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All Journal E-Jurnal Medika Udayana JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Plastik Rekonstruksi Journal of Health Sciences and Medicine

I Made Suka Adnyana

Division Of Plastic Surgery, Faculty Of Medicine, Universitas Udayana, Bali, Indonesia

Author-ID : 2046436

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Health Professions Medicine & Pharmacology Other

Published : 9 Documents Claim Missing Document

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Articles

EPIDEMIOLOGI PENDERITA CELAH BIBIR DAN LANGIT- LANGIT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR TAHUN 2016-2019 Ni Kadek Pebri Kristiantini; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; I Made Suka Adnyana
E-Jurnal Medika Udayana Vol 10 No 12 (2021): Vol 10 No 12(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i12.P16

ABSTRAK Celah bibir dan langit- langit merupakan kelainan kongenital pada wajah, berupa celah bibir, gusi, dan langit-langit. Kelainan kongenital ini berdampak tidak baik bagi psikologis maupun psikososial pasien dan menjadi beban sosioekonomis tambahan akibat terganggunya estetik wajah, fonotik, mastikasi, deglutisi dan okulasi mental.Tujuan dari penelitian ini adalah untuk mengetahui epidemiologi penderita celah bibir dan langit-langit yang teregister di RSUP Sanglah. Penelitian ini merupakan penelitian cross sectional dengan jenis penelitian deskriptif retrospektif. Data diambil dengan metode total sampling yang mana data penelitian bersumber dari data rekam medis pasien penderita celah bibir dan langit-langit di RSUP Sanglah tahun 2016-2019. Hasil penelitian didapatkan sejumlah 140 rekam medis dengan kategori pasien yang datang ke RSUP Sanglah terbanyak pada rentang usia 1-5 tahun dan sebagian besar berasal dari kota Denpasar yaitu sebanyak 39 kasus (27,9%) dengan sebagian besar berjenis kelamin perempuan yaitu sejumlah 76 kasus (54,3%), dan untuk tipe celah langit-langit lebih dominan terjadi pada perempuan yaitu sebanyak 45 kasus (64,3%), Celah bibir dominan terjadi pada laki-laki yaitu sebanyak 10 kasus (55,6%), celah bibir dan langit-langit lebih dominan terjadi pada laki-laki yaitu sebanyak 39 kasus (55,8%) dan berdasarkan lokasinya, celah langit-langit lebih banyak ditemukan yaitu sebanyak 70 kasus (50%). Kata Kunci: Celah bibir dan langit-langit, umur, jenis kelamin, daerah asal

GAMBARAN TINGKAT PENGETAHUAN PEDAGANG GORENGAN TENTANG PENCEGAHAN DAN PENANGANAN PERTAMA LUKA BAKAR DI DENPASAR TAHUN 2017 Gabriel Audrey Wijaya; I Made Suka Adnyana; I Wayan Subawa
E-Jurnal Medika Udayana Vol 8 No 9 (2019): Vol 8 No 9 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.405 KB)

Luka bakar adalah kerusakan yang terjadi pada kulit atau jaringan tubuh lainnya yangdisebabkan oleh panas atau radiasi, radioaktivitas, arus listrik, gesekan, atau kontak dengansenyawa kimia. Data dari Departemen Kesehatan Republik Indonesia di tahun 2008 menunjukkanprevalensi luka bakar di Indonesia berjumlah 2,2%, sementara data di RSUP Sanglah Denpasarmenunjukkan kejadian luka bakar pada tahun 2010 adalah sebanyak 333 orang. Penyebabtertinggi terjadinya luka bakar adalah suhu tinggi atau panas (95%), dan terbagi menjadi 3 yaitumelepuh (50%), kontak langsung dengan api (24%), dan kebakaran (26%). Luka bakar terbagiatas 4 derajat, yaitu derajat 1, 2A, 2B, dan 3 dengan perbedaannya terletak pada kedalaman dantingkat keparahan luka bakar. Penanganan pertama sangat penting dalam kejadian luka bakar gunamengurangi morbiditas dan mortalitas yang disebabkan oleh luka bakar, yaitu dengan mengaliriluka menggunakan air dingin bersuhu 2-15°C dengan durasi 15 menit segera setelah terjadi lukabakar. Jenis penelitian yang dilakukan adalah deskriptif dengan pendekatan potong lintang danmenggunakan teknik consecutive sampling. Penelitian dilakukan pada 97 pedagang gorengan diarea Denpasar yang bersedia mengisi kuisioner. Dari penelitian didapatkan hanya 6 orang yangpernah mendapat informasi tentang pencegahan dan penanganan pertama luka bakar. Hasilpenelitian didapatkan 88,7% responden berpengetahuan kurang dan 11,3% berpengetahuan cukupdalam melakukan pencegahan dan penanganan pertama luka bakar. Kata Kunci: Luka bakar, tingkat pengetahuan, pedagang gorengan

