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All Journal E-Jurnal Medika Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Plastik Rekonstruksi Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia The International Journal of Medical Science and Health Research

Agus Roy Rusly Hariantana Hamid

Division Of Plastic Reconstructive And Aesthetic Surgery, Department Of Surgery, Faculty Of Medicine Udayana University / Sanglah General Hospital Bali

Author-ID : 5475103

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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PROFILE PENDERITA LUKA BAKAR DI UNIT LUKA BAKAR RSUP SANGLAH DENPASAR (2013-2015) Pande Putu Esa Cesarani; Agus Roy Rusly Hariantana Hamid; I Gede Eka Wiratnaya
E-Jurnal Medika Udayana Vol 9 No 3 (2020): Vol 9 No 03(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Luka bakar merupakan penyebab kasus trauma berat dalam keadaan darurat perawatan kesehatan di dunia. 1 Penelitian ini bertujuan untuk mengetahui prevalensi penderita luka bakar tahun 2013 sampai tahun 2015 di RSUP Sanglah Denpasar. Data yang didapat dianalisa secara deskriptif cross-sectional. Penelitian telah dilaksanalan pada bulan Januari 2018 sampai dengan bulan Juli 2018 di Divisi Bedah Plastik RSUP Sanglah Denpasar. Data dikumpulkan dengan teknik total sampling dengan mengumpulkan data sekunder. Data yang dicari yaitu etiologi luka bakar, usia, jenis kelamin, derajat luka bakar, dan juga luas luka bakar. Hasil penelitian dianalisis menggunakan SPSS secara desktiptif untuk mengetahui presentase jumlah penderita luka bakar. Berdasarkan hasil pengumpulan data dari 57 sampel ditemukan usia yang sering mengalami luka bakar yakni usia 31-40 tahun (28,1%), sering dialami oleh perempuan (70,2%). Kejadian luka bakar sering diakibatkan oleh api (70,2%) dan derajat II (77,1%) paling sering dialami dengan luas luka tersering yakni kurang dari 20% (57,1%). Dapat disimpulkan bahwa api merupakan etiologi utama yang menyebabkan luka bakar. Derajat II dengan luas luka bakar kurang dari 20% lebih sering ditangani dan perempuan lebih rentan mengalami luka bakar. Rentang usia 31 sampai 40 tahun merupakan penderita terbanyak luka bakar di RSUP Sanglah tahun 2013 hingga 2015. Hasil penelitian ini diharapkan dapat membantu pembaca megetahui profil atau prevalensi penderita luka bakar di Bali tahun 2013-2015 yang diwakili sampel pasien di Divisi Bedah Plastik, RSUP Sanglah. Kata Kunci: Luka Bakar, usia, jenis kelamin, etiologi, derajat, luas luka

EPIDEMIOLOGI PENDERITA CELAH BIBIR DAN LANGIT- LANGIT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR TAHUN 2016-2019 Ni Kadek Pebri Kristiantini; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; I Made Suka Adnyana
E-Jurnal Medika Udayana Vol 10 No 12 (2021): Vol 10 No 12(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i12.P16

ABSTRAK Celah bibir dan langit- langit merupakan kelainan kongenital pada wajah, berupa celah bibir, gusi, dan langit-langit. Kelainan kongenital ini berdampak tidak baik bagi psikologis maupun psikososial pasien dan menjadi beban sosioekonomis tambahan akibat terganggunya estetik wajah, fonotik, mastikasi, deglutisi dan okulasi mental.Tujuan dari penelitian ini adalah untuk mengetahui epidemiologi penderita celah bibir dan langit-langit yang teregister di RSUP Sanglah. Penelitian ini merupakan penelitian cross sectional dengan jenis penelitian deskriptif retrospektif. Data diambil dengan metode total sampling yang mana data penelitian bersumber dari data rekam medis pasien penderita celah bibir dan langit-langit di RSUP Sanglah tahun 2016-2019. Hasil penelitian didapatkan sejumlah 140 rekam medis dengan kategori pasien yang datang ke RSUP Sanglah terbanyak pada rentang usia 1-5 tahun dan sebagian besar berasal dari kota Denpasar yaitu sebanyak 39 kasus (27,9%) dengan sebagian besar berjenis kelamin perempuan yaitu sejumlah 76 kasus (54,3%), dan untuk tipe celah langit-langit lebih dominan terjadi pada perempuan yaitu sebanyak 45 kasus (64,3%), Celah bibir dominan terjadi pada laki-laki yaitu sebanyak 10 kasus (55,6%), celah bibir dan langit-langit lebih dominan terjadi pada laki-laki yaitu sebanyak 39 kasus (55,8%) dan berdasarkan lokasinya, celah langit-langit lebih banyak ditemukan yaitu sebanyak 70 kasus (50%). Kata Kunci: Celah bibir dan langit-langit, umur, jenis kelamin, daerah asal

