I Gusti Nyoman Darmaputra
Departemen Dermatologi Dan Venereologi, Fakultas Kedokteran Universitas Udayana/ RSUP Prof. Dr. I G. N. G. Ngoerah, Denpasar, Bali, Indonesia

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Sedot lemak pada area wajah dan leher Putu Ayuni Yayas Ramaswari; I Gusti Nyoman Darmaputra; Putu Shinta Widari Tirka; Gusti Ayu Anggawati
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1463

Abstract

Liposuction or liposuction is the most commonly performed aesthetic surgical procedure worldwide. Liposuction is considered a safe, simple, and effective surgical method to improve body contours. The purpose of facial and neck liposuction is to reshape the neck and improve contours, not to remove all fat. Once the fat is removed from liposuction, it is expected that the skin will shrink to take on a new contour. It is important to warn patients that if excessive skin laxity develops after the procedure, they may require additional surgical procedures. Liposuction can be performed on various areas of the body that have excess fat deposits. Liposuction is indicated for the removal and reduction of locally isolated adipose tissue deposits.   Sedot lemak atau liposuction merupakan prosedur bedah estetik yang paling sering dilakukan di seluruh dunia. Sedot lemak dinilai sebagai suatu metode tindakan bedah yang aman, sederhana, dan efektif untuk memperbaiki kontur tubuh. Tujuan dari sedot lemak wajah dan leher adalah untuk membentuk kembali leher dan memperbaiki kontur, bukan untuk menghilangkan semua lemak. Setelah lemak dihilangkan dari sedot lemak, diharapkan kulit menyusut untuk mengambil kontur yang baru. Penting untuk memperingatkan pasien bahwa jika kelemahan kulit berlebih berkembang setelah prosedur, mereka mungkin memerlukan prosedur pembedahan tambahan Sedot lemak dapat dilakukan pada berbagai area tubuh yang memiliki deposit lemak berlebih. Sedot lemak diindikasikan untuk menghilangkan dan mengurangi deposit jaringan adiposa yang terisolasi secara lokal.
CLINICAL AND DERMOSCOPIC FEATURES OF SKIN CANCER AT SANGLAH GENERAL HOSPITAL, DENPASAR: A CASE SERIES STUDY Made Wardhana; Nila Puspasari; Prima Sanjiwani; Darmaputra Darmaputra
Journal of Global Pharma Technology Volume 09 Issue 04
Publisher : Journal of Global Pharma Technology

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Abstract

Background: Dermoscopy or epiluminescence microscopy (ELM) is a non-invasive clinical examination technique of pigmented skin lesions and early stage skin cancers.Methods: This was a retrospective study of patients with skin cancer at dermatology outpatient clinic of Sanglah Hospital from January 2013 to December 2014. These patients were firstly assessed with unaided eye before underwent a dermoscopic examination. All diagnoses were confirmed with a histopathology examination.Results: There were 22 patients with skin cancer who enrolled in this study. The study participants were redominantly women (59.1%), age over 50 years (72.7%), working outdoor (90.9%), with the predominantly predominant site being on the face (96%). There were 7 patients (31.8%)  with malignant melanoma and the predominant dermoscopic features were: atypical pigment network (71.4%), blue whitish veil (57.1%) and irregular streaks (57.1%). There were 10 patients (45.5%) with basal cell carcinoma, with the predominant dermoscopic feature being the arborizing vessel (60%) and ulceration (70%). There were 5 squamous cell carcinoma patients (22.7%) and the predominant dermoscopic features observed were keratin (80%) and hairpin vessels (100%). The histopathological examination results were in accordance with the description of dermoscopy featuresConclusions: Dermoscopy is a non-invasive tool for diagnosis of early skin cancer prior to performing a biopsy for histopathologic examination.
A Retrospective Study of Erythema Nodosum Leprosum in Dermatology and Venereology Outpatient Clinic of Sanglah General Hospital, Bali-Indonesia I Gusti Nyoman Darmaputra
Journal of Global Pharma Technology Volume 10 Issue 12.
Publisher : Journal of Global Pharma Technology

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Abstract

Introduction: Erythema nodosum leprosum (ENL) or type II reaction in leprosy is acute inflammation in the chronic disease of multibacillary leprosy. Clinical manifestation of ENL on the skin such as painful cutaneous nodule, commonly found on the face and extremities accompanied by nerve inflammation, systemic involvement, and other extracutaneous symptoms which possibly caused disability if it is not treated appropriately. Aim: To find out the ENL pattern in the Department of Skin and Venereology, Sanglah General Hospital for three years. Methods: This study was a retrospective study from the medical record of ENL new cases treated in the Skin and Venereology Outpatient Clinic, within period January 2013-December 2015 classified by the number of patients, age, sex, and type of leprosy. Result: Starting from January 2013-December 2015 there were about 39 new leprosy patients with ENL (36% of all new patients in the leprosy division), 64% are male, 82% aged 17-45 years, and 69% of patients suffer from borderline lepromatous (BL) leprosy. Conclusion: Most leprosy patients with ENL are male, aged 17-45 years with BL type leprosy. Complications that arise due to ENL or the side effects of corticosteroids could cause a large socio-economic impact.Keywords: Erythema nodosum leprosum, Leprosy reaction, Sanglah General Hospital.
EKSISI KARSINOMA SEL BASAL TIPE CAMPURAN YANG DILAKUKAN PENUTUPAN DEFEK DENGAN FLAP RHOMBOID Stephanie, Aurelia; Winaya, Ketut Kwartantaya; Darmaputra, IGN; Laksmi, Hermina; Stella, Aurelia
Media Dermato-Venereologica Indonesiana Vol 52 No 1 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i1.248

Abstract

Pendahuluan: Karsinoma sel basal (KSB) merupakan jenis kanker kulit yang berasal dari sel yang tidak mengalami keratinisasi pada lapisan basal epidermis. Tumor ganas ini ditandai dengan pertumbuhan tumor yang lambat, jarang menimbulkan metastasis dan dapat menyebabkan destruksi jaringan sekitarnya. Dari semua jenis kanker kulit, KSB merupakan kanker kulit yang paling sering ditemukan di seluruh dunia termasuk Indonesia dengan insidensi yang bervariasi. Di RSUP Sanglah Denpasar pada bulan Januari 2018–Desember 2020 terdapat 18 kasus KSB. Kasus: Seorang perempuan berusia 51 tahun, suku Bali, Warga Negara Indonesia, muncul benjolan kehitaman di hidung sejak dua tahun yang lalu. Benjolan dirasakan membesar, terkadang berdarah jika terkena garukan atau gesekan. Riwayat sering terpajan sinar matahari selama 5 jam sehari. Diagnosis KSB ditegakkan berdasarkan anamnesis, gejala klinis, pemeriksaan dermoskopi dan histopatologi dengan gambaran bervariasi sesuai subtipe KSB. Diskusi: Tujuan utama penatalaksanaan pada KSB adalah untuk mengeradikasi tumor serta tetap mempertahankan fungsi organ dan kosmetik yang baik. Tata laksana pada pasien ini berupa bedah eksisi yang ditutup dengan rhomboid flap. Bedah eksisi merupakan modalitas pengobatan terbaik untuk karsinoma dan mencegah kekambuhan. Kesimpulan: Rhomboid flap merupakan salah satu desain transposisi berbentuk belah ketupat yang memiliki kelebihan berupa penyembuhan yang efektif dan hasil kosmetik yang baik karena jaringan parut yang minimal.