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All Journal The New Ropanasuri Journal of Surgery Jurnal Ilmu Bedah Indonesia Cermin Dunia Kedokteran
Vanto, Yoni
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology

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Postoperative Wound Irrigation Using Distilled Water in Preventing Surgical Site Infection in a Tertiary Hospital: A retrospective Cohort and Cost-effective Study Jeo, Wifanto S.; Pratama, Dennis W.; Vanto, Yoni; Kekalih, Aria; Moenadjat, Yefta
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Abstract

Background. The incidence of surgical site infections (SSIs) is reducing following the global campaign that requires all the stakeholder involvement. However, of all hospital-acquired infection prevention programs, wound irrigation is hard to be implemented in our hospital. There is a belief that the wound irrigation procedure leading to the spreading of infection. In contrast, the use of antiseptic and topical antibiotic, as well as systemic antibiotic, is uncontrolled high. Thus, we run a cost-effective study of wound irrigation to change the practice. Method. We carried out a prospective cohort study comparing wound irrigation and the standard protocol in wound care in those underwent median laparotomy during the period of January to July 2018. A total of 80 subjects enrolled in this study, which divided into two groups, 40 for each group. The first group was those treated using antiseptics (povidone-iodine) and antibiotic contained paraffin tulle, while the second group was those treated using irrigation. This study performed in the digestive surgery division, which initiated irrigation protocol for wound irrigation. Stitch specimen taken for bacterial culture proceeded on 7th day postoperative and clinical signs of infection following CDC criteria was observed then statistically analyzed. The committee of ethics Faculty of Medicine Universitas Indonesia approved the study. Results. The bacterial culture showed no significant difference (p = 0.82) between the two groups. Clinical signs are showing no significant difference between the two groups (p = 1.00). In the cost perspective, the application of wound irrigation saving IDR 57,500,00 or four USD per subject. Conclusion. Wound irrigation using distilled water efficiently prevent SSIs.
Intervensi Endovaskular Aneurisma Aorta Torako-Abdominalis Pada Pasien dengan Sindrom Marfan: Tinjauan Literatur Darwis, Patrianef; Vanto, Yoni
Jurnal llmu Bedah Indonesia Vol 47 No 2 (2019): Artikel Penelitian
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibi-ikabi.v47i2.48

Abstract

Latar Belakang. Sindroma Marfan merupakan penyakit jaringan ikat yang diturunkan secara autosom dominan dengan penyebab utama morbiditas dan mortalitas akibat kelainan aorta. Bedah terbuka merupakan tata laksana utama untuk kelainan aorta pada pasien sindrom Marfan, namun tidak semua pasien dapat dilakukan bedah terbuka, misalkan pada kondisi hemodinamik yang tidak stabil dan usia tua. Intervensi endovaskular merupakan salah satu pendekatan tata laksana minimal invasif yang masih kontroversial karena adanya risiko kegagalan primer berupa kebocoran aneurisma. Metode. Penelusuran literatur dilakukan secara daring pada 3 database: PubMed, ClinicalKey, dan ScienceDirect. Dilakukan pemilihan studi berdasarkan kriteria inklusi dan eksklusi literatur. Artikel terpilih ditelaah secara kritis berdasarkan alur seleksi dari PRISMA Flow Diagram. Didapatkan 6 artikel yang ditelaah secara kritis Hasil. Tiga literatur mengenai prosedur endovaskular menunjukkan angka keberhasilan prosedur berkisar 20%-38% dengan risiko kegagalan primer (primary endoleak) yang cukup tinggi. Kematian akibat aneurisma lebih tinggi pada pasien sindrom Marfan yang menjalani teknik endovaskular dibandingkan pasien yang dilakukan bedah terbuka. Kesimpulan. Prosedur endovaskular dapat dijadikan alternatif tatalaksana dengan mempertimbangkan kondisi pasien. Sedikitnya jumlah subyek pada penelitian-penelitian yang ada serta waktu follow-up yang singkat menyebabkan efektivitas teknik endovaskular masih diragukan jika dibandingkan dengan prosedur bedah terbuka. Kata kunci: sindrom marfan, endovaskular, bedah terbuka, aneurisma aorta, torako-abdominal
Pneumotoraks Bilateral Spontan sebagai Manifestasi COVID-19: Laporan Kasus: Laporan Kasus Sigarlaki, Edgar David; Bunawan, Nur Chandra; Amalia, Nasya; Harlivasari, Annisa Dian; Kenya, Cathleen; Vanto, Yoni; Nugroho, Hardijatmo Muljo
Cermin Dunia Kedokteran Vol 53 No 02 (2026): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i02.1647

Abstract

Introduction: Spontaneous pneumothorax occurs when part of the lung collapses and air accumulates in the pleural space. The cause of spontaneous pneumothorax is unclear, but this condition may increase the risk of death, particularly if it progresses to tension pneumothorax.COVID-19 is primarily a respiratory disease and may present with various pulmonary manifestations, including rare and severe complications. Case: A 48-year-old woman presented with dyspnea, fever, cough, nausea, and fatigue. Initial rapid antibody testing for SARS-CoV-2 wasnegative. Chest radiograph demonstrated an avascular area in the right lateral hemithorax with medial lung collapse, consistent with right spontaneous pneumothorax. Oxygen therapy and chest tube insertion were performed. Follow up chest x-ray showed resolution of the rightpneumothorax, however, a new pneumothorax developed on the left side. Nasopharyngeal and oropharyngeal swab testing for SARS-CoV-2 was reported positive a few days later, after the patient had died. Discussion: The occurrence of bilateral spontaneous pneumothoraxin this patient suggests lung involvement related to COVID-19 infection. Recognition of atypical pulmonary manifestations is essential, particularly when initial screening tests are negative. Conclusion: COVID-19 can manifest as spontaneous pneumothorax, including bilateral involvement. Early recognition is important to reduce morbidity and mortality.
Co-Authors Amalia, Nasya Aria Kekalih Darwis, Patrianef Harlivasari, Annisa Dian Jeo, Wifanto S. Kenya, Cathleen Nugroho, Hardijatmo Muljo Nur Chandra Bunawan Pratama, Dennis W. Sigarlaki, Edgar David Yefta Moenadjat