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All Journal Medula Majalah Obstetri dan Ginekologi
Pratama, Muhammad Reqza
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Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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One-bottle drainage system in Tuberculosis-Associated Secondary Spontaneous Pneumothorax: A Case Report : Gede Ardi Saputra; Pratama, Muhammad Reqza; Munthe, Eva Lydia; Swastini, Ni Putu
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1190

Abstract

Tuberculosis (TB) is one of the ten leading causes of death in the world. Indonesia ranks second in the world in terms of TB cases and is the largest contributor to the increase in new cases. This study reports a man suffering from TB with a rare complication, secondary spontaneous pneumothorax. We describe a 27-year-old male smoker who reported sudden shortness of breath two hours ago, accompanied by pain in the left side of the chest when breathing. He is currently undergoing advanced antituberculosis treatment. A physical examination and chest X-ray revealed spontaneous pneumothorax. A GeneXpert sputum test 2 months ago was positive for Mycobacterium tuberculosis. We performed chest tube placement. After 19 days, the patient showed clinical improvement and responded well to treatment. In conclusion, secondary spontaneous pneumothorax (SSP) in tuberculosis patients is a rare occurrence. The patient received chest tube placement, as well as oxygen therapy, anti-TB drugs, and chest physiotherapy. We treated the individual using a one-bottle system because this type of pneumothorax is simple, practical, and easy for mobile individuals.
Emerging role of Transvaginal Ovarian Needle Drilling in CC-resistant PCOS: A meta-analytical comparison with LOD Huzna, Nanda Cynthia; Maulana, Rifqi Fadhil; Deswindra, Mohamad Reihansyah; Saputra, Gede Ardi; Megawati, Melia; Pratama, Muhammad Reqza
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.42-52

Abstract

HIGHLIGHTS This meta-analysis compares the effectiveness of transvaginal ovarian needle drilling (TND) versus laparoscopic ovarian drilling (LOD) in clomiphene citrate-resistant PCOS patients, focusing on pregnancy outcomes and ovarian reserve indicators. The findings indicate comparable pregnancy rates between TND and LOD, while TND may offer the advantage of better ovarian reserve preservation and a minimally invasive approach suitable for outpatient settings.   ABSTRACT Objective: Clomiphene citrate-resistant polycystic ovary syndrome (CC-resistant PCOS) remains a therapeutic challenge, often requiring second-line surgical interventions to induce ovulation. Laparoscopic ovarian drilling (LOD) is the standard approach, whereas transvaginal ovarian needle drilling (TND) has emerged as a minimally invasive alternative with potential advantages in preserving ovarian reserve. This study compared the effectiveness and safety of TND versus LOD by evaluating pregnancy rates and postoperative anti-Müllerian hormone (AMH) levels. Materials and Methods: A systematic review and meta-analysis was conducted following PRISMA guidelines. Literature searches were performed in PubMed, Cochrane Library, and ScienceDirect up to June 2025. Studies involving women with CC-resistant PCOS comparing TND and LOD were included. Primary outcomes were pregnancy rates and postoperative AMH levels. Risk of bias was assessed using Cochrane RoB-2 and ROBINS-I tools. Pooled estimates were calculated using a random-effects model. Results: Four studies involving 660 participants were included. The pooled relative risk for pregnancy in the TND group compared to the LOD group was 0.74 (95% CI: 0.39–1.41; p = 0.36; I² = 71%), indicating no statistically significant difference. The mean difference in postoperative AMH levels favored TND (+1.12 ng/mL; 95% CI: -0.06–2.3; p = 0.06; I² = 90%), suggesting a trend toward better ovarian reserve preservation. TND demonstrated comparable pregnancy outcomes with a potential advantage in minimizing ovarian damage. Conclusion: TND may offer similar pregnancy outcomes with better ovarian reserve preservation than LOD; however, further high-quality studies are required to confirm these findings.
Co-Authors Deswindra, Mohamad Reihansyah Gede Ardi Saputra Huzna, Nanda Cynthia Maulana, Rifqi Fadhil Melia Megawati, Melia Munthe, Eva Lydia Saputra, Gede Ardi Swastini, Ni Putu