Optimizing microsurgery training for plastic surgery resident: A systematic review Gede Wara Samsarga; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; I Gusti Ayu Putri Purwanthi; Ni Made Ratih Purnama Dewi
Neurologico Spinale Medico Chirurgico Vol 5 No 1 (2022)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v5i1.196

Background: Microsurgery for plastic surgery residents is complex and requires a long learning curve, psychomotor capabilities, and repeated practices. Microsurgery training for plastic surgical residents must be optimized due to the heavy workload during residency and the limited time available to master microsurgery skills. Methods: Electronic literature searching of the MEDLINE (PubMed), Cochrane, and Google Scholar databases was conducted. Studies that were eligible and published between January 2015 and September 2019 were chosen. Results: Surgical simulation platforms have been implemented as a result of new training methods to learn microsurgery. Plastic surgery residents can practice microsurgery in virtual, animal models, non-living models, and indirect patient practice. Resident’s competency scores and surgical performance improve as a result of simulation-based training. The demand for simulation-based training in plastic surgery residency programs is expected to rise as a result of its usefulness. A microsurgical skill evaluation is also a mandatory aspect of enhancing microsurgical skills for plastic surgery residents. Conclusion: Because there is limited time for formal microsurgery training in the operating room, plastic surgery residents must optimize their microsurgery skills outside of the operating room. Implementation of living and non-living models for microsurgery training and standardized objective assessment tools will further advance microsurgical skills in plastic surgery resident.

Gambaran karakteristik fraktur radius distal di RSUP Sanglah Tahun 2013-2017 Irene Natalia Tantri; A. A. Gde Yuda Asmara; Agus Roy Rusly Hariantana Hamid
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Radius distal fracture is the most common fracture seen in emergency department which involves the upper extremity. Radius distal fracture can occur in any age, ranging from children, teenager until elderly patients. There is an increasing trend of radius distal fracture. However, the research on radius distal fracture characteristic, especially in Bali, is still limited.Method: This study was a descriptive-retrospective study which aims to find out the characteristic of radius distal fracture at Sanglah General Hospital, Denpasar, Bali. For data collection, we used total sampling technique using secondary data from patientsâ€™ medical records. The study sample was all patient diagnosed with radius distal fractures between the year 2013-2017 with incomplete medical record as the exclusion criteria.Result: This study obtained 677 radius distal fracture samples. Most of the patients were male [434 cases (64,1%)] with the most common age range was between 20-29 years old [147 cases (21,7%)]. The most common etiology of radius distal fracture was traffic accident [322 cases (47,6%)]. Fracture of the other upper extremity parts, in addition to radius distal, was the most common complaints accompanying radius distal fractures [333 cases (49,2%]. Based on the length of stay, 84% patients were hospitalized less than 5 days.Conclusion: Distal radial fracture was commonly seen in men with the age range between 20-29 years old. Traffic accident was the most common cause of distal radial fracture with the average length of stay less than 5 days.

