Agung Widianto
Academic Hospital Of Universitas Gadjah Mada

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Corpus alienum in rectosigmoid: a Case report Agung Widianto; Wahyu Kartiko Tomo; Fuad Dheni Musthofa; Ghana Hendra
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 2, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss2.art11

Abstract

A 48-year old man, a referred patient from Wonosobo Hospital, presented to our hospital with severe lower abdomen to anal discomfort since seven days before admission. It is a sudden pain without apparent causes or triggers and accompanied by blood. The patient is uncooperative when asked about the history of inserting objects into the anus and his sexual behaviour. On plain x-rays, a picture of a tubular object in the rectosigmoid region was discovered. After the operation, a foreign body in the form of a Polyvinyl Chloride (PVC) pipe was extracted.
Split Thickness Skin Grafts (STSG): Approach in necrotising fasciitis, a rare case report Agung Widianto; Wahyu Kartiko Tomo
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 1, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss1.art13

Abstract

Treatment of necrotising fasciitis including systemic antibiotic and radical surgical debridement is often resulting in large wounds that need to be closed using methods such as split-thickness skin grafts, local flaps, or guided tissue regeneration procedures. In this case report, 53 year-old male was diagnosed with necrotising fasciitis and treated surgically. The wound was treated initially with extensive debridement, wound treatment with platelet-rich plasma and finally closing the wound with split-thickness skin grafts. Split-thickness skin grafts can provide fast recovery and functional skin.
The Correlation between Alvarado Score and Histopathological Profile of Appendicitis in Academic Hospital of Universitas Gadjah Mada Noviana Nugrohowati; Agung Widianto; Zum Zakiyyah Itsnaini; Satya Ulan Indra Mahardhika; Rifa Sulistyani
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.63882

Abstract

Background: Appendicitis is an inflammation of the appendix vermiformis, which is the most common cause of acute abdominal emergency and requires immediate surgical treatment. Anamnesis and clinical examinations in Alvarado score results can be used as early detection to determine further treatment. The use of histopathological examination is to confirm the diagnosis of appendicitis. This study was to determine the correlation between the Alvarado score and the histopathological profile of appendicitis. It assesses appendicitis diagnosis accuracy based on the Alvarado score at the Academic Hospital of UGM.Methods: This study was a cross-sectional design study with a diagnostic test method using secondary data from 173 appendicitis patients from 1 January to 31 December 2019, who met the inclusion and exclusion criteria.Results: According to the histopathology result, the finding of acute appendicitis was 95.95%, which Alvarado score of ≥7 was 71.68%. The overall sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of Alvarado score for acute appendicitis were 73.49%, 71.43%, 73.41%, 98.39 %, 10.20%, respectively. Conclusion: The Alvarado score is a sensitive, specific, and accurate scoring system that functions as a diagnostic tool for acute appendicitis.