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All Journal The New Ropanasuri Journal of Surgery ASEAN Journal of Community Engagement Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Rinaldhy, Kshetra
Pediatric Surgery Division, Department Of Surgery, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences Other

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Open Surgery with Intraoperative Enteroscopy in Jejunoileal Massive Bleeding in Pediatric Patient: An Evidence-Based Case Report Husni, Rini Y; Rinaldhy, Kshetra
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. A case report of surgical exploratory laparotomy with intraoperative enteroscopy (IOE) as a treatment in massive jejunoileal bleeding in children. Method. We conducted a literature search on databases such as Cochrane, PubMed, ScienceDirect, and Google Scholar. Abstract and title screening was done based on exclusion criteria, inclusion criteria, and double filtering. The selected article then reviewed using critical appraisal tools based on its validity, importance, and applicability. Selected articles were benchmark to the discussion. Results. The application of open surgery with IOE as the final treatment that can be recommended in the critical or life-threatening condition of jejunoileal bleeding. Conclusion: surgical exploratory laparotomy with intraoperative enteroscopy is the best final treatment that can be a choice for massive jejunoileal bleeding, whether in the acute case or repeated case, supported with the level of evidence 4
Bowel Preparation in Pediatric Colorectal Surgery, Can We Move On? Historical and Literature Review Kshetra Rinaldhy; Ganesha Wisnu; Ni Made Sarastri Widyani; Ahmad Yani
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 1 No. 3 (2022): APGHN Vol. 1 No. 3 November 2022
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.042 KB) | DOI: 10.58427/apghn.1.3.2022.29-35

Abstract

Background: Surgical procedure in colorectal cases have a high morbidity rate; in pediatric population, surgical site infection occurs in more than 13% of patients undergoing elective colorectal surgery. Bowel preparation is believed to decrease infection rate by removing feces from colorectal. This procedure has been routinely performed despite the lack of clear evidence and the invasive nature of the procedure. In pediatric population, the evidence is scarce with varying qualities, thus this study aims to evaluate the effect of bowel preparation on pediatric population. Methods: We conducted a comprehensive literature review from PubMed and cross-referencing articles. Six full-text studies presenting bowel preparation in pediatric colorectal surgeries were included in the analysis. Results: Majority of studies we analyzed showed no association between bowel preparation and surgical site infections. They also showed the lack of correlation between the procedure and post-operative complication. Discussion: Bowel preparation was quickly adapted by surgeons due to its theoretical effect, but current evidence showed no clear benefit in doing so. In pediatric cases, the evidence is scarce and variable, and with the risk associated, surgeons should consider carefully before conducting bowel preparation in pediatric patients.  Conclusion: Bowel preparation does not significantly decrease post-operative morbidities, such as anastomosis leakage, intrabdominal infection, and surgical wound infection.
Analysis of knowledge regarding Biliary Atresia among healthcare providers and laypersons in East Jakarta after educational intervention Lianti, Hanna; Kurnia, Novi; Rinaldhy, Kshetra; Aji, Amanda Safira; Ismet, M Febriadi; Amaliah, Rizky
ASEAN Journal of Community Engagement Vol. 4, No. 1
Publisher : UI Scholars Hub

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Biliary atresia (BA) is the most common cause of death due to liver disease in children and is the most common indication for pediatric liver transplantation. The success rate of the management of BA is very dependent on the age of the patient at the time of surgery. However, patients with BA were often diagnosed late because of the lack of parents’ and primary healthcare providers’ knowledge regarding BA. This study aims to evaluate the effectiveness of health education in improving the knowledge of healthcare providers and laypersons. A total of 371 respondents participated in this pre-post study with no control group, consisting of 234 laypersons (community health workers, new mothers, and expectant mothers) and 137 healthcare providers (medical doctors, midwives, and nurses). There were significant increases in the median values between pretest and posttest knowledge scores in both the healthcare provider and layperson groups (p < .05). Health education was effective in increasing public knowledge about BA.
Co-Authors Ahmad Yani Aji, Amanda Safira Amaliah, Rizky Ganesha Wisnu Husni, Rini Y Ismet, M Febriadi Lianti, Hanna Ni Made Sarastri Widyani Novi Kurnia