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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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Profil Pasien Trauma di RSUP Prof Dr. R. D. Kandou Manado Periode Januari - Desember 2021 Kalampung, Jendry; Lampus, Harsali F.; Wagiu, Angelica M. J.
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.v12i2.55047

Abstract

Abstract:  Trauma is a holistic condition that can cause loss of productivity even to death. This study aimed to obtain an overview of trauma patients at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2021. This was a retrospective and descriptive study using patient medical record data. The results showed that out of 223 patients, the highest percentages were found in the adult group (43.1%), male sex (81.6%), and private employees (25.5%). The causes of trauma were sharp trauma (59.2%) and blunt trauma (40,8%). The most common location for injuries due to blunt trauma was the head (60.6%) meanwhile for injuries due to sharp trauma was the chest (51.6%). Based on the GCS of trauma patients, the most common type of head injury was mild head injury (45 of 223 patients). In conclusion, most trauma patients were adult, male, worked as private employee, had sharp trauma, wound site on the chest, and mild head injury Keywords: sharp trauma; blunt trauma; cause of trauma   Abstrak: Trauma adalah kejadian yang bersifat holistik dan menyebabkan hilangnya produktivitas seseorang bahkan sampai kematian. Penelitian ini bertujuan untuk mendapatkan gambaran pasien trauma di RSUP Prof. Dr. R. D. Kandou Manado pada periode Januari sampai Desember tahun 2021. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik pasien. Hasil penelitian mendapatkan bahwa dari 223 pasien trauma, yang terbanyak ialah usia dewasa (43,1%), jenis kelamin laki–laki (81,6%), dan pekerjaan sebagai pegawai swasta (25,5%). Penyebab trauma yaitu trauma tajam (59,2%) dan trauma tumpul (40,8%). Lokasi luka akibat trauma tumpul terbanyak yaitu kepala (60,6%) sedangkan akibat trauma tajam yaitu dada (51,6%). Berdasarkan perolehan GCS yang terbanyak pada pasien trauma ialah cedera kepala ringan (45 dari 223 pasien). Simpulan penelitian ini ialah pasien trauma yang terbanyak ialah golongan dewasa, laki–laki,  pegawai swasta, trauma tajam, lokasi luka pada dada, dan cedera kepala ringan. Kata kunci: trauma tajam; trauma tumpul; penyebab trauma
Gambaran Hernia Inguinalis pada Anak di RSUP Prof. Dr. R. D. Kandou Manado Lampus, Harsali F.; Lombok, Jaquelin E.; Rawung, Rangga B.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55438

