Garuda - Garba Rujukan Digital

Clto open heart as operative treatment of foreign body In the left ventricle removal M. Rosadi Seswandhana, M. Rosadi Seswandhana
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 35, No 2 (2003)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Foreign body in the left ventricle is rare and it is associated most commonly with significant trauma. The diagnosis of a foreign body in the left ventricle can be difficult. One must distinguish between foreign matter in the cardiac chamber or free-floating in the mediastinum. Our case was male, 38 years old. He presented not only with typical complaints of chest pain and dyspnea, but also with the complaint of a "foreign body" in the right of his chest after a work accident. Physical examination and serial chest X-rays on the earlier survey showed right hemothorax and foreign body appearance on the back wall of the heart. Insertion of chest tube with water sealed drainage was done as a primary treatment. On the echocardiography and fluoroscopy examination, we found foreign body appearance in the left ventricle. To prevent myocarditis, either sterile or non-sterile, with potential for other significant complications, removal of an intraventricle foreign body is always indicated. Cito open heart with heart-lung machine was performed to extract the foreign body. There was no complication after 7 month evaluation.Key words: Foreign body removal - In the left ventricle - Work accident - Cito open heart

Micro-vascular surgery in fingertip injury treatment: Case report Chaula Sukasah, Rosadi Seswandhana Teddy OH Prasetyono
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 43, No 02 (2011)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.725 KB)

A high priority for fingertip injury reconstruction is the restoration of skin cover to protect underlying bone, tendon,and nerve structures. Other priorities are to maintain or maximize sensibility, preserve digit length, and minimizecosmetic deformity. Because it is so highly visible, though, the appearance of the reconstructed digit should be asnormal as possible. Therefore, microvascular surgery has an important role in management of fingertip injuries togive a normal shape of the digit. In this case, a clinical experience using microvascular surgery in the treatment offingertip injury was reported. In early 2007, there were two fingertip injury cases which were reconstructed usingmicrovascular surgery modality. The first case was a 34 years old male who had defect in soft tissue of the fourthfinger in his right hand caused by pressed machine. We performed elective wound reconstruction by transferring theskin and soft tissue freely (free pulp transfer) along with the vasculatures taken from fibular side of great toe in theright foot. Revascularization was performed by connecting deep plantar artery/vein with common digital artery/veinat the injured digit. The second case, was a 29 years old female with clean-cut amputation of the distal part of thethird finger in the right hand (Allenâs type IV). We performed replantation in the first 16 hours after injury. Wereanastomosed the ulnar side of digital artery only without vein and nerve reanastomosis. To avoid the distal edema,we did not perform any skin suture and let the oozing from the vein backflow. In both cases, we have excellentappearance result, moderate usefulness of the finger, but still poor in sensibility.Key words: clinical experiences - fingertip injury - soft tissue defect - clean cut amputation - microvascular surgery- free pulp transfer - replantation.

Surgical Management of Giant Congenital Hairy Nevi Without Skin Graft or Other Methods of Closure Sukasah, Chaula L; Supit, Laureen
Jurnal Plastik Rekonstruksi Vol. 1 No. 2 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Congenital hairy nevus refers to pigmented skin lesion presents at birth. Giant hairy nevus (GHN) is disfiguring and carries a great emotional distress on the patient and family. It also imposes a higher risk for developing malignant melanomas and other tumors. The management of GHN depends on the lesions’ size, location and its propensity to become malignant. When surgery is indicated, the simplest approach is a staged serial excisions. The longstanding challenge is in reconstructing the raw surface defect, especially if large. A case of congenital GHN on the trunk, abdomen and bilateral upper thighs was presented and the data was taken from the medical record from the Plastic and Reconstructive Surgery Division of Cipto Mangunkusumo Hospital. Patient was managed surgically with a technique similar to dermabrasion, by scalpel instead of dermabrator, to peel the skin in partial-thickness. In each surgery, not more than 10% of the total body surface area was excised and left to heal secondarily. Compression was used to reduce risk of hypertrophic scar formation. Subsequent operation was ideally 3 weeks apart, to allow for the excised surface to epithelialize and the body to return to homeostasis. Although visible, the patient’s family prefer the resulting scar than the initial lesion, because the skin is lighter, hairless, and less frightening. At two-years follow up, the patient still refuse further operation due to economical and social issues.

