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Ari Oktavenra
Staf Pengajar Divisi Bedah Onkologi Fakultas Kedokteran Universitas Andalas, Rumah Sakit Dr. M. Djamil Padang, Indonesia
Health Professions Medicine & Pharmacology Public Health

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Rekonstruksi Pectoralis Major Myocutaneuos Flap untuk Defek Operasi Kanker Tiroid Oktahermoniza .; Heldrian Dwinanda Suyuthie; Ari Oktavenra; Sondang Nora; Daan Khambri; Wirsma Arif Harahap; Rony Rustam; Azamris .
Cermin Dunia Kedokteran Vol 49, No 1 (2022): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i1.1645

Abstract

Latar Belakang: Pembedahan kanker daerah kepala dan leher umumnya menimbulkan defek luas dan biasanya memerlukan flap. Meskipun free flap saat ini merupakan gold standard untuk rekonstruksi daerah kepala leher, pectoralis major myocutaneous flap (PMMC) masih digunakan. Kasus: Perempuan usia 47 tahun, dengan kanker tiroid papiler T4aN0M0 dengan ulserasi di kulit leher, menjalani tiroidektomi total dan defek operasi direkonstruksi dengan pectoralis major myocutaneous flap. Hasil rekonstruksi dapat diterima secara fungsional dan estetik. Tidak ada komplikasi hematom ataupun abses post operasi. Simpulan: Pectoralis major myocutaneous flap masih merupakan salah satu metode utama untuk rekonstruksi operasi kepala leher dan dapat diterima secara fungsional dan estetik jika free flap tidak dapat dilakukan. Background: Surgery for head and neck cancer generally leaves a wide defect that usually needed a flap. Although free flap is currently the gold standard for reconstruction of the head and neck, the pectoralis major myocutaneous flap is still popularly used. Case: A 47-year old female with thyroid carcinoma, underwent total thyroidectomy and the surgical defect was reconstructed with pectoralis major myocutaneous flap. The results were viable, functional, and aesthetically acceptable. No postoperative complications such as hematoma or abscess observed. Conclusion: Pectoralis major myocutaneous flap was still one of the main methods for head and neck reconstruction surgery. 
Rekonstruksi Pectoralis Major Myocutaneuos Flap untuk Defek Operasi Kanker Tiroid Oktahermoniza; Heldrian Dwinanda Suyuthie; Ari Oktavenra; Sondang Nora; Daan Khambri; Wirsma Arif Harahap; Rony Rustam; Azamris
Cermin Dunia Kedokteran Vol 49 No 1 (2022): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i1.189

Abstract

Latar Belakang: Pembedahan kanker daerah kepala dan leher umumnya menimbulkan defek luas dan biasanya memerlukan flap. Meskipun free flap saat ini merupakan gold standard untuk rekonstruksi daerah kepala leher, pectoralis major myocutaneous flap (PMMC) masih digunakan. Kasus: Perempuan usia 47 tahun, dengan kanker tiroid papiler T4aN0M0 dengan ulserasi di kulit leher, menjalani tiroidektomi total dan defek operasi direkonstruksi dengan pectoralis major myocutaneous flap. Hasil rekonstruksi dapat diterima secara fungsional dan estetik. Tidak ada komplikasi hematom ataupun abses post operasi. Simpulan: Pectoralis major myocutaneous flap masih merupakan salah satu metode utama untuk rekonstruksi operasi kepala leher dan dapat diterima secara fungsional dan estetik jika free flap tidak dapat dilakukan. Background: Surgery for head and neck cancer generally leaves a wide defect that usually needed a flap. Although free flap is currently the gold standard for reconstruction of the head and neck, the pectoralis major myocutaneous flap is still popularly used. Case: A 47-year old female with thyroid carcinoma, underwent total thyroidectomy and the surgical defect was reconstructed with pectoralis major myocutaneous flap. The results were viable, functional, and aesthetically acceptable. No postoperative complications such as hematoma or abscess observed. Conclusion: Pectoralis major myocutaneous flap was still one of the main methods for head and neck reconstruction surgery.
Diseksi Kelenjar Inguinal pada Keganasan: Kasus Serial Ari Oktavenra; Daan Khambri; Yopiq Triputra
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.1002