Abstract

Abstract: Inguinal hernias is one of the most common surgical cases in children, especially in the first year of life. This study aimed to find out the general description related to inguinal hernias in children, such as age, sex, birth history, main complaints, family history, complications, and management. This was a retrospective and descriptive study by analyzing medical record data of inguinal hernia pediatric patients at Prof. Dr. R. D. Kandou Manado Hospital in the period of January 2021-June 2023. The results showed that the incidence of inguinal hernias in children according to medical record data was 40 patients. Variables with the highest percentages were age of 0-4 years (75%), male sex (90%), birth weight <2500 grams and gestation period <37 weeks, main complaint was a lump in the right groin (45%), no family history of inguinal hernia (87.5%), no complications (52.5%), and performed herniotomy (85%). In conclusion, inguinal hernia most often occurs in children of 0-4 years, male sex, birth weight less than 2500 grams, gestation period less than 27 weeks, a lump in the right groin as the main complaint, no family history with similar conditions, presenting without preoperative complications, and are treated with herniotomy. Keywords: inguinal hernia; children; indirect hernia; herniotomy    Abstrak: Hernia Inguinalis pada anak menjadi salah satu kasus bedah anak yang paling banyak dijumpai terlebih pada tahun pertama kehidupan. Penelitian ini bertujuan untuk mengetahui gambaran umum terkait hernia inguinalis pada anak seperti usia, jenis kelamin, riwayat persalinan, keluhan utama, riwayat keluarga, komplikasi dan penatalaksanaan. Jenis penelitian ialah deskriptif retrospektif dengan menganalisis data rekam medis pasien hernia inguinalis pada anak di RSUP Prof Kandou Manado periode Januari 2021-Juni 2023. Hasil penelitian mendapatkan angka kejadian hernia inguinalis pada anak menurut data rekam medis yaitu 40 pasien dengan usia terbanyak yaitu 0-4 tahun (75%), jenis kelamin terbanyak pada laki-laki (90%), lahir dengan berat badan <2500 gram (57,5%) dan masa gestasi <37 minggu (52,5%), dengan keluhan utama benjolan di lipat paha kanan (45%). Sebagian besar pasien tidak memiliki riwayat keluarga dengan hernia inguinalis (87,5%), dirawat belum dengan komplikasi (52,5%), dan sudah dilakukan tindakan operatif herniotomi (85%). Simpuplan penelitian ini ialah hernia inguinalis paling sering terjadi pada kelompok usia anak 0-4 tahun, jenis kelamin laki- laki, berat badan lahir <2500 gram dan masa gestasi <27 minggu, keluhan utama benjolan di lipat paha kanan, tidak memiliki riwayat keluarga dengan keadaan serupa, datang tanpa komplikasi pre operatif, dan penatalaksanaan dengan tindakan operatif herniotomi. Kata kunci: hernia inguinalis; anak; hernia indirek; herniotomi
Ovarian Cyst Torsion: A Case Report Lampus, Harsali; Rendy, Leo; Candy, Candy; Rangan, Andy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61259

Abstract

Abstract: Accidents involving ovarian cysts might include cyst rupture, hemorrhage, and torsion. Any girl who has abdominal pain or a pelvic or abdominal mass should be evaluated for ovarian torsion, a rare issue in the juvenile age group. We reported a 10-year-old girl presented with complaints of lower left abdominal pain that began three days prior to her hospital admission. Initially, the pain was intermittent but subsequently became persistent and intensified, with no pain-free intervals. CT-Scan of the abdomen – pelvis without contrast revealed cystic mass with fat components and intralesional calcification, in the suprapubic quadrant. The impression came from the ovary (difficult to determine the right/left ovary), which urged the bladder to the anteroinferior and urged the uterus to the posterior, suspected of mature cystic ovarian teratoma. The patient was managed with intravenous fluids (IVFD), antibiotics, and analgesics for pain control. Due to the high suspicion of ovarian torsion, emergency exploratory laparotomy was performed. Anatomical differences in the paediatric population and their effects on surgery were also be considered. Intraoperative findings confirming a left ovarian cyst measuring approximately 8 x 6 x 4 cm, which had undergone torsion twice. Detorsion was performed, and the ovary was found to be viable. Cystectomy was carried out, preserving healthy ovarian tissue. The right ovary appeared normal. In conclusion, this case underscores the importance of timely surgical intervention, even beyond the traditional "golden period" of 6–12 hours, as collateral blood supply may help maintain ovarian viability. The shift from oophorectomy to ovarian preservation in the management of ovarian torsion reflects evolving clinical practices, emphasizing better reproductive and long-term health outcomes. Early recognition, prompt imaging, and surgical intervention are crucial to preserving ovarian function and improving patient prognosis. This case also highlights the need for increased awareness of ovarian torsion in pediatric and adolescent populations, given its rarity and diagnostic complexity. Keywords: torsion cyst; ovarian cyst; paediatric surgery
Hubungan Tipe Fistula, Waktu Operasi, dan Toilet Training pada Malformasi Anorektal dengan Pola Defekasi Pascaoperasi Berdasarkan Skor Rintala Saputra, Sabrandi P.; Lampus, Harsali F.; Candy, Candy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61271