The Simplest Modified Vacuum Assisted Closure to Treat Chronic Wound : Serial Case Report Mahandaru, Danu; Seswandhana, Rosadi
Jurnal Plastik Rekonstruksi Vol. 1 No. 2 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Among the current adjunctive treatment modalities available for the treatment of chronic wounds, vacuum-assisted closure therapy showed promising results. However, the VAC Therapy system is expensive, requires extensive amounts of product and needs a power source at all times. In this article, the authors introduce and review their experience with simplest modified vacuum assisted closure (smVAC) for treatment of chronic wound. Three patients with chronic wound came to the plastic surgery division at Sardjito hospital in early 2010 and were treated using simplest modified vacuum assisted closure (smVAC). After the wound bed was ready, split thickness skin graft (STSG) were performed to close the wound and smVAC was used to assist the graft placement. All patients underwent successful healing and reported satisfaction with their results. There were no side effects from using this device, such as maceration, necrosis and bleeding. Through the serial cases, the smVAC had shown to serve its function in providing adequate vacuum pressure for wounds. It is an alternative to the original vacuum assisted closure.

Synechia of Major Labia and It’s Operative Technique: A Case Report Samiadji, Muhammad; Pudjisriyani, Pudjisriyani; Swantari, Ni Made; Sukasah, Chaula L.
Jurnal Plastik Rekonstruksi Vol. 1 No. 2 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Labial synechia (labial fusion or labial adhesion) is a clinical entity rarely seen in adults. Labial synechia are usually caused by a combination of local inflammation, chronic infection and estrogen deficiency. This condition is not life threatening, but severe cases usually result in urinary problems.Methods: A case report based on the medical and surgical records was done. We found one case of labial synechia on a 65 years old female which was referred to plastic and reconstructive surgery department from the Gynecology department.Results: The reconstructive surgery was performed with two stage. Local anaestethic adhesiolysis as the first treatment then continued with general anesthesia reconstruction using both labial advancement flap to close the mucous defect. Patient was stay in the hospital in 5 days, and the flap to reconstruct the labia was vital.Conclusion: Multifactorial causes such as chronic infection, chronic inflammation, poor hygiene and history of systemic disease can be the etiology. Surgical approach is the best choice for this case because the synechia causes urinary problems.

Penile Reconstruction of Congenital Urogenital Malformation: Penile Duplication, Bifid Scrotum, Symphisiolysis, and Remnant Urachus Harsono, Anastasia Dessy; Budiman, Budiman; Sukasah, Chaula Luthfia
Jurnal Plastik Rekonstruksi Vol. 1 No. 3 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: This report describes the penile reconstruction of a congenital urogenital malformation.Patient and Method: A 12 year-old boy came to our hospital with ‘penile duplication’, bifid scrotum, symphisiolysis, and remnant urachus. The procedures were done by the urologist, pediatric surgeon, and plastic surgeon. Urethral evaluation done by the urologist determined which penis was tenable, pediatric surgeon then excised the remnant urachus, and we performed urethroplasty onto the chosen urethra. The medial side of the penis was deepithelialized and both penis were put within one skin covering.Results: Patient was able to control micturition, and has normal erectile function. In the future, we plan to do further reconstruction of the pubic symphisiolysis at pubertal age.Summary: Surgery was performed by a team dedicated to their specialties. There is no single standard procedure for urogenital malformation, and we must emphasize the functional and aesthetic results in reconstruction surgery. It is important to master the basic principles of plastic surgery.

Modalities to Treat Penile Glans Amputation: Case Series Sukasah, Chaula L.; Atmodiwirjo, Parintosa; Anindhawati, Nur
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: In Indonesia, a country with Muslim population as a majority, circumcision is the most common operation performed in males. However, since circumcisions are also commonly performed by inexperienced individuals and during communal circumcision event, we frequently come across complications. One of the most severe complications is amputation of the penile glans. There are several techniques that can be used to treat this complication. In this paper we present some which have been used in our division and the result. Patient and Methods: We report three cases of traumatic penile glans amputation as a complication of circumcision that has been admitted to Cipto Mangunkusumo Hospital during January 2011 – January 2012. In first case we performed full thickness skin graft, in the second one we performed groin flap, and scrotal flap to reconstruct the third case. We evaluate the result for several months. Results: The three techniques showed no complication, good result in function and also aesthetically acceptable for patient and the family. Choice of technique that has been used to repair the amputated penis depended on the patient condition, and surgeon’s choice.Summary: The three techniques each has advantages and disadvantages, but all of them are acceptable, functionally and aesthetically.

