{"id":31576,"date":"2021-10-11T15:50:08","date_gmt":"2021-10-11T13:50:08","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=31576"},"modified":"2021-10-11T15:52:01","modified_gmt":"2021-10-11T13:52:01","slug":"extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/","title":{"rendered":"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle"},"content":{"rendered":"\n

La patiente pr\u00e9sentait une tumeur r\u00e9nale tr\u00e8s volumineuse, de 15 cm, du c\u00f4t\u00e9 droit. Une laparoscopie conventionnelle aurait pu \u00eatre pratiqu\u00e9e, mais aurait occasionn\u00e9 une grande cicatrice pour permettre de sortir le rein. L\u2019\u00e9ventualit\u00e9 de proc\u00e9der par extraction vaginale s\u2019est alors pr\u00e9sent\u00e9e.<\/p>\n

Comment se d\u00e9roule l\u2019op\u00e9ration\u00a0?<\/h3>\n

Au sein du CHU de Poitiers, ce type d\u2019op\u00e9ration en urologie est habituellement pratiqu\u00e9 en chirurgie pelvienne (cancers de la vessie notamment), sur des organes de taille normale. D\u2019autres CHU fran\u00e7ais r\u00e9alisent \u00e9galement cette op\u00e9ration dans le cadre du don de reins vivants apparent\u00e9s.<\/p>\n

L\u2019op\u00e9ration a \u00e9t\u00e9 r\u00e9alis\u00e9e \u00e0 l\u2019aide du robot chirurgical DaVinci Xi. Ce robot permet une chirurgie multi-cadrans, c\u2019est-\u00e0-dire qu\u2019il n\u2019est pas n\u00e9cessaire de modifier l\u2019installation entre les temps op\u00e9ratoires r\u00e9nal et pelvien.<\/p>\n

Cinq mini-incisions de 8 mm (trocarts) ont \u00e9t\u00e9 r\u00e9alis\u00e9es sur l\u2019abdomen de la patiente afin d\u2019acc\u00e9der au rein d\u2019une part, et au vagin d\u2019autre part. L\u2019ablation du rein (n\u00e9phrectomie) r\u00e9alis\u00e9e, celui-ci a \u00e9t\u00e9 plac\u00e9 dans un sac \u00e9tanche, puis extrait au travers d\u2019une incision r\u00e9alis\u00e9e dans la paroi vaginale.<\/p>\n

Quels sont les avantages ?<\/h3>\n

L\u2019utilisation d\u2019une part du robot et d\u2019autre part du protocole d\u2019extraction vaginale pr\u00e9sentent beaucoup d\u2019avantages.<\/p>\n

Le fait de pratiquer des mini-incisions au lieu d\u2019une op\u00e9ration ouverte classique r\u00e9duit l\u2019importance des saignements, la douleur, la dur\u00e9e d\u2019hospitalisation, et l\u2019impact esth\u00e9tique. En effet, une op\u00e9ration classique implique davantage de sections musculaires que l\u2019extraction par voie vaginale. Cela permet de limiter la consommation de morphiniques, et la r\u00e9cup\u00e9ration post-op\u00e9ratoire est beaucoup plus rapide. Le risque de complications est \u00e9galement r\u00e9duit.<\/p>\n

Il existe toutefois un risque rare de douleurs lors des rapports sexuels ult\u00e9rieurs. En r\u00e9alit\u00e9, plusieurs \u00e9tudes, fran\u00e7aises notamment, ont relev\u00e9 l\u2019absence de cons\u00e9quences sur la vie sexuelle des patientes \u00e0 la suite d\u2019une extraction vaginale, dans le cadre du don d\u2019organes. Mais, bien que la zone d\u2019incision soit la zone la moins innerv\u00e9e du vagin, il s\u2019agit tout de m\u00eame d\u2019une paroi cicatricielle, qui peut donc engendrer des douleurs lors des rapports. C\u2019est ce que l\u2019on appelle les dyspareunies.<\/p>\n

