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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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Journal : Medical Scope Journal (MSJ)

 1 
Gastroschisis: Initial Management according to General Practitioner Competence Tri M. Ibrahim; Harsali Lampus; Jeiny Thomas
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.39122

Abstract

Abstract: Gastroschisis is the most common congenital defect in the abdominal wall in the last 30 years.  This may be related to increased incidence of prematurity and increased survival rate of premature babies. Defects in the abdominal wall usually occur less than 4 cm, located at the junction of umbilicus and normal skin.Relatively young maternal age (<21 years), as well as habits of consuming alcohol and drugs can increase the risk of gastroschisis.Diagnosis can be confirmed at prenatal stage by using USG, and at postnatal stage. Initial treatment consists of fluid resuscitation, oxygenation, decompressed nasograstic tube (NGT), and hypothermia prevention. In conclusion, gastroschisis needs immediate treatment by prevention of hypothermia in infants, administration of fluid and oxygen, and closure of defect. The overall survival rate is quite good and the prognosis depends on the condition of the gut at birth. Keywords: gastroschisis Abstrak: Gastroschisis merupakan defek kongenital pada dinding abdomen yang paling umum ditemukan dalam 30 tahun terakhir. Hal ini mungkin terkait dengan peningkatan kejadian prema-turitas dan peningkatan kelangsungan hidup bayi prematur.Defek pada dinding abdomen terjadi biasanya kurang dari 4 cm dan terletak di antara sambungan umbilikus dan kulit normal. Usia ibu yang relatif muda (<21 tahun), kebiasaan mengonsumsi alkohol serta obat-obatan dapat mening-katkan risiko terjadinya gastroschisis. Diagnosis dapat ditegakkan saat prenatal dengan USG, dan postnatal. Penatalaksanaan awal meliputi resusitasi cairan, pemberian oksigenasi, pemasangan nasogastric tube (NGT) dekompresi, serta mencegah terjadinya hipotemia. Simpulan tulisan ini ialah gastroschisis memerlukan penanganan segera dengan melakukan pencegahan terjadinya hipotermia pada bayi, pemberian cairan, pemberian oksigenasi, dan penutupan defek. Tingkat kelangsungan hidup secara keseluruhan cukup baik dan prognosis tergantung pada kondisi usus saat lahir.Kata kunci: gastroschisis
Diagnosis of Scrotal Mass in Children Axel P. Lumi; Harsali Lampus; Nathaniel Pali
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.41129

Abstract

Abstract: Scrotal mass is one of the diseases in the urology field with a moderately high prevalence. Problems with the contents of scrotum vary, ranging from infections, tumors, to fluid. Diagnosis of scrotal mass is based on detail ananmnesis, systematic physical examination, and other supporting examinations. Scrotal ultrasound can confirm the exact location of a mass and rule out the presence of an inguinal hernia. Scrotal masses in adults require a formal examination with serum tumor markers, scrotal ultrasound as needed, and immediate consultation with a urologist for staging and further intervention. Scrotal masses in children are much less common than in adults and should be evaluated by a urologist.Keywords: scrotal mass; children Abstrak: Massa skrotum merupakan salah satu penyakit di bidang urologi dengan prevalensi yang cukup tinggi. Masalah pada isi skrotum bervariasi, mulai dari infeksi, tumor, hingga cairan.  Diagnosis massa skrotum ditegakkan melalui anamnesis yang cermat, pemeriksaan fisik terarah, dan pemeriksaan penunjang. Ultrasonografi (USG) skrotum dapat mengonfirmasi lokasi yang tepat dari suatu massa sekaligus menyingkirkan adanya hernia inguinalis. Massa testis pada dewasa memerlukan pemeriksaan formal, dengan penanda tumor serum, USG skrotum sesuai kebutuhan, dan konsultasi segera dengan ahli urologi untuk staging dan intervensi lebih lanjut. Massa skrotum pada anak jauh lebih jarang daripada dewasa dan harus dievaluasi oleh seorang ahli urologi.Kata kunci: massa skrotum; anak
Role of Endoscopic Procedure in Foreign Body (Button Battery) Ingestion in Children: A Case Report Harsali Lampus; Candy Candy; Leo Rendy; Andy A. Rangan
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46219

