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All Journal JURNAL MERCATORIA Majalah Kedokteran Andalas Jurnal Plastik Rekonstruksi Ipso Jure
Tjipta, Arya
Surgery Department, Medical Faculty, Universitas Sumatera Utara, Medan, North Sumatera
Civil Engineering, Building, Construction & Architecture Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Other

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Facial Hemangioma Treated with Serial Intralesional Corticosteroid Injection: One Year Follow-up Tjipta, Arya; Najatullah, Najatullah
Jurnal Plastik Rekonstruksi Vol. 1 No. 3 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.544 KB) | DOI: 10.14228/jpr.v1i3.62

Abstract

Background: Hemangioma is the most common tumors of childhood, affecting 5 to 10 percent of infants. They have a predilection for the head and neck region. Although having a somewhat predictable natural history evidenced by periods of proliferation, plateau, and involution; the timing of these distinct stages, the presence of complications, and the response to therapy are best characterized as unpredictable. Corticosteroids have been a component of the medical treatment for hemangiomas for over a half century. Intralesional injections purportedly localize the steroid effect to the given lesion and minimize unwanted systemic actions.Patient and Method : We report six patients with facial hemangioma, who required intralesional corticosteroid injection therapy. The number of corticosteroid injections given varied from 2-5 times at an interval of three weeks. The dosage given was 3-5 mg/kg/injection.Results : In our six cases, we found a significant decrease in bulkiness. And in three of our cases, patients were able to open their eyes on their own.Summary :The intralesional corticosteroid therapy was proven to be effective in our case-series.
Hubungan Antara Rule of Ten Terhadap Kejadian Komplikasi Pasca Labioplasty Sukma Purnama Sidhi; Arya Tjipta Prananda; Ridwan Balatif
Majalah Kedokteran Andalas Vol 44, No 4 (2021): Online September 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v44.i4.p232-235.2021

Abstract

Objective: To determine the relationship between the use of the rule of ten on the occurrence of postoperative complications. Methods: This study is an analytic study with a cross-sectional design. Samples were taken from cleft lip patient medical records at Accuplast Hospital Medan from 2016 to 2018. The sample size was taken using the total sampling technique. Data taken in the form of gender, age, weight, hemoglobin levels and postoperative complications. The data that has been obtained is then analyzed using SPSS. Results: A total of 86 patients were included in this study. The majority of patients were male (55.8%), body weight above 4.5 kg (98.8%), patient age over 10 weeks (97.7%), and hemoglobin levels above 10 g/dL (96 ,5%). A total of 80 patients (93%) met the rule of ten criteria and 7 patients (8.1%) had postoperative complications. From the results of the Fischer exact test analysis, it was found that there was no significant relationship between the rule of ten and postoperative complications. Conclusion: In this study, there was no significant relationship between the rule of ten and the incidence of post-labioplasty complications
Pertanggungjawaban Hukum Bedah Plastik Estetik yang Merubah Fitur Wajah Tengku Keizerina Devi Azwar; Arya Tjipta Prananda; Eva Syahfitri Nasution; Putri Rumondang Siagian; Hilbertus Sumplisius M. Wau; Utary Maharany Barus
JURNAL MERCATORIA Vol. 16 No. 1 (2023): JURNAL MERCATORIA JUNI
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/mercatoria.v16i1.8433

Abstract

Artikel ini bertujuan untuk menganalisis pertanggungjawaban hukum dalam bedah plastik estetik yang mengubah fitur wajah, mengingat kemajuan teknologi alat kedokteran dan ketidakpuasan seseorang terhadap wajahnya yang diberikan oleh Tuhan Yang Maha Esa. Penelitian dilakukan dengan sudut pandang penerapan Undang-undang Nomor 36 Tahun 2009 tentang Kesehatan. Dokter yang melakukan pembedahan plastik sering kali melakukan kesalahan, baik sengaja maupun lalai hingga menimbulkan korban. Oleh karenanya, dokter tidak akan terlepas dari jeratan hukum maupun sanksi akibat tindakannya. Fokus masalahnya tentang pengaturan bedah plastik estetik di Indonesia dan tanggung jawab hukum dokter dalam melakukan bedah plastik estetik yang mengubah fitur wajah. Kajian ini menggunakan penelitian yuridis normatif dengan metode pendekatan perundang-undangan, teknik pengumpulan data melalui studi kepustakaan yang dianalisis secara kualitatif. Hasil kajian menyimpulkan bahwa hubungan antara dokter dan pasien terjadi karena adanya perjanjian timbal balik yang menimbulkan hak dan kewajiban. Dokter berjanji untuk merubah atau menyempurnakan bagian tertentu dari pasien pada bagian wajah, sedangkan pasien berjanji untuk membayar biaya pengobatan, perawatan, dan pembedahannya. Jika salah satu pihak tidak memenuhi atau melanggar perjanjian tersebut, maka pasien dapat menuntut dokter berdasarkan Pasal 1239 KUHPerdata. Selain itu, masing-masing pihak yang dirugikan dapat menuntut dengan gugatan berdasarkan wanprestasi.
Therapeutic Agreement Between Doctor and Patient: Juridical Analysis in Civil Law Aisyah Aisyah; Arya Tjipta Prananda; Guslihan Dasatjipta; Afrita Afrita
Ipso Jure Vol. 2 No. 5 (2025): Ipso Jure - June
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/8fnqed72

Abstract

The relationship between doctor and patient is not only ethical and professional, but also has a strong legal dimension, particularly in the form of therapeutic agreements. This agreement forms the basis for initiating medical proceedings and creates a binding legal relationship based on the principles of civil law. This study aims to analyze juridically the existence and validity of therapeutic agreements within the framework of civil law, examine the forms of legal liability arising from violations, and evaluate evidentiary instruments in medical disputes. The method used is normative legal research with a legislative approach, supported by an analysis of legal literature and jurisprudence studies. The results of the study show that although therapeutic agreements are often not stated in writing, their existence is still valid and binding if they meet the legal requirements of the agreement as stipulated in Article 1320 of the Civil Code. Informed consent serves as proof of the implementation of the agreement and as the basis for legal defense in disputes. Civil liability can be imposed both on doctors personally and hospitals as institutions through the doctrine of vicarious liability, and forms of compensation include material and immaterial losses. Dispute resolution through non-litigation channels such as mediation and the role of the Indonesian Medical Discipline Honorary Council (MKDKI) also have an important contribution in maintaining a balance between patient protection and medical professional accountability.
Co-Authors Afrita Afrita Aisyah Aisyah Azwar, Tengku Keizerina Devi Eva Syahfitri Nasution, Eva Syahfitri Guslihan Dasatjipta Hilbertus Sumplisius M. Wau Najatullah, Najatullah Putri Rumondang Siagian Ridwan Balatif Sukma Purnama Sidhi Utary Maharany Barus