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Hasil Luaran Operasi Pulltrough pada Hirsprung dengan Skoring Klotz di RSUD Arifin Achmad Pekanbaru (2010-2016) Tubagus Odih Rhomdani Wahid
Jurnal Kesehatan Melayu Vol 1, No 2 (2018): April 2018
Publisher : Fakultas Kedokteran Universitas Riau

Penyakit Hirschprung adalah suatu kelainan bawaan berupa aganglionosis usus, mulai dari sfingter ani internal ke arah proksimal dengan panjang yang bervariasi, bersifat kosmopolitan, dengan insiden berkisar 1 diantara 2000 sampai 12.000 kelahiran. Penelitian ini bertujuan untuk mengevaluasi hasil luaran operasi pulltrough pada Hirsprung dengan skor Klotz periode januari 2010-Desember 2016, meliputi hubungan status gizi dengan hasil luaran dan komplikasi yang timbul. Penelitian ini dilakukan dengan rancangan deskriptif analitik dengan pengumpulan data secara retrospektif terhadap penderita Hirschprung yang dikerjakan terapi definitif dengan metode operasi pulltrough, data diambil dari rekam medis dan kuisioner di RS Arifin Achmad periode Januari 2010- Desember 2016. Dua puluh sembilan pasien terdapat 16 (55,2 %) pasien laki - laki dan 13 (44,8%) pasien perempuan. Terdapat 21 (72,4%) dengan gizi baik dan 8 (27,6%) dengan gizi kurang. Komplikasi yang terbanyak ditemukan adalah enterokolitis 5(17,2%) diikuti dengan stenosis rectum 1(3,4%). Terdapat hubungan bermakna komplikasi pasca operasi pulltrough dengan evaluasi skoring Klotz dan tidak terdapat hubungan bermakna antara status gizi dengan evaluasi skoring Klotz.

Laporan Kasus: Stage Closure untuk Gastroskisis Tubagus Odih R Wahid; Ari Alvaren; Lofina Mutia Dewi; Putri Sari; Widya Cahya Purnama
Jurnal Ilmu Kedokteran Vol 14, No 2 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i2.2020.121-124

Gastroschisis is a congenital defect of the anterior abdominal wall which is to the right of the umbilicus, gastric, small intestine and colon can be found outside the abdominal cavity. The incidence is 1: 2.500-10.000 births. The incidence of Gastroschisis in the world has increased in the last 30 years. In Indonesia, the incidence of Gastroschisis is not yet clear. The diagnosis is relatively easy by inspection and it is found that the contents of the abdomen are exposed outside the abdominal cavity. We reported a case of a baby patient aged six days when he was sent to Bagan Siapi Api Hospital and then performed the first stage operation, namely the installation of the bogota bag procedure, followed by gradual squist sac ligase treatment, after 18 days of treatment or at 37 days of age, devinitive surgery was performed close the abdominal wall defect

ANALYSIS OF CLINICAL RISK SURGICAL SERVICES TO SUPPORT SERVICES QUALITY AT ARIFIN ACHMAD RIAU HOSPITAL Tubagus Odih R Wahid; Dedi Affandi; Zainal Abidin; Mitra Mitra; Abdur Rahman Hamid
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 11, No 1 (2022): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i1.11038

Introduction: The quality of hospital services is one of the indicators. Its function as a health care provider by creating satisfaction through health services with the best quality, in its implementation will synergize with clinical risk management one of the surgical services. Purpose and Method: The purpose of research is to analyze the implementation of clinical risk management surgery in supporting the quality of hospital services, This research was conducted at Arifin Achmad Riau, with a qualitative approach to rapid assessment procedure research design through observation, in-depth interview and triangulation analysis. The number of informants as many as 8 people following the rules purposively. Results: Informed consent has been understood and filled in according to regulations, although there are sometimes unreadable and incomplete writings, but generally good with the marked lack of prosecution. Surgical Safety Checklist is good. Preoperative and postoperative diagnosis discrepancy recording and reporting sourced from the operating report sheet has been done well and understands what is meant in accordance with regulations. For the formation of the operations team is still dominated in the superior services and the implementation of consultation during operations has been well underway, although there are still constraints namely the limited availability of operating rooms and evaluation of operations team activities that have not been regularly carried out. Conclusion: Implementation of good clinical risk management implementation of surgery is proven to support the quality of service in Arifin Achmad Hospital, implementation of operations team and consultation during surgery in order to be maximized.

