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All Journal e-CliniC JURNAL BIOMEDIK Jurnal Ilmiah Universitas Batanghari Jambi JBN (Jurnal Bedah Nasional) Jurnal Plastik Rekonstruksi Medical Scope Journal (MSJ) Jurnal Sehat Indonesia (JUSINDO) Return : Study of Management, Economic and Bussines Jurnal Sosial dan Sains
Mendy Hatibie
Universitas Sam Ratulangi Manado
Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Burn Hypertrophic Scar Profile Based on POSAS Score at Prof. Dr. R. D. Kandou Hospital Manado Mendy Hatibie; Maximillian C. Oley; Eko S. Sinaga
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46370

Abstract

Burn injury is skin damage due to extreme temperature resulting in hypertrophic scar if impaired of wound healing occurs that can impact on the quality of life. Evaluation of hypertrophic scar objectively and subjectively including scar quality and quality of life patient could performed with POSAS score. This study aimed to evaluate burn hypertrophic scar profile based on POSAS core at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study using medical records of burn patients from 2018 to 2020 at Prof. Dr. R. D. Kandou Hospital. The results obtained 64 samples. Most of the patients were male (75.0%). The most dominant age of patients was over the age of 21 years (79.7%). The most frequent cause of burns was exposure to hot water (71.9%) followed by fire (21.9%). The undergraduate education level was the most affected by burns (79.7%). The type of work most affected was the professional group (62.5%) followed by housewives (18.8%). Most of the wounds were superficial-middermal degree (71%) followed by superficial degree (15,6%) and deep dermal full thickness (12,5%). Assessment of hypertrophic scars using the POSAS score showed almost the same results between observers and patients. In conclusion, hypertrophic scar evaluation with POSAS score is very useful because it can evaluate the scar quality and the quality of life. POSAS score evaluation is depended on wound treatment, duration of wound healing, grading and wound burn area, and length of stay. Keywords: hypertrophic scar; POSAS score; quality of life
Karakteristik Pasien Operasi Rekonstruksi Hipospadia yang Menjalani Terapi Oksigen Hiperbarik di RSUP Prof. Dr. R. D. Kandou dan RS Siloam Manado Irawan Sukarno; Ari Astram; Mendy J. Hatibie; Fredrik G. Langi
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46457

Abstract

Abstract: Hypospadias is a congenital abnormality of urethral meatus in male. Hypospadias can be corrected by urethroplasty. Hyperbaric oxygen therapy (HBOT) can accelerate wound healing after surgery by increasing oxygenation, angiogenesis, and collagen synthesis. This study aimed to describe the characteristics of hypospadias reconstructive surgery patients who underwent hyperbaric oxygen therapy. This was a quantitative and descriptive study. Data were analyzed with SPSS ver 22.0. The results showed that from 20 patients who underwent reconstructive hypospadias surgery, 10 patients received HBOT as adjuvant therapy and 10 patients received conservative therapy post-surgery. The mean age of patients who underwent HBOT was 17.4±7.1 years old. The most frequent type of hypospadias found was subcoronal (35%), followed by the other types: glandular (20%), distal penile (10%), midshaft penile (10%), proximal penile (10%), penoscrotal (10%), and the least was scrotal (5%). All of the patients underwent urethroplasty with Sidik-Chaula and Manset Flap method. In conclusion, the mean age of patients who underwent HBOT was 17.4±7.1 years old, and the most frequent type of hypospadias found was subcoronal. Keywords: hypospadias; hyperbaric oxygen therapy; characteristics of hypospadias patients   Abstrak: Hipospadia merupakan kelainan kongenital meatus uretra pada laki-laki. Hipospadia dapat dikoreksi dengan uretroplasti. Terapi oksigen hiperbarik (TOHB) dapat mempercepat penyembuhan luka pascaoperasi melalui peningkatan oksigenasi, angiogenesis, dan sintesis kolagen. Penelitian ini bertujuan untuk mengetahui karakteristik pasien rekonstruksi hipospadia yang menjalani TOHB. Jenis penelitian ialah deskriptif kuantitatif dengan alat analisis SPSS ver. 22.0. Hasil penelitian mendapatkan 20 pasien yang dilakukan operasi rekonstruksi hipospadia; 10 pasien menjalani TOHB dan 10 pasien menjalani terapi konservatif pasca pembedahan. Rerata usia pasien yang menjalani TOHB yaitu 17,4±7,1 tahun. Tipe hipospadia yang paling sering ialah subcoronal (35%), diikuti tipe glandular (20%), dan sisanya ialah tipe distal penile (10%), midshaft penile (10%), proximal penile (10%), penoscrotal (10%), dan yang paling sedikit ialah tipe scrotal (5%). Semua pasien menjalani operasi dengan metode Sidik-Chaula dan Manset Flap. Simpulan penelitian ini ialah rerata usia pasien yang menjalani TOHB ialah 17,4±7,1 tahun dengan tipe hipospadia yang paling sering ialah subcoronal. Kata kunci: hipospadia; terapi oksigen hiperbarik; karakteristik pasien hipospadia
Management of Crush Injury’s Complications Using Hyperbaric Oxygen Therapy: Case Series Arikalang, Patrick S.; Hatibie, Mendy J.; Oley, Maximillian C.; Noersasongko, Albertus D.; Suharso, Tommy
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.46847

