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All Journal Substantive Justice International Journal of Law PREPOTIF : Jurnal Kesehatan Masyarakat
Rusdi Antara, Gede Eka
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Law, Crime, Criminology & Criminal Justice Public Health

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DIFFICULT HELLER MYOTOMY DUE TO PROMINENT LARGE LEFT LIVER LOBE Tarigan T., Tomy Anditia; Rusdi Antara, Gede Eka
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.35276

Abstract

Achalasia Esofagus adalah gangguan motilitas esofagus yang ditandai dengan kegagalan peristaltik dan ketidakmampuan sfingter esofagus bagian bawah (LES) untuk relaksasi. Hal ini disebabkan oleh degenerasi pleksus saraf mienterikus pada dinding esofagus. Dalam kasus ini, kami melaporkan seorang pasien laki-laki berusia 24 tahun dengan achalasia esofagus. Tantangan teknis dalam kasus ini adalah adanya lobus hati kiri yang besar dan menonjol. Pasien laki-laki berusia 24 tahun tersebut dirawat di Rumah Sakit Umum Prof. IGNG Ngoerah dengan keluhan utama disfagia. Pasien mengeluhkan kesulitan menelan selama tiga bulan terakhir. Awalnya pasien merasakan ada yang tersangkut setiap kali makan dan minum. Keluhan tersebut memburuk dalam sebulan terakhir hingga pasien tidak dapat menelan makanan padat sama sekali. Pada saat masuk rumah sakit, pasien masih bisa mengonsumsi makanan cair. Tidak ada kelainan yang ditemukan pada pemeriksaan fisik dan hasil laboratorium. Evaluasi oesophagogram menunjukkan hampir total stenosis pada esofagus distal yang mencapai setinggi CV Th12 yang menyebabkan dilatasi pada esofagus proksimal. Hasil tersebut juga menunjukkan adanya dilatasi pada esofagus. Kemudian, pasien menjalani prosedur laparoskopi Heller Myotomy, namun karena adanya lobus hati kiri yang besar dan menonjol, prosedur tersebut diubah menjadi laparotomi dengan Dor fundoplikasi. Pasien mengalami pemulihan tanpa komplikasi selama tindak lanjut. Achalasia esofagus berhasil diatasi dengan Heller Myotomy. Lobus hati kiri yang besar dan menonjol dapat menjadi tantangan dalam prosedur ini.
Formulation of Customary Criminal Law in Future Criminal Code and Legal Enforcement in Indonesia Rusdi Antara, Gede Eka; Budiana, I Nyoman; Sadnyini, Ida Ayu
Susbtantive Justice International Journal of Law Vol 4 No 2 (2021): Substantive Justice International Journal of Law
Publisher : Faculty of Law, Universitas Muslim Indonesia, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/substantivejustice.v4i2.149

Abstract

The pros and cons were debated in limiting national legal substance with full recognition of Customary Criminal Law in the bill of Criminal Code and its future enforcement. On the other hand, there are arguments against the inclusion of Customary Criminal Law in the Criminal Code and the resulting disparities in legal enforcement caused by some Judges’ ignorance of judging customary criminal cases settled with the imposition of customary sanctions, which resulted in an unjust situation. This article aims to serve as a legal academic framework for establishing, identifying, and analyzing the formulation of Customary Criminal Law into the Indonesian Criminal Code, as well as to contribute to the discussion of judges’ roles in sentencing customary criminal cases, which they should determine and judge based on customary law. This article demonstrated the use of normative legal research in conjunction with statutory law, legal conceptual, and philosophical approaches to law. This article discovered that: first, several issues concerning the formulation of Customary Criminal Law into several national Bills of Criminal Code were debatable; second, it also cannot be enacted due to conflicting contexts with Criminal Law principles, unwillingness, and an ambiguous law-making process. Furthermore, the prospect of including the Customary Criminal Law in the Bill of Criminal Code is based on various justifications and legal needs that reflect the diverse local genius that still exists and adheres to Pancasila law principles. Additionally, it relates to a proposed new paradigm that Judges and other legal enforcers should adopt when enforcing Customary Criminal Law in any criminal customary case.
Co-Authors Budiana, I Nyoman Sadnyini, Ida Ayu Tarigan T., Tomy Anditia