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All Journal e-CliniC JURNAL SAINS PERTANIAN EQUATOR Indonesian Journal of Urology Jurnal Transformatika Jurnal SOLMA SCAFFOLDING: Jurnal Pendidikan Islam dan Multikulturalisme Jurnal Pengabdian kepada Masyarakat Nusantara Medical Scope Journal (MSJ) Jurnal Abdimas Bina Bangsa Cermin Dunia Kedokteran Abdimas Altruis: Jurnal Pengabdian Kepada Masyarakat ETAM: Jurnal Pengabdian kepada Masyarakat J-Innovation International Journal of Health and Pharmaceutical (IJHP) Jurnal Teknologi Jurnal Pengabdian Masyarakat Mandira Cendikia (JPKM-MC)
ARIANTO, EKO
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Perbandingan Sistem Skoring Guy’s Stone Score dan S.T.O.N.E. Nephrolithometry Score dalam Memrediksi Stone Free Rate Lumangkun, Ridel M.; Arianto, Eko; Kambey, Stefan A. G. P.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55367

Abstract

Abstract: Percutaneous nephrolithotomy (PCNL) is the primary surgical management for kidney stones larger than >20mm. The success of this procedure is assessed by monitoring the stone free rate (SFR). Currently, SFR can be predicted through validated scoring systems such as Guy’s stone score and S.T.O.N.E. nephrolithometry score. This study aimed to compare Guy’s stone score and S.T.O.N.E. nephrolithometry score in predicting SFR after PCNL at Prof. Dr. R. D. Kandou Hospital Manado. This was an observational and analytical study with a cross-sectional design. Data collection was conducted through patients’ medical record data. Data analysis was performed using the Fisher’s Exact Test and the independent t-test through SPSS Statistic Version 26 for MacOS. The results showed that there was no statistically significant relationship between Guy’s Stone Score and SFR after PCNL (p=0.706). The S.T.O.N.E. nephrolithometry score also showed no significant relationship with SFR after PCNL (p=0.514). In conclusion, both Guy’s stone score and S.T.O.N.E. nephrolithometry score do not have significant impact on predicting stone free rate in patients with kidney stone at Prof. Dr. R. D. Kandou Hospital Manado. Keywords: Guy’s stone score; S.T.O.N.E. nephrolithometry score; stone free rate    Abstrak: Percutaneous nephrolitotomy (PCNL) merupakan tatalaksana pembedahan utama batu ginjal berukuran >20mm. Tindakan ini dievaluasi dengan pemantauan stone free rate (SFR). Pada praktik klinis saat ini SFR dapat diprediksi melalui beberapa sistem skoring yang telah divalidasi seperti Guy’s stone score dan S.T.O.N.E. nephrolithometry score. Penelitian ini bertujuan untuk membandingkan kedua sistem skoring tersebut dalam memrediksi SFR setelah tindakan PCNL di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini merupakan studi analitik observasional dengan desain potong lintang melalui evaluasi data rekam medik pasien. Uji statistik dilakukan dengan uji Fisher’s Exact Test dan independent t-test menggunakan program SPSS Statistic Version 26 for MacOS. Hasil penelitian menunjukkan tidak terdapat hubungan bermakna antara sistem skoring Guy’s stone score dengan SFR setelah tindakan PCNL (p=0,706). Sistem skoring S.T.O.N.E. nephrolithometry score juga tidak menunjukan hubungan bermakna dengan SFR setelah tindakan PCNL (p=0,514). Simpulan penelitian ini ialah sistem skoring Guy’s Stone Score dan S.T.O.N.E. nephrolithometry score tidak memberikan pengaruh bermakna dalam memrediksi stone free rate pada pasien batu ginjal di RSUP Prof. Dr. R. D. Kandou Manado Kata kunci: Guy’s stone score; S.T.O.N.E. nephrolithometry score; stone free rate
Perbandingan Luaran Fungsi Pada Kasus Neglected Fraktur Leher Femur dan Early Treatment Menggunakan Harris Hip Score Oey, Friginia J. C.; Lengkong, Andriessanto C.; Arianto, Eko
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55368

