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Nathaniel Pali
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Journal : e-CliniC

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Inguinal Hernia in Infant Matthew A Kumaat; Harsali Lampus; Nathaniel Pali
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.37617

Abstract

Abstract: Inguinal hernia in infant is a condition of protrusion of the intestinal organs due to thepatency of processus vaginalis. The ratio of incidence between male and female infants isapproximately 8:1. The incidence of inguinal hernia ranges from 1-5% in children and full-terminfants, whereas in premature infants there is a significant increase in the number, which is around30%. Clinical manifestations that can occur in infants with inguinal hernias are the appearance ofa lump when straining, crying, coughing, or sneezing, patient could look restless because of thepain and discomfort. The diagnosis of inguinal hernia can be made by history taking, physicalexamination, and supporting examination. Management of inguinal hernia is by surgery, can bean open herniotomy or laparoscopy.Keywords: inguinal hernia; infant Abstrak: Hernia inguinalis pada bayi merupakan kondisi penonjolan organ intestinal akibatadanya patensi prosesus vaginalis. Perbandingan rasio kejadian antara anak laki-laki dan perempuankurang lebih sekitar 8:1. Insidensi hernia inguinalis berkisar 1-5% pada anak dan bayi cukupbulan, sedangkan pada bayi prematur terdapat kenaikan angka yang bermakna yaitu sekitar 30%.Manifestasi klinis yang dapat terjadi pada anak dengan hernia inguinalis adalah timbulnyabenjolan pada saat mengedan, menangis, batuk, atau bersin, anak terlihat gelisah karena nyeri danrasa tidak nyaman. Penegakan diagnosis hernia inguinalis dapat dilakukan dengan anamnesis,pemeriksaan fisik, dan pemeriksaan penunjang. Tatalaksana hernia inguinalis ialah denganherniotomi terbuka atau laparoskopi.Kata kunci: hernia inguinalis; bayi
Effect of Preoperative Embolization on the Intraoperative Bleeding during Posterior Stabilization in Thoracolumbal Fracture Cases at Prof. Dr. R. D Kandou Hospital Manado Nathaniel Pali; Tommy Suharso; Richard Sumangkut; Billy Karundeng; Djony E. Tjandra; Yuansun Khosama; Windy M. V. Wariki
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.44759

Abstract

Abstract: Embolization is a technique to stop or prevent bleeding by inserting an object, such as an air-filled membrane (balloon), or an embolic material such as foam into a blood vessel to block the blood flow. This study aimed to prove that preoperative embolization might affect and reduce the amount of intraoperative bleeding during the posterior stabilization procedure for thoracolumbal vertebrae fracture. A quasi-experimental method was chosen for this study, and samples were not taken at random. Samples were patients with thoracolumbal vertebrae fracture who underwent the posterior stabilization procedure. Samples were divided into two groups, treated with and without preoperative embolization groups. The treatment was given 24-48 hours before posterior stabilization procedure. The intraoperative bleeding was measured in milliliters. The resulys showed that the average intraoperative blood loss was 283.3 mL, meanwhile of the untreated group was 583.3 mL. The one-way t-test resulted in a p-value of 0.004 at 5% of significance. In conclusion, preoperative embolization could reduce the amount of blood loss during intra-operative posterior stabilization in patients with thoracolumbar vertebral fractures. Further research on preoperative embolization in patient who will undergo posterior stabilization surgery of the thoracolumbal region due to fracture, either mechanically or generatively, is needed. Keywords: preoperative embolization; intraoperative blood loss
Co-Authors Axel P. Lumi Billy Karundeng Djony E. Tjandra Harsali F. Lampus Matthew A Kumaat Richard Sumangkut Tommy Suharso Wariki, Windy M. V. Yuansun Khosama