Gerardo Laksono
Faculty of Medicine, Widya Mandala Surabaya Catholic University

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COMPLICATIONS RELATED COMORBIDITIES OF ARTERIOVENOUS FISTULA (AVF) CREATION AS HEMODIALYSIS ACCESS FOR END STAGE RENAL DISEASE (ESRD) IN BEN MBOI DISTRICT HOSPITAL, RUTENG FLORES INDONESIA Gerardo Laksono; Daniel DH Silitonga; Oktavianus Y Ampur; Maria S Ganggur; Paul L Tahalele
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 4 (2023): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i4.5087

Abstract

Introduction: Since Brescia and Cimino(1966) posted AV Fistula technique, there has been increase of long term survival of patients with End Stage Renal Disease (ESRD). AV fistula has its own set of indications, benefits, and complications. Purpose: To show AV Fistula creation outcomes, complications and its related comorbidities in Ben Mboi District Hospital, Ruteng Flores IndonesiaMethod: An analytical study design using a cross sectional approach was employed in this study. Using medical record data from 2019 to 2022, all men and women who received hemodialysis through AV Fistula were included. Bivariate analysis was carried out from baseline data such as age, sex, comorbidities, location of an av fistula (AVF), previous dialysis insertion with complications that arise using Chi-square. Results: Age, sex, hypertension and AV Fistula creation location has no significant correlation with complications such as failed to mature, thrombosis, infection, venous hypertension. Diabetes mellitus has a significant correlation with occurrence of failed to mature (p=0.012), thrombosis (p=0.014), venous hypertension (p=0.08). Obesity has a significant correlation with occurrence of failed to mature (p=0.000), thrombosis (p=0.000). Previous insertion of CDL in right subclavian vein has a significant correlation with occurrence of venous hypertension (p=0.000).Conclusion: Diabetes mellitus has a significant correlation with occurrence of complications such as failed to mature, thrombosis and venous hypertension. Obesity has a significant correlation with occurrence of failed to mature and thrombosis. History of CDL insertion in right subclavian vein has a significant correlation with venous hypertension.
MODIFIED BUTTERFLY ANTI-TENSION TAPE AS A PREVENTION OF HYPERTROPHIC SCAR IN FACIAL REGION MEASURED BY JAPANESE SCAR SCALE (JSS) Gerardo Laksono; Herman YL Wihastyoko; Paul L Tahalele
JURNAL WIDYA MEDIKA Vol. 8 No. 1 (2022): Supplement Juni
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i1.4025

Abstract

Introduction: Abnormal scar remains an unsolved problem in some countries marked by an increase of prevalence of abnormal scar in the last 2 to 3 decades. Prevention of abnormal scar is essential but there aren't many therapy modalities as prevention followed by affordable prices to all society groups for abnormal scar.Purpose: to determine the effect of anti-tension tape in the shape of a butterfly as a hypertrophic scar prevention measured by Japanese Scar Scale (JSS). Method: This is an analytic study with an observational study design and a cohort study method. Total sample used in this study is 80, divided into 2 groups contains 40 patients who got anti tension tape application and patient who didn't. The anti tension tape was used for 3 months. Chi-Square was used as a statistical analysis in this study. Results: From 40 samples in anti-tension tape application group, 33 patients have normal scar, 7 patients have hypertrophic scar. From 40 patients in control group, 11 patients have normal scar and 29 patients have hypertrophic scar. Statistical analysis using chi-square showed p=0.000. Conclusion: Modified butterfly anti-tension tape can be used as on therapy modality as a prevention of Hypertrophic scar measured by Japanese Scar Scale.