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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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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
Evaluasi Luaran Labioplasti Menggunakan Indeks Asher-McDade Tulandi, Prayvie S. F.; Hatibie, Mendy J.; Lampus, Harsali F.
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.v14i2.65953

Abstract

Abstract: The Asher-McDade Index is one of the most widely used international methods for evaluating postoperative aesthetic outcomes in cleft lip patients. However, local studies assessing labioplasty outcomes using this index remain limited. This study aimed to evaluate the aesthetic results of labioplasty at Prof. Dr. R. D. Kandou General Hospital using the Asher-McDade Index in years 2022-2025. Aesthetic evaluation was performed on postoperative photographs by a single assessor. The analysis was conducted descriptively. The results obtained a total of six samples. The overall mean scores ranged from 1 to 2.75, with median values per patient between 1 and 2.5. The components that most frequently demonstrated higher scores were nasal profile and vermilion border, while nasal form and deviation consistently scored 1. In conclusion, the aesthetic outcomes of labioplasty in these samples were generally classified as good, although variations were observed particularly in the vermilion and nasal profile components. Keywords: cleft lip; cleft lip and palate; Asher-McDade Index   Abstrak: Indeks Asher-McDade merupakan metode yang paling banyak digunakan secara internasional untuk mengevaluasi hasil estetika pascaoperasi bibir sumbing, namun, penelitian lokal yang menilai luaran labioplasti menggunakan indeks ini masih sangat terbatas. Peneltian ini bertujuan untuk menilai luaran estetika labioplasti di RSUP Prof. Dr. R. D. Kandou Manado menggunakan indeks Asher-McDade tahun 2022-2025. Analisis dilakukan secara deskriptif. Evaluasi estetika dilakukan pada foto pascaoperasi oleh satu penilai. Hasil penelitian mendapatkan total enam sampel. Skor rerata keseluruhan berkisar antara 1-2,75, dengan nilai median per pasien berada pada rentang 1-2,5. Komponen yang paling sering menunjukkan skor lebih tinggi ialah profil hidung dan batas vermilion, sementara bentuk dan deviasi hidung konsisten berada pada skor 1. Simpulan penelitian ini ialah luaran estetika labioplasti pada sampel penelitian umumnya berada pada kategori baik, meskipun variasi terlihat terutama pada komponen vermilion dan profil hidung. Kata kunci: celah bibir; celah bibir dan langit-langit; indeks Asher-McDade
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