Abstract

Abstract: Anorectal malformation is a congenital abnormality in which the anus does not open normally into the perineum. In several studies, earlier surgery time has a better impact on patients. Toilet training performed postoperatively is assumed to help improve patient defecation patterns. This study is an observational analytical study with a retrospective cohort design. The population in this study were pediatric patients after surgery for Anorectal Malformation based on the Wingspread classification at Prof. R.D. Kandou General Hospital, Manado. The independent variables were fistula type, surgery time, and toilet training. In this study, the dependent variable was postoperative defecation pattern based on the Rintala Score. Bivariate analysis was used to analyze the relationship between independent variables and dependent variables. The Somers' D test was used to measure the relationship between categorical variables. The results showed that the variables namely fistula type, surgery time, and toilet training in anorectal malformation did not have statistically significant relationships with postoperative defecation pattern based on the Rintala score (p-value >0.05). The Rintala score does not always describe the anatomical or functional conditions of the anus in detail. In conclusion, there is no significant relationship between fistula type, surgery time, and toilet training in anorectal malformation with postoperative defecation pattern based on the Rintala score.   Keywords: anorectal malformation; fistula type; surgery time; toilet training; Rintala score   Abstrak: Malformasi anorektal merupakan sebagai salah satu kelainan bawaan dengan kondisi anus tidak membuka secara normal ke perineum. Toilet training yang dilakukan pascaoperasi diasumsikan membantu memperbaiki pola defekasi pasien. Penelitian ini bertujuan untuk mengevaluasi hubungan antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Jenis penelitian ialah analitik observasional dengan desain kohort retrospektif. Populasi penelitian ialah pasien anak pascaoperasi malformasi anorektal berdasarkan klasifikasi Wingspread di RSUP Prof. Dr. R. D. Kandou Manado. Variabel bebas ialah tipe fistula, waktu operasi, dan toilet training sedangkan variabel terikat ialah pola defekasi paska operasi berdasarkan Skor Rintala. Analisis bivariat digunakan untuk menganalisis hubungan kedua variabel, dan uji Somers’D untuk mengukur hubungan variabel kategori. Hasil penelitian ini yaitu variabel tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal tidak berhubungan bermakna secara statistik dengan pola defekasi pascaoperasi berdasarkan skor Rintala (p>0,05). Skor Rintala tidak selalu menggambarkan kondisi anatomis atau fungsional anus secara rinci. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Kata kunci: malformasi anorektal; tipe fistula; waktu operasi; toilet training; skor Rintala
Faktor-faktor yang Memengaruhi Fungsi Anus setelah Prosedur PSARP pada Pasien Malformasi Anorektal Suryoprabowo, Vincent; Lampus, Harsali F.; Rendy, Leo
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65307