Abstract

Abstract: Foreign body (FB) ingestion is a common problem especially in children below the age of 5 years. Due to the extensive use of batteries as power supply in electronic gadgets, cases of button battery ingestion have become more common. If a button battery was found in the stomach of a child under the age of five, it should be assessed for esophageal injury and removed endoscopically, if at all possible, within 24 to 48 hours. We reported a 3-year-old boy who swallowed a foreign body three hours before being admitted to the hospital. Initially the patient was playing with robot toys that used batteries, then a battery of the robots was accidently swallowed. The patient had no symptoms and physical examinations showed no abnormalities. Abdominal X-ray examination revealed a foreign body located in the stomach. The patient underwent endoscopic foreign body removal but no foreign body was found until the second part of duodenum. Therefore, an exploratory laparotomy was performed, and the foreign body, a button battery, was removed from the ileum. In conclusion, since endoscopic foreign body removal failed to remove the foreign body in this patient, an exploratory laparotomy was performed and through antimesenterial ileotomy, the foreign body, a button battery, was successfully removed. Keywords: foreign body; endoscopic foreign body removal; exploratory laparotomy
Fetus in Fetu at Prof. Dr. R. D. Kandou Hospital: A Rare Case Report Lampus, Harsali F.; Candy, Candy; Rendy, Leo; Sorongku, Ronald; Saputra, Sabrandi P.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.57283

Abstract

Abstract: Fetus in fetu (FIF) is a rare congenital disorder in which a malformed fetus-like structure is inside the actual body of the fetus. We reported a 3-day old female baby, born through sectio caesaria with a lump on her right abdomen. On physical examination, a rounded mass of 8x8 cm was palpable in the right hypochondrium. CT-scan of the abdomen with contrast revealed a heterogeneous mass of mixed cystic and solid accompanied by calcification in the form of vertebrae and extremities in the upper right abdomen (size ±5,6 x 6 x 6 cm). The mass appeared to be abutting with the liver, gallbladder, pancreas, and right kidney by pressing the intestinal loops to the left. A laparotomy was performed with extensive tumor excision, and a malformed fetus-shaped mass with good differentiation characterized by a hand-like structure, fairly complete toes and skin on its surface was found. The tumor was diagnosed as a FIF since the benchmark for diagnosing FIF was the shape of a fetus-like mass, a mature bone structure with components such as cranium, vertebrae, pelvis, extremities and even fingers as found in this patient. The patient was carried out a 5-day treatment after surgery, and then was referred to the Pediatric Surgery polyclinic for a follow-up on the histopathological result to confirm the diagnosis but the patient did not come for further treatment. Keywords: fetus in fetu; fetal tumor; aberrant monozygotic twinning; CT-scan abdomen
Pediatric Pleomorphic Adenoma of Parotid Gland: A Case Report Suryoprabowo, Vincent; Lampus, Harsali F.; Candy, Candy; Saleh, Denny
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.56144

Abstract

Abstract: Pleomorphic adenoma is a type of tumor that affects the parotid glands. It is also called a benign mixed tumor (BMT) because it has both epithelial and myoepithelial cells. This type of tumor is the most frequent parotid gland tumor, making up about 66% of all such tumors in parotid glands. We reported a case of 12-year-old male patient with a lump on his parotid gland, measured 7x3x3cm at Prof. Dr. R. D. Kandou Hospital Manado. CT Scan results of neck region of the patient revealed that there was a mass in the right side colli area and right frontal sinusitis A histopathological examination of the tumor tissue showed that it was encapsulated by connective tissue and composed of proliferating epithelial and myoepithelial tumor cells, some with clear nuclei, arranged in solid and microcystic patterns, and interspersed with fibromyxoid stroma. The patient was diagnosed as parotid gland adenoma, therefore, a parotidectomy was performed on him. He was discharged home and advised to return for a check-up one week later to remove the stitches. At the two-month follow-up visit, he was stable and did not require any additional therapy. In conclusion, a parotidectomy shows good result in the patient with parotid gland adenoma. However, due to the recurrence rate of parotid gland malignancies, several oncologists prefer to observe the patient periodically trough follow up at policlinic. Early detection and right management are required to achieve the best prognosis. Keywords: pleomorphic adenoma; pediatric patient; parotid gland
Penggunaan Telemedicine untuk Penilaian Luaran Fungsi pada Pasien Osteoartritis Pinggul yang Telah Dilakukan Total Hip Arthroplasty Kambey, Stefan A. G. P.; Ngabalin, Jastin W.; Lampus, Harsali F.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.58527