Gambaran faktor risiko penyebab terjadinya celah bibir dan celah langitan di Denpasar tahun 2019 Kadek Tia Indah Purwitasari; I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: Cleft lips and cleft palate are congenital abnormalities in the form of clefts that occur due to the lips or palate that are not fully integrated or developing separately. Factors causing cleft lips are a multifactorial combination of genetic factors and environmental factors. In Indonesia, the patients of cleft lips and cleft palate increase of 7,500 people per year. This study aims to determine the description of risk factors causing cleft lips and cleft palate in Denpasar 2019.Methods: The research was conducted by a descriptive method using a cross-sectional approach. Samples were selected from the population-based on inclusion and exclusion criteria. This study was conducted to obtain the risk factors causing cleft lips and cleft palate based on a genetic factor, a drug used, smoking, alcohol, pregnancy disorders, chemicals, nutrition, history of antenatal care, obesity and diabetes, parentâ€™s age, economic status, and infantâ€™s gender. Data were analyzed using SPSS software version 22.Results: The results showed that cases of cleft lips and cleft palate in Denpasar 2019 based on genetic factor is 24,0%, drug used (34%), smoking history (52%), no history of alcohol consumption, pregnancy disorders (28%), chemicals exposure (18%), do not get additional nutrition (42%), didnâ€™t take any antenatal care (26%), obesity and diabetes (4%), the most parentâ€™s age in pregnancy are productive age group (60%), majority low economic families status (60%), and infantâ€™s gender dominated by the male (66%).Conclusion: This finding is useful because it can provide insight into the description of the risk factors causing cleft lips and cleft palate in Denpasar 2019. Further analytic research is needed to find the relationship between various risk factor variables.Â Â Latar Belakang: Celah bibir dan celah langitan merupakan kelainan kongenital berupa celah yang terjadi akibat bibir atau atap mulut tidak sepenuhnya menyatu atau berkembang secara terpisah. Faktor penyebab celah bibir adalah kombinasi multifaktor baik itu faktor genetik dan faktor lingkungan. Di Indonesia penderita kelainan celah bibir dan celah langitan bertambah rata-rata 7.500 orang per tahun dan terus meningkat. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko penyebab terjadinya celah bibir dan celah langitan di Denpasar tahun 2019.Metode: Penelitian dilakukan dengan metode deskriptif menggunakan pendekatan potong lintang. Sampel dipilih dari populasi berdasarkan kriteria inklusi dan eksklusi. Penelitian dilakukan untuk memperoleh gambaran faktor risiko penyebab terjadinya celah bibir dan celah langitan berdasarkan faktor genetik, penggunaan obat-obatan, merokok, alkohol, gangguan kehamilan, zat kimia, nutrisi, riwayat antenatal care, obesitas dan diabetes, usia orang tua, status ekonomi, dan jenis kelamin bayi. Data dianalisis menggunakan software SPSS versi 22Hasil: Hasil penelitian menunjukkan kasus celah bibir dan celah langitan di Denpasar tahun 2019 berdasar faktor keturunan sebesar 24,0%, penggunaan obat-obatan (34,0%), riwayat merokok (52,0%), tidak ada riwayat alkohol, gangguan kehamilan (28,0%), paparan zat kimia (18,0%), tidak mendapat nutrisi (42,0%), tidak melakukan antenatal care (26,0%), obesitas dan diabetes (4,0%), usia orang tua saat kehamilan terbanyak pada kelompok usia produktif (60,0%), status ekonomi mayoritas status keluarga ekonomi rendah (60,0%), jenis kelamin bayi dengan kejadian celah bibir dan celah langitan di dominasi oleh jenis kelamin laki-laki (66,0%).Kesimpulan: Temuan ini bermanfaat karena dapat memberikan wawasan mengenai gambaran faktor risiko penyebab terjadinya celah bibir dan celah langitan di Denpasar tahun 2019. Perlu dilakukan penelitian analitik lebih lanjut guna mencari hubungan antara berbagai variabel faktor risiko.

Potential combinations of Platelet Rich Plasma (PRP) and chitosan in burn wound management: a review Gede Wara Samsarga; I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid; Komang Januartha Putra Pinatih; Ni Made Ratih Purnama Dewi
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background:Â The development of new modality for burn wound healing is necessary to reduce morbidity and mortality of burn injury. PRP (Platelet Rich Plasma) is one of potential modality for burn injury because of its ability to deliver various growth factors to initiate and accelerate tissue healing and regeneration. Clinical efficacy of PRP is frequently disturbed because inconsistency and inefficiency of growth factor release in PRP. To increase the effectiveness of PRP in wound healing and increase the bioavailability of growth factor, PRP can be combined with a carrier that can control continuous release of growth factors. Chitosan is one of biomaterial that potential to use because of its biodegradability characteristic and biological activity that important for burn wound healing and prevent the formation of scar tissue in a burn injury. Researches have shown that chitosan is an effective carrier to facilitate growth factor release continuously to burn wound.Aims: This review aims to review potential Combinations of PRP (Platelet Rich Plasma) & Chitosan in Burn WoundConclusion:Â With chitosan ability to facilitate burn wound healing and as an effective carrier, combination of PRP and chitosan is a promising modality for burn wound healing.

