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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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Efficacy, Safety, and Clinical Outcomes of Splenorenal Shunt Surgery as a Therapeutic Intervention for Portal Hypertension Patients Sembiring, Yan Efrata; Soebroto, Heroe; Puruhito, Ito; Winarno, Dhihintia Jiwangga Suta; Putra2, I Gusti Agung Made Adnyanya; Negoro, Sri Pramesthi Wisnu Bowo; Yasa, Ketut Putu; Dillon, Jeffrey Jeswant
Folia Medica Indonesiana Vol. 59, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. This study systematically reviewed the efficacy, clinical outcomes, and safety of the splenorenal shunt procedure with a comprehensive and meticulous approach. 2. The splenorenal shunt procedure is an innovative surgical intervention that offers a viable option for the management of portal hypertension. Abstract Portal hypertension is the second most common gastrointestinal bleeding in cirrhosis and non-cirrhosis patients. The splenorenal shunt surgery is a potential intervention that may be considered for portal hypertension patients with clinical symptoms such as upper gastrointestinal bleeding caused by the rupture of gastro-esophageal varices. In this study, the researchers aimed to analyze the efficacy, clinical outcomes, and safety of splenorenal shunt surgery in portal hypertension patients. The sources were obtained from electronic search databases, including PubMed, Google Scholar, and ScienceDirect, using the keywords "Efficacy," "Safety," and "Clinical Outcomes." in relation to splenorenal shunt surgery in portal hypertension patients. The researchers set specific criteria for inclusion and exclusion to select the articles. This systematic review revealed the efficacy of the splenorenal shunt procedure with favorable outcomes. The success rate of splenorenal shunt surgery in reducing the clinical symptoms of portal hypertension varied between 66% and 100%. The prevailing complications observed in this study were shunt thrombosis, rebleeding, and thrombocytopenia. However, notable improvements could be achieved with general treatment. In terms of short- and long-term clinical outcomes, the splenorenal shunt procedure demonstrated favorable results. It can be concluded that splenorenal shunt surgery provides excellent clinical outcomes and should be considered a viable treatment option for patients with both cirrhotic and non-cirrhotic portal hypertension.
SUCCESSFUL INTERNAL RIB FIXATION USING SHAPP PLATE IN ADULT WOMEN WITH RIB FRACTURE AND CHRONIC PAIN: A CASE REPORT Indraharsana, Ida Bagus Yudharma; Yasa, Ketut Putu
Jurnal Mutiara Kesehatan Masyarakat Vol 10 No 2 (2025): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v10i2.6567

Abstract

Rib fractures are common injuries occur 10% of all traumatically injured patients. Initial management involves adequate analgesia, thoracostomy drainage if indicated, and respiratory care. Surgical rib stabilization become increasingly important but still no international clear consensus on indication is available regarding indications and patient selection. No method and/or technique was found to be superior compared to others. The aim of this study is to describe outcome of internal rib fixation using SHAPP plate. We report a 52-year-old woman, came to emergency room (ER) after motorbike accident, right chest hit handlebar. Presented with bad right chest pain and pain when inhale, VAS 7. Chest radiograph revealed fracture right posterior rib 8,9,10 medial. Chest CT showed linier fracture non displaced of right posterior rib 7. Initial treatment consists of pain management. Patient discharged after three days. Follow up at two weeks, patient still felt right chest pain when inhale and during activities with VAS 6. Second CT revealed not found fracture of right posterior rib 6-7. Patient planned to undergo internal rib fixation. Indication of surgery is prolonged and worsened pain. Internal rib fixation used SHAPP plate. Patient clinical condition significantly improved post operative with length of stay 4 days. Follow up at one month after surgery, confirmed a full return to daily activities without pain. This study reported that rib fracture treated through internal rib fixation, allows rapid recovery as well as eradicating chronic pain causes by rib fracture its self.
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