{"id":3333,"date":"2026-07-13T16:45:16","date_gmt":"2026-07-13T15:45:16","guid":{"rendered":"https:\/\/www.sylvaindavid.com\/?p=3333"},"modified":"2026-07-13T16:45:34","modified_gmt":"2026-07-13T15:45:34","slug":"la-chirurgie-la-plus-difficile-que-jai-realisee-a-nice-et-ce-nest-pas-une-chirurgie-esthetique","status":"publish","type":"post","link":"https:\/\/www.sylvaindavid.com\/en\/actualites\/la-chirurgie-la-plus-difficile-que-jai-realisee-a-nice-et-ce-nest-pas-une-chirurgie-esthetique\/","title":{"rendered":"The most difficult surgery I've performed in Nice\u2014and it wasn't cosmetic surgery"},"content":{"rendered":"<h1 class=\"text-text-100 mt-3 -mb-1 text-[1.375rem] font-bold\" data-sourcepos=\"1:1-1:83;0-82\">La chirurgie la plus difficile que j&rsquo;ai r\u00e9alis\u00e9e \u00e0 Nice, et ce n&rsquo;est pas une chirurgie esth\u00e9tique<\/h1>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"3:1-3:49;84-132\">Ce soir-l\u00e0, je m&rsquo;appr\u00eatais \u00e0 partir en week-end.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"5:1-5:141;134-274\">Le t\u00e9l\u00e9phone sonne. C&rsquo;est le SAMU. Une jeune femme vient de coincer son bras dans une machine \u00e0 p\u00e2tes, dans le restaurant o\u00f9 elle travaille.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"7:1-7:124;276-399\">Je pars en urgence sur les lieux. Sur place, la d\u00e9cision tombe, brutale : il faut amputer, au niveau du bras et de la main.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"9:1-9:100;401-500\">On \u00e9vacue la patiente vers le CHU. Son bras et sa main font le trajet avec elle, dans une glaci\u00e8re.<\/p>\n<p><iframe title=\"La double greffe r\u00e9ussit par le docteur Sylvain David\" width=\"1060\" height=\"596\" src=\"https:\/\/www.youtube.com\/embed\/bz1ky4_khmw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\" data-sourcepos=\"11:1-11:32;502-533\">Direction le bloc op\u00e9ratoire<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"13:1-13:120;535-654\">Devant nous : un bras et une main \u00e0 r\u00e9implanter. Deux internes, une \u00e9quipe, et 14 heures d&rsquo;intervention qui commencent.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"15:1-15:76;656-731\">On reconnecte tout, un par un : les os, les nerfs, les art\u00e8res, les veines.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"17:1-17:68;733-800\">Le bras termin\u00e9, il faut tout recommencer. La main attend son tour.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"19:1-19:110;802-911\">Quand on sort du bloc, il est 4 heures du matin. L&rsquo;\u00e9quipe est \u00e9puis\u00e9e. Mais son bras et sa main sont vivants.<\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\" data-sourcepos=\"21:1-21:41;913-953\">Rien de tout cela n&rsquo;est possible seul<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"23:1-23:281;955-1235\">\u00c0 ce niveau d&rsquo;exigence, un chirurgien ne fait rien tout seul. Ce jour-l\u00e0, j&rsquo;ai eu la chance d&rsquo;\u00eatre entour\u00e9 : les infirmiers, les internes, les conseils du chef de service. Une r\u00e9implantation de cette ampleur, c&rsquo;est une \u00e9quipe enti\u00e8re qui tient un pari ensemble, heure apr\u00e8s heure.<\/p>\n<p><iframe title=\"Double greffe de main et bras, Premi\u00e8re mondiale par le Docteur David\" width=\"1060\" height=\"596\" src=\"https:\/\/www.youtube.com\/embed\/qfyMa0MKe3Y?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\" data-sourcepos=\"25:1-25:32;1237-1268\">Ce que cette nuit m&rsquo;a appris<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"27:1-27:152;1270-1421\">Aujourd&rsquo;hui, je pratique la chirurgie esth\u00e9tique. Le contexte n&rsquo;a plus rien \u00e0 voir : plus d&rsquo;urgence vitale, plus de glaci\u00e8re, plus de compte \u00e0 rebours.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"29:1-29:35;1423-1457\">Mais le geste, lui, reste le m\u00eame.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"31:1-31:202;1459-1660\">La pr\u00e9cision. Le soin du d\u00e9tail. Cette exigence qui ne laisse rien au hasard, qu&rsquo;il s&rsquo;agisse de reconnecter une art\u00e8re de moins d&rsquo;un millim\u00e8tre ou d&rsquo;ajuster un geste esth\u00e9tique au demi-millim\u00e8tre pr\u00e8s.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"33:1-33:113;1662-1774\">Ce que j&rsquo;ai appris cette nuit-l\u00e0 au bloc, je le remets en pratique dans chaque intervention, encore aujourd&rsquo;hui.