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All Journal The New Ropanasuri Journal of Surgery
Syaiful, Ridho A
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology

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Hernia Through Winslow Foramen in Cipto Mangunkusumo General Hospital, Jakarta: A Case Report Ristiyanto, Eko; Wibowo, Taufik A; Syaiful, Ridho A; Philippi, Benny; Lalisang, Toar J.M.
The New Ropanasuri Journal of Surgery Vol. 5, No. 1
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Introduction. Hernias through Winslow foramen are extremely rare, occurred for 0.1% of all abdominal hernias and found during laparotomy due to strangulated bowel obstruction. This study aims to describe hernia of Winslow foramen and its management. Method. Data were retrospectively collected based on medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected. Case summary. We report the first case of Winslow foramen hernia at Cipto Mangunkusumo General Hospital, Jakarta. A man 54 years in 2019. Ileus was the main clinical symptoms and presented epigastric pain, nausea and vomiting. Plain abdominal x-ray confirmed small bowel obstruction but the etiology was unclear. Emergency laparotomy was performed and a herniated loop of ileum was found entering the lesser sac through the Winslow foramen. The loop of ileum was reduced and viable, omental patch was put on Winslow foramen as plasty procedure. Conclusion. Symptoms, clinical examination is non-specific and laboratory findings are rarely helpful. Retrograde analysis on the plain abdominal x-ray should be considered as abdominal internal hernia through Winslow foramen. The surgical management of hernia through Winslow foramen based on surgeon preference and the viability of the herniated intra-abdominal contents.
Mini-Review: Omental Patch Repair of Giant Perforated Peptic Ulcer Syaiful, Ridho A; Agustian, Muhammad F
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
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Introduction. A perforated giant peptic ulcer is an emergency that requires surgery. Closure of the perforation with an omental patch has been reported in several cases of perforated giant peptic ulcers. However, there is insufficient evidence regarding the option of preferred treatment. This review to discuss published reports of a perforated giant peptic ulcer closed with an omental patch that focused on the complications Method. The literature search was conducted through the Cochrane, PubMed, Scopus, and EBSCO data sites. The articles obtained were screened for duplication, title, abstracts, and full-text based on inclusion and exclusion criteria. Result: Two articles were included in this study for critical review. From these two articles, no complications were reported regarding the closure of giant perforated gastric ulcers with an omental patch. Conclusion: In general, closure of perforated gastric has a minimal incidence of postoperative complications. An omental patch can be used to close gastric perforation in unusual cases, such as giant perforation and septic shock, as presented in this case.
Surgical Treatment for Hepatocellular Carcinoma with Right Atrium Tumor Thrombus: A Literature Review Hazmi, Mohammad Z; Syaiful, Ridho A
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
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Introduction. The prognosis of patients with hepatocellular carcinoma (HCC) with right atrial tumor thrombus (RATT) is poor, with a mortality rate of 60 to 90%. Along with the development of multimodality management and surgical techniques in cases of HCC, surgery is still an option for curative purposes. This study aims to review the indications, appropriate surgical techniques, and postoperative survival outcomes in HCC with RATT. Methods. This literature review conducted using online databases, including Cochrane Library, PubMed, ScienceDirect, EBSCOhost, and ProQuest. Results. Six case reports and four retrospective studies were reviewed. Surgery for HCC with RATT has one, three, and five–year survival rates of 34% to 53%, 14% to 26%, and 13%, with a median survival of 8 months to 26 months. Surgery with adjuvants has a five–year survival rate of up to 41% up to 12 years. However, one study stated that ionizing particle radiation had a one and three–year higher survival rate than surgery (47% and 16% compared to 34% and 14%). Conclusion. In cases of HCC with RATT, It can undergo thrombectomy through the total hepatic vascular exclusion (THVE) technique in cardiopulmonary bypass (CPB) control to prevent the release of tumor thrombus and proceed with hepatectomy. This procedure is safe and has a survival rate of 8 to 26 months
C-Reactive Protein as an Early Predictor of Anastomosis Leakage after Colorectal Surgery: A Literature Review Permana, Lucky; Syaiful, Ridho A
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
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Introduction. Anastomosis leakage is a defect in the intestinal wall at the anastomosis site after surgery. This condition is a serious complication causing increased morbidity and mortality. CRP is commonly used as an acute postoperative indicator after abdominal surgery. The use of CRP as an early predictor of anastomosis leakage after colorectal surgery is supported by several studies showing its good diagnostic value. However, using CRP as a biomarker is not standard at Cipto Mangunkusumo National Hospital. Therefore, this literature review aims to support the evidence for CRP in the early detection of anastomosis leakage after colorectal surgery. Method. This study is a literature review conducted by searching online databases, including PubMed, ScienceDirect, and ClinicalKey. Several key terms, such as "anastomosis leak," "C–Reactive Protein," "colorectal," "predictor," and "open surgery," were used. Results. Database searches yielded 445 articles, of which six studies met the inclusion criteria and were included in this review. These include one systematic review, two meta–analyses, and three prospective studies. Conclusion. CRP is a good early predictor for anastomosis leakage, with sensitivity ranging from 68% to 86%. The highest diagnostic value of CRP was observed between postoperative days 3 and 5.
