Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 259

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 260

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Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 274

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 274

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 274

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 274

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 274

Strict Standards: Non-static method extension::js() should not be called statically in /home/docteurvs/www/extensions/get.php on line 279

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 280

Strict Standards: Non-static method extension::css() should not be called statically in /home/docteurvs/www/extensions/get.php on line 294

Strict Standards: Non-static method menu::liste_menu_lien() should not be called statically in /home/docteurvs/www/extensions/get.php on line 315

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 24

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 88

Strict Standards: Non-static method menu::groupeActif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 93

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 24

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 88

Strict Standards: Non-static method menu::groupeActif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 93

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 24

Strict Standards: Non-static method menu::actif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 88

Strict Standards: Non-static method menu::groupeActif() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 48

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 379

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 380

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 381

Strict Standards: Non-static method meta::valeur() should not be called statically in /home/docteurvs/www/extensions/get.php on line 382

Strict Standards: Non-static method extension::css() should not be called statically in /home/docteurvs/www/extensions/get.php on line 387

Strict Standards: Non-static method menu::affichage() should not be called statically in /home/docteurvs/www/extensions/affichage/document_1.php on line 21

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 136

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

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Strict Standards: Non-static method menu::listeMenu() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 205

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Strict Standards: Non-static method go::lien() should not be called statically in /home/docteurvs/www/extensions/fonctions/menu.php on line 223

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Les prothèses mammaires en polyuréthane par le Dr Virginie Berard
Docteur

Clinique de l’Europe

4 rue Octave Crutel

76100 Rouen

Tél. : 02 32 18 13 85

Accès rapide aux différentes interventions

Virginie Berard
chirurgie esthétique reconstructrice et réparatrice à Rouen

Information spécifique prothèses polyuréthane

Implant lisse avec gel de silicone cohésif recouvert de mousse de polyuréthane : la mousse est intégrée dans l'épaisseur de la capsule, désorganise les fibres collagènes qui ne sont pas parallèles, ce qui empêche leur contraction et empêche la formation de coque.

 

Avantages :

  • Moins de coques.
  • Peu de risque de déplacement, PAS de rotation.
  • Implant stable, à long terme (100 publications sur 40 ans, ce n'est pas un nouvel implant).

 

Désavantages :

  • Plus difficile à positionner : incision un peu plus grande, voie sous mammaire
  • Rash allergique (1 à 3 %) (devenu rare).
  • EVITER le saignement  (attention : prise d'ASPIRINE, ALCOOL, ail, …).
  • EVITER (pour toujours…) les TRAUMATISMES de la poitrine (pas de sport, pas de coups...).

 

Durée des implants :

  • Durée inconnue au delà de 10 ans.
  • Donc surveillance par Echographie/IRM annuelle à partir de 10 ans.
  • Jusqu'à 10 ans, on sait qu'ils sont de très bonne qualité.

 

** Tests sur les implants faits au Laboratoire National d'Essai en 1998 (- résultat oral - résultats fournis par la directrice de Silimed) faisaient partie des implants les plus « solides » les plus résistants au test de friction, et au test d'écrasement.