<\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\" data-sourcepos=\"35:1-35:45;1776-1820\">Comment choisir son chirurgien esth\u00e9tique<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\" data-sourcepos=\"37:1-37:768;1822-2589\">Cette exigence, c&rsquo;est justement ce qu&rsquo;il faut chercher quand on choisit un chirurgien esth\u00e9tique. Au-del\u00e0 du bouche-\u00e0-oreille ou des photos avant\/apr\u00e8s, quelques crit\u00e8res comptent vraiment : le dipl\u00f4me de chirurgien plasticien, reconstructeur et esth\u00e9tique (le seul reconnu pour pratiquer cette sp\u00e9cialit\u00e9, \u00e0 v\u00e9rifier sur l&rsquo;annuaire du Conseil de l&rsquo;Ordre des m\u00e9decins), le parcours hospitalier, qui forge la rigueur face aux complications, et la capacit\u00e9 du praticien \u00e0 expliquer clairement les risques, les limites et les alternatives, plut\u00f4t que de se contenter de vendre un r\u00e9sultat. Un bon chirurgien esth\u00e9tique est avant tout un chirurgien : la pr\u00e9cision et le soin du d\u00e9tail qui sauvent un bras s&rsquo;appliquent, \u00e0 une autre \u00e9chelle, \u00e0 chaque geste r\u00e9alis\u00e9 au bloc.<\/p>\n<blockquote class=\"instagram-media\" style=\"background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DYY_Jngsf-X\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\">\n<div style=\"padding: 16px;\">\n<p>&nbsp;<\/p>\n<div style=\"display: flex; flex-direction: row; align-items: center;\">\n<div style=\"background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\">\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div>\n<\/div>\n<\/div>\n<div style=\"padding: 19% 0;\"><\/div>\n<div style=\"display: block; height: 50px; margin: 0 auto 12px; width: 50px;\"><\/div>\n<div style=\"padding-top: 8px;\">\n<div style=\"color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;\">Voir cette publication sur Instagram<\/div>\n<\/div>\n<div style=\"padding: 12.5% 0;\"><\/div>\n<div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\">\n<div>\n<div style=\"background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div>\n<div style=\"background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div>\n<\/div>\n<div style=\"margin-left: 8px;\">\n<div style=\"background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div>\n<div style=\"width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);\"><\/div>\n<\/div>\n<div style=\"margin-left: auto;\">\n<div style=\"width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div>\n<div style=\"background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div>\n<div style=\"width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div>\n<\/div>\n<\/div>\n<div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\">\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div>\n<div style=\"background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p style=\"color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;\"><a style=\"color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;\" href=\"https:\/\/www.instagram.com\/reel\/DYY_Jngsf-X\/?utm_source=ig_embed&amp;utm_campaign=loading\" target=\"_blank\" rel=\"noopener\">Une publication partag\u00e9e par Dr Sylvain David (@drsylvaindavid)<\/a><\/p>\n<\/div>\n<\/blockquote>\n<p><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La chirurgie la plus difficile que j&rsquo;ai r\u00e9alis\u00e9e \u00e0 Nice, et ce n&rsquo;est pas une chirurgie esth\u00e9tique Ce soir-l\u00e0, je m&rsquo;appr\u00eatais \u00e0 partir en week-end. Le t\u00e9l\u00e9phone sonne. C&rsquo;est le&#8230;<\/p>","protected":false},"author":1,"featured_media":1710,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites"],"_links":{"self":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts\/3333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/comments?post=3333"}],"version-history":[{"count":3,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts\/3333\/revisions"}],"predecessor-version":[{"id":3338,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts\/3333\/revisions\/3338"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/media\/1710"}],"wp:attachment":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/media?parent=3333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/categories?post=3333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/tags?post=3333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}