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L’accueil croissant de tournages de séries dans le Nord-Pas-de-Calais est le fruit d’une politique régionale en faveur des industries créatives et d’une filière images jugée stratégique. L’article repose sur l’hypothèse que les séries se distinguent des autres formes de fictions tournées localement dans la mesure où, en lien avec le festival Séries Mania, elles seraient plus propices à un changement d’image et pourraient favoriser un processus de démarginalisation des espaces de la région qui restent marqués par la crise. Cela implique d’interroger les expériences locales menées pour tirer profit de ces tournages et tenter d’en faire un levier pour impulser des dynamiques nouvelles, notamment, mais pas seulement, en termes de (ciné)-tourisme. The growing number of TV series shot in the Nord-Pas-de-Calais is the result of a regional policy which aims to promote creative and cultural industries. The article is based on the hypothesis that series differ from other forms of fiction shot locally in that, in connection with the Séries Mania Festival, they would be more conducive to a change of image and would perhaps better promote a process of demarginalisation of the spaces of the region which are still marked by the crisis. This implies questioning the local experiments carried out to take advantage of these film shoots and to try to make them a lever for stimulating new dynamics, particularly - but not only- in terms of (film)-tourism.

The objective of this retrospective single centre study was to determine whether different enteric reconstruction methods and adjuncts confer a benefit after in situ reconstructions (ISRs) of graft aorto-enteric erosion (AEnE) and fistula (AEnF).Primary endpoints were in hospital mortality and AEnE/F recurrence. Survival was estimated using the Kaplan-Meier method and explanatory factors were searched for using uni- ± multivariable Cox regression analysis. In 2013, a multidisciplinary team meeting was convened and since then the primary operator has always been a senior surgeon.Sixty-six patients were treated for AEnE (n = 38) and AEnF (n = 28, 42%) from 2004 to 2020. All patients with AEnF presented with gastrointestinal bleeding (vs. 0 for AEnE; p.001). Signs of infection were seen in 50 patients (76% [37 for AEnE vs. 13 for AEnF]; p.001). Referrals for endograft infection increased over time (n = 15, 23%; one before 2013 vs. 14 after; p = .002). Most patients underwent complete graft excision (n = 52, 79%) with increasing suprarenal cross clamping (n = 21, 32%; four before 2013 vs. 17 after; p = .015). Complex visceral reconstructions decreased over time (n = 31, 47%; 17 before 2013 vs. 14 after; p = .055), while "open abdomens" (OAs) increased (one before 2013 vs. 22 after; p.001), reducing operating time (p = .012). In hospital mortality reached 42% (n = 28). Estimated survival reached 47.6% (95% confidence interval [CI] 35.0 - 59.1) at one year and 45.6% (95% CI 33.0 - 57.3) at three years and was higher for AEnE than for AEnF (log rank p = .029). AEnE/F recurrence was noted in 12 patients (18%). Older age predicted in hospital mortality in multivariable analysis (p = .034). AEnE/F recurrence decreased with the presence of a primary senior surgeon (vs. junior; p = .003) and OA (1 [4.4%] vs. 11 [26%] for primary fascial closure; p = .045) in univariable analysis.Mortality and recurrence rates remain high after ISR of AEnE/F. Older age predicted in hospital mortality. Primary closure of enteric defects ≤ 2 cm in diameter reduced operating time without increasing the recurrence of AEnF.