NUTRITIONAL INTERVENTION TRIALS MODEL IN POOR AREAS OF BALI PROVINCE Kadek Tresna Adhi; Ni Wayan Arya Utami; I Made Suka Adnyana
Journal of Health Sciences and Medicine Vol 1 No 1 (2017): JHSM (Febuary 2017)
Publisher : Institute for Research and Community Services Udayana University

Abstract The result from food utilization analysis in 2015 showed that a needed for a community based nutrition intervention model to decrease malnutrition cases among under five years children. This was non experimental study using pre-post test approached, conducted in Karangasem and Bangli regency. Samples were selected by purposive sampling method. Data were collected by questionnaire and observation. Nutrition intervention model was arranged in the form of training module given to society’s figure and integrated post service’s cadres. Result from trial of training module I showed no significant difference between means of knowledge before and after training with p-value (1,00) > ? (0,05), meanwhile in the trial of training module II showed significant difference between means of knowledge before and after training with p-value (0,048) < ? (0,05). Needed a model for socialization the nutrition intervention’s module which actively involved society’s figures and integrated post service’s cadre and ad vocation to policy maker thereby it can support the success of community nutrition improving program.

Dosis Efektif Enoxaparin dalam Mencegah Terjadinya Trombosis pada Anastomosis Arteri Femoralis Tikus I Made Suka Adnyana; Iswinarno Doso Saputro
JBN (Jurnal Bedah Nasional) Vol 1 No 2 (2017): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Tujuan: untuk mengetahui dosis efektif enoxaparin dalam mencegah terjadinya trombosis pada anastomosis mikrovaskular. Metode: penelitian ini bersifat eksperimental dengan rancangan the randomized post test only control group design. Terdapat 33 tikus jantan Rattus norvegicus Wistar strain yang dikelompokkan menjadi tiga perlakuan yaitu perlakuan A (enoxaparin 0,75 mg/kg), B (enoxaparin 1 mg/kg), dan C (kontrol). Tuck model anastomosis dilakukan pada arteri femoralis, kemudian luas trombus yang terjadi pada pembuluh darah dibandingkan dengan diameter lumen pembuluh darah diukur dengan graticule lens dan dinyatakan dalam persen. Hasil: trombus terbentuk pada semua subyek penelitian baik pada kelompok perlakuan maupun kontrol. Rerata persentase luas trombus pada kelompok enoxaparin 0,75 mg/kg adalah 24,3%, enoxaparin 1 mg/kg sebesar 19,8% dan kelompok NaCl 0,9% sebesar 79,4%. Terdapat perbedaan antara perlakuan pemberian enoxaparin dosis 0,75 mg/kg dan 1 mg/kg dengan kontrol, namun tidak ada perbedaan bermakna rerata persentase luas trombus diantara kelompok enoxaparin dosis 0,75 mg/kg dan dosis 1 mg/kg (p=0,624). Perlu dilakukan penelitian secara klinis guna melihat efektivitas enoxaparin dalam meningkatkan patensi anastomosis pada free flap maupun replantasi. Simpulan: pemberian enoxaparin dosis 0,75 mg/kg dan enoxaparin dosis 1 mg/kg secara subkutan efektif mengurangi persentase luas trombus pada anastomosis arteri femoralis tikus. Tidak terdapat perbedaan efektivitas yang bermakna dalam mengurangi persentase luas trombus pada anastomosis arteri femoralis tikus setelah diberikan dosis enoxaparin 0,75 mg/kg dan 1 mg/kg secara subkutan.

Pola Kuman dan Uji Kepekaan Antibiotik Pada Pasien Unit Luka Bakar RSUP Sanglah Periode 1 Januari 2016 - 1 Januari 2017 I Wayan Jorden Junior; I Made Suka Adnyana; I Wayan Subawa; Vivi Paula Putri
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Burns are a skin injury or injury caused by thermal that causes morbidity or mortality in patients, due to either heat or radiation, electrical and chemical reactions. In burns can occur bacterial growth that will cause an infection, both gram-positive bacteria and gram-negative bacteria. Necessary antibiotics in the treatment of infection by bacteria on burns. The incidence of burns is increasing from year to year, but data in Indonesia that discuss about the number of infections in burns and the use of antibiotics is still small.Aim: The study aims to determine the pattern of germs and antibiotic sensitivity test in patient burn unit at Sanglah Denpasar Hospital period January 2016 - January 2017.Method: This research is a descriptive descriptive cross sectional study conducted at Sanglah Denpasar General Hospital (RSUP). Data obtained in the form of secondary data of medical record of patient period January 2016 - January 2017. Data were analyzed by using SPSS program.Result: The results showed that from 63 patients, found 51.0% gram positive and 49.0% gram negative. In the positive gram found 8 species of bacteria with the most bacteria that is Staphylococcus aureus 15.87% and Strep Î² Haemolyticus 15.87% and gram negative found 3 types of bacteria with the highest number Pseudomonas aeruginosa 30.16%.Conclusion: Antibiotics with the highest resistance were found Amoxicillin 85.7%, Amoxicillin / Sulbactam 81.2% and Ampicillin 87.5% while the highest sensitivity antibotics were Amikacin 82.3%, Meropenem 75.0% and Linezolid 85.7% both on gram negative and gram positive.

