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All Journal e-CliniC JURNAL BIOMEDIK Journal of the Medical Sciences (Berkala Ilmu Kedokteran) PREPOTIF : Jurnal Kesehatan Masyarakat Medical Scope Journal (MSJ)
Harsali F. Lampus
Universitas Sam Ratulangi - RSUP Prof. Dr. R. D. Kandou
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Neuroscience Nursing Public Health

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HUBUNGAN ANTARA SKOR IPSS DAN SKOR IIEF PADA PASIEN BPH DENGAN GEJALA LUTS YANG BEROBAT DI POLI BEDAH RSUP PROF. DR. R. D. KANDOU MANADO Asalia, Margali; Monoarfa, Richard; Lampus, Harsali F.
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.7479

Abstract

Abstract: Lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) are common in elderly men. In addition to LUTS, patients with BPH also often experience erectile dysfunction (ED). According to the data obtained from 30 BPH patients with symptoms of LUTS using the international prostate symptoms score (IPSS), 53.3% had symptoms of LUTS with a severe degree, and based on the international index of erectile function (IIEF), BPH patients with LUTS symptoms and ED were found to have erectile function (EF) as much as 26.7% with a mild and severe degree, orgasmic function (OF) as much as 40% with a severe degree, sexual intercourse function (SI) as much as 46.7% with a mild-to-moderate degree, sexual satisfaction (SS) as much as 33.3% with a severe degree and overall satisfaction (OS) as much as 43.3% with a mild degree. In this study, the investigators wanted to examine the relationship between the IPSS with the IIEF scores in BPH patients with symptoms of LUTS in the outpatient surgery department of Prof. Dr R. D. Kandou General Hospital Manado. Based on the results of the spearman correlation test, relationship between the IPSS with the IIEF score yielded EF (R: 0.372), OF (R: 389), SI (R: 0.129), SS (R: 0.351), OS (R: 0, 84). These results suggest the presence of a relationship between IPSS and IIEF scores.Keywords: IPSS, IIEF, LUTS, BPHAbstrak: Lower urinary tract symptoms (LUTS) yang disebabkan oleh benign prostatic hyperplasia (BPH) merupakan suatu kondisi yang sering terjadi pada pria usia lanjut. Selain gejala LUTS, pasien BPH sering juga disertai dengan disfungsi ereksi (DE). Menurut data yang diperoleh dari 30 pasien BPH dengan gejala LUTS dengan menggunakan International prostate symptoms score (IPSS) didapatkan 53,3% mengalami gejala LUTS dengan derajat berat dan pasien BPH dengan gejala LUTS yang mengalami DE dengan menggunakan skor international index of erectile function (IIEF) ditemukan fungsi ereksi (FE) sebanyak 26,7% dengan derajat ringan dan berat, fungsi orgasme (FO) sebanyak 40% dengan derajat berat, hubungan seksual (HS) sebanyak 46,7% dengan derajat Ringan-sedang, kepuasan seksual (KS) sebanyak 33,3% dengan derajat berat dan kepuasan menyeluruh (KM) sebanyak 43,3% dengan derajat ringan. Dengan melakukan penelitian ini, peneliti ingin mengetahui hubungan antara skor IPSS dengan skor IIEF pada pasien BPH dengan gejala LUTS di poli Bedah RSUP Prof. Dr. R. D. Kandou Manado. Berdasarkan hasil uji kolerasi menggunakan spearman untuk mengetahui hubungan antara skor IPSS dengan skor IIEF didapatkan FE (R:0,372), FO (R: 389), HS (R:0,129), KS (R: 0,351), KM (R: 0,84). Dari hasil tersebut dapat dilihat adanya hubungan antara skor IPSS dan skor IIEF.Kata kunci: IPSS, IIEF, LUTS, BPH
GAMBARAN PASIEN HIRSCHSPRUNG DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2010 – SEPTEMBER 2014 Corputty, Elfianto D.; Lampus, Harsali F.; Monoarfa, Alwin
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6822

