Garuda - Garba Rujukan Digital

p-Index From 2021 - 2026

4.222

P-Index

This Author published in this journals

All Journal BALI MEDICAL JOURNAL (BMJ) Sport and Fitness Journal Buletin Udayana Mengabdi E-Jurnal Medika Udayana Kebijakan, Promosi Kesehatan dan Biostatiskik Indonesian Journal of Urology Panggung Master Bahasa JBN (Jurnal Bedah Nasional) Callosum Neurology Journal : Jurnal Berkala Neurologi Bali ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Pendidikan dan Kebudayaan Missio Bioscientia Medicina : Journal of Biomedicine and Translational Research Majalah Kedokteran Neurosains JCER (Journal of Chemistry Education Research) Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Qaumiyyah: Jurnal Hukum Tata Negara Journal of Global Pharma Technology Physical Therapy Journal of Indonesia

Tjokorda Gde Bagus Mahadewa

Departemen Bedah Saraf, Fakultas Kedokteran, Universitas Udayana, Denpasar

Author-ID : 1283941

Religion Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

Published : 69 Documents Claim Missing Document

Claim Missing Document

Articles

3 4 5 6 7

Diagnostic validity of blunt abdominal trauma scoring system (BATSS) on blunt adominal trauma in Sanglah General Hospital, Denpasar, Bali Adityas Sukmadi Karjosukarso; I Ketut Wiargitha; Tjokorda Gde Bagus Mahadewa; Nova Juwita
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.693 KB)

Background: Abdominal trauma is the third leading cause of death in trauma patients and can be found in about 7-10% of the total number of trauma cases. The Blunt Abdominal Trauma Scoring System (BATSS) provides a high-accuracy score system for diagnosing injury to intra-abdominal organs in blunt abdominal trauma patients based on clinical features, such as patient history, physical examination, and Focused Assesment with Sonography for Trauma (FAST). This studyaimed to determine the validity of the diagnostic value of BATSS score in cases of blunt abdominal trauma. Method: This research was conducted at Sanglah General Hospital, Denpasar with a total sample of 44 patients. The subjects were abdominal blunt trauma patients who meet the inclusion and exclusion criteria. This study was a retrospective study to determined the validity of the BATSS score. Result: Of the 44 patients, BATSS score ≥12 was found at 34 (77.3%) and BATTS <12 scores of 10 (22.7%). For groups with BATSS score ≥12, there were 32 (94.11%) patients. As for the group with BATSS score <12, there were 3 (30%) patients with organ rupture. A validity test of BATSS score obtained showed 91.4% sensitivity, 77.77% specificity, positive predictive value 94.1%, negative predictive value 70%. Conclusion: BATSS can be a tool of early identification and stratification of patients at high risk of the occurrence of intra-abdominal organ injury due to blunt abdominal trauma.

CASE REPORT: SURGICAL MANAGEMENT OF LUMBAR COMPRESSION FRACTURE Yustinus Robby Budiman Gondowardojo; Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 1 No 3 (2018)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1063.586 KB)

The lumbar vertebrae are the most common site for fracture incident because of its high mobility. The spinal cord injury usually happened as a result of a direct traumatic blow to the spine causing fractured and compressed spinal cord. A 38-year-old man presented with lumbar spine’s compression fracture at L2 level. In this patient, decompression laminectomy, stabilization, and fusion were done by posterior approach. The operation was successful, according to the X-Ray and patient’s early mobilization. Pneumothorax of the right lung and pleural effusion of the left lung occurred in this patient, so consultation was made to a cardiothoracic surgeon. Chest tube and WSD insertion were performed to treat the comorbidities. Although the patient had multiple trauma that threat a patient’s life, the management was done quickly, so the problems could be solved thus saving the patient’s life. After two months follow up, the patient could already walk and do daily activities independently.

