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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Medicina E-Jurnal Medika Udayana WMJ (Warmadewa Medical Journal) JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran JURNAL MUTIARA KESEHATAN MASYARAKAT Journal of Social Research JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Indonesia Vascular Access Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Folia Medica Indonesiana
Ketut Putu Yasa
Divisi Bedah Thoraks Kardiovaskular, Fakultas Kedokteran Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar, Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Journal : Medicina

 1 
EVENTRATION OF DIAPHRAGM Eka Pratiwi, I G A P; Purniti, P Siadi; Subanada, IB; Putu Yasa, Ketut
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Abstract

Eventration of diaphragm (ED) refers to an abnormally high position of part or all of the diaphragm, but intact diaphragm, usually associated with a marked decrease in muscle fibers and a membranous appearance of the abnormal area with only the peripheral thoracic attachments showing normal muscle. Etiologically ED is congenital or acquired. Congenital diaphragmatic abnormalities occur in 1 per 2000 to 4000 birth, which 7% is diaphragmatic eventration. Most children with ED are asymptomatic when incidentally first seen, will not need theraphy. Those with symptoms develop acute respiratory distress, feeding difficulties, and recurrent pneumonitis. If the patient need assissted ventilation or cannot be weaned off the ventilator, she or he should be plicated. Failure to achieve extubation within a week of plication is an ominous prognostic sign. We reported a case of one month and four days old girl who was dispnea, feeding difficulty and bronchopneumonia caused by right ED with acquired etiology. Plication was done to repaired the symptom. But unfortunately this was not succeded because there was complication of postoperative treatment.
A 44-DAY OLD MALE INFANT WITH THORACOABDOMINAL ECTOPIA CORDIS OF PENTALOGY CANTRELL’S SYNDROME Yuliantini, Tri; Gunawijaya, Eka; Putu Yasa, Ketut
Medicina Vol 44 No 1 (2013): Januari 2013
Publisher : Medicina

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Abstract

Ectopia cordis is a rare and impressive congenital abnormality, occurring in 5.5 to 7.9 per 1 million live births. The defect is characterized by partial or complete displacement of the heart out of the thoracic cavity. This defect require a staged procedure to achieve a complete repair. We reported a 44-day-old male infant presented with symptoms of tachypnea and mild cyanosis since birth. On physical examination, the child looked lethargic with a weak cry. The midline defect extended from the lower margin of the neck to the umbilicus. The sternum was completely bifid, with an inter-ridge distance of 6 cm, through which the heart was protruded for 4-5 cm and the apex pointed anteriorly. The first and second heart sounds were normal with ejection holosystolic murmur. The diagnosis was ectopia cordis. A two dimensional echocardiography showed complete atrioventricular septal defect, which was known as a group of cyanotic congenital heart defect. The infant was referred subsequently to the neonatal intensive care unit with the ventilator support. Historically, the prognosis of this condition is poor. Our patient died before surgery being performed.
WOUND HEALING IN DIABETIC ULCER Putra Pramana, Ida Bagus; Yasa, Ketut Putu
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Abstract

The mechanism of wound healing is a complex mechanism and involves a variety of cells. Injury is defined as a disruption of normal structure and function. Various types of growth factors and cytokines such as platelet derived growth factor and transforming growth factor beta involved in the mechanism of wound healing. There are four phases of wound healing mechanisms : hemostasis, inflammatory, proliferative, and remodeling. Diabetic ulcers is one major complication, occurring in 15% of patients with diabetes mellitus (DM) and as much as 84% of patients with diabetic ulcers require amputation action. In DM patients there is a failure in normal wound healing mechanisms. Various histopathological studies showed elongation phase of inflammation in patients with diabetes mellitus, thus inhibiting the formation of granulation tissue. Increased blood sugar levels will lower the expressin of perlecan, increased advanced glycation endproducts, decreased the formation of nitric oxide (by ± 67%), changes in the structure and function of fibroblasts and increased activity of matrix metalolproteinases, it will cause distruption of the normal wound healing mechanisms. (MEDICINA 2012;43:49-53).
MITRAL VALVE REPLACEMENT AT 11 YEARS OLD GIRL WITH RHEUMATIC MITRAL STENOSIS Malik, Suryani; Gunawijaya, Eka; Yasa, Ketut Putu
Medicina Vol 45 No 2 (2014): Mei 2014
Publisher : Medicina

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Abstract

Rheumatic heart disease (RHD) is the permanent heart valve damage resulting from one or more attacks of acute rheumatic fever (ARF), representing the permanent lesions of the cardiac valve. Rheumatic heart disease’s patient with valvar involvement usually require long term follow-up. The ultimate decision of clinical management or invasive therapy is made on an individual basis. We reported a 11-year-old girl with RHD and severe mitral stenosis whom underwent   mitral valve replacement with mechanical valve. Postoperative echocardiogram showed no mitral regurgitation and we gave anticoagulant to maintain INR of 3-4 by giving warfarin 2mg / kg each day for lifelong to prevent bleeding and thrombosis. [MEDICINA 2014;45:120-6]    
Co-Authors Ade Sinyo Aristantrisna Adhitya Ginting Anak Agung Gede Agung Budhi Kesuma Aria, Anselmus Danus Aslesa Wangpathi Pagehgiri Dea Emmanuel Dillon, Jeffrey Jeswant Eka Gunawijaya Fernandi, Ryan Gede Budhitresna, Anak Agung Gede Wirya Kusuma Duarsa Golden, I Nyoman Harta, I Komang Adhi Parama I Gde Raka Widiana I Gusti Ayu Putu Eka Pratiwi I Ketut Widiana I Nyoman Semadi I Wayan Sudarma Ida Bagus Putra Manuaba Ida Bagus Putra Pramana Ida Bagus Subanada Ida Bagus Yudharma Indraharsanae Indraharsana, Ida Bagus Yudharma Kadek Yudi Fajar Mahendra Katritama, Arinda Agung Mahayasa, I Made Maranatha, Maranatha Negoro, Sri Pramesthi Wisnu Bowo Ni Putu Siadi Purniti Nyoman Maharmaya Pertiwi, Putu Febry Krisna Puruhito, Ito Putra2, I Gusti Agung Made Adnyanya Satrio Ryandi Sembiring, Yan Efrata Soebroto, Heroe Sri Maliawan Sudartana, I Ketut Sueta, Made Agus Dwianthara Suryani Malik, Suryani Tidja, Yonatan Esli Alexander Tri Yuliantini Wibawa, I Gusti Agung Bagus Krisna Winarno, Dhihintia Jiwangga Suta Yutina Himawan