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All Journal International Islamic Medical Journal Journal of International Surgery and Clinical Medicine
Meizikri, Rizki
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Religion Humanities Health Professions Medicine & Pharmacology Public Health

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Management of Traumatic Intracranial Hemorrhage on Anticoagulant Regiment: A Literature Review Apriawan, Tedy; Kartosen, Ade Anugrah; Ishlahy, Ahmad Z. S.; Broto, Endang Pati; Herjuna, Hana Ranu; Permana, Khrisna Rangga; Meizikri, Rizki; Drehem, Shaleh; Bajamal, Abdul Hafid
Jurnal Medis Islam Internasional Vol 1 No 2 (2020): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v1i2.1611

Abstract

Oral anticoagulant and antiplatelet are often prescribed in clinical practice. These drugs are mainly consumed by geriatric patients to prevent or treat cerebrovascular, systemic embolism, or heart condition.  Managing anticoagulated TBI patients is a challenging task for surgeons. This study aims to review available literatures regarding anticoagulated TBI patients and to suggest a treatment algorithm for such cases. Based on several retrospective and prospective studies, it might be wasteful to do a routine follow-up CT scan on anticoagulated TBI patients. The risk of new lesion development or presenting lesion progression seems to be especially low among patients with negative initial CT scan. We suggest to reserve repeat CT scan for patients with evident neurological deterioration. Tighter observation for anticoagulated patients with positive initial CT scan might be useful. Anticoagulation reversal is recommended by the American College of Cardiology, but some studies reported that reversal should be directed by INR. Acute antiplatelet cessation is still controversial for aspirin, but it is advised for clopidogrel. Preoperative management of both anticoagulant and antiplatelet should take into account the bleeding risk of the surgical procedure. Blind cessation and reversal of anticoagulant and/or antiplatelet might delay the timing of surgery and thus would better be avoided
Current State of Minimal Invasive Surgery for Intracranial Epidural Hematoma Fitra, Fitra; Meizikri, Rizki; Wathoni, Roidah TZ; Hidayat, Imam
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.63

Abstract

Introduction Craniotomy and hematoma evacuation is the gold standard of treatment for epidural hematoma (EDH). However, minimal invasive surgery for EDH might come in handy in conjunction or as a standalone therapy for EDH, as some of them might be easier to perform in a dire situation. In this literature review, we aim to review the available literatures regarding minimally invasive surgery for EDH. Method This literature review described the available studies about minimal invasive surgery for EDH. Result Thirteen studies were identified. The procedures consisted of burrhole-based approach, minicraniotomy, endovascular, and image-guided evacuation. Several of the procedures were performed on hypodense-appearing EDH, some on post-operative EDH, and one on venous-sinus-involving EDH. The majority of studies reported favourable outcome after minimal invasive surgery. Conclusion Available literatures showed that most minimal invasive surgery can be performed quickly and is thus suitable for the emergency nature of EDH. Liquified-appearing EDH, post-operative EDH, or EDH situated near the dural venous sinus were among the reasons to pursue minimal invasive EDH evacuation. Minimal invasive surgery for EDH generally resulted in favourable outcome. Larger studies are required to validate the benefit of minimal invasive surgery as a standalone therapy or in combination with standard craniotomy for EDH.
Co-Authors Abdul Hafid B Broto, Endang Pati Drehem, Shaleh Fitra Fitra, Fitra Herjuna, Hana Ranu Ishlahy, Ahmad Z. S. Jayawarsa, A.A. Ketut Kartosen, Ade Anugrah Permana, Khrisna Rangga Tedy Apriawan Wathoni, Roidah TZ