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Journal : Medical and Health Science Journal

META-ANALYSIS : COMPARISON OF NEOVAGINA SUCCESS RATE WITH VECCHIETTI'S LAPAROSCOPIC METHOD AND DAVYDOV'S LAPAROSCOPIC METHOD IN MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME (MRKH) PATIENTS Yanuar Prionggo; Eighty Mardiyan Kurniawati
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 2 (2020): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i2.1641

Abstract

Background: Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) is caused by an embryological growth disorder of the mullerian duct. Laparoscopic Vecchietti and Davydov are laparoscopic surgery techniques that are often used for neovaginal surgery Objective: This paper aims to compare the success rate of neovagina with the Vecchietti laparoscopic method and Davydov's laparoscopic method in patients with Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) Methods: A systematic data search was performed on a medical database (PUBMED, MEDLINE, Cochrane Database, Google Scholar). Inclusion criteria: (1) randomized randomized study of the Vecchietti Laparoscopic Method with Davydov’s Laparoscopy, (2) all inclusive papers can be accessed completely, and (3) the data obtained can be accurately analyzed Data acquisition and analysis: We searched for a random blind study (RCT) with the following keywords: (1) Vecchietti Laparoscopy [title] AND (2) Davydov’s Laparoscopy [title] AND Mayer-Rokitansky-Kuster-Hauser syndrome [title] Results: Three RCTs comparing neovaginal success with the Vecchietti laparoscopic method and Davydov's laparoscopic method a total of 122 patients were analyzed. Average vaginal length (mean difference [MD] -0.70, and 95% [CI] -0.99 to -0.41 (P <0.00001), Average number of Female Sexual Function Index scores (mean difference [MD] -1.34, and 95% [CI] -1.71 through -0.96. (P <0.00001) Conclusion: This meta-analysis concludes that Davydov’s Laparoscopic Method is better in terms of postoperative vaginal length and the Female Sexual Function Index Score
Pregnancy with Early Latent Syphilis, a reality in 21st century: a case report and literature review Eighty Mardiyan Kurniawati; Rizqy Rahmatyah; Velyana Lie; Achmad Rheza
Jurnal Ilmu Kesehatan dan Kesehatan Vol 6 No 1 (2022): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v6i1.2412

Abstract

Syphilis is a sexually transmitted disease caused by the spirochete Treponema pallidum. It is of special concern during pregnancy because can lead to adverse pregnancy outcomes and congenital syphilis. We retrospectively included female patient with laboratory-confirmed syphilis in East Java. Demographic, pregnancy record, clinical, radiological, laboratory, and treatment data were reviewed from medical record and health of both mother and child book. Clinical characteristics and outcome of patient were described. The patient was 40-year-old multiparous pregnant women was referred to the hospital at 40 weeks of gestation due to early latent syphilis. The patient was diagnosed during the last trimester and had not been treated, but no vulvar and anal genital wart was found. Patient was scheduled to urgent section caesarean but 1 hour after admitted to the hospital, patient had spontaneous delivery. A healthy son was born (3400 g /50 cm, 10 points Apgar score). Due to the lack of documentation regarding treatment of maternal syphilis, crystalline penicillin was administered to the newborn. Screening and early penicillin treatment are the most important factors that can eliminate complications related to the prenatal contagion with Treponema pallidum. Yet despite the lack of treatment or its inappropriate administration, the pregnancy complicated with maternal syphilis may end in a completely different way.
COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Amani, Fariska Zata; Denas, Azami; Paraton, Hari; Hardianto, Gatut; Mardiyan K, Eighty; Hartono S, Tri
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
Co-Authors Achmad Rheza Agde Muzaky Kurniawan Agde Muzaky Kurniawan Ahila Meliana Akhmad Risdianto Amani, Fariska Zata Anis Widyasari Anna Surgean Veterini Arief Wibowo Azwinda, Farah Bagus Setyoboedi Budi Utomo Cahyani Tiara Safitri Cahyani Tiara Safitri Cahyani Tiara Safitri Cholid Rochman Riskianto Cita Rosita Sigit Prakoeswa Damayanti Tinduh Denas A, Azami Denas, Azami Devina Callista Ayungga Dewi Sulistyawati Diah Indriani Diana Khoirul Khafidloh Dwi Izzati Budiono Erry Gumilar Dahlan Fadhilah Mega Indriati Faizah, Zakiyatul Fauzan Djunaidi Gadis Meinar Sari Gatut Hardianto, Gatut Gatut Hardiyanto Hamzah Hanna Dyahferi Anomsari Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hartono S, Tri Hidayatullah, Amiruddin Irwanto Irwanto Ivon Diah Wittiarika Izzati, Dwi Jojor Sihotang Juniastuti Juniastuti Karimah, Azimatul Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Lucky Prasetiowati Mardianti Rustam Mei Indarti Miftha Hurrahmi Mokhamad Anhar Dani Muhammad Rais Fathurrachman Mustofa, Vina Firmanty Nabilah Khansa Nawangsari, Nur Ainy Fardana Novy Ngan Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Hidayati Paramita, Alma Dhiani Pudji Lestari Putri, Anastassya Yuniar Setyo Rahmawati, Nur Anisah Rimbun Risa Etika, Risa Riska Wahyuningtyas Rizqy Rahmatyah Rodhiyana, Rosda Romi Kiki Nur Fita Sari Rosda Rodhiyana Safa Salsabila Hanum Safitri, Cahyani Tiara Setyo Hadi, Tri Hastono Shervil Kagayaita Sayko Siti Nur Aini, Rani Sri Umijati Subijanto Marto Soedarmo Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Ulfa Nur Laily Umiastuti, Pirlina Ummu Kulsum ummu kulsum Velyana Lie Vemaniarti Lian Pravitasari Vina Firmanty Mustofa Vina Firmanty Mustofa Vina Firmanty Mustofa Widati Fatmaningrum Widjiati Widjiati Widjiati Widjiati, Widjiati Yanuar Prionggo Yuni Hukubun