Abstract

Abstract:  Femoral neck fracture is a serious injury to the upper femur that is very common in the elderly population due to falls or trauma. To restore patient mobility, prompt and timely treatment is an important factor in the management of this condition. One of the methods used to measure the functional outcome of these patient is the Harris hip score (HHS). This study aimed to compare the results of HHS on the functional outcome of the neglected femoral neck fracture patients with those who received early treatment at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective, observational, and analytical study with a cross-sectional design using medical record data. Data were analyzed using the Fisher’s exact test through the SPSS Statistical Version program. There was no significant difference between the HHS of the neglected femoral neck fracture group and the group that received early treatment (p=0.14). In conclusion, there is no significant difference in the functional outcome of the patients in the early treatment and neglected groups. Keywords: neck femoral fracture; Harris hip score; neglected fracture; early treatment   Abstrak: Fraktur leher femur merupakan cedera serius pada tulang paha bagian atas yang sangat umum terjadi pada populasi lanjut usia akibat jatuh ataupun trauma. Dalam upaya untuk mengembalikan mobilitas pasien, penanganan yang diberikan dengan cepat dan tepat waktu menjadi faktor penting dalam manajemen kondisi ini. Salah satu metode yang digunakan untuk mengukur luaran fungsi panggul ialah Harris hip score (HHS). Penelitian ini bertujuan untuk membandingkan hasil HHS pada luaran fungsional pasien fraktur leher femur yang neglected  dengan yang mendapatkan early treatment di RSUP Prof Dr. R. D. Kandou Manado. Jenis penelitian ialah  analitik observasional retrospektif dengan desain potong lintang menggunakan data rekam medik.. Analisis data dilakukan dengan Fisher’s exact test menggunakan program SPSS Statistic Version. Hasil penelitian mendapatkan bahwa tidak terdapat perbedaan bermakna antara hasil HHS kelompok neglected dengan kelompok yang mendapatkan early treatment (p=0,14). Simpulan penelitian ini ialah tidak terdapat perbedaan bermakna pada luaran fungsional pasien kelompok early treatment dan neglected. Kata kunci:  fraktur leher femur; Harris hip score; fraktur neglected; early treatment
First Endoscopic-Guided Percutaneous Nephrolithotomy (ePSL) with Prone Split-Leg Position in Manado Phoebus, Andrien; Astram, Ari; Toreh, Christof; Arianto, Eko; Wihono, Frendy
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.59320

Abstract

Abstract: Literature has not yet defined the best position for percutaneous nephrolithotomy (PCNL) based on the complexity of the stone burden. This case of left-sided complex kidney stones underwent endoscopic-guided PCNL in an PSL (prone split-leg position). A 61-year-old woman with a chief complaint of right pelvic pain. Standard prone PCNL was planned for this patient, however, due to so much debris in the pelviocalyceal system during URS evaluation and ureter catheter insertion, we decided to puncture with ultrasound guidance rather than fluoroscopy. Intraoperatively there was residual superior calyx stone that was beyond the reach of nephroscope. We decided not to do a double puncture because of poor vision due to the floating debris. In the second procedure, the ePSL method was utilized. A C-arm and nephroscope examination revealed no active bleeding, no infundibulum laceration, and no remaining stones. The primary goals of this method were to remove stones from the urinary tract throughout the entire tract using a one-step, one-access procedure that made the most of the full range of endourologic equipment. There were a number of reasons why the prone split-leg position was chosen, including operator preference, familiarity with the position, and the inability to make a direct puncture in the upper pole. The main drawback was that patient would not be able to see how well and safely this method worked over time. In conclusion, complex kidney stones can be treated with ePSL performed in the prone split-leg position, which is a safe procedure with a low risk of complications. Keywords: percutaneous nephrolithotomy; prone split-leg position; complex kidney stones
Long-Term Follow-up after Kidney Trauma at Prof. Dr. R. D. Kandou General Hospital Manado Arianto, Eko; Panelewen, Bryan P.; Astram, Ari; Toreh, Christof; Wihono, Frendy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.59605

Abstract

Abstract: Renal trauma, caused by blunt or penetrating injuries, is associated with severe complications such as hypertension, chronic kidney disease (CKD), and pyelonephritis, especially in high-grade renal trauma. The study aimed to evaluate the complications and management of renal trauma patients at Prof. Dr. R. D. Kandou Hospital Manado from January 2022 to October 2024. This was an observational study with a cross-sectional design involving 17 patients that met the inclusion criteria. Data included types of trauma, severity level, management approaches, and post-trauma complications. Trauma severity was classified using the American Association for Surgery of Trauma (AAST) grading system. The results showed that 58.8% of patients had penetrating trauma, while 41.2% experienced blunt trauma. The highest percentages were found in grade II severity (29.4%). Operative management was the most common approach (58.8%). Post-trauma complications included CKD (70.5%), hypertension (29.4%), and pyelonephritis (29.4%). In conclusion, renal trauma, whether blunt or penetrating, often leads to significant complications such as CKD and hypertension. Proper long-term management and monitoring of kidney function and blood pressure are crucial to minimize the complications. This study highlights the need for early and effective intervention in high-grade renal trauma cases. Keywords: renal trauma; hypertension; acute kidney injury (AKI); chronic kidney disease (CKD); post-trauma complications
Co-Authors Agatha Mahardika Anugrayuning Jiwatami Antonius Hendro Noviyanto Ari Astram, Ari Arry Rodjani Chaerul Umam Dwi Susanto Hardianti Kusanto, Putri Hatta, Hendrikus Yori Irfan Wahyudi Jamhari Jamhari Kambey, Stefan A. G. P. Katuuk, Mario Esau Krishna, Mahesa L. Budi Handoko Langi, Fima Lengkong, Andriessanto C. Lumangkun, Ridel M. Oey, Friginia J. C. Paat, Toar Panelewen, Bryan P. Phoebus, Andrien R. Torry, Stivano RR. Ella Evrita Hestiandari Sinurat, Bintang Siswoyo, Agus Siswoyo, Patresius Agus Solly Aryza Sulistyanto, Muhammad Prayadi Toreh, Christof Wihono, Frendy