Epidemiologi pasien luka bakar di RSUP Sanglah Denpasar tahun 2018-2019 Ni Kadek Ayunda Sarini Dewi; I Made Suka Adnyana; I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Burns are loss of tissue or a form of tissue damage that occurs as a result of contact with heat sources such as fire, chemicals, hot water, electricity, and radiation which are a type of trauma with high morbidity and mortality so that they require special treatment from the initial phase to advanced phase. This study aims to find out, comprehend, and describe the epidemiology of burn patients' causes and mortality at the Sanglah General Hospital in 2018-2019.Methods: The research was conducted with a descriptive method using cross-sectional studies. Samples were selected from the population-based on inclusion and exclusion criteria. Data were analyzed using SPSS version 24 software to obtain the epidemiology of the causes, length of stay, and burns mortality.Results: The results showed that the highest cause of burns was caused by fire, namely 65 people (53.3%). In the adult group, most burns were caused by fire, namely 55 people (45.1%), while in the group of children, most burns were caused by objects / hot water, namely 14 people (11.5%). The mortality of burnt sufferers was 11 people (9%) out of 122 people (100%), where all deaths occurred in the adult group. An IIAB degree burns were the highest burns with the highest mortality with 10 people (90.9%). Most of the burn injuries caused by fire burns were 7 people (63.6%) and the highest case was second-degree burns caused by fire, namely 60 people (56.1%).Conclusion: The results showed that the most common burns were caused by a fire in the adult group and objects/hot water in the children group. IIAB degree burns are the highest degree of burns with mortality.Latar Belakang: Luka bakar adalah kehilangan jaringan atau suatu bentuk kerusakan jaringan yang terjadi akibat dari kontak dengan sumber panas seperti api, bahan kimia, air panas, listrik dan radiasi yang merupakan jenis trauma dengan morbiditas dan mortalitas yang tinggi sehingga memerlukan perawatan yang khusus mulai fase awal hingga fase lanjut. Penelitian ini bertujuan untuk mengetahui, memahami dan mendeskripsikan epidemiologi penyebab dan mortalitas pasien luka bakar di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2018-2019.Metode: Penelitian dilakukan dengan metode deskriptif menggunakan studi potong lintang. Sampel dipilih dari populasi berdasarkan kriteria inklusi dan eksklusi. Data dianalisis menggunakan software SPSS versi 24 untuk mendapatkan epidemiologi penyebab dan mortalitas luka bakar.Hasil: Hasil penelitian menunjukkan bahwa epidemiologi penyebab luka bakar tertinggi disebabkan oleh api yaitu 65 orang (53,3%). Pada kelompok dewasa, pasien luka bakar terbanyak disebabkan oleh api yaitu 55 orang (45,1%), sedangkan pada kelompok anak-anak luka bakar terbanyak disebabkan oleh benda/air panas yaitu 14 orang (11,5%). Mortalitas pasien luka bakar yaitu 11 orang (9%) dari 122 orang (100%), dimana semua kematian terjadi pada kelompok dewasa. Luka bakar derajat IIAB merupakan derajat luka bakar dengan kematian tertinggi yaitu 10 orang (90,9%). Kematian luka bakar terbanyak disebabkan oleh luka bakar akibat api sebanya 7 orang (63,6%) dan kasus tertinggi adalah luka bakar derajat IIAB yang disebabkan oleh api yaitu 60 orang (56,1 %).Kesimpulan: Hasil penelitian ini menunjukkan bahwa luka bakar tersering disebabkan oleh api pada kelompok dewasa dan benda/air panas pada kelompok anak-anak. Luka bakar derajat IIAB merupakan derajat luka bakar dengan kematian tertinggi.

Correlation of glutamine and serial absolute neutrophil count as a parameter of infection in major burn trauma patients at Sanglah General Hospital, Bali, Indonesia Shita Diwyani Sudarsa; Agus Roy Rusly Hariantana Hamid; Agustinus I Wayan Harimawan; Ni Nyoman Sri Budayanti
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Burns are thermal trauma that often results in high morbidity. In major burns, gastrointestinal dysfunction plays a vital role in the progression of infection to organ failure. Glutamine is a pharmaconutrient that has important implications for burn patients, including in the prevention of infection. This study evaluates the relationship between glutamine administration and the serial absolute neutrophil count as a parameter for infection incidence in patients with major burns.Methods: This study was an analytical study with a cross-sectional design to see the relationship between glutamine administration and the serial absolute neutrophil count levels of major burn patients at Sanglah General Hospital. The sample consisted of 56 patients from the medical records of burn patients. The data were extracted from the medical records and then inserted into the data collection sheet. Then performed data analysis using SPSS version 21 for Windows.Results: Bivariate analysis showed that there was a significant difference between glutamine administration and the absolute neutrophil count levels on days 3, 5, and 14 (p = 0.004, 95% CI: 1.70-8.46), (p = 0.000, 95% CI: 2.71-7.83), and (p = 0.035, 95% CI: 0.61-7.27), respectively. This showed that patients given glutamine had lower neutrophil levels on days 3, 5, and 14 than patients who were not given glutamine. Multivariate analysis confirmed that glutamine administration did independently affect and decrease the absolute neutrophil count levels on days 3, 5, 14, and the mean without being influenced by other variables with p value = 0.004 (95% CI: [-8.445] - [-1,732]), p = 0.000 (95% CI: [-7,808]-[-2,743]), p = 0.020 (95% CI: [-7.251]-[-0.639]), and p = 0.017 (95% CI: [-5,815]-[-0.588]), respectively.Conclusion: This study has shown that glutamine administration was significantly associated with and decreased the serial absolute neutrophil count in major burn patients.