HUBUNGAN INSIDEN FISTULA URETROKUTANEUS DENGAN TIPE HIPOSPADIA PASCA OPERASI URETROPLASTI Wendy Desrullah Prada; Tubagus Odih Rhomdani Wahid; Laode Burhanuddin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Hypospadias is the second most common congenital abnormalities of thepenis. Management of hypospadias performed with a surgical procedure that iscordectomy and urethroplasty. Urethrokutaneus fistula is the most common posturethroplasty surgery complications in patients with hypospadias. This study is aretrospective analytic correlative with cross sectional approach conducted inDecember 2014 - January 2015. Retrieved 61 medical records of patientshypospadias in surgery section of Arifin Achmad Riau Province period January2011 - December 2013. From this study, the incidence of hypospadias by types:anterior 21.31%, medial 34.42%, and posterior 29.50%. Type hypospadias isoften become urethrocutaneus fistula post urethroplasty surgery is posteriorhypospadias type (72.2%), hypospadias type medius (19.0%), anteriorhypospadias type 18.2%. Results of Chi-Square test of correlation between theincidence of hypospadias fistula with the type of post uretroplasty obtained fromthe chi-square value is 16.162 and p-value <0.0001. Conclusion the study is asignificant differences in incidence urethrokutaneus fistula with type ofhypospadias post urethroplasty surgery.Key words : hypospadias, type of hypospadias, urethrocutaneous fistula,urethroplasty

HUBUNGAN MULAI NYERI PERUT DENGAN TINGKAT KEPARAHAN APENDISITIS AKUT ANAK BERDASARKAN KLASIFIKASI CLOUD DI RSUD ARIFIN ACHMAD PROVINSI RIAU Heru Ardila Putra; Tubagus Odih Rhomdani Wahid; Wiwit Ade Fidiawati
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Pediatric acute appendicitis is a pediatric surgical cases with the most common presentation was abdominal pain. Abdominal pain in acute appendicitis is the result of inflammation of the appendix. If no immediate appendectomy, it can lead to perforation of the appendix within 24-48 hours after acute inflammation. Pediatric acute appendicitis based on Cloud Classification consists of simple, suppurative, gangrene, rupture and abscess. The aim of this study was to determine the correlation between onset of abdominal pain with severity of peadiatric acute appendicitis based on Cloud Classification. The method of this study was analytical correlative with retrospective cross sectional approach conducted in November 2014. Retrieved 54 medical records of pediatric acute appendicitis patients in surgery department of RSUD Arifin Achmad Riau Province period January 2011 - December 2013. From this study was found that a similar comparison between male and female (1: 1.04), with a mean onset of abdominal pain 3.49 ± 3.29 days before admission to hospital. Based on Cloud Classification was found the severity of pediatric acute appendicitis, ie simple 13.7% , suppurative 29.4%, gangrene 19.6%, rupture 19.6% and abscess 17.6%. Spearman correlative test between onset of abdominal pain with severity of peadiatric acute appendicitis based on Cloud Classification showed p = 0.000 and r = 0.525. The conclusion there was a significant medium correlation between onset of abdominal pain with severity of peadiatric acute appendicitis based on Cloud Classification .Keywords: onset of abdominal pain, pediatric acute apendicitis, Cloud classification

