gynécologie-obstétrique, maternité régionale universitaire de Nancy, université Nancy I Henri-Poincaré, 10, rue du Dr.-Heydenreich, 54000 Nancy, France.
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Grange
Service de gynécologie-obstétrique, maternité régionale universitaire de Nancy, université Nancy I Henri-Poincaré, 10, rue du Dr.-Heydenreich, 54000 Nancy, France.
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Morel
D000758:Anesthesia / Q000009:adverse effects; D005260:Female; D005831:Genital Diseases, Female / Q000209:etiology; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007431:Intraoperative Complications; D011183:Postoperative Complications; D011300:Preoperative Care; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation
Chirurgie pelvienne; Complications opératoires; Operative complications; Pelvic surgery; Sevrage tabagique; Smoking cessation; Tabac; Tobacco