Hanom Husni Syam
Department Of Obstetrics And Gynecology Faculty Of Medicine Universitas Padjadjaran Bandung/Dr. Hasan Sadikin General Hospital Bandung

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Characteristics of Endometrioma Recurrence Patients Maharani, Chintia Dewi; Bayuaji, Hartanto; Syam, Hanom Husni; Ritonga, Mulyanusa Amarullah; Mantilidewi, Kemala Isnainiasih; Rinaldi, Andi; Pratiwi, Yuni Susanti
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.576

Abstract

Objective: To identify the characteristics of endometrioma recurrence cases. Method: This study was a descriptive retrospective, using secondary data taken from all medical records of Clinic Aster and Medical Records Installation in Dr. Hasan Sadikin General Hospital, Bandung, from 1st January 2018 – 31st December 2022. Data were presented in tables.Results: Of the 37 endometrioma recurrences, most of the patients are 20 to 35 in age. None of them has a parity history after the first surgical procedure. Both previous and recent cases are dominantly unilateral endometriomas. The history of postoperative medication is higher (54,1%). Obstetricians/Gynecologists appear to perform the most surgical procedure (67,6%). Mass is the main clinical manifestation of the recurrence. While menstrual and BMI profiles appear to be normal.Conclusions: The characteristic of the recurrence of endometrioma is related parity status after the first surgery, history of the previous medical treatment, and previous form of endometrioma are related to the current characteristic of endometrioma (age, lesion form, clinical manifestation, and recurrence interval).Karakteristik Pasien Endometrioma RekurenAbstrakTujuan: Mengetahui karakteristik dari pasien endometrioma rekuren.Metode: Penelitian ini merupakan penelitian deskripsi retrospektif dengan menggunakan data sekunder yang diambil dari seluruh rekam medis pasien kista endometriosis rekuren di Klinik Aster dan Instalasi Rekam Medis di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan periode 1 Januari 2018 – 31 Desember 2022. Kemudian, data-data disajikan dalam bentuk tabel.                                                                                . Hasil: Dari 37 kasus e ndometrioma rekuren, sebagian besar pasien berusia 20 hingga 35 tahun. Seluruh pasien tidak mempunyai riwayat paritas setelah prosedur pembedahan sebelumnya. Baik kasus-kasus kista endometriosis sebelumnya maupun yang kambuh, keduanya dominan dalam bentuk unilateral. Riwayat pengobatan pasca operasi lebih tinggi (54,1%). Dokter Spesialis Obstetri/Ginekologi tampak melakukan tindakan pembedahan terbanyak (67,6%). Massa adalah manifestasi klinis utama dari kekambuhan. Selain itu, profil menstruasi dan BMI tampak normal.Kesimpulan: Karakteristik pada endometrioma rekuren berkaitan dengan status paritas setelah operasi pertama, riwayat pengobatan medis sebelumnya, dan bentuk endometrioma sebelumnya berhubungan dengan karakteristik endometrioma saat ini (usia, bentuk lesi, manifestasi klinis, dan rentang rekurensi)Kata kunci: karakteristik, rekuren, endometrioma
Recurrent Gonococcal Vulvovaginitis in Child: An Interesting Case Report Harjito, Vanessa Natasha; Tjahyadi, Dian; Syam, Hanom Husni; Susilo, Artha Falentin Putri
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.769

Abstract

Introduction: Vulvovaginitis is a common complaint found in gynecology outpatient clinics in prepubertal children. Gonorrhea infection in children often manifests as vulvovaginitis. The etiology of vulvovaginitis in children can be infectious and non-infectious. Complete anamnesis, appropriate physical examination, and supporting laboratory examinations are needed to determine the etiology of vulvovaginitis in patients so that therapy can be given according to the etiology.Case presentation: A 7-year-old girl was diagnosed with recurrent gonorrhea vulvovaginitis. The patient has received therapy according to the guidelines for the management of uncomplicated gonorrhea, namely single-dose ceftriaxone, single-dose cefixime, and single-dose azithromycin, but re-infection occurred. The complication in the patient was malnutrition. The patient had a history of enterobiasis and complained of worms coming out of the vagina. Therefore, fistulography and vaginoscopy procedures were performed with normal results. Conclusion: Comprehensive and multidisciplinary management of gonorrhea vulvovaginitis in children is needed to prevent recurrence and anticipate complications that may occur later. Appropriate guidance and counseling should be provided, and prevention of future episodes should be considered.Vulvovaginitis Gonore Rekuren pada Anak: Sebuah Laporan Kasus Menarik di Rumah Sakit Hasan Sadikin BandungAbstrakPendahuluan: vulvovaginitis merupakan keluhan yang sering ditemukan pada anak prepubertas di poliklinink ginekologi. Infeksi gonore pada anak-anak sering bermanifestasi sebagai vulvovaginitis. Etiologi vulvovaginitis pada anak dapat berupa infeksi dan non-infeksi. Anamnesis lengkap, pemeriksaan fisik yang sesuai, dan pemeriksaan penunjang laboratorium diperlukan untuk menentukan etiologi vulvovaginitis pada pasien sehingga dapat diberikan terapi sesuai dengan etiologinya. Presentasi kasus: seorang anak perempuan berusia 7 tahun didiagnosis dengan vulvovagitis gonore rekuren. Pasien telah mendapatkan terapi sesuai dengan pedoman tata laksana gonore non-komplikata, yaitu ceftriaxone dosis tunggal, cefixime dosis tunggal, dan azitromisisn dosis tunggal, namun terjadi re-infeksi. Penyulit pada pasien adalah malnutrisi. Pasien memiliki riwayat enterobiasis dan mengeluhkan keluar cacing dari vagina. Oleh karena itu, dilakukan prosedur fistulografi dan vaginoskopi dengan hasil normal. Kesimpulan: tata laksana vulvovaginitis gonore pada anak yang komprehensif dan multidisiplin diperlukan untuk mencegah terjadinya rekurensi dan mengantisipasi komplikasi yang mungkin terjadi di kemudian hari. Panduan dan konseling yang tepat harus diberikan, serta pencegahan episode di masa depan harus dipertimbangkan.Kata Kunci: Anak, Infeksi Gonore Rekuren, Vulvovaginitis
Pengaruh Tablet Fe dan Kombinasi Tablet Fe dengan Yoga Pada Remaja Putri yang Mengalami Anemia dengan Dismenore Yunas, Aisya Astri; Syam, Hanom Husni; M.T., Vita; Anwar, Ruswana; Dhamayanti, Meita; Lesmana, Ronny
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49481

Abstract

Dysmenorrhea and anemia are common health problems among adolescent girls, while pharmacological therapy has limitations, highlighting the need for safe and comprehensive alternative interventions. This study aimed to analyze the effects of Fe supplementation and the combination of Fe supplementation with yoga on hemoglobin levels and dysmenorrhea intensity in adolescent girls. A quasi-experimental design with a two-group pre-test post-test approach was employed. Participants were adolescent girls from SMAN 03 Rejang Lebong who received either Fe supplementation or a combination of Fe supplementation and yoga for four weeks. Data were analyzed using the Wilcoxon and Mann-Whitney tests. The results showed that the combination of Fe supplementation and yoga significantly improved hemoglobin levels and reduced dysmenorrhea intensity (p = 0.000). Moreover, the combination was more effective than Fe supplementation alone. These findings suggest that combining yoga with Fe supplementation can serve as an effective non-pharmacological strategy to manage anemia and dysmenorrhea among adolescent girls. Keywords: dysmenorrhea, anemia, Fe supplementation, yoga, adolescent girls