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All Journal Universa Medicina Jurnal Plastik Rekonstruksi Bioinformatics and Biomedical Research Journal
Wihastyoko, Herman Yosef Limpat
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Other

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Arrangement of Burn Status for Emergency Management, Monitoring, and Evaluation of Burns in Saiful Anwar General Hospital in Malang, East Java, Indonesia Wihastyoko, Herman Yosef Limpat; Agustina, Wilma; Gersom, Camoya
Bioinformatics and Biomedical Research Journal Vol. 1 No. 3 (2018): Volume 1 Issue 3
Publisher : Future Science

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Abstract

The article proposes an arrangement of burn status for the management of severe based on a review of management of burns. More than 95% of burns are associated with fatal fires and occur in low to middle income countries. A coordination between health officers within health facilities is crucial to provide proper management for severe burns. There is no standard yet for burn status in Indonesia. Burn status may provide better management of patients who are admitted with burns. In this article, the set of burn status was arranged for the management of patients with burns in the Saiful Anwar General Hospital. There are 3 types of burn status in this paper each for the respective use of emergency management, burn unit monitoring, and wound care evaluation. The purpose of this burn status is to facilitate a better coordination between health officers regarding management of burns in Saiful Anwar General Hospital. This paper can also become the basis of further studies regarding burns as a tool to collect data or as a basis to pioneer the standard of burn status in Indonesia to further improve the general quality of burn care and research in Indonesia. The system of medical record for patients is generally carried out to keep a record of the patient's disease progression, including the diagnosis and treatment plans carried out by doctors and medical personnel which are involved.
The Effectiveness of Intradermal Suture Technique on Hypertrophic Scar Prevention in Rats Wihastyoko, Herman Yosef Limpat; Wuryanjono, Wicaksono Patria
Jurnal Plastik Rekonstruksi Vol. 9 No. 1 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i1.335

Abstract

Introduction : Hypertrophic scarring is a complication that occurs in post-surgical wounds. There are many ways to prevent scarring, but there have been no satisfactory methods yet. Moreover, no studies investigated the effectiveness of intradermal sutures. Polypropylene thread can be used to repair a scar after surgery. This study aimed to prove the effectiveness of intradermal sutures using polypropylene thread on surgical scar quality.Method : The study was conducted using a randomized, controlled trial, and post-test only with 20 rats (Rattus norvegicus) as animal subjects. The wounds were made on the back, approximately 6 mm x 2 cm. Then, the rats were divided into two groups: a control group without intradermal sutures (K) and treatment group with intradermal sutures (I). Histopathological examination using Hematoxylin and Eosin (H&E) staining was used to identify the fibroblast number on the 21st day. The fibrocytes number were also observed on the 12th week and the Vancouver Scar Scale (VSS) was used to assess the scar quality.Result : The number of fibroblasts and fibrocytes in the control group (K) was significantly smaller (53.60 ± 14.571; 3.20 ± 0.447) than the treatment (I) (243.20 ± 75.334; 171.40 ± 13.221). The VSS value was significantly greater in the control than the treatment.Conclusion: The intradermal sutures using polypropylene thread produced a better-quality scar after surgery compared to wounds without intradermal sutures.
Effect of cross-running polypropylene intradermal suture technique on keloid scar: a single-blind randomized controlled trial Wihastyoko, Herman Yosef Limpat; Rinhastyanti, Edith Sumaregita; Arviansyah, Arviansyah; Siswanto, Yudi; Agustina, Wilma; Sintaningrum, Elisabeth Prajanti
Universa Medicina Vol. 45 No. 1 (2026): Aheaf Of Print
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2026.v45.4-12

Abstract

BACKGROUNDKeloids are abnormal scars that present a therapeutic challenge. Various treatment modalities have been developed, including surgical excision. While cross-running intradermal sutures were previously created using absorbable polyglycolic acid, this study introduces a modification using a non-absorbable material. Therefore, this study aimed to evaluate the effect of the cross-running polypropylene intradermal suture (CR-PIS) technique compared to the simple interrupted suture technique on keloid repair. METHODSThis was a randomized controlled trial with a post-test-only design involving 30 male and female keloid patients aged 20-50 years. Participants were randomized into the treatment group (n=15) and the control group (n=15). Wound assessment using the Vancouver Scar Scale (VSS), Manchester Scar Scale (MSS), and Patient and Observer Scar Assessment Scale (POSAS) was performed at 3, 6, and 9 months after surgery. Differences in VSS, MSS, and POSAS scores between the CR-PIS group and the simple knot group were analyzed using the Mann-Whitney U test. RESULTSStatistical analysis revealed a significant difference between the simple knot and CR-PIS groups (p<0.05). The median scores for each assessment (VSS, MSS, and POSAS) decreased significantly at 3, 6, and 9 months, with the control group's values being higher than those in the CR-PIS group (p<0.05). These results indicate that the control group developed moderate scars, whereas the treatment group exhibited good scars. CONCLUSIONSThe CR-PIS is more effective than the simple knot technique in improving keloid scars, as shown by changes in wound appearance, morphological function, topography, and patient and evaluator assessments.
Co-Authors Agustina, Wilma Arviansyah, Arviansyah Camoya Gersom Lulik Inggarwati Rinhastyanti, Edith Sumaregita Samodra, Bulan P. Sintaningrum, Elisabeth Prajanti Tiara, Elisa D. Wruhastanti, Gisella S. Wuryanjono, Wicaksono Patria Yudi Siswanto