Prognostic value of red cell distribution width-to-platelet ratio in mortality of major burn in Sanglah Hospital Bali Nyoman Siska Ananda; I Gusti Putu Hendra Sanjaya; Sianny Herawati; Agus Roy Rusly Hariantana Hamid; I Made Suka Adnyana; I Wayan Niryana
Intisari Sains Medis Vol. 13 No. 1 (2022): (Available Online : 1 April 2022)
Publisher : DiscoverSys Inc.

Introduction: The mortality rate in Sanglah Hospital due to major burns is quite high. The ratio of red cell distribution width (RDW) and platelet (PLT) (RPR) as a prognostic marker of mortality in major burns has never been studied in Indonesia. Calculations of RPR are easy, widely available and cost-efficient.Method: This study was retrospective observational case-control, with 60 patients with major burns consisting of 30 cases and 30 controls. Samples were taken from the Sanglah Hospital Medical Record Unit from April 2019 to April 2021. Cases were samples with mortality after day seven, while controls were samples that survived. RDW and PLT value on day seven are associated with the incidence of mortality.Results: The mean of RPR in the case group was higher than in the control group. RPR mean of the control group was 0.0559, and the case group was 0.0947 (p<0.001). The increase of RPR in the case group was 40.97%. Statistical analysis showed that high RPR was a significant mortality risk factor in patients with major burns (OR = 21.36; p < 0.001).Conclusion: High RPR is a prognostic marker of mortality in major burns at Sanglah Hospital.

Internal Pudendal Artery Perforator Flap Reconstruction After Post-Radical Vulvectomy: A Case Report Anak Agung Ayu Anggreni; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya
Jurnal llmu Bedah Indonesia Vol. 49 No. 2 (2021): Desember 2021
Publisher : Ikatan Ahli Bedah Indonesia

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

Introduction. Reconstruction of vulvar defects following radical vulvectomy can be challenging. It is related to the functional and aesthetic aspects of the woman's body important part. In addition, the nature of the vulvar region also affects wound healing. This case report aims to share our experience in managing vulvar defects using the internal pudendal artery perforator (IPAP) flap. Case Description. We present a thirty-year-old woman with carcinoma of the vulva stage IB (tumor size 8×3 cm). The gynecologic oncologist performed radical vulvectomy and bilateral inguinal lymph nodes removal using separate groin incisions. Those procedures result in a 16×8 cm vulvar defect. We reconstructed the bilateral defects using right IPAP flap-type I-1 (propeller flap), left IPAP flap-type II (V-Y advancement flap), and a vaginoplasty in the lithotomy position. The flaps were designed based on Doppler signals. The vulvar defect was successfully recovered, and no complications were observed, including cellulitis, wound dehiscence, and flap necrosis of the reconstructed and donor sites. Conclusion. IPAP flap is a well-vascularized flap suitable for areas with the inherent risk of delayed wound healing, such as the vulvar region. IPAP flap might benefit vulvar reconstruction regarding the shape, volume, and function restoration.

Co-Authors Agustinus I Wayan Harimawan Anak Agung Ayu Anggreni Anak Agung Gde Yuda Asmara Eka Wiratnaya Gede Wara Samsarga Gede Wara Samsarga Samsarga I Gusti Ayu Putri Purwanthi I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Made Suka Adnyana I Wayan Niryana Irene Natalia Tantri Kadek Tia Indah Purwitasari Komang Januartha Putra Pinatih Ni Kadek Ayunda Sarini Dewi Ni Kadek Pebri Kristiantini Ni Made Ratih Purnama Dewi Ni Made Ratih Purnama Dewi Ni Made Ratih Purnama Dewi Ni Nyoman Sintya Agniswari Anasta Putri Ni Nyoman Sri Budayanti Nyoman Siska Ananda Nyoman Siska Ananda Pande Putu Esa Cesarani Purwanthi, I Gusti Ayu Putri Shita Diwyani Sudarsa Sianny Herawati

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