Sudirman, Taufik
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Strangulated Left Lateral Inguinal Hernia in a 54-Year-Old Woman: A Case Report Sudirman, Taufik; Surya, Clarissa; Marina, Sinta
Medicinus Vol. 13 No. 1 (2023): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v11i2.7532

Abstract

Introduction: Around 20 millions of hernia repairs were done annually with women presenting least cases. The occurrence of inguinal hernia in female patients is 3-6%, which is lower than men (27-43%). Inguinal hernia itself may present as a bulge in the groin in which the definitive treatment is through surgery. Although many research were done for hernia repair in men, guidelines for women are still currently observed with less favourable outcomes.Case illustration: A 54-year-old woman came to the ED complaining of pain of protruding bulge in the groin area for two hours. The patient has had a history of bulging for three years, which was previously reducible. Examination of the inguinal region revealed a lump with a diameter of +/- 4 cm and painful when palpated. Abdominal USG showed a left inguinal hernia consisting intestinal tissues. Open herniotomy with mesh grafting was performed and the patient got discharged after 4 days of hospitalisation.Conclusion: Lifetime risk for development of inguinal hernia is higher in men compared to women, but the rate of emergency procedures in women is 3 to 4-fold higher than in men. Guidelines for hernia repair in women show less favourable results than in men. Therefore, special steps must be taken in the repair of inguinal hernia in women.
The Relationship of Body Mass Index with Length of Stay in Symptomatic Cholelithiasis Patients Who Have Undergoing Open Cholecystectomy at RSUS Lippo Village Karawaci Hospital Alvionitan, Chellya Fanny; Sudirman, Taufik
Medicinus Vol. 14 No. 3 (2025): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v14i3.10150

Abstract

Background: Gallstones, also known as cholelithiasis, are hardened deposits of digestive fluids that develop in the gallbladder. A serious medical condition called cholelithiasis is frequently managed with general surgery. One of the treatments for cholelithiasis is an open cholecystectomy. It will take some time to recover from this surgical procedure at the hospital. The period of hospitalization will depend on the patient's weight. Numerous research findings continue to conflict with this study. As a result, this study was carried out to examine the connection between BMI and the length of hospital stay in the open cholecystectomy technique. Methods: This study used a cross-sectional study design with a sample population of cholelithiasis patients at Siloam Hospital. The sample size of 51 was selected using a purposive sampling technique. Data is taken from the patient's medical record and the data collected will be analyzed using Mann-U Whitney. Result: From 51 samples, the mean length of stay for subjects with BMI < <23 kg/ m2 was 3 days, with the lowest value being 1 day and the highest value was 5 days. Meanwhile, the mean length of stay for subjects with BMI > 23 kg/ m2 was 3 days with the lowest value was 2 days and the highest value was 6 days. From the Mann-U Whitney test, it was found that the results of the comparison were not significant (p> 0.05). Conclusions: This study shows there is no relationship between BMI and duration of hospitalization in cholelithiasis symptomatic patients undergoing open cholecystectomy surgery.