Pourquoi ce type d\u2019op\u00e9ration est-il si rare\u00a0?<\/h3>\n

Le contexte oncologique de l\u2019op\u00e9ration du Dr Bernardeau la rendait particuli\u00e8rement risqu\u00e9e. En effet, malgr\u00e9 le fait que le rein ait \u00e9t\u00e9 plac\u00e9 dans un sac \u00e9tanche avant d\u2019\u00eatre extrait, il existe un risque de diss\u00e9mination tumorale si le sac se rompt. Ce risque, ainsi que celui de s\u00e9quelles sur la vie sexuelle, ont \u00e9t\u00e9 pr\u00e9sent\u00e9s \u00e0 la patiente, qui a donn\u00e9 son accord, condition sine qua non<\/em> pour r\u00e9aliser l\u2019op\u00e9ration.<\/p>\n

Si cette op\u00e9ration \u00e9tait une premi\u00e8re au CHU, le Dr Bernardeau r\u00e9alise de mani\u00e8re r\u00e9guli\u00e8re des extractions de vessie par voie vaginale. Cette fois-ci, il a \u00e9chang\u00e9 en amont avec ses confr\u00e8res gyn\u00e9cologues sur l\u2019emplacement de l\u2019incision et sur la particularit\u00e9 de l\u2019op\u00e9ration\u00a0: la taille du rein \u00e0 extraire, bien sup\u00e9rieure \u00e0 celle des organes sains.<\/p>\n

L\u2019op\u00e9ration s\u2019est tr\u00e8s bien d\u00e9roul\u00e9e, et la patiente s\u2019est remise rapidement. Elle a quitt\u00e9 l\u2019h\u00f4pital en 2 jours et repris le travail 5 jours apr\u00e8s l\u2019op\u00e9ration.<\/p>\n

Apr\u00e8s ce succ\u00e8s, allons-nous assister \u00e0 une g\u00e9n\u00e9ralisation de ce type d\u2019op\u00e9ration ? Dans le cadre oncologique, cela reste une op\u00e9ration assez marginale et risqu\u00e9e, except\u00e9 pour les op\u00e9rations pelviennes. Il existe pourtant peu de contre-indications\u00a0: \u00ab\u00a0On pourrait penser que la taille de la tumeur et la localisation de l\u2019organe malade pourraient \u00eatre des facteurs limitants \u00e0 cette technique, mais les \u00e9volutions technologiques en chirurgie, et notamment la robotique, permettent de repousser sans cesse nos limites, intellectuelles et techniques, toujours dans l\u2019int\u00e9r\u00eat du patient \u00bb<\/em> pr\u00e9cise le Dr Bernardeau.<\/p>\n\n\n\n