CERVICAL GUNSHOT INJURY Gede Andry Nicolas; Heru Sutanto Koerniawan; Raka Janitra; Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 1 No 2 (2018)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1523.288 KB)

The incident of cervical spine injury and cervical spinal cord injury is between 2.0% to 5.0%. The advanced trauma life support (ATLS) stated that a patient with multiple traumas should be assumed to have cervical spine injury especially if the patient loses consciousness when present in the ER. It is stressed that cervical spine injury requires continuous immobilization of the patient’s entire body using a semirigid collar as well as a backboard with tape and straps before and during transfer to a defnitive care facility. The understanding of the mechanism of injury is the most important as the forces transferred are signifcantly diﬀerent causing diﬀerent injuries. A serial case reported by Walter and Adkins found that there was no signifcant diﬀerence between the patients that have a bullet removed from the neck and patients that have a bullet left in the cervical cord. In both cases, there was no improvement to the neurologic outcome. Kupcha recommends doing selective wound management and observation of retained intracanal bullet fragments in a patient with complete lesion. Surgical decompression after the injury is not recommended. We report a case of 14 year old boy who was treated at Sanglah Hospital referred from an out-of-island Type C Hospital with a spinal cord injury - American Spinal Injury Association A (SCI ASIA A) caused by a gunshot wound in the cervical. Surgical decompression and bullet removal was performed as well as fusion stabilization. He is then treated in the intensive care unit for 48 hours with a slight improvement in motoric of upper and lower extremities.

Resection of Ulnar Nerve Giant Cell Neurinoma Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 1 No 1 (2018)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1279.046 KB)

Giant cellular ulnar nerve neurinoma is a very rare condition. According to the literature, the author reports the first case while only two other reports of the cellular neurinoma can be found in English literature in different locations. The author presents the case of large size cellular neurinoma of the ulnar nerve, where the primary tumour was resected using the shelled out technique, without neurolysis and any nerve repair. Histopathologic characteristics, radiological findings and clinical data on these tumours were reviewed, and the proposed chosen surgical technique, which differs from that used in the previous cases and taking into account the rate of recurrence after total resection.

Biomechanics Among Various Techniques of the Cervical Laminoplasty Dewa Putu Wisnu Wardhana; Tjokorda Gde Bagus Mahadewa; Sri Maliawan
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar

The nature of cervical spine motions consists of multiple components of the cervical spine, intervertebral disc, ligaments, and adjacent facet joints. Cervical spinal stenosis is disabling and this chronic degenerative disorder commonly occurs in middle age-elderly persons. Surgical options for those spinal cord disorders generally are the anterior or posterior approach. Historically, a conventional multi-level laminectomy was performed to decompress the spinal cord but there is a high rate of late biomechanical complications such as segmental instability, and kyphosis. Laminoplasty was developed to relieve the spinal cord compression and maintain the posterior elements. Lately, there are various techniques of the cervical laminoplasty, the biomechanical impact of these techniques will be described.

Surgical Treatment for Scoliosis Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Recently, patients with spinal deformities, particularly scoliosis, could be handled well through surgical pathways. Generally, surgery is indicated in patients with scoliosis curve exceeding 45 degrees (COBB angle > 45). The ultimate goal is to reduce the curve as optimally as possible without disturbing spinal cord. Whether the result is straight or not, it also depends on the patient's spine flexibility before surgery. Surgical indications are for improving appearance, preventing increasing degrees of the curve, preventing interference to other organs such as the lungs, and preventing neurological deficits. Correction of Cobb angle below 25 degrees had already makes the patient feel more comfortable. The amount of screw and instrumentation length depends on the number of spines involved. After surgery treatment, 2-4 weeks of rest are required before returning to daily activity. Fusion principle states that the spine will be slightly stiff in order to be corrected but it is believed that patient's activity could still be done with the remaining flexibility. Surgical treatment of scoliosis that does meet the indications is imperative and relatively safe with advances in medical technology today.