Abstract

Abstract: Hirschsprung disease is a developmental disorder of the intrinsic component of the enteric nervous system that is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the distal intestine. Because these cells are responsible for normal peristalsis, patients with Hirschsprung disease present with functional intestinal obstruction at the level of aganglionosis. This researched purpose to know the description of Hirschsprung ddisease patient in RSUP Prof. Dr. R. D. Kandou Manado for period January 2010 to September 2014. The research method used was a descriptive retrospective. This study found 45 cases of Hirschsprung Disease. Males are more than females with ratio 1,3:1 with the age group are from 2 day to 45 years old. Most Hirscshprung disease patients came with the main complaints: abdominal distension, difficult to defecate and not defecation from birth, with the concomitant complaints, that is vomiting and abdominal pain. The most supporting examination of Hirscshprung disease is radiologic evaluation, that is plain abdominal x-ray and barium enema, and patologi anatomi evaluation, that is mucosal biopsy and suction biopsy. The most used surgery technique of Hirscsprung disease patients is colostomy and duhamel procedure. The most frequent complication of Hirschsprung disease is sepsis. The most outcome is improved clinical condition.Keywords: Hirschsprung disease, description of patientAbstrak: Penyakit Hirschsprung merupakan kelainan perkembangan komponen intrinsik pada sistem saraf enterik yang ditandai oleh absennya sel-sel ganglion pada pleksus myenterik dan submukosa di intestinal distal. Karena sel-sel ini bertanggung jawab untuk peristaltik normal, pasien-pasien penyakit Hirschprung akan mengalami obstruksi intestinal fungsional pada level aganglion. Tujuan Penelitian ini untuk mengetahui gambaran pasien Hirschsprung di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2010 sampai September 2014. Metode penelitian ini bersifat deskriptif retrospektif. Pada penelitian ini ditemukan 45 kasus penyakit Hirschsprung. Laki-laki lebih banyak dari perempuan dengan rasio 1,3:1 dengan umur mulai dari 2 hari sampai 45 tahun. Secara umum, pasien Hirschsprung datang dengan keluhan utama yaitu perut kembung, tidak BAB sejak lahir dan sulit BAB, disertai keluhan penyerta yaitu muntah atau nyeri perut. Secara umum pemeriksaan penunjang yang digunakan adalah pemeriksaan radiologi yaitu foto polos abdomen dan barium enema, dan pemeriksaan patologi anatomi yaitu biopsi eksisi dan biopsi hisap. Sebagian besar pasien Hirschsprung dilakukan tindakan bedah kolostomi dan duhamel. Komplikasi pada umumnya adalah sepsis. Hasil akhir penatalaksanaan pada umumnya cukup baikKata kunci: penyakit hirschsprung, gambaran pasien
GAMBARAN EUTIROID PADA PASIEN STRUMA MULTINODUSA NON-TOKSIK DI BAGIAN BEDAH RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JULI 2012 – JULI 2014 Assagaf, Syaugi M.; Lumintang, Nico; Lampus, Harsali
e-CliniC Vol 3, No 3 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.3.2015.9422

