Harsali F. Lampus
Universitas Sam Ratulangi - RSUP Prof. Dr. R. D. Kandou

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Histopathological changes and Hirschsprung’s associated enterocolitis (HAEC) scores Reinaldo Sunggiardi; Nita Mariana; Farid Nurmantu; . Ahmadwirawan; Tommy R. Habar; . Sulmiati; Harsali F. Lampus; Andi Alfian Zainuddin; . Prihantono
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 52, No 3 (2020)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (608.552 KB) | DOI: 10.19106/JMedSci005203202004

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Histopathological changes that are usually permanent in the bowel of Hirschsprung’s disease (HRSC) in children make susceptibility to the incidence of enterocolitis even after definitive therapy. The pathophysiology of HRSC is characterized by specific signs, and symptoms. Scoring system has been applied in diagnosis of Hirschsprung’s associated enterocolitis (HAEC) due to its simplest and easiest. However, after a decade it has been several evaluated to obtain optimal benefits in the clinical setting. The aim of this study was to investigate the relationship between histopathological grade of enterocolitis and HAEC scores. Children with HRSC who underwent leveling colostomy or pull-through were sampled from the ganglionic segment. Those with a histopathological description of HAEC were included in the study. HAEC scores were evaluated retrospectively through medical records and interviews. Data were analyzed using the Spearman’s Rank test. Twenty eight samples were involved in this study. The population was dominated by male (82.1%) and almost half the population (42.9%) were infants. The distribution of the histopathological grade was fairly even, except for grade V where it was only 7.2% of the total sample. Grade I & III samples were 21.4%, while grade II & IV were 25%, respectively. A significant relationship between histopathological grade and HAEC score was obtained (r = 0.927; p<0.0001). In conclusion, there is a relationship between the histopathological grade of enterocolitis and HAEC scores.
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

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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

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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
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

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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

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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

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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
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

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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
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

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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