Abstract

Abstract: In anorectal malformations (ARM), posterior sagittal anorectoplasty (PSARP) procedure is the standard management, however, the anorectal functional outcomes vary. This study aimed to assess the factors affecting anorectal function after the PSARP procedure using the Rintala score. This was a retrospective cohort study of 29 ARM patients who underwent PSARP at Prof. Dr. R. D. Kandou Hospital Manado during the 2019–2022 period. Medical records and patient follow-up data were analyzed using the chi-square test and linear regression. The results showed that of the 29 patients (13 males, 16 females), 86.2% underwent staged repair, while the rest had one-stage repair. The mean Rintala score was 14.59±4.17; 24.1% had normal function, 62.1% good, 6.9% fair, and 6.9% poor. Adequate bowel management was performed in all patients. Surgical wound infection was found in one patient (3.4%). Re-do PSARP was performed in four patients (13.8%). There were no cases of malnutrition or musculoskeletal abnormalities. Syndromic diseases were found in three patients (10.3%). Multivariate analysis showed that no variables were significantly associated with the Rintala score (p>0.05). In conclusion, the majority of patients have good–normal anal function after PSARP. There is no significant relationship between bowel management, surgical wound infection, redo PSARP, malnutrition, musculoskeletal abnormalities, or syndromic diseases and anal function. Continuous bowel management education remains important for long-term outcomes. Keywords: anorectal malformation; PSARP; anal function; Rintala score    Abstrak: Pada malformasi anorektal (MAR), prosedur posterior sagittal anorectoplasty (PSARP) merupakan standar tatalaksana, namun luaran fungsi anus bervariasi. Penelitian ini bertujuan untuk menilai faktor-faktor yang memengaruhi fungsi anus setelah prosedur PSARP menggunakan skor Rintala. Jenis penelitian ialah kohort retrospektif terhadap 29 pasien MAR yang menjalani PSARP di RSUP Prof. Dr. R. D. Kandou Manado periode 2019–2022. Data rekam medis dan follow-up pasien dianalisis menggunakan uji chi-square dan regresi linear. Hasil penelitian mendapatkan dari 29 pasien (13 laki-laki, 16 perempuan), 86,2% menjalani staged repair, sisanya one stage repair. Skor Rintala rerata 14,59±4,17; 24,1% fungsi normal, 62,1% baik, 6,9% cukup, dan 6,9% buruk. Businasi adekuat dilakukan pada seluruh pasien. Infeksi luka operasi ditemukan pada satu pasien (3,4%). Re-do PSARP dilakukan pada empat pasien (13,8%). Tidak terdapat kasus malnutrisi maupun kelainan muskuloskeletal. Penyakit sindromik penyerta ditemukan pada tiga pasien (10,3%). Analisis multivariat menunjukkan tidak terdapat variabel yang berhubungan bermakna dengan skor Rintala (p>0,05). Simpulan penelitian ini ialah mayoritas pasien memiliki fungsi anus baik–normal pasca-PSARP. Tidak terdapat hubungan bermakna faktor businasi, infeksi luka operasi, re-do PSARP, malnutrisi, kelainan muskuloskeletal, maupun penyakit sindromik terhadap fungsi anus. Edukasi businasi berkelanjutan tetap penting untuk luaran jangka panjang. Kata kunci: malformasi anorektal; PSARP; fungsi anus; skor Rintala
Profil Kasus Benda Asing Saluran Cerna di Bagian Bedah Anak RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2021 – Juli 2025 Anggraeni, Avanti H.; Lampus, Harsali F.; Tangel, Stephanus J. C.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65844

Abstract

Abstract: Pediatric foreign body ingestion is not an uncommon case, approximately 10%–20% require endoscopy, and 1% require surgery. This study aimed to describe the profile of gastrointestinal foreign body cases in the Pediatric Surgery Department of Prof. Dr. R. D. Kandou General Hospital, Manado. This was a descriptive cross-sectional retrospective study using electronic medical records of pediatric gastrointestinal foreign bodies. The results showed that among 42 included data, most cases were found in the school-age group (57.2%) and among males (54.8%). Most cases were symptomatic (64.3%) and had no comorbidities or complicating diseases (81.0%). All patients received X-ray examinations (100.0%). Most foreign bodies had a duration of ≤1 day (73.8%) in the gastrointestinal tract, blunt characteristic (42.9%), and 2-5 cm in size (78.6%). Foreign bodies were initially identified most often in the colon (35.7%). The majority of cases had no complications (76.2%). The most common management was endoscopy (61.9%), with the majority of foreign bodies found and successfully extracted (69.2%). Keywords: foreign body; location in gastrointestinal tract; pediatric surgery   Abstrak: Tertelannya benda asing pada anak merupakan kasus yang tidak jarang dijumpai, yaitu sekitar 10%–20% kasus memerlukan tindakan endoskopi, dan 1% memerlukan operasi. Penelitian ini bertujuan untuk mengetahui profil kasus benda asing saluran cerna di Bagian Bedah Anak RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data rekam medis pasien anak dengan diagnosis benda asing saluran cerna. Hasil penelitian menunjukkan dari 42 pasien yang memenuhi kriteria inklusi berdasarkan total sampling, mayoritas berusia sekolah (57,2%) dan berjenis kelamin laki-laki (54,8%). Sebagian besar pasien simtomatik (64,3%) dan seluruhnya menjalani pemeriksaan X-ray (100%). Tidak ditemukan penyakit penyerta pada 81% kasus. Benda asing umumnya berdurasi ≤1 hari (73,8%), bersifat tumpul (42,9%), berukuran 2–5 cm (78,6%), dan paling sering ditemukan di kolon (35,7%). Sebagian besar kasus tidak mengalami komplikasi (76,2%). Tatalaksana terbanyak berupa endoskopi (61,9%) dengan keberhasilan ekstraksi yang tinggi (69,2%). Kata kunci: benda asing; lokasi di saluran cerna; bedah anak
Evaluasi Luaran Klinis Pasien dan Karakteristik Pasien Frozen Shoulder yang Menjalani Prosedur Shoulder Arthroscopy Rawung, Rangga B. V.; Lampus, Harsali; Kambey, Stefan; Bagy, Raynald; Sundah, Antony; Tooy, Christorei D.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65853