Abstract

Abstract: Goitre is a thyroid gland enlargement due to the increase of thyroid tissue. Goitre can be classified from several aspects: physiological (euthyroidsm, hypothyroidsm, and hyperthyroidism), morphological (diffuse and nodular goitre), and clinical (toxic and non toxic goitre) aspects. Patients with euthyroid goitre have no symptoms because there is no abnormality with the thyroid function. This study aimed to obtain the profile of the non toxic multinodosa goitre patients with euthyroidism in Surgery Department Prof. Dr. R. D. Kandou Hospital Manado period from July 2012 to July 2014. This was a descriptive retrospective study using the medical record of the Surgery Department Prof. Dr. R. D. Kandou Hospital Manado. Of 25 non toxic goitre multinodosa patients, there were 21 (84%) female patient and 4 (16%) male patient. Patients with euthyroidism were 21 cases (84%) and with hypothyroidism 4 cases (16%). Therapy of euthyroid goitre was surgery. The types of surgery for this 25 patient were as follows: 14 (56%) total thyroidectomy, 9 (36%) isthmolobectomy, 1 (4%) nearly total thyroidectomy, and 1 case (4%) subtotal thyroidectomy. Patients with enlargements in the neck should be checked for their thyroid glands and hormones even if they do not have any symptoms, especially if they come from iodine deficiency endemic area.Keywords: goitre, euthyroidAbstrak: Struma adalah pembesaran kelenjar tiroid karena terjadi penambahan jaringan kelenjar tiroid. Struma dapat diklasifikasikan berdasarkan fisiologis (eutirodisme, hipotiroidisme, dan hipertiroidisme), morfologi (struma difus dan nodular) serta berdasarkan klinis (struma toksik dan non toksik). Penderita struma yang eutiroid tidak mempunyai keluhan karena tidak terdapat gangguan fungsi tiroid. Penelitian ini bertujuan untuk mengetahui gambaran pasien struma multinodusa non-toksik yag eutiroid di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2012 – Juli 2014. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan catatan medik di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado. Dari 25 pasien struma multinodusa non-toksik ditemukan bahwa jenis kelamin perempuan sebanyak 21 pasien (84%) dan jenis kelamin laki-laki 4 pasien (16%). Jumlah pasien yang eutiroid sebanyak 21 kasus (84%) dan hipotiroid 4 kasus (16%). Terapi struma eutiroid ialah pembedahan. Dari 25 kasus struma multinodusa non-toksik didapatkan 14 kasus (56%) tiroidektomi total, 9 kasus (36%) istmolobektomi, 1 kasus (4%) tiroidektomi hampir total, dan 1 kasus (4%) tiroidektomi subtotal. Pasien dengan pembesaran di daerah leher sebaiknya langsung dilakukan pemeriksaan kelenjar dan hormon tiroid walaupun tanpa gejala apapun, terutama yang berasal dari daerah endemis kekurangan yodium.Kata kunci: struma, eutiroid
Peranan Faktor Lingkungan dan Kontributor Selama Kehamilan terhadap Hipospadia Tuju, Ester J.; Lampus, Harsali F.; Tangel, Stephanus J. Ch.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.31961

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Abstract: The etiology of hypospadias is not certainly known and is still controversial. Environmental factors and their influence during pregnancy can be risk factors for increased incidence of hypospadias. This study was aimed to obtain the risk factors of hypospadias. This was a literature review study using three databases, as follows: ClinicalKey, PubMed, and Google Scholar. There were 47 literatures in this study. The results showed that from the 47 literatures containing risk factors of hypospadias, 8 literatures reported the relationship between pesticides and hypospadias; 3 literatures reported the relationship between smoking and increased risk of hypospadias; 6 literatures revealed that there was a strong relationship between maternal age and increased risk of hypospadias; 8 literatures showed that low births weight babies were associated with hypospadias and placental insufficiency as its cause; 5 literatures stated that several drugs consumed by pregnant women during the first trimester were related to the increased risk of hypospadias. In conclusion, environmental factors and contributors during pregnancy are the risk factors of hypospadias.Keywords: hypospadias, risk factors, environmental factors, contributors during pregnancy Abstrtrak: Etiologi hipospadia belum diketahui dengan pasti dan masih bersifat kontroversial. Faktor lingkungan serta hal yang berpengaruh selama kehamilan dapat menjadi faktor risiko peningkatan kejadian hipospadia. Penelitian ini bertujuan untuk mengetahui faktor risiko hipospadia. Jenis penelitian ialah literature review dengan menggunakan database ClinicalKey, PubMed, dan Google Scholar. Hasil penelitian mendapatkan bahwa dari 47 literatur yang memuat tentang faktor risiko hipospadia, 8 literatur memuat adanya hubungan antara pestisida dengan hipospadia, 3 literatur memuat bahwa merokok berkaitan dengan peningkatan risiko hipospadia, 6 literatur memuat bahwa usia ibu memiliki hubungan kuat dengan peningkatan risiko hipospadia, 8 literatur memuat bahwa bayi berat lahir rendah berkaitan dengan hipospadia dan insufisiensi plasenta menjadi penyebab terjadinya hal tersebut, 5 literatur memuat bahwa beberapa obat obatan yang dikonsumsi ibu hamil selama trimester pertama berkaitan dengan peningkatan risiko hipospadia. Simpulan penelitian ini ialah faktor lingkungan dan kontributor selama kehamilan merupakan faktor risiko hipospadia.Kata kunci: hipospadia, faktor risiko, factor lingkungan, Kontributor selama kehamilan
Klasifikasi Patah Tulang Dasar Kepala Ridhoni, Muhammad; Prasetyo, Eko; Lampus, Harsali L.
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.34787

