Article Per Year (5 Year)
p-Index From 2020 - 2025
1.066
P-Index
This Author published in this journals
All Journal Jurnal Hortikultura Indonesia (JHI) BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Sari Pediatri JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Journal of Global Pharma Technology
I Nyoman Semadi
Department Of Surgery, Thoracic And Cardiovascular Division, Medical Faculty, Universitas Udayana, Sanglah General Hospital, Denpasar, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Published : 12 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 12 Documents
Search

 1   2 
Temporary Loop Occlusion using Vessel Loops on Bilateral Common iliac Arteries to Reduce Blood Loss in Total Abdominal Hysterectomy on Adherent Placenta Patient at Sanglah General Hospital, Bali-Indonesia I Nyoman Semadi
Journal of Global Pharma Technology Volume 12 Issue 06 (2020) June 2020
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: In pregnancy, there may be an invasion of the placenta into uterine wall, causing post-partum haemorrhage. This Hemorrhage may cause maternal death. Therefore a total abdominal hysterectomy (TAH) needs to be done to stop the bleeding. Temporary loop occlusion (TLO) is an additional procedure to reduce blood loss when doing TAH. This study aims to determine the intraoperative outputs of TLO when doing TAH on adherent placenta patient. Material & Method: This research is a retrospective study conducted at Sanglah Hospital from January 1st to 31st December 2019. There were two groups consist of four patients each, namely TLO intervention and non-intervention. Each group was analyzed based on the estimated blood loss, the number of packed red cell (PRC) transfusion, operating time, length of intensive care unit (ICU) and ward stay. Result: Intraoperative blood loss revealed a statistically significant difference in results (p=0.037), with mean 2125 ± 853.9 ml in TLO intervention and 3750 ± 866 ml in non-intervention. Comparison between both groups on other variables such as PRC transfusion were 694.75 ± 394.18 ml and 1298.5 ± 716.19 (p=0.384), operating time were 220,05 ± 39,5 minutes and 264,5 ± 69,84 minutes (p=0.468), length of ICU stay were 2.75 ± 0.95 days and 3.25 ± 0.96 days (p=0.488), length of ward stay were 2.25 ± 0.5 days and 2.75 ± 1.5 days (p=0.85). Conclusion: TLO is an additional procedure that can be performed on TAH because it provides good output. Keywords: Temporary loop occlusion, Hysterectomy, Adherent placenta, Haemorrhage, outcome.
Jugulo-atrial Bypass Procedure in Malignant Mediastinal Tumor with Superior Vena Cava Syndrome (SVCS) at Sanglah General Hospital, Bali, Indonesia: Case Series I Nyoman Semadi
Journal of Global Pharma Technology Volume 12 Issue 02 (2020) Feb. 2020
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Superior vena cava syndrome (SVCS) is a collection of symptoms and signs due to obstruction in the superior vena cava (SVC). More than 90% of SVCS cases are caused by malignancy (lung, breast, intra-mediastinal organs) and vascular reconstruction surgery is the last resort in the management of SVCS. Decompression surgery still can be performed on all types of tumours. These case series aim to elaborate on the outcome of the jugulo-atrial bypass procedure in malignant mediastinal tumour with SVCS at Sanglah General Hospital, Bali, Indonesia. Case Description: In Case 1, Male 31-year-old, has chief complaint shortness of breathing accompanied by swelling on face, neck, and chest that has become worse since one month prior to admitted to the Sanglah General Hospital. A similar clinical finding was also found in Case 2, Male 53-year-old, with a productive dry cough and coughing up blood for more than two months and revealed an anterior mediastinal mass on CT-Scan. However, in Case 3 Male 68-year-old, his shortness of breath began after the history of lump on neck since 3 years ago. He was also diagnosed with the antiphospholipid syndrome and received oral anticoagulant therapy for 17 months. The sagittal, coronal, and axial view of chest CT scan with contrast showed an apparent demarcated heterogeneous mass in the anterior mediastinum with central necrosis. The calcification component was also found as a resulted in vena cava superior suppression on each case. The operative procedure was a median sternotomy with jugulo-atrial bypass procedure and followed by chemotherapy. The complete resolution of the anterior mediastinal mass as well as the improvement of clinical outcome were exhibited few weeks after treatment. Conclusion: Two of the three cases of malignant mediastinal tumour have been performed jugulo-atrial bypass surgery to reduce SVCS. From the histopathological examination, these three cases with SVCS were malignant mediastinal tumour. Jugulo-atrial bypass procedure was proven to reduce complaints of shortness of breath and swelling post-surgery. Keywords : SVCS, Malignant Mediastinal Tumor, Jugulo-Atrial By-Pass.
Co-Authors Abdul Hamid Brigitta Marcia Budihardja Christopher Ryalino Dea Emmanuel Desy Permatasari Edwind Rakatama Fahlevie Gede Wirya Kusuma Duarsa I Gde Raka Widiana I Gede Suwedagatha I Gusti Agung Bagus Krisna Wibawa I Gusti Ngurah Sanjaya Putra I Ketut Widiana I Made Suphartha Utama I W. Sudarsa I Wayan Niryana Ida Ayu Rina Puja Ida Bagus Putra Manuaba Ketut Putu Yasa Melissa Krisanty Ngakan Gede Dwija Hermawan Ni Luh Putu Julita Yanti Nyoman Putu Riasa Putu Ayu Saraswati Sri Maliawan Tjokorda Gde Bagus Mahadewa Yohanes Setiyo