Abstract

Abstract: The most common arthritis in the hip joint is due to joint wear and tear, osteoarthritis (OA). One of the most effective types of surgery to perform on hip OA is total hip arthroplasty (THA). This study aimed to determine the functional results of total hip arthroplasty surgery in cases of hip arthritis at Prof. Dr. R. D. Kandou Hospital Manado by using telemedicine. This was a descriptive study interviewing patients who underwent total hip arthroplasty in the period of January-November 2023 via video call. The Harris hip score (HHS) was measured before and after THA. The results showed that from five patients who underwent HHS evaluation before THA, all of them had poor scores (100%). Meanwhile, the HHS after THA showed that one patient had a poor score (20%), one patient had a fairly good score (20%), two patients had good scores (40%), and one patient had a very good score (20%), indicating increased HHS after THA in all patients. In conclusion, total hip arthroplasty is effective in hip arthritis patients. The telemedicine can be an alternative for evaluating patients with hip osteoarthritis after total hip arthroplasy who are difficult to be reached. Keywords: hip osteoarthritis; Harris hip score; total hip arthroplasty; telemedicine    Abstrak: Artritis yang paling umum terjadi pada sendi pinggul diakibatkan oleh keausan sendi atau  disebut osteoartritis (OA). Salah satu jenis operasi yang paling efektif untuk OA pinggul ialah total hip arthroplasty (THA). Penelitian ini bertujuan untuk mengetahui hasil fungsional pembedahan THA pada kasus OA pinggul di RSUP Prof. Dr. R. D. Kandou Manado menggunakan telemedicine. Jenis penelitian ini ialah deskriptif dengan mewawancarai pasien yang dilakukan total hip arthroplasty periode Januari-November 2023 via panggilan video. Nilai Harris hip score (HHS) diukur sebelum dan setelah dilakukan THA. Hasil penelitian memperlihatkan bahwa dari lima pasien yang dilakukan evaluasi HHS sebelum dilakukan THA, didapatkan semuanya memiliki skor kurang baik (100%). Setelah dilakukan THA dan dievaluasi menggunakan HHS didapatkan satu orang memiliki skor kurang baik (20%), satu orang memiliki skor cukup baik (20%), dua orang memiliki skor baik (40%), dan satu orang memiliki skor baik sekali (20%). Dengan kata lain terdapat peningkatan skor HHS setelah dilakukan THA pada semua pasien. Simpulan penelitian ini ialah total hip arthroplasty efektif dilakukan pada pasien dengan osteoartritis pinggul. Penggunaan telemedicine dapat menjadi alternatif untuk mengevaluasi pasien osteoartritis pinggul setelah total hip arthroplasty yang memiliki keterbatasan jarak untuk dijangkau. Kata kunci: osteoartritis pinggul; Harris hip score; total hip arthroplasty; telemedicine
Evaluation of Clinical Outcomes in Sport Participants Undergoing Anterior Cruciate Ligament Reconstruction Rawung, Rangga B. V.; Lengkong, Andriessanto C.; Lampus, Harsali F.; Bagy, Raynald G.; Sundah, Antony B. M.; Tooy, Christorei D.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59451

Abstract

Anterior cruciate ligament (ACL) injury is one of the most common musculoskeletal injuries. Evaluating the clinical outcomes of the ACL reconstruction (ACLR) procedure is essential to provide information regarding the benefits of this procedure. This study aimed to assess the clinical outcomes of patients who underwent ACLR at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study. Secondary data were collected from all athlete patients who underwent ACLR. The ACLR procedure was performed by a single operator following the standard arthroscopic procedure. All grafts used Hamstring grafts (gracilis and semitendinosus). Suspense fixation was done using a button, while tibial fixation was done with interference fixation (bioabsorbable screw). Patients were evaluated over a short period, specifically at three months, six months, and nine months. Outcome parameters were assessed using the Visual Analog Scale (VAS), Range of Motion (ROM), Lachman test, Anterior Drawer test, and Knee Functional Score (KFS). Any complications that arose were documented. The results showed that among 21 patients at Prof. Dr. R. D. Kandou Hospital Manado, it was found that ACL injuries were more common in physically active men, especially in the age group of 26-30 years. Most patients who underwent ACLR had serious injuries that required immediate treatment. Hamstring graft was the most common choice (85.7%). Knee stiffness was the most common complication and required special attention during the rehabilitation program. Based on KFS, most patients successfully achieved good knee function recovery. There was a decrease in the VAS score reflecting the effectiveness of the procedure in reducing postoperative pain. There was an increase in the KSS reflecting the success of ACLR in restoring knee stability and function to almost normal levels. In conclusion, anterior cruciate ligament reconstruction in sport participants showed significant improvements in knee mobility and pain reduction, with low complications. Keywords: anterior cruciate ligament injury; anterior cruciate ligament reconstruction; graft fixation
Correlation between Surgical Procedure, Type of Surgery, Duration of Surgery, and Intraoperative Complications with the Usage of PICU Rangan, Andy A.; Lampus, Harsali; Candy, Candy; Langi, Fima L. F. G.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.64554