Abstract

Abstract: Skull base fracture is a linear fracture that commonly occurs in the temporal cranium. Traumatic brain injury (TBI) often found and handled in the emergency department is head trauma and traffic accident is the main cause of base skull fracture. Approximately 25%-66% of traffic accidents cause fracture of the skull base according to the fracture site. This study was aimed to obtain the classification of skull base fractures and the most common types of classification. This was a literature review study using three databases, namely Google Scholar, ClinicalKey, and PubMed. Based on the inclusion and exclusion criteria, there were 14 literatures reviewed consisting of 1 retrospective study, 2 clinical reviews, 1 literature review, 3 review articles, 2 prospective studies, 3 case reports, 1 descriptive study, and 1 case study. These articles reviewed the classification of skull base fracture. The classification of each section was arranged based on the mechanism and location of skull base fractures. In conclusion, the classification of skull base fracture is divided into anterior, middle and posterior fossa cranii fractures. Fractures of the middle cranii fossa is the most common case and of the posterior cranii fossa is the rarest case.Keywords: traumatic brain injury (TBI); skull base fractures; fracture classification  Abstrak: Patah tulang dasar kepala merupakan jenis fraktur linier yang umum terjadi pada bagian temporal kranium. Kasus trauma yang sering ditemukan dan ditangani di unit gawat darurat ialah trauma kepala. Kecelakaan lalu lintas (KLL) merupakan penyebab utama fraktur basis kranii. Sekitar 25-66% kasus KLL menyebabkan kejadian fraktur basis kranii sesuai lokasi fraktur. Penelitian ini bertujuan untuk mengetahui jenis klasifikasi patah tulang dasar kepala dan jenis klasifikasi yang paling sering terjadi. Jenis penelitian ialah suatu literature review. Literatur diperoleh dengan menggunakan beberapa database, seperti Google Scholar, ClinicalKey, dan PubMed. Berdasarkan kriteria inklusi dan eksklusi didapatkan 14 literatur terdiri atas 1 retrospective study, 2 clinical review, 1 literature review, 3 review article, 2 prospective study, 3 case report, 1 descriptive study, dan 1 case study. Hasil penelitian mendapatkan 14 literatur mengulas tentang klasifikasi patah tulang dasar kepala dan klasifikasi setiap bagian disusun berdasarkan mekanisme fraktur dan lokasi fraktur yang terjadi. Simpulan penelitian ini ialah secara garis besar klasifikasi patah tulang dasar kepala terbagi atas fraktur fossa kranii anterior, media, dan posterior. Kasus fraktur fossa kranii media merupakan kasus yang paling sering terjadi dan kasus fraktur fossa kranii posterior merupakan kasus yang paling jarang terjadi.Kata kunci: trauma kepala; patah tulang dasar kepala; klasifikasi fraktur
Embolisasi Preoperatif pada Operasi Dekompresi Tulang Belakang Pali, Nathaniel; Prasetyo, Eko; Suharso, Tommy; Sumangkut, Richard; Karundeng, Billy; Lampus, Harsali
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.35549