Abstract

Abstract: Frozen shoulder is characterized by a gradual increase in pain with spontaneous onset and limited range of motion in the glenohumeral joint. Arthroscopic capsular release is a most well-known technique with favorable outcomes for frozen shoulder. This was a single-center retrospective study examining the clinical outcomes of frozen shoulder cases undergoing arthroscopy at Prof. Dr. R. D. Kandou General Hospital in Manado from February 2025 to October 2025. The results showed that a total of 26 patients were included in this study. At preoperative assessment, pain levels averaged 4.96 ± 0.96 (median 5.00 [5.00–5.75]; range 3–6). Initial range of motion (ROM) showed significant limitations. At follow-up, an improvement in ROM was clearly observed. In conclusion, shoulder arthroscopy in patients with frozen shoulder results in a significant improvement in ROM from the first month and persisted until the third month after surgery indicating that arthroscopic capsular release is an effective surgical treatment option. Keywords: frozen shoulder; shoulder arthroscopy; range of motion    Abstrak: Frozen shoulder ditandai dengan peningkatan nyeri secara bertahap dengan onset spontan dan keterbatasan dalam range of motion (ROM) sendi glenohumeral. Pelepasan kapsul artroskopi merupakan teknik yang paling terkenal dengan hasil yang baik untuk frozen shoulder. Penelitian ini bertujuan untuk melihat luaran klinis dari kasus frozen shoulder yang menjalani prosedur shoulder arthroscopy di RSUP Prof Dr. R. D. Kandou Manado pada periode Februari 2025 – Oktober 2025. Jenis penelitian ialah retrospektif single center studi. Hasil penelitian mendapatkan sebanyak 26 pasien dilibatkan dalam penelitian ini. Pada penilaian pra operasi, kadar nyeri berada pada rerata 4,96±0,96 (median 5,00 [5,00–5,75]; rentang 3–6). Nilai ROM awal menunjukkan keterbatasan bermakna. Pada tindak lanjut, peningkatan nilai ROM terlihat jelas. Simpulan penelitian ini ialah prosedur shoulder arthroscopy pada pasien frozen shoulder memberikan peningkatan bermakna pada ROM yang sudah tampak sejak bulan pertama dan bertahan hingga bulan ketiga pascaoperasi yang menunjukkan bahwa arthroscopic capsular release merupakan pilihan tatalaksana operatif yang efektif. Kata kunci: frozen shoulder; shoulder arthroscopy; range of motion
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. Anggraeni, Avanti H. Antony B. M. Sundah Axel P. Lumi B H. R. Kairupan Bagy, Raynald 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 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 Sundah, Antony Suryoprabowo, Vincent Syaugi M. Assagaf, Syaugi M. Tangel, Stephanus J. C. 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