A Glimpse of Liver Resection Profile in An Indonesian Tertiary Hospital: A Retrospective Descriptive Study Vaniara, Florencia V; Lalisang, Arnetta NL; Lalisang, Toar JM; Mazni, Yarman; Putranto, Agi S; Jeo, Wifanto S; Ibrahim, Febiansyah; Syaiful, Ridho A; Sihardo, Lam; Marbun, Vania MG
The New Ropanasuri Journal of Surgery Vol. 10, No. 1
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Introduction. In-depth liver resection profile is needed for evaluation to improve the procedure’s outcome. This study aims to describe the clinical characteristics and outcomes of liver resection in HCC patients in Cipto Mangunkusumo Tertiary Hospital. Methods. This study retrospectively analyzed the clinical data of 19 HCC patients who underwent liver resection in Cipto Mangunkusumo Tertiary Hospital from 2021 to 2024. Demographic, clinical, laboratory, operative, and pathological data were collected. Postoperative complications were assessed using the Clavien-Dindo classification system within 30- and 90-day postoperative periods. Result. Nineteen patients were included, comprising 12 (63.2%) males and 7 (36.8%) females. Sixteen patients (84.2%) had Child-Pugh (CP) class A liver function with 10 (62.5%) CP A(5) patients and 6 (37.5%) CP A(6) patients; 3 (15.8%) patients had CP class B(7). There were 6 (31.6%) patients with thrombocytopenia and 4 (21.1%) patients with portal hypertension. Liver resection was done laparoscopically in 4 (21.1%) patients and with an open approach in 15 (78.9%) patients. Left hepatectomy was done in 3 patients (15.78%), right hepatectomy in 2 (10.5%), right anterior sectionectomy in 4 (21%), left lateral sectionectomy in 1 (5.26%), bisegmentectomy in 1 (5.26%), segmentectomy in 6 (31.58%), and non-anatomical resection in 2 (10.52%). Based on histopathologic examination, HCC was found in 13 (68.41%) patients. Among 19 patients, 12 (63.2%), 5 (26.3%), and 2 (10.5%) patients had 1 tumor, 2 tumors, and 3 tumors respectively (total tumors resected: n=28). About 16 (84.21%) patients had elevated alpha fetoprotein (AFP) (> 10 ng/mL). The mean intraoperative blood loss was 884 mL. No postoperative complications classified as Clavien-Dindo grade I-IV were observed. Two patients (10.5%) experienced postoperative mortality within 90 days (Clavien-Dindo grade V), both due to circulatory failure. Conclusion. This study presents a descriptive overview of liver resection in an Indonesian tertiary hospital. Comparative conclusions should be interpreted with caution due to the limited sample size.
Co-Authors Agustian, Muhammad F Benny Philippi Hazmi, Mohammad Z Ibrahim, Febiansyah Jeo, Wifanto S Lalisang, Arnetta NL Marbun, Vania MG Mazni, Yarman Permana, Lucky Putranto, Agi S Ristiyanto, Eko Sihardo, Lam Toar J.M. Lalisang Vaniara, Florencia V Wibowo, Taufik A