Epidemiologi pasien luka bakar di RSUP Sanglah Denpasar tahun 2018-2019 Ni Kadek Ayunda Sarini Dewi; I Made Suka Adnyana; I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Burns are loss of tissue or a form of tissue damage that occurs as a result of contact with heat sources such as fire, chemicals, hot water, electricity, and radiation which are a type of trauma with high morbidity and mortality so that they require special treatment from the initial phase to advanced phase. This study aims to find out, comprehend, and describe the epidemiology of burn patients' causes and mortality at the Sanglah General Hospital in 2018-2019.Methods: The research was conducted with a descriptive method using cross-sectional studies. Samples were selected from the population-based on inclusion and exclusion criteria. Data were analyzed using SPSS version 24 software to obtain the epidemiology of the causes, length of stay, and burns mortality.Results: The results showed that the highest cause of burns was caused by fire, namely 65 people (53.3%). In the adult group, most burns were caused by fire, namely 55 people (45.1%), while in the group of children, most burns were caused by objects / hot water, namely 14 people (11.5%). The mortality of burnt sufferers was 11 people (9%) out of 122 people (100%), where all deaths occurred in the adult group. An IIAB degree burns were the highest burns with the highest mortality with 10 people (90.9%). Most of the burn injuries caused by fire burns were 7 people (63.6%) and the highest case was second-degree burns caused by fire, namely 60 people (56.1%).Conclusion: The results showed that the most common burns were caused by a fire in the adult group and objects/hot water in the children group. IIAB degree burns are the highest degree of burns with mortality.Latar Belakang: Luka bakar adalah kehilangan jaringan atau suatu bentuk kerusakan jaringan yang terjadi akibat dari kontak dengan sumber panas seperti api, bahan kimia, air panas, listrik dan radiasi yang merupakan jenis trauma dengan morbiditas dan mortalitas yang tinggi sehingga memerlukan perawatan yang khusus mulai fase awal hingga fase lanjut. Penelitian ini bertujuan untuk mengetahui, memahami dan mendeskripsikan epidemiologi penyebab dan mortalitas pasien luka bakar di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2018-2019.Metode: Penelitian dilakukan dengan metode deskriptif menggunakan studi potong lintang. Sampel dipilih dari populasi berdasarkan kriteria inklusi dan eksklusi. Data dianalisis menggunakan software SPSS versi 24 untuk mendapatkan epidemiologi penyebab dan mortalitas luka bakar.Hasil: Hasil penelitian menunjukkan bahwa epidemiologi penyebab luka bakar tertinggi disebabkan oleh api yaitu 65 orang (53,3%). Pada kelompok dewasa, pasien luka bakar terbanyak disebabkan oleh api yaitu 55 orang (45,1%), sedangkan pada kelompok anak-anak luka bakar terbanyak disebabkan oleh benda/air panas yaitu 14 orang (11,5%). Mortalitas pasien luka bakar yaitu 11 orang (9%) dari 122 orang (100%), dimana semua kematian terjadi pada kelompok dewasa. Luka bakar derajat IIAB merupakan derajat luka bakar dengan kematian tertinggi yaitu 10 orang (90,9%). Kematian luka bakar terbanyak disebabkan oleh luka bakar akibat api sebanya 7 orang (63,6%) dan kasus tertinggi adalah luka bakar derajat IIAB yang disebabkan oleh api yaitu 60 orang (56,1 %).Kesimpulan: Hasil penelitian ini menunjukkan bahwa luka bakar tersering disebabkan oleh api pada kelompok dewasa dan benda/air panas pada kelompok anak-anak. Luka bakar derajat IIAB merupakan derajat luka bakar dengan kematian tertinggi.

Prognostic value of red cell distribution width-to-platelet ratio in mortality of major burn in Sanglah Hospital Bali Nyoman Siska Ananda; I Gusti Putu Hendra Sanjaya; Sianny Herawati; Agus Roy Rusly Hariantana Hamid; I Made Suka Adnyana; I Wayan Niryana
Intisari Sains Medis Vol. 13 No. 1 (2022): (Available Online : 1 April 2022)
Publisher : DiscoverSys Inc.

