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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School Sumatera Medical Journal Jurnal Syntax Fusion : Jurnal Nasional Indonesia
Iman Helmi Effendi
Universitas Sumatera Utara
Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Social Sciences

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Journal : Majalah Kedokteran Nusantara The Journal Of Medical School

 1 
Residu Urine Pasca Total Vaginal Histerektomi setelah Pemberian Misoprostol di RSUP H. Adam Malik Medan Djaganata, Servin Pandu; Ardiansyah, Edy; Tala, M. Rhiza Z; Sihite, Herbert; Siregar, Henry Salim; Effendi, Iman Helmi
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 3 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction One of the late complications of total vaginal hysterectomy (TVH) commonly involves urinary tract, i.e urinary retention (21-87%). Treatment with misoprostol can prevent the occurrence of urinary retention.Methods This study was a retrospective descriptive study using secondary data from 5-year-(January 2010-December 2014) medical records at Adam Malik Hospital in patients that underwent TVH. Samples were collected by total sampling. Data were analysed using univariate and ANOVA bivariate analysis. The p-value was considered significant if p<0.05 with a confidence interval of 95%.Results A total of 66 patients underwent TVH with mean post voiding urine volume 30.71 ± 6.78 mL. Based on the age, one person, 6, and 59 people were alloted into the following groups: 30- 39 (1.51%), 40- 49 (9.09%), and ≥50 years old (89.39%), respectively. Each group showed no significant difference in post voiding urine volume (20 ml; 27.8 ± 6.58 ml; 31.18 ± 6.69 ml, sequentially). The mean residual urine obtained increased along with parity, but showed no significant difference (p> 0.05).Conclusion: In this study, urinary retention was not present in patients going for TVH treated misoprostol. There is no significant difference in mean post voiding urine volume by age and parity group.Keywords : Total Vaginal Hysterectomy (TVH); residual urine; misoprostol
Perbedaan fungsi seksual pada wanita pasca persalinan spontan dengan seksio sesaria dengan menggunakan Female Sexual Function Index (FSFI) di Rumah Sakit Umum Pusat H. Adam Malik dan rumah sakit jejaring Fakultas Kedokteran Universitas Sumatera Utara Meda Arvitamuriany Triyanthi Lubis; M. Rhiza Z Tala; Edy Ardiansyah; Henry Salim Siregar; Iman Helmi Effendi; David Luther
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 48, No 1 (2015): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract Pendahuluan : Disfungsi seksual perempuan didefinisikan sebagai gangguan fungsi seksual yang melibatkan satu atau beberapa fase dalam siklus respon seksual, cara persalinan banyak dikaitkan dengan timbulnya disfungsi seksual di kemudian hari. Persalinan spontan akan menimbulkan resiko trauma jalan lahir lebih tinggi dibandingkan seksio sesaria demikian juga dengan risiko terjadinya disfungsi seksual.Mengetahui perbedaan fungsi seksual perempuan setelah melahirkan spontan dan paska seksio sesaria menggunakan skor FSFI. Metode : Penelitian ini adalah penelitian analitik dengan desain penelitian cross sectional study pada 90 wanita yang melahirkan spontan dan 90 wanita yang menjalani seksio sesariadi Departemen Obstetri dan Ginekologi RSUP H. Adam Malik Medan bulan Desember 2014 - April 2015. Disfungsi seksual dinilai dengan kuesioner FSFI yang diisi oleh responden. Ambang batas skor diambil 26,55. Data kemudian dianalisis secara statistik Hasil : Mayoritas subyek pasca persalinan spontan berasal dari kelompok 20-35 tahun yaitu sebanyak 72 sampel (80%). Hal ini juga sebanding pada sampel usia 20-35 tahun dengan riwayat seksio sesaria yaitu 79 sampel (87,8%).51 sampel (82,3%) pasca persalinan spontan memiliki total skor FSFI £26,55 .Sedangkan untuk pasien dengan riwayat seksio sesaria, terdapat 11 sampel (17,7%) dengan rerata total skor FSFI £26,55. Perbedaan antara pasien dengan riwayat pasca persalinan spontan dan seksio sesaria terhadap perbedaan rerata total skor FSFI memiliki nilai p=0,007. Kesimpulan :Terdapat perbedaan yang bermakna secara statistik rerata skor FSFI antara kelompok persalinan spontan dan kelompok seksio sesaria Kata kunci : Fungsi