Abstract

Abstract: Pediatric postoperative intensive care remains a topic of debate due to the high demand and limited availability of PICU beds. This study aimed to bridge that gap by identifying types of procedure (major or minor), emergency or elective surgery, type of duration and complication contributing to PICU admissions, thereby enhancing perioperative care quality and resource allocation. This was a prospective cohort study conducted at Prof. Dr. R. D. Kandou General Hospital Manado between August 2022 and December 2023 using pediatric patients undergoing surgery. Data were extracted from medical records, analyzed and evaluated using descriptive statistics, chi-square tests, and logistic regression. A p-value of <0.05 was considered statistically significant. The results showed that among 455 pediatric postoperative cases, 14% required PICU care. Emergency surgeries (57%), major procedures (87%), prolonged surgery (67%), intraoperative complications (7%), and preoperative PICU recommendations (42%) were associated with more PICU admissions. The significant key predictors were emergency surgery (p<0.001), intraoperative complications (p=0.005), and preoperative PICU recommendations (p<0.001). In conclusion, emergency surgeries, major procedures, prolonged surgery, and intraoperative complications are key determinants of PICU admissions in pediatric patients. Preoperative PICU recommendations were the strongest predictor of postoperative intensive care needs, followed by intraoperation complication and emergency operation. These highlight the need for improved preoperative assessment, perioperative risk stratification, and structured postoperative care planning to optimize PICU resource allocation and reduce unplanned admissions. Keywords: pediatric surgery; PICU admission; postoperative care; emergency surgery; risk factors; perioperative management
Effectiveness and Complications of Surgical Drainage in Pediatric Surgery: A Literature Review Lampus, Harsali; Candy, Candy; Saumur, Odwin B.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.65819

Abstract

Abstract: The use of surgical drainage is a common adjunctive procedure in various pediatric surgeries. However, its effectiveness and associated risks remain a subject of debate, particularly due to variations in drain types, surgical techniques, and the unique characteristics of pediatric patients. This study aimed to evaluate the effectiveness and complications of surgical drainage in various pediatric surgical procedures based on the most recent literature. This narrative literature review was compiled from articles published in the last 10 years (2015–2025), sourced from reputable databases such as PubMed, Cochrane, EBSCO, and Google Scholar. Inclusion criteria encompassed studies involving pediatric patients aged 0–18 years undergoing thoracic, abdominal, ocular, or spinal surgeries, addressing the use of surgical drainage either as a primary intervention or in comparison to non-drain approaches. A total of 20 studies were analyzed in this review. Overall, drainage proved most effective in thoracic and ocular surgeries. In thoracic surgery, devices such as the Thopaz digital drain shortened hospital stays, accelerated recovery, and reduced the number of postoperative radiographs. In ocular surgery, glaucoma drainage devices (GDD) effectively controlled intraocular pressure (IOP) and reduced the need for re-intervention. Conversely, in abdominal surgeries such as appendectomy and laparoscopic pyeloplasty, as well as spinal surgeries, drainage did not confer significant clinical benefits in reducing complications or accelerating recovery. Complications in thoracic surgery included minimal risks such as prolonged air leaks and empyema; in ocular surgery, hypotony, bleb encapsulation, infection, and tube revision were most common; in abdominal surgery, complications included infection, intra-abdominal abscess, bowel obstruction, iatrogenic leaks, peritonitis, and hernia; while in spinal surgery, complications consisted of superficial infections, wound dehiscence, neurological deficits, and hematoma. In conclusion, surgical drainage is most effective in thoracic and ocular surgeries in terms of success rate, accelerated recovery, and reduced length of hospital stay. However, in abdominal and spinal surgeries, drainage offers no significant clinical benefit and carries potential risks of complications. Keywords: surgical drainage; complications; effectiveness; pediatric surgery
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 Mendy Hatibie Mercy Taroreh Nathaniel Pali Nazzirah Al Ammari Ngabalin, Jastin W. Nico Lumintang Nita Mariana Novia D. Yantika Pali, Nathaniel Rangan, Andy Rangan, Andy A. Rawung, Rangga B. Rawung, Rangga B. V. Reinaldo Sunggiardi Richard Monoarfa Ridhoni, Muhammad Rorintulus, Shergina Junika Sabrandi P. Saputra Saleh, Denny Saputra, Sabrandi P. Saumur, Odwin B. 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. Tulandi, Prayvie S. F. Wariki, Windy M. V. Wurangian, Prisilia Karina Yadi Pasinggi, Yadi