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Abstract: Embolization is an effective way of controlling bleeding. This study was aimed to provide some information about preoperative spinal embolization, embolization materials, and complications. This was a literature review study using an online journal database and Google Scholar. The keywords used were Preoperative Spinal Embolization. The feasibility of the selected studies were case reports. The results showed that all studies used the same technique and approach to achieve different goals. The difference among them was the choice of embolan material. The complications that arose were few and could be managed. In conclusion, preoperative spinal embolization is the choice of therapy that give more benefit and safety.Keywords: preoperative spinal embolization; spinal decompression surgery; embolan  Abstrak: Embolisasi merupakan cara yang efektif dalam mengontrol perdarahan. Penelitian ini bertujuan memberikan informasi mengenai embolisasi tulang belakang, bahan embolan, dan komplikasi yang ditimbulkan. Jenis penelitian ialah suatu literature review menggunakan database jurnal online dan Google Scholar. Pencarian data menggunakan kata kunci Preoperative Spinal Embolization. Kelayakan penelitian yang dipilih bersifat case report. Hasil penelitian mendapatkan bahwa semua penelitian menggunakan teknik dan pendekatan yang sama untuk mencapai tujuan yang berbeda. Perbedaannya ialah dalam hal pemilihan bahan embolan. Komplikasi yang terjadi hanya sedikit dan dapat diatasi. Simpulan penelitian ini ialah preoperative spinal embolization merupakan terapi pilihan yang menguntungkan dan aman.Kata kunci: embolisasi preoperatif; operasi dekompresi tulang belakang; embolan
Inguinal Hernia in Infant Matthew A Kumaat; Harsali Lampus; Nathaniel Pali
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.37617

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Abstract: Inguinal hernia in infant is a condition of protrusion of the intestinal organs due to thepatency of processus vaginalis. The ratio of incidence between male and female infants isapproximately 8:1. The incidence of inguinal hernia ranges from 1-5% in children and full-terminfants, whereas in premature infants there is a significant increase in the number, which is around30%. Clinical manifestations that can occur in infants with inguinal hernias are the appearance ofa lump when straining, crying, coughing, or sneezing, patient could look restless because of thepain and discomfort. The diagnosis of inguinal hernia can be made by history taking, physicalexamination, and supporting examination. Management of inguinal hernia is by surgery, can bean open herniotomy or laparoscopy.Keywords: inguinal hernia; infant Abstrak: Hernia inguinalis pada bayi merupakan kondisi penonjolan organ intestinal akibatadanya patensi prosesus vaginalis. Perbandingan rasio kejadian antara anak laki-laki dan perempuankurang lebih sekitar 8:1. Insidensi hernia inguinalis berkisar 1-5% pada anak dan bayi cukupbulan, sedangkan pada bayi prematur terdapat kenaikan angka yang bermakna yaitu sekitar 30%.Manifestasi klinis yang dapat terjadi pada anak dengan hernia inguinalis adalah timbulnyabenjolan pada saat mengedan, menangis, batuk, atau bersin, anak terlihat gelisah karena nyeri danrasa tidak nyaman. Penegakan diagnosis hernia inguinalis dapat dilakukan dengan anamnesis,pemeriksaan fisik, dan pemeriksaan penunjang. Tatalaksana hernia inguinalis ialah denganherniotomi terbuka atau laparoskopi.Kata kunci: hernia inguinalis; bayi
Management and Outcome of Pediatric Appendicitis in COVID-19 Era Novia D. Yantika; Harsali Lampus; Angelica M. J. Wagiu
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.37668