seksual; Persalinan spontan, Seksio sesaria  Abstrak Introduction:f emale sexual dysfunction is defined as sexual dysfunction involving one or several phases of the sexual response cycle, method of delivery is associated with the onset of sexual dysfunction later in life. Vaginal delivery will create higher risk of birth route trauma than cesarean section as well as higher incidence of sexual dysfunction. Objective:To determine the differences in female sexual function of post vaginal delivery women and post cesarean section women usingFemale Sexual Function Index (FSFI) Methods:This is an analytic study with cross sectional design on 90 women who had vaginal delivery and 90 women who had Caesarean section at the Department of Obstetrics and Gynecology Adam Malik General Hospital, Medan from Desember 2014 to April 2015. Sexual dysfunction was assessed using FSFI questionnaires. Threshold scores used is 26.55. The obtained data was then analyzed statistically. Results:Majority of subjects from post vaginal delivery group were from the age group of 20-35 years old with 72 subjects (80%). Similarly, the majority of subjects from cesarean section group were from the age group of 20-35 years old with 79 subjects (87,8%). Based on total score of FSFI, majority of subjects from post vaginal delivery group were with total score of £26,55 . While only 11 subjects (17,7%) from post cesarean group were with total score of •'3d 26,55. Statistical analysis showed that there is a significant difference in mean total score of FSFI between post vaginal delivery group and post cesarean group with  p=0,007. Conclusion: There is a statistically significant difference in sexual function assessed with FSFI between post vaginal delivery women and post cesarean section women. Keywords : Sexual function; vaginal delivery; Cesarean section
Analisa kasus kista ovarium di Rumah Sakit Umum Pusat (RSUP) Haji Adam Malik Medan periode I Januari 2010 - 31 Desember 2012 Dona Wirniaty; M. Fidel G Siregar; Rushakim Lubis; Henry Salim Siregar; Iman Helmi Effendi; Johny Marpaung
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 48, No 1 (2015): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Ovarían cysts are cystic neoplasms derived from ovarian tissue, can be benign or malignant. Characteristics ofovarian cysts is importantto be known, such as body mass index and risk ofmaligriancy index. Not only to be able to assess risk factors but also early detection prompt treatment to prevent progression to ovarian cancer.Methods : This is a descriptive study, conducted in Department of Obstetrics and Gynecology Hospital, Adam Malik Medan Medical records from all patients who will undergo elective surgery for ovarian cysts from January Pt 2010 to December 31th 2012 was collected. Data was analyzed descriptively and analytically with chi square by level of significance in this study was p<O.05.Results : There were 327 patients with ovarian cyst undergoing elective surgery in H. Adam Malik Hospital from January 2010  to December 201 2 but only I 99 were included in the study. Majority of patients with malignant ovarian cysts aged 51 years old (38.9%), number of pañty 2-5 (41 .7%), menarche at 1 3-16 years old (72.2%), BMI normoweight (44, 4%), levels of CA 125> 35 U/ml (95.8%), and the RMI > 250 (88.9%). Majority of patients with benign ovarian cysts aged 31-40 year olds (28.3%), parity 2-5 (46.5%), menarche at 13-16 years old (85.4%), BMI obese (44.9%), CA 125 levels similar, and RML 250 (63.8%).  The most common ovarian cyst is malignant adenocarcinoma (72 patients, 36.2%). This study showed that BMI (p=O.OO8) and RMI (jsO.OO1 ) are associated with ovarian cyst. Conclusion: This study showed that there is association of body mass index and risk of malignancy index with ovarian cysts.  Need further research with larger population samples. Keywords : Ovarían cysts; Body Mass Index; Risk of Malignancy index
Co-Authors Ardiansyah, Edy Arvitamuriany Triyanthi Lubis David Luther Djaganata, Servin Pandu Dona Wirniaty Dwi Putri, Savira Edy Ardiansyah Henry Salim Siregar I. Hamidi Johny Marpaung M. Fidel G Siregar M. Rhiza Z Tala Marpaung, Johny Rushakim Lubis S. A. Nasution Sarah Dina Sihite, Herbert Siregar, Henry Salim Sukatendel, Khairani Tala, M. Rhiza Z Yulfi, Hemma