Abstract

Latar Belakang: Keganasan pada ekstremitas bawah, kulit penis, vulva/vagina, dan anus berisiko mengalami metastasis KGB inguinal. Diseksi KGB inguinal dapat memberikan hasil disease-free and overall survival yang baik. Tujuan: Melihat hasil pasca-operasi diseksi KGB inguinal pada kasus serial. Cara: Diseksi KGB inguinal dilakukan pada kasus melanoma maligna TxN2bM0, melanoma maligna TxN1M0, dan cutaneous apocrine carcinoma et phenoscrotal T3N1M0. Diskusi: Diseksi KGB inguinal pada kasus keganasan bermetastasis dari ekstremitas bawah, kulit penis, vulva/vagina, dan anus, memberikan hasil disease-free and overall survival yang baik, namun dengan komplikasi pasca-operasi berkurangnya kualitas hidup.   Introduction: Malignancy in lower extremities, penis skin, vulva/vagina, and anus may spread to inguinal lymph node. Inguinal lymph node dissection can provide good disease-free and overall survival results. Objective: To review postoperative results of inguinal lymph node dissection (ILND) in case series. Method: Inguinal lymph node dissection was done in cases of malignant melanoma TxN2bM0, malignant melanoma TxN1M0, and cutaneous apocrine carcinoma er phenoscrotal T3N1M0. Discussion: ILND can improve disease-free and overall survival results in malignancies cases from lower extremities, skin of the penis, vulva/vagina, and anus with metastases, albeit with postoperative complications that can decrease the quality of life.
Rekonstruksi Pectoralis Major Myocutaneuos Flap untuk Defek Operasi Kanker Tiroid Oktahermoniza; Heldrian Dwinanda Suyuthie; Ari Oktavenra; Sondang Nora; Daan Khambri; Wirsma Arif Harahap; Rony Rustam; Azamris
Cermin Dunia Kedokteran Vol 49 No 1 (2022): Bedah
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i1.189

Abstract

Latar Belakang: Pembedahan kanker daerah kepala dan leher umumnya menimbulkan defek luas dan biasanya memerlukan flap. Meskipun free flap saat ini merupakan gold standard untuk rekonstruksi daerah kepala leher, pectoralis major myocutaneous flap (PMMC) masih digunakan. Kasus: Perempuan usia 47 tahun, dengan kanker tiroid papiler T4aN0M0 dengan ulserasi di kulit leher, menjalani tiroidektomi total dan defek operasi direkonstruksi dengan pectoralis major myocutaneous flap. Hasil rekonstruksi dapat diterima secara fungsional dan estetik. Tidak ada komplikasi hematom ataupun abses post operasi. Simpulan: Pectoralis major myocutaneous flap masih merupakan salah satu metode utama untuk rekonstruksi operasi kepala leher dan dapat diterima secara fungsional dan estetik jika free flap tidak dapat dilakukan. Background: Surgery for head and neck cancer generally leaves a wide defect that usually needed a flap. Although free flap is currently the gold standard for reconstruction of the head and neck, the pectoralis major myocutaneous flap is still popularly used. Case: A 47-year old female with thyroid carcinoma, underwent total thyroidectomy and the surgical defect was reconstructed with pectoralis major myocutaneous flap. The results were viable, functional, and aesthetically acceptable. No postoperative complications such as hematoma or abscess observed. Conclusion: Pectoralis major myocutaneous flap was still one of the main methods for head and neck reconstruction surgery.
Diseksi Kelenjar Inguinal pada Keganasan: Kasus Serial Ari Oktavenra; Daan Khambri; Yopiq Triputra
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.1002

Abstract

Latar Belakang: Keganasan pada ekstremitas bawah, kulit penis, vulva/vagina, dan anus berisiko mengalami metastasis KGB inguinal. Diseksi KGB inguinal dapat memberikan hasil disease-free and overall survival yang baik. Tujuan: Melihat hasil pasca-operasi diseksi KGB inguinal pada kasus serial. Cara: Diseksi KGB inguinal dilakukan pada kasus melanoma maligna TxN2bM0, melanoma maligna TxN1M0, dan cutaneous apocrine carcinoma et phenoscrotal T3N1M0. Diskusi: Diseksi KGB inguinal pada kasus keganasan bermetastasis dari ekstremitas bawah, kulit penis, vulva/vagina, dan anus, memberikan hasil disease-free and overall survival yang baik, namun dengan komplikasi pasca-operasi berkurangnya kualitas hidup.   Introduction: Malignancy in lower extremities, penis skin, vulva/vagina, and anus may spread to inguinal lymph node. Inguinal lymph node dissection can provide good disease-free and overall survival results. Objective: To review postoperative results of inguinal lymph node dissection (ILND) in case series. Method: Inguinal lymph node dissection was done in cases of malignant melanoma TxN2bM0, malignant melanoma TxN1M0, and cutaneous apocrine carcinoma er phenoscrotal T3N1M0. Discussion: ILND can improve disease-free and overall survival results in malignancies cases from lower extremities, skin of the penis, vulva/vagina, and anus with metastases, albeit with postoperative complications that can decrease the quality of life.
Co-Authors Azamris Azamris Daan Khambri Oktahermoniza Oktahermoniza . Rony Rustam Sondang Nora Sondang Nora Suyuthie, Heldrian Dwinanda Wirsma Arif Harahap Yopiq Triputra