Perigenital Defect Reconstruction Post Giant Condyloma Acuminata Resection: Experience With The Double Keystone Flap Suhartadi, Bayu; Supit, Laureen; Sukasah, Chaula
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Abstract: Due to its high recurrence, genital condyloma acuminata should be widely excised to include the full dermal thickness. Currettage is not advisable, as the rate of recurrence is high. The bigger the lession, the bigger donor area needed to close the defect. The reconstructive options do not merely depend on the defect area, but also on selecting a tissue donor of similar color, thickness, sensation and durability. The ease of donor transfer is equally important. Not many case of giant genital condyloma acuminata wide excision and reconstruction has been reported. For coverage of larger soft tissue defect, skin graft is the most common option; however durability is of concern and the perigenital area is a challenging area to graft. Two cases of perigenital reconstruction after giant genital condyloma excision is reported in this paper, using random perforator based flaps, the double keystone flap. Patient and Method: Both cases of giant genital condyloma underwent wide excision by the urologist and referred to our division for reconstruction. Both patients are male, and the defects were reconstructed using the double keystone flap. One patient needed a split thickness skin graft to cover remaining defect on the penile shaft. Result: In both cases, the double keystone flap successfully covered for the defects on the perigenital with tissue quality similar to its original characteristics. No complication ensued. All flaps were vital, no dehisence nor local infection occurred. Summary: The double keystone flap is a reliable option for the reconstruction of large defects on the perigenital region.

Sidik-Chaula Urethroplasty and the Manset Flap for Non-Glanular Hypospadias Repair Sukasah, Chaula L; Supit, Laureen
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Hypospadias present with a wide array of meatal position and curvature. Choosing an operative technique for the different types of hypospadias has been challenging and controversial among the plastic, urologic, and pediatric surgeons. Regardless of the selected techniques, primary hypospadias repair still frequently results in complications requiring further surgery, such as fistula, residual chordee, and stricture. Owing to its practicality, the single stage urethroplasties are more-popular and widely used at present. However, our experience found higher rates of postoperative complications with the one-stage procedure compared to the two-stage for repair of non-glanular hypospadia. This article details the operative techniques of the two-stage Sidik-Chaula urethroplasty, a technique that we have implemented in our institution over two decades. It is applicable for the primary repair of any distal, middle, and proximal hypospadias. We also introduce the Manset Flap, a simple modification to the first stage of urethroplasty, which ease neourethra creation in the second stage. However, due to prior insufficient medical recordkeeping, we are yet unable to produce a quantified rate of success and complications by utilizing this technique. A study is currently being done to produce the numbers.

Breast reconstruction with autologous tissue following mastectomy: two case reports of a delayed conventional transverse rectus abdominismyocutaneous (TRAM) and latissimus dorsi myocutaneous (LDM) flap surgery Seswandhana, Rosadi; Wicaksana, Aditya; Wahdini, Siti Isya; Dachlan, Ishandono
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Breast cancer is the most common malignant tumor and the leading cause of death among females. Most women with breast cancer will undergo breast-conserving surgery (BCS) or lumpectomy, simple or total mastectomy, modified radical mastectomy or bilateral mastectomy. Breast reconstruction solves many of the problems. The goal is to return the patient to a near-normal state so that she is not handicapped in her daily living. Breast reconstruction is also intended to offer psychological benefits to women treated by mastectomy following a diagnosis of possibly terminal cancer. In these case reports, we reported two successful cosmetic reconstruction cases. The first case was a 39-years-old female with non-recurrent breast cancer consulted and was referred by the oncology surgeon to the Plastic Reconstructive, and Aesthetic Surgery Division, Department of Surgery, Dr. Sardjito General Hospital. She wanted to undergo breast reconstruction. We planned to operate three years following mastectomy. She was diagnosed with 3B-stage of right breast cancer before. After the surgery, the patient received six series of chemotherapy. She also underwent radiotherapy 25 times and hormonal therapy. We decided to perform a transverse rectus abdominis myocutaneous (TRAM) flap surgery on her with 22 months follow up. The procedure provided good results, and the patient was satisfied. The second case was a 32-year-old woman who after excision of a phyllodes tumor and wanted breast reconstruction. Reconstruction was performed four years after tumor removal using latissimus dorsi myocutaneous (LDM) flap. The surgery provided good results, and the patient was satisfied. We reported two successful cosmetic reconstruction cases of non-recurrent 3B-stage of right breast cancer post-mastectomy after pedicled TRAM flap surgery and left breast post excision of phyllodes tumor after LDM flap surgery.

Title

Found 13 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 13 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 13 Documents
Search