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All Journal e-CliniC Medical Scope Journal (MSJ)
Sabrandi P. Saputra
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Risk Factors Associated with Postoperative Outcome of Congenital Anomalies Harsali F. Lampus; Candy Candy; Leo Rendy; Sabrandi P. Saputra
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.v10i2.39161

Abstract

Abstract: Mortality rate of newborns with congenital abnormalities worldwide is still high in the first four weeks after birth every year. This study aimed to obtain the profile of patients with congenital anomalies related with mortality after surgery at the Pediatric Surgery Department, Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia. This was a descriptive and retrospective study. There were 98 samples during 2019 to 2021. Dependent variable was postoperative mortality outcome and independent variable risk factors were sex, gestational age, birth weight, and length of stay. Data were analyzed using univariate method. The results showed that postoperative death was 27.6%, and sex ratio was equally distributed (male 51%; female 49%). Gestational age was pre-dominanly aterm 77.5% vs preterm 22.5%. Birth weight of ≥2500 g was 77,5% and low birth weight (<2500 g) was 22.5%. Hospitalitation length of stay probably less than two weeks was 82.7%. Pediatric surgical congenital anomalies were as follows: Hirchsprung Disease (15.1%), anorectal malformation (41.7%), lateral inguinal hernia (11.3%), diaphragm hernia (3.1%), omphalocele (2.1%), gastroschisis (2.1%), undescended testis/UDT (4.1%), invagination (4.1%), duodenal atresia (3.1%), ileojejunal atresia (4.1%), esophageal atresia (5.1%), biliary atresia (1%), and mechanical bowel obstruction (3,1%). In conclusion, in the last two years, pediatric surgery services in surgical congenital anomalies had overall mortality rate of 27,6% without sex predominantly. Most patients were aterm babies with normal birth weight and relatively short length of stay.Keywords:  congenital anomalies; postoperative outcome
Role of Colonoscopy in Foreign Body (Needle) Ingestion in Children: A Case Report and Literature Review Harsali F. Lampus; Candy Candy; Leo Rendy; Ronald Sorongku; Sabrandi P. Saputra
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.51636

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Abstract: Foreign body (FB) ingestion is one of the most complex and serious emergency conditions for diagnosis that often occurs in children. Most ingested FBs, intentionally or unintentionally, pass through the gastrointestinal tract without complications, and only a small proportion require surgical intervention inter alia colonoscopy. However, if the patient complains of abdominal pain, complications may occur, especially perforation with peritonitis, and in this case a laparotomy is needed. We reported a case of a 13-year-old girl with the chief complaint of needle ingestion two weeks ago. Patient complained of abdominal pain and was unable to defecate. Plain abdominal radiographs showed needle-shaped metal density in the lower intestinal; therefore, the patient was referred to Prof. Dr. R. D. Kandou Hospital for further treatment. An endoscopy was initially performed but no foreign body was found because they might had been in the intestine. Colonoscopy revealed a foreign body in the proximal ascending colon, transverse position. Extraction of the foreign body, along with pulling the scope and evaluating the transverse, descending, sigmoid and rectum colon which were within normal limits was carried out. Monitoring after removal of the foreign body for two days found no complaints of abdominal pain and bowel movements were normal, therefore, the patient was discharged from the hospital. In conclusion, since a sharp foreign body (a needle) was still in the proximal ascending colon, a colonoscopy was performed with successful removal of the needle. Keywords: foreign body; needle; endoscopy; colonoscopy
Co-Authors Candy Candy Candy Candy Harsali F. Lampus Harsali F. Lampus Leo Rendy Leo Rendy Ronald Sorongku