Neurosurgery safety management during Covid-19 pandemic Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 3 No 1 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i1.108

PENYULUHAN KESEHATAN PENTINGNYA PENGGUNAAN SEAT BELT PADA PEMOBIL UNTUK MENCEGAH TERJADINYA CEDERA TULANG BELAKANG T.G.B Mahadewa; S. Maliawan; N. Golden; I.W. Niryana; D.P.W. Wardhana; S. Awyono; K.K. Putra
Buletin Udayana Mengabdi Vol 21 No 2 (2022): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

The increased population is followed by an increase quantity of vehicles, therefore increased number of vehicles accidents could happen. Other than mortality rate, other issue that might occur was due to spinal cord injury. Spinal cord injury was not only causing health and medical problem, but socio-economic and psychology morbidity for the patients and family. The general concept of neurosurgery is to applied the principles of science with holistic approach and comprehensively. The comprehensive principle means that the sciences do not only emphasize the curative side, but also on the promotive, preventive and rehabilitative aspects. One of the promotive and preventive aspect that can be done is to provide education to the public about healthy lifestyles so that people can avoid a condition that might cause health morbidity. Bedah Saraf Bersama Masyarakat held by Neurosurgery Residency Programme FK UNUD/Sanglah Hospital is one of the community service activities. In an effort to prevent spinal cord injuries for drivers, the Neurosurgery Residency Programme, FK UNUD/Sanglah Hospital decided to held an interactive talkshow as public health promotion, for the importance of using seatbelts for drivers. The general purpose of this program is to provide information and education, especially in prevention of diseases in the field of neurosurgery to the community. Keywords: Spine, spinal cord injury, public health promotion, seatbelt.

Perbedaan nilai Neutrophil Lymphocyte Ratio (NLR) terhadap pemeriksaan kultur darah dalam mendiagnosis sepsis pada pasien peritonitis di RSUP Sanglah, Bali, Indonesia I Putu Gede Sudiartha; I Ketut Wiargitha; Tjokorda Gde Bagus Mahadewa
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background:Â Sepsis is a leading cause of death worldwide. A delayed or missed diagnosis of sepsis could increase its morbidity and mortality. The abdomen is the most common source of sepsis, which known as peritonitis-induced-sepsis. Peritonitis leads to an inflammatory and anti-inflammatory response. This study aims to elaborate on the role of Neutrophil Lymphocyte Ratio (NLR) as an easy, fast and inexpensive infection marker compared to blood culture, which known as the gold standard of sepsis in peritonitis patients.Â Methods:Â This is a diagnostic study which combined secondary data taken at Sanglah Hospital Medical Record Department and new cases of generalized peritonitis patients with sepsis who came to Surgical Emergency Unit of Sanglah Hospital as the subjects. A total of 86 subjects, complete blood count analysis was done to calculate NLR. Besides, 2-sided blood culture was tested to see whether the results were positive or negative. Data were analyzed using Stata/SE version 12.1Results:Â We found that sensitivity of NLR compared to blood culture was 80% (CI:63.1-91.6), with specificity of 88.2% (CI:76.1-95.6), positive predictive value of 82.4% (CI:65.5-93.2), negative predictive value of 86.5% (74.2-94.4), accuracy of 84.9% and likelihood ratio (LR) positive value of 6.8>1. Our results showed that NLR has an enormous value in predicting the occurrence of sepsis in patients with generalized peritonitis.Â Conclusion:Â NLR can be used as a screening tool for sepsis in generalized peritonitis patients because it has better sensitivity and accuracy, but it has to confirmed by blood culture as the gold standard.Â Latar belakang: Sepsis merupakan penyebab kematian diseluruh dunia. Keterlambatan atau kesalahan dalam mendiagnosis dapat menyebabkan peningkatkan morbiditas dan mortalitas. Abdomen merupakan sumber penyebab paling sering terjadinya sepsis yang disebut dengan sepsis diinduksi peritonitis (peritonitis-induced sepsis). Penelitian ini bertujuan untuk menguji kemampuan Neutrophil Lymphocyte Ratio (NLR) sebagai marker infeksi yang mudah, cepat dan murah dibandingkan kultur darah yang merupakan standar baku dalam mendiagnosis sepsis pada pasien peritonitis.Metode: Rancangan penelitan yang digunakan dalam penelitian ini adalah uji diagnostik dengan subjek penelitianÂ merupakan gabungan antara data sekunder yang diambil di Instalasi Rekam Medis RSUP Sanglah serta identifikasi kasus baru yaitu pasien sepsis pada peritonitis generalisata yang datang ke IRD Bedah RSUP Sanglah sehingga jumlah total sampel 86 orang. Pasien kemudian diambil darah lengkap untuk nilai NLR dan kultur darah 2 sisi apakah hasilnya positif atau negatif. Data dianalisis menggunakan Stata/SE versi 12.1Hasil: Â Â Dari penelitian ini didapatkan sensitifitas NLR dibandingkan dengan kultur darah adalah sebesar 80% (CI: 63,1-91,6) dengan spesifitas 88,2% (CI: 76,1-95,6), nilai prediktif positif 82,4% (CI: 65,5-93,2), nilai prediktif negatif 86,5% (CI: 74,2-94,4) dan akurasi 84,9%, serta nilai likelihood ratio (LR) positif didapatkan 6,8>1. NLR mempunyai nilai yang besar dalam meprediksi terjadinya sepsis pada pasien peritonitis generalisata.Simpulan: NLR dapat digunakan sebagai skrinning pasien sepsis pada peritonitis generalisata karena memiliki sensistifitas dan akurasi yang lebih baik tetapi tetap dikonfirmasi dengan kultur darah sebagai standar baku.