Putative and pretreatment drug resistance mutations in reverse transcriptase gene among untreated chronic hepatitis B patients at Arifin Achmad Regional District Hospital, Riau, Indonesia Arfianti Arfianti; Fauzia Andrini Djojosugito; Maisaroh Maisaroh; Hendra Asputra; Dita Kartika Sari; Tubagus Odih Rhomdani Wahid
Acta Biochimica Indonesiana Vol. 5 No. 1 (2022): Acta Biochimica Indonesiana
Publisher : Indonesian Society for Biochemistry and Molecular Biology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32889/actabioina.68

Background: Mutations within the hepatitis B virus (HBV) reverse transcriptase (RT) gene have been associated with drug resistance against nucleos(t)ide analogs (NAs). Objective: This study aimed to identify mutations in the RT gene among patients with chronic hepatitis B (CHB) before receiving antiviral therapy and its relationship with the HBV genotypes. Methods: A total of 26 HBV DNA was extracted from the blood plasma of CHB patients. HBV RT gene was amplified and sequenced using the Sanger dideoxy sequencing method. The HBV genotype was determined through phylogenetic analysis using the Maximum Likelihood method. Results: The study subjects comprised 14 CHB patients without complications and 12 CHB patients with cirrhosis/hepatoma. CHB patients with cirrhosis/hepatoma were older than those without complications. The HBV genotypes comprised 15 (57.7%) genotype C and 11 (42.3%) genotype B. All treatment-naïve CHB patients did not demonstrate any classical NA resistance mutations within the RT gene. However, several putative and pretreatment resistance mutations, including F221Y, N238H, and V224I, were high frequency in more than 40% of study subjects. In addition, F221Y and N238H/Q mutations were frequently observed in genotype B, while V224 I was only found in patients infected with genotype C (p=0.000). Conclusions: There was no evidence of classical RT gene mutations associated with NA resistance in treatment-naïve patients with CHB. However, several putative and pretreatment mutations were identified as genotype-specific mutations and may contribute to antiviral resistance against NAs.

Bochdalek Hernia Yuliaji Narendra Putra; Tubagus Odih Rhomdani Wahid; Guntur Surya Alam; Rohadi Rohadi
JBN (Jurnal Bedah Nasional) Vol 2 No 2 (2018): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Background: Bochdalek hernia is a congenital defect on posterolateral diaphragm with an abnormal connection between the thoracic cavity and the abdominal cavity. This disease causes protrusion of abdominal organs into the thoracic cavity. Case: an 8-day-old baby girl admitted to hospital with shortness of breath 24 hours after delivered. The baby was born spontaneously assisted by midwife. Upon born, the baby was crying strongly and meconium came out 2 hours after birth. On physical examination, the abdomen was inspected flat. Darm contour and darm steifung was observed, and peristaltic sound was heard on left lung. Radiological examination demonstrated a diaphragmatic hernia with ileus obstruction. The patient underwent laparatomy and stomach, ileum, transverse colon, and spleen, was found on foramen Bochdalek. Post-surgery chest X Ray showed favourable result. Ten days after treatment, the patient was discharged in a good condition with no respiratory or digestive problems. After 1 months the patient’s condition remained good and there were no respiratory or digestive complaints. Conclusion: In a rare case like Bochadalek hernia, laparotomy performed as a promising attempt to return the anatomic position of organ.

Hubungan Onset Keluhan Nyeri Perut dan Jumlah Leukosit dengan Tingkat Keparahan Apendisitis Akut pada Anak Wahyu Jati Wibowo; Tubagus Odih Rhomdani Wahid; Huriatul Masdar
Health and Medical Journal Vol 2, No 2 (2020): HEME July 2020
Publisher : Universitas Baiturrahmah