\"\"<\/figure>
\n

Le Dr Simon Bernardeau est chirurgien urologue au CHU de Poitiers. Il y a effectu\u00e9 son internat, puis y a \u00e9t\u00e9 chef de clinique pendant 3 ans. Il est aujourd\u2019hui praticien hospitalier dans le service de chirurgie urologique et transplantation r\u00e9nale. <\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Une op\u00e9ration extr\u00eamement rare a \u00e9t\u00e9 r\u00e9alis\u00e9e au CHU de Poitiers par le Dr Simon Bernardeau\u00a0: une extraction d\u2019un rein par voie vaginale, dans\u2026","protected":false},"author":12,"featured_media":31594,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-31576","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nExtraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Une op\u00e9ration extr\u00eamement rare a \u00e9t\u00e9 r\u00e9alis\u00e9e au CHU de Poitiers par le Dr Simon Bernardeau\u00a0: une extraction d\u2019un rein par voie vaginale, dans un contexte oncologique. Il s\u2019agit de la premi\u00e8re op\u00e9ration de ce type au CHU, en oncologie.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2021-10-11T13:50:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-11T13:52:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2216\" \/>\n\t<meta property=\"og:image:height\" content=\"2122\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle\",\"datePublished\":\"2021-10-11T13:50:08+00:00\",\"dateModified\":\"2021-10-11T13:52:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/\"},\"wordCount\":756,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2021\\\/10\\\/IMG_20200219_200344.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/\",\"name\":\"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2021\\\/10\\\/IMG_20200219_200344.jpg\",\"datePublished\":\"2021-10-11T13:50:08+00:00\",\"dateModified\":\"2021-10-11T13:52:01+00:00\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2021\\\/10\\\/IMG_20200219_200344.jpg\",\"contentUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2021\\\/10\\\/IMG_20200219_200344.jpg\",\"width\":2216,\"height\":2122,\"caption\":\"dav\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#website\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/\",\"name\":\"Site du CHU de Poitiers\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\",\"name\":\"CHU de Poitiers\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2022\\\/02\\\/Logo-Horizontal-CHU-Poitiers_Couleurs.png\",\"contentUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2022\\\/02\\\/Logo-Horizontal-CHU-Poitiers_Couleurs.png\",\"width\":2245,\"height\":1064,\"caption\":\"CHU de Poitiers\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\",\"name\":\"Morgane Pr\u00e9maud\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g\",\"caption\":\"Morgane Pr\u00e9maud\"},\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/en\\\/author\\\/morgane-premaudchu-poitiers-fr\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/","og_locale":"en_US","og_type":"article","og_title":"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers","og_description":"Une op\u00e9ration extr\u00eamement rare a \u00e9t\u00e9 r\u00e9alis\u00e9e au CHU de Poitiers par le Dr Simon Bernardeau\u00a0: une extraction d\u2019un rein par voie vaginale, dans un contexte oncologique. Il s\u2019agit de la premi\u00e8re op\u00e9ration de ce type au CHU, en oncologie.","og_url":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/","og_site_name":"Site du CHU de Poitiers","article_published_time":"2021-10-11T13:50:08+00:00","article_modified_time":"2021-10-11T13:52:01+00:00","og_image":[{"width":2216,"height":2122,"url":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg","type":"image\/jpeg"}],"author":"Morgane Pr\u00e9maud","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Morgane Pr\u00e9maud","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"NewsArticle","@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/#article","isPartOf":{"@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/"},"author":{"name":"Morgane Pr\u00e9maud","@id":"https:\/\/www.chu-poitiers.fr\/#\/schema\/person\/c3b1c950cff7a774b33177b5cdabb2cb"},"headline":"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle","datePublished":"2021-10-11T13:50:08+00:00","dateModified":"2021-10-11T13:52:01+00:00","mainEntityOfPage":{"@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/"},"wordCount":756,"publisher":{"@id":"https:\/\/www.chu-poitiers.fr\/#organization"},"image":{"@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/#primaryimage"},"thumbnailUrl":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg","articleSection":["Non classifi\u00e9(e)"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/","url":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/","name":"Extraction de rein par voie vaginale : une op\u00e9ration oncologique exceptionnelle - Site du CHU de Poitiers","isPartOf":{"@id":"https:\/\/www.chu-poitiers.fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/#primaryimage"},"image":{"@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/#primaryimage"},"thumbnailUrl":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg","datePublished":"2021-10-11T13:50:08+00:00","dateModified":"2021-10-11T13:52:01+00:00","inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.chu-poitiers.fr\/extraction-de-rein-par-voie-vaginale-une-operation-oncologique-exceptionnelle\/#primaryimage","url":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg","contentUrl":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2021\/10\/IMG_20200219_200344.jpg","width":2216,"height":2122,"caption":"dav"},{"@type":"WebSite","@id":"https:\/\/www.chu-poitiers.fr\/#website","url":"https:\/\/www.chu-poitiers.fr\/","name":"Site du CHU de Poitiers","description":"","publisher":{"@id":"https:\/\/www.chu-poitiers.fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.chu-poitiers.fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.chu-poitiers.fr\/#organization","name":"CHU de Poitiers","url":"https:\/\/www.chu-poitiers.fr\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.chu-poitiers.fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2022\/02\/Logo-Horizontal-CHU-Poitiers_Couleurs.png","contentUrl":"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2022\/02\/Logo-Horizontal-CHU-Poitiers_Couleurs.png","width":2245,"height":1064,"caption":"CHU de Poitiers"},"image":{"@id":"https:\/\/www.chu-poitiers.fr\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.chu-poitiers.fr\/#\/schema\/person\/c3b1c950cff7a774b33177b5cdabb2cb","name":"Morgane Pr\u00e9maud","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/fb33f5c6cef4d8e56c34655064d7f4177ed5bad496b9758d31d51b50aa264147?s=96&d=mm&r=g","caption":"Morgane Pr\u00e9maud"},"url":"https:\/\/www.chu-poitiers.fr\/en\/author\/morgane-premaudchu-poitiers-fr\/"}]}},"_links":{"self":[{"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/posts\/31576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/comments?post=31576"}],"version-history":[{"count":5,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/posts\/31576\/revisions"}],"predecessor-version":[{"id":31603,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/posts\/31576\/revisions\/31603"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/media\/31594"}],"wp:attachment":[{"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/media?parent=31576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/categories?post=31576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/en\/wp-json\/wp\/v2\/tags?post=31576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}