Berat badan lahir lebih dari 4000 gram merupakan faktor risiko kejadian mikropenis pada bayi baru lahir di Denpasar tahun 2019 I Gusti Bagus Dharma Prakasa Musti; Gede Wirya Kusuma Duarsa; Tjok Gde Mahadewa; Gede Wirata
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Standard values related to age for penis size can help for early diagnosis and treatment of potential diseases. Rapid changes in growth and interindividual differences can occur during infancy and puberty. Therefore, micropenis data during newborns are beneficial for clinical evaluation and prognosis.Aim: This study aims to find out whether birth weight > 4000 grams and testis size <0.52 cm are risk factors for micropenis prevalence in newborns.Methods: This study used a descriptive-analytical cohort study involving 85 research subjects, namely healthy newborn boys who did not experience hypospadias, severe chordae, ambiguous penises. Respondents contributed to physical examinations and investigations following the standard procedure in the analysis of the weight, gestational age, and size of the testis. The study also evaluated the risk factors for micropenis in the form of a history of maternal hormonal birth control.Results: The micropenis was categorised to be <1.8 cm, which was obtained from <2.5 SD mean where the size of penis length in this study was achieved with a mean of 2.08 cm. The results of the multi-variate test showed that birth weight> 4000 grams was the most dominant risk factor causing micropenis. The positive B value with a value of 5.13, which means birth weight> 4000 grams has a positive relationship with the incidence of micropenis. The newborn weight was obtained about p = 0,000 (95%CI: 11,29-2558,17) with OR 170 which mean that there was an effect of birth weight on the incidence of micropenis where birth weight> 4000 grams had a chance of micropenis by 170 times.Conclusion: Weight> 4000 grams became the most dominant risk factor for micropenis having probabilities for a micropenis approximately 170 times.