Latar belakang: Apendisitis akut selalu memerlukan terapi pembedahan. Jika apendektomi tidak dilakukan segera, akan menyebabkan perforasi pada apendiks dan kontaminasi peritoneal. Angka kejadian tertinggi apendisitis adalah pada akhir usia remaja, dengan 5% kejadian pada anak usia dibawah 5 tahun.Tujuan: Mengetahui hubungan antara onset keluhan nyeri perut dengan tingkat keparahan apendisitis akut anak serta mengetahui perbedaan rerata jumlah leukosit apendisitis akut anak antara apendisitis non komplikata dan apendisitis komplikata. Metode: Penelitian ini merupakan penelitian analitik komparatif dan analitik korelatif dengan pendekatan retrospective. Terdapat sebanyak 68 rekam medis pasien apendisitis akut anak di RSUD Arifin Achmad Provinsi Riau periode Januari 2018 – Desember 2019. Hasil: Penelitian ini didapatkan perbandingan yang sama antara laki-laki dan perempuan, dengan didominasi pada rentang usia 6-12 tahun. Lama onset keluhan nyeri perut didominasi pada lama keluhan lebih dari 48 jam. Terdapat 69,1% apendisitis komplikata. Leukositosis terjadi pada 76,5% pasien. Hasil uji komparatif t tidak berpasangan didapatkan p=0,000, terdapat perbedaan rerata jumlah leukosit yang bermakna antara apendisitis non komplikata dan apendisitis komplikata. Nilai IK95%=4.015,7-6.683,13. Hasil uji korelasi Somers’d antara onset keluhan nyeri perut dengan keparahan apendisitis akut anak didapatkan p=0,00. Kesimpulan: Terdapat perbedaan rerata leukosit yang bermakna antara apendisitis non komplikata dan apendisitis komplikata serta terdapat hubungan yang bermakna antara onset keluhan nyeri perut dengan tingkat keparahan apendisitis akut anak dengan kekuatan hubungan kuat.

Rare Case: Ovarian Cysts in Child Tubagus Odih R Wahid
Jurnal Ilmu Kedokteran Vol 16, No 1 (2022): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v16i1.2022.49-51

An ovarian cyst is a sac filled with liquid or semiliquid material that arises in an ovary. Those cysts were mostly found in women aged 20-50 years. The incidence is 10: 100.000 women. This report reports a case of a child patient aged two years who came to Arifin Achmad Hospital with a chief complaint there is a mass in the lower abdomen area. From the physical examination, the lump in the lower abdomen area was obtained. We performed, laparotomy exploration with cystectomy and found a left ovarian cyst size 12 x 12 x 15 cm.

ANALYSIS OF CLINICAL RISK SURGICAL SERVICES TO SUPPORT SERVICES QUALITY AT ARIFIN ACHMAD RIAU HOSPITAL Tubagus Odih R Wahid; Dedi Affandi; Zainal Abidin; Mitra Mitra; Abdur Rahman Hamid
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 1 (2022): April 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i1.11038

Introduction: The quality of hospital services is one of the indicators. Its function as a health care provider by creating satisfaction through health services with the best quality, in its implementation will synergize with clinical risk management one of the surgical services. Purpose and Method: The purpose of research is to analyze the implementation of clinical risk management surgery in supporting the quality of hospital services, This research was conducted at Arifin Achmad Riau, with a qualitative approach to rapid assessment procedure research design through observation, in-depth interview and triangulation analysis. The number of informants as many as 8 people following the rules purposively. Results: Informed consent has been understood and filled in according to regulations, although there are sometimes unreadable and incomplete writings, but generally good with the marked lack of prosecution. Surgical Safety Checklist is good. Preoperative and postoperative diagnosis discrepancy recording and reporting sourced from the operating report sheet has been done well and understands what is meant in accordance with regulations. For the formation of the operations team is still dominated in the superior services and the implementation of consultation during operations has been well underway, although there are still constraints namely the limited availability of operating rooms and evaluation of operations team activities that have not been regularly carried out. Conclusion: Implementation of good clinical risk management implementation of surgery is proven to support the quality of service in Arifin Achmad Hospital, implementation of operations team and consultation during surgery in order to be maximized.

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