Abstract

Abstract: The COVID-19 pandemic has an impact on health services including the management of appendicitis in children both infected and infected with COVID-19. Change in the management of appendicitis in children during the COVID-19 pandemic is still controversial regarding the outcomes arising from this management. This study aimed to determine the management and outcome of appendicitis in children infected and uninfected with COVID-19 during the COVID-19 pandemic. This was a literature review study using databases of PubMed, ClinicalKey and Google Scholar and keywords, as follows: (Management paediatric appendicitis and COVID) AND (outcome paediatric appendicitis and COVID). The results obtained 19 articles. There was a modification in the management of pediatric patients with appendicitis during the COVID-19 pandemic, which was an increase in the use of open appendectomy procedures, especially in COVID-19 positive patients and non-operative management, however, some still maintain the laparoscopic procedure. Meanwhile, the outcome of the management showed that there was no significant difference related to the occurrence of complications, the length of stay in patients with surgery, and the high failure rate in patients with non-operative management, therefore, interval appendectomy was needed. In conclusion, there is a modification in the management of appendicitis in children during the COVID-19 pandemic with insignificant outcome in the operative action and failure related to the non-operative management.Keywords: management; outcome; pediatric appendicitis; COVID-19 Abstrak: Pandemi COVID-19 memberi dampak pada pelayanan kesehatan termasuk manajemen apendisitis pada anak baik yang terinfeksi maupun tidak terinfeksi COVID-19. Perubahan manajemen apendisitis pada anak selama pandemi COVID-19 masih menjadi kontroversial terkait dengan luaran yang terjadi akibat manajemen tersebut. Penelitian ini bertujuan untuk mengetahui manajemen dan luaran apendisitis pada anak yang terinfeksi maupun tidak terinfeksi COVID-19 selama pandemi COVID-19. Penelitian ini berbentuk literature review menggunakan database dari PubMed, ClinicalKey dan Google Scholar dengan kata kunci (Management paediatric appendicitis and COVID) AND (outcome paediatric appendicitis and COVID). Hasil penelitian mendapatkan 19 artikel. Terjadi modifikasi dalam manajemen pasien anak dengan apendisitis selama pandemi COVID-19, yaitu peningkatan dalam penggunaan prosedur apendektomi terbuka terutama pada pasien positif COVID-19 dan manajemen non-operatif, namun beberapa diantaranya tetap memper-tahankan dilakukannya prosedur laparoskopi. Luaran dari manajemen yang dilakukan menunjukkan bahwa tidak didapatkan perbedaan bermakna terkait terjadinya komplikasi, masa rawat inap pada pasien dengan tindakan operatif, dan tingginya tingkat kegagalan pada pasien dengan manajemen non-operatif; oleh karena itu apendektomi interval masih diperlukan. Simpulan penelitian ini ialah adanya modifikasi dalam manajemen apendisitis pada anak selama pandemi COVID-19 dengan luaran yang tidak berbeda bermakna dalam hal tindakan operatif dan kegagalan terkait manajemen non-operatif.Kata kunci: manajemen; luaran; apendisitis pada anak; COVID-19
Risk Factors Associated with Postoperative Outcome of Congenital Anomalies Harsali F. Lampus; Candy Candy; Leo Rendy; Sabrandi P. Saputra
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.39161

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Abstract: Mortality rate of newborns with congenital abnormalities worldwide is still high in the first four weeks after birth every year. This study aimed to obtain the profile of patients with congenital anomalies related with mortality after surgery at the Pediatric Surgery Department, Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia. This was a descriptive and retrospective study. There were 98 samples during 2019 to 2021. Dependent variable was postoperative mortality outcome and independent variable risk factors were sex, gestational age, birth weight, and length of stay. Data were analyzed using univariate method. The results showed that postoperative death was 27.6%, and sex ratio was equally distributed (male 51%; female 49%). Gestational age was pre-dominanly aterm 77.5% vs preterm 22.5%. Birth weight of ≥2500 g was 77,5% and low birth weight (<2500 g) was 22.5%. Hospitalitation length of stay probably less than two weeks was 82.7%. Pediatric surgical congenital anomalies were as follows: Hirchsprung Disease (15.1%), anorectal malformation (41.7%), lateral inguinal hernia (11.3%), diaphragm hernia (3.1%), omphalocele (2.1%), gastroschisis (2.1%), undescended testis/UDT (4.1%), invagination (4.1%), duodenal atresia (3.1%), ileojejunal atresia (4.1%), esophageal atresia (5.1%), biliary atresia (1%), and mechanical bowel obstruction (3,1%). In conclusion, in the last two years, pediatric surgery services in surgical congenital anomalies had overall mortality rate of 27,6% without sex predominantly. Most patients were aterm babies with normal birth weight and relatively short length of stay.Keywords:  congenital anomalies; postoperative outcome
Intussusception: Diagnosis and Management According to the Competence of Primary Service Doctors Nazzirah Al Ammari; Harsali Lampus; Andreas Kurniawan
e-CliniC Vol. 10 No. 1 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i1.37464