Abstract

Abstract: Crush injury occurs due to an external trauma mechanism that directly affects the skin, muscle, and bone tissue. Crush injuries can involve several parts of the body at the same time. When accompanied by handling, wound healing in crush injury can be long-term, so that it can affect the function of the patient. Various complications that can occur ranging from secondary infection, necrosis, recurrent bleeding, to compartment syndrome. We reported serial cases of crush injury with various clinical presentations and complications, varying in the age range of 16-65 years. All four patients were given multiple managements, such as open reduction external fixation and extensive debridement. There were complications such as secondary infection and delay in the wound healing process in patients who did not on time for follow-up. The four patients received additional treatment in the form of wound dressings hyperbaric oxygen therapy (HBOT) with 5-10 90-minute sessions under 2.4 ATA pressure for 10 consecutive days. Follow-up was carried out again within a period of one month to compare the wound condition before and after HBOT. The clinical condition was getting better, marked by the formation of granulation tissue. The state of hyperoxia in HBOT accelerated the inflammatory process and angiogenesis during the wound healing process characterized by the eradication of bacteria in the wound tissue and accelerated neovascularization formation. In conclusion, adequate therapy, wound dressing, and patient compliance affect patient outcome. Moreover, the addition of hyperbaric oxygen therapy has shown to accelerate the wound healing process and restore the patient's limb function. Keywords: crush injury; hyperbaric oxygen therapy; oxygen; wound healing
Co-Authors Abd. Rasyid Syamsuri Adam Rizky Adrian Tangkilisan Agus Hariyanto Alwin Monoarfa Ari Astram Arikalang, Patrick S. Bangun, Kristaninta Barends, David Benny G. Siahaan Chietra, Yulius A. M. Claudia Loho Dali, Ramli Deki, Feldy Diah, Enrina Djarot Noersasongko Djony Edward Tjandra Djunadi, Hanni Eko Prasetyo Eko S. Sinaga Fredrik G. Langi Gunawan, Deborah Florencia Henny N. Tambingon Indrowiyono, Hanny R. Irawan Sukarno Jan T. Ngantung Jehezkiel Panjaitan Joulanda A. M. Rawis Kalangi, Cherry G Kurnia, Sendi Kusumastuti, Nadia Lengkong, Andriessanto Lily L. Loho Limarga, Nidia Luisa A. J. Wewengkang, Luisa A. J. Mallo, Andly Resando Manginstar, Christian Mardoni Setiawan Marselus Merung, Marselus Maximillian C. Oley Maximillian Ch. Oley Maximillian Christian Oley Maxmillian Ch. Oley Meilany F. Durry Mengga, Hendrik Mitaart, Diadon Moksidy, Reynaldy C. Mozes Markus Wullur MUHAMMAD FARUK Nirmalasari, Lucia Noersasongko, A. Djarot Noersasongko, Albertus D. Nurfitrianasari Limatahu Oley, Maximillian C. Oley, Maximillian Christian Pontoh†, Victor Rangga Rawung Rawung, Rangga Rusli, Lie V. Sagay, Leonardo V. Setiadhi, Yudhaputra Shinta D. Siahaan Siti Handayani Stianila Woinangin Sedu Suharso, Tommy Sukarno, Vania Sumangkut, Richard Sumarauw, Ekanova R. N. Sundoro, Ali Suoth, Stevy Susilo, Rudy H. Taat Setiadi, Taat Tamburian, Christa Tanuhendrata, Anton Tjandra Djony Tjandra, Djony E. Tulong, Marcella Tulong, Marcella Tirza Wega Sukanto Yuansun Kosama