Introduction: The mortality rate in Sanglah Hospital due to major burns is quite high. The ratio of red cell distribution width (RDW) and platelet (PLT) (RPR) as a prognostic marker of mortality in major burns has never been studied in Indonesia. Calculations of RPR are easy, widely available and cost-efficient.Method: This study was retrospective observational case-control, with 60 patients with major burns consisting of 30 cases and 30 controls. Samples were taken from the Sanglah Hospital Medical Record Unit from April 2019 to April 2021. Cases were samples with mortality after day seven, while controls were samples that survived. RDW and PLT value on day seven are associated with the incidence of mortality.Results: The mean of RPR in the case group was higher than in the control group. RPR mean of the control group was 0.0559, and the case group was 0.0947 (p<0.001). The increase of RPR in the case group was 40.97%. Statistical analysis showed that high RPR was a significant mortality risk factor in patients with major burns (OR = 21.36; p < 0.001).Conclusion: High RPR is a prognostic marker of mortality in major burns at Sanglah Hospital.

The Fundamental Concepts of High SMAS Facelift: Literature Review Gede Wara Samsarga; I Made Suka Adnyana; Astrinita Lestari Suyata; Shita Diwyani Sudarsa; Dewa Ayu Agung Anggita Ningrat
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1548

A number of facelift procedures have been introduced by many surgeons but there is no consensus has yet been established to carry. Since the first description of superficial musculoaponeurotic system (SMAS), it is used as the basis for many facelift methods that produce superior result in rejuvenation compared to traditional skin only facelift. Extended SMAS facelift becoming SMAS modification techniques that is still being developed. It produces two different vector of subcutaneous and SMAS flap, that is essential to restore drooping deep facial tissue with natural appearance. Despite the beneficial use of extended SMAS flap, most of plastic surgeons still traditionally incise the SMAS under the zygomatic arch. However, the low SMAS incision results only on rejuvenation of the lower face and is not sufficient to correct mid-facial aging. Fundamental concepts of high SMAS facelift by reviewing some literatures explain that high SMAS flap transection allowing the surgeon to achieve greater vertical elevation of the deep structures of the face by undermining the middle face, combined with fixation to a fixed structure produces lasting results and oblique vector of skin envelope creating no tension look. Incision above zygomatic arch turns out to be safely performed without facial nerve injury thorough knowledge of the anatomy. The final result is a balanced and harmonious elevation of sagging tissues of the midface, cheek, and jawline, to such an extent that high SMAS facelift becomes optimal, durable, technically simple, reproducible and with a comparatively high safety margin in facelift procedures.

Bifid Tongue and Cleft Palate: A Rare Congenital Malformation Purwanthi, I Gusti Ayu Putri; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; I Made Suka Adnyana; Gede Wara Samsarga; Nyoman Siska Ananda
Jurnal Plastik Rekonstruksi Vol. 8 No. 2 (2021): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i2.331

Background: Congenital bifid tongue without other craniofacial abnormalities is a very rare malformation. Here, we discuss a case of the bifid tongue with cleft palate, reported in a 7-month-old girl with no other syndromes or craniofacial abnormalities. Case Reports: This case report described a 7-month-old girl with an anterior bifid tongue, separated medially by a soft, solitary sublingual mass measuring 3 cm x 2 cm in size. There was also an associated incomplete cleft palate. A soft solitary mass measuring 2 cm x 2 cm in size was also seen within the cleft palate. Results: Computed facial tomography (CT) revealed a midline hard palate defect with an intact alveolar process of the maxilla. Pedunculated cystic lesion suspected with epulis was noted to arise on premaxillary alveolar mucosa. Excision of the tongue and hard palate mass and repair of the bifid tongue were done. Summary: Congenital bifid tongue with a cleft is a very rare malformation with different variations. Early surgical intervention is critical to prevent speech impairment and swallowing disorders. A multidisciplinary approach, including well-planned staged operations and rehabilitation, is important to achieve favorable outcomes.

Co-Authors Agus Roy Rusly Hariantana Hamid Astrinita Lestari Suyata Dewa Ayu Agung Anggita Ningrat Gabriel Audrey Wijaya Gede Wara Samsarga Gede Wara Samsarga Samsarga I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Wayan Jorden Junior I Wayan Niryana I Wayan Subawa Iswinarno Doso Saputro Kadek Tresna Adhi Ni Kadek Ayunda Sarini Dewi Ni Kadek Pebri Kristiantini Ni Wayan Arya Utami, Ni Wayan Arya Nyoman Siska Ananda Nyoman Siska Ananda Purwanthi, I Gusti Ayu Putri Shita Diwyani Sudarsa Sianny Herawati Vivi Paula Putri

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