Abstract

Abstract: Intussusception is defined as the invagination of a bowel segment into another. Intussusception can occur at any age but it is most common in children aged three months to two years. In children, the cause of intussusception is idio-pathic and is assumed to be associated with uncoordinated intestinal peristalsis or lymphoid hyperplasia, which may be due to gastrointestinal infection. Clinical findings include intermittent abdominal pain, vomiting, and red currant jelly stools. The diagnosis of intussusception is confirmed by using contrast enema, ultrasound, and CT-Scan. Improving condition must be done before performing a surgery. In conclusion, intussusception has a good prognosis with early diagnosis and treat-ment. Surgery is an option if the intussusception is followed with complication or if the enema reduction fails.Keywords: intussusception; invaginationAbstract: Intussusception is defined as the invagination of a bowel segment into another. Intussusception can occur at any age but it is most common in children aged three months to two years. In children, the cause of intussusception is idiopathic and is assumed to be associated with uncoordinated intestinal peristalsis or lymphoid hyperplasia, which may be due to gastrointestinal infection. Clinical findings include intermittent abdominal pain, vomiting, and red currant jelly stools. The diagnosis of intussusception is confirmed by using contrast enema, ultrasound, and CT-Scan. Improving condition must be done before performing a surgery. In conclusion, intussusception has a good prognosis with early diagnosis and treatment. Surgery is an option if the intussusception is followed with complication or if the enema reduction fails.Keywords: intussusception; invagination
Co-Authors . Ahmadwirawan . Prihantono . Sulmiati Abd. Rasyid Syamsuri Alwin Monoarfa Andi Alfian Zainuddin Andreas Kurniawan Andy A. Rangan Angelica M. J. Wagiu Angelica M. J. Wagiu, Angelica M. J. Antony B. M. Sundah Axel P. Lumi B H. R. Kairupan Bagy, Raynald G. Candy Candy Candy Candy Candy, Candy David S. Kereh, David S. Doda, Diana V.D. Elfianto D. Corputty Farid Nurmantu Heber B. Sapan, Heber B. Hebert B. Sapan, Hebert B. Hendri . Indah J. Umboh, Indah J. Jehosua S. V. Sinolungan Jeiny Thomas Kalampung, Jendry Kambey, Stefan A. G. P. Karundeng, Billy Lengkong, Andriessanto C. Leo Rendy Leo Rendy Leo Rendy Lily L. Loho Lombok, Jaquelin E. Margali Asalia Matthew A Kumaat Mercy Taroreh Nathaniel Pali Nazzirah Al Ammari Ngabalin, Jastin W. Nico Lumintang Nita Mariana Novia D. Yantika Pali, Nathaniel Rangan, Andy Rawung, Rangga B. Rawung, Rangga B. V. Reinaldo Sunggiardi Richard Monoarfa Ridhoni, Muhammad Rorintulus, Shergina Junika Sabrandi P. Saputra Saleh, Denny Saputra, Sabrandi P. Sorongku, Ronald Suharso, Tommy Sumangkut, Richard Suryoprabowo, Vincent Syaugi M. Assagaf, Syaugi M. Tangel, Stephanus J. Ch. Tommy R. Habar Tooy, Christorei D. Tri M. Ibrahim Tuju, Ester J. Wariki, Windy M. V. Wurangian, Prisilia Karina Yadi Pasinggi, Yadi