Co-Authors A. Winata, A. Adityas Sukmadi Karjosukarso Adityawarma, Anak Agung Ngurah Agung Harawikrama Agung Bagus S. Satyarsa Akbar Wido Alex Pangkahilla Aluh Sri Yuliana Ulfa Alvin Hendellyn Anak Agung Gede Eka Septian Utama and D. M. Subawa Arasy, Mohd Firdaus Ariyanta, Kadek Deddy Astawa N. M., Astawa N. Astawa P., Astawa B. Sinaga Bagus Komang Satriyasa Bertha Melyana Bianca Jeanne Bramastha A Rosadi, Bramastha A Budiarta, Ida Bagus Chriswidarma, Dewa Gede Cita Rosita Sigit Prakoeswa Citra Aryanti D.P.W. Wardhana Desak Made Wihandani Desak Putu Dewi Kasih Desie Yuliani Dewa Putu Gede Purwa Samatra Dewa Putu Wisnu Wardhana Dwikinta, Made Anindya Dyah Esti Pranwengrum Ekaputra Ekaputra, Ekaputra Fenty Fauziah G. I. B Bomba Gede Andry Nicolas Gede Wirata Gede Wirya Kusuma Duarsa Glen Sandi Saapang Gunawan, Made Favian Budi Gungun Gunardi Hizkia Lumban Gaol I Dewa Made Sukrama I Dewa Putu Sutjana I Gede Suwedagatha I Gusti Agung Bagus Krisna Wibawa I Gusti Bagus Dharma Prakasa Musti I Gusti Ketut Agung Surya Kencana I Gusti Putu Agung Pratama Putra I Ketut Wedarthana Aditya Prana I Ketut Wiargitha I Komang Yose Antara I Made Bakta I Made Kasmadi Gunawan, I Made Kasmadi I Made Maha Satya Dwi Palguna I Made Mahayasa I MADE MULIARTA . I Made Prema Putra I Made Stepanus Biondi Pramantara I Nyoman Semadi I P G. Adiatmika I Putu Adiartha Griadhi I Putu Gede Sudiartha I W. Sudarsa I Wayan Juli Sumadi I Wayan Niryana I Wayan Yudiana I. B. Tjakra Wibawa Manuaba Ida Ayu Putu Sri Widnyani Inge Kurniawati Intan Permata Wijaya John Nolan K.K. Putra Kadek Biondi Kadek Budi Santosa Ketut Sudiasa Ketut Tirtayasa Koerniawan, Heru Sutanto Krishna, I Komang O. Kurniyanta, I Putu L. R. M. Lengkong Lauren, Christopher Luh Made Indah Sri Handari Adiputra M Wiryana Made Agus Dwianthara Sueta Made Indra Erlangga Prathiwindya Mardliyah, Mumtazah Marleen Marleen Marleen Melissa Krisanty Moses Kharisma Setyawan Muh. Ali Imron Nani Darmayanti Ni Luh Putu Julita Yanti Niryana, , I Wayan Nova Juwita Nyoman Golden Oka, AA Gde Oka, Anak A.G. Pande Made Wisnu Tirtayasa Paulus Adrianus K. L. Ratumakin Pradiptha, I Nyoman Tri Putu Astawa Putu Eka Mardhika Putu Eka Mardhika Putu Pramana Suarjaya Rajab Bahry Raka Janitra Raka-Sudewi A. A. Regitha Aulia Putri Rika Lesmana, Rika S Indra Lesmana S. Awyono S. F. Laura, S. F. Satoto D., Satoto Sidemen, IGP Sukrana Sista Satyarsa, Agung Bagus Sista Soetomo, Cindy Thiovany Sri Maliawan Stanley-Ketting Oliver Steven Awyono Sugianto, Ronald Sugijanto - Sulfandi Sulfandi Sunanda Naibaho Suryadi N. T., Suryadi N. Suryawisesa, Ida Bagus Made Susy Purnawati Tito Ade Putra Tjokorda Gde Agung Senapathi Udiyana, Nyoman Dwi Maha W. A., W. Wahyuddin, Wahyuddin Wibawa, I Gusti Agung Bagus Krisna Wildan Wildan Wiryana M., Wiryana Yustinus Robby Budiman Gondowardojo

Title

Found 69 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 69 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 69 Documents
Search