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All Journal E-Jurnal Medika Udayana E-Jurnal Udayana Medica ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico
Gede Wara Samsarga Samsarga
Plastic Reconstructive And Aesthetic Surgery Division, Udayana University Hospital, Badung, Bali, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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PERSEPSI NEGATIF PASIEN KANKER PAYUDARA DAN KOLOREKTAL TERHADAP KEMOTERAPI DAN RADIOTERAPI DI RUMAH SAKIT DI KOTA DENPASAR, BALI Gede Wara Samsarga Samsarga; Yudo Affandi; Ni Made Suari Utami; I Made Sindhu S Nugraha; I.B Tjakra Wibawa Manuaba
E-Jurnal Medika Udayana vol 3 no 12(2014):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.208 KB)

Abstract

Terapi adjuvan yang biasanya diberikan pada pasien kanker payudara dan kanker kolorektal adalah kemoterapi dan radioterapi. Terapi adjuvan biasanya diberikan setelah terapi primer untuk meningkatkan angka kesembuhan penyakit, mencegah rekurensi, dan membunuh sel-sel kanker yang tersisa ataupun yang telah bermetastasis (terutama mikrometastasis). Terapi adjuvan juga berfungsi sebagai terapi paliatif untuk meningkatkan harapan hidup pasien kanker. Dalam kenyataannya banyak pasien kanker, khususnya kanker payudara dan kolorektal yang menghindari tindakan kemoterapi dan radioterapi. Dari 38 orang pasien kanker payudara dan kolorektal, didapatkan bahwa 26,3% takut gagal, 39,5% takut efek samping, 7,9% biaya yang mahal, 10,5% karena berlangsung dalam jangka waktu yang lama, dan 15,8% tidak takut terhadap kemoterapi dan radioterapi. Hasil penelitian ini menunjukkan bahwa tingkat pemahaman pasien kanker payudara dan kanker kolorektal terhadap tindakan kemoterapi dan radioterapi masih cukup rendah dimana 68,4% sampel tidak tahu dan tidak mengerti tentang tindakan kemoterapi dan radioterapi. Pemahaman yang kurang tentang tindakan kemoterapi dan radioterapi ini nantinya dapat mengakibatkan timbulnya persepsi negatif terhadap tindakan kemoterapi dan radioterapi. Maka dari itu sangat diperlukan adanya suatu edukasi yang baik bagi setiap pasien tentang penyakit dan modalitas terapi yang akan diberikan. Dokter diharapkan mampu untuk mengubah persepsi negatif pasien terkait tindakan kemoterapi dan radioterapi.  
DESCRIPTION OF ALTERNATIVE MEDICINE HISTORY IN BREAST CANCER AND COLORECTAL CANCER PATIENT IN HOSPITALS IN DENPASAR Ni Made Suari Utami; Yudo Affandi; Gede Wara Samsarga; I Made Sindhu Satya Nugraha; I. B. Tjakra Wibawa Manuaba
Bali Journal of Medical and Health Sciences vol 1no2 2013
Publisher : Faculty of Medicine, Udayana University

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Reluctance to get treatment is one of the reasons why cancer patients come at the advance stage to health care provider. Numerous information of alternative medicine seems to influence the patients to try alternative medicine and delay their treatment in hospital. A descriptive study is conducted in 2 hospitals in Denpasar to obtain the description of alternative medicine history in cancer patients, with breast cancer and colorectal cancer patients as samples. Total samples were 38 patients, with 23 of them (60.5%) have tried the alternative medicine, whereas 13 patients (56.52%) after visiting the health care provider. Among those who tried the alternative medicine, 14 patients (60.87%) seek this medicine because of their fear to the conventional medicine. The most popular method of alternative medicines is herbal medicine. Most of the patients got information about alternative medicines from people whom close to them such as their family, relatives, and neighbors. However, most of these patients, who have tried the alternative medicine, in the end came back to the health care provider/ hospital after they realized that the result of the alternative treatment did not improve their health condition. Keywords: alternative medicine, breast, colorectal, cancer
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

Abstract

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.
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.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.035 KB) | DOI: 10.15562/ism.v11i2.742

Abstract

Background:  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: 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.
The Fundamental Concepts of High SMAS Facelift: Literature Review Gede Wara Samsarga; I Made Suka Adnyana; Astrinita Lestari Suyata; Shita Diwyani Sudarsa; Dewa Ayu Agung Anggita Ningrat
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1548

Abstract

A number of facelift procedures have been introduced by many surgeons but there is no consensus has yet been established to carry. Since the first description of superficial musculoaponeurotic system (SMAS), it is used as the basis for many facelift methods that produce superior result in rejuvenation compared to traditional skin only facelift. Extended SMAS facelift becoming SMAS modification techniques that is still being developed. It produces two different vector of subcutaneous and SMAS flap, that is essential to restore drooping deep facial tissue with natural appearance. Despite the beneficial use of extended SMAS flap, most of plastic surgeons still traditionally incise the SMAS under the zygomatic arch. However, the low SMAS incision results only on rejuvenation of the lower face and is not sufficient to correct mid-facial aging. Fundamental concepts of high SMAS facelift by  reviewing some literatures explain that high SMAS flap transection allowing the surgeon to achieve greater vertical elevation of the deep structures of the face by undermining the middle face, combined with fixation to a fixed structure produces lasting results and oblique vector of skin envelope creating no tension look. Incision above zygomatic arch turns out to be safely performed without facial nerve injury thorough knowledge of the anatomy. The final result is a balanced and harmonious elevation of sagging tissues of the midface, cheek, and jawline, to such an extent that high SMAS facelift becomes optimal, durable, technically simple, reproducible and with a comparatively high safety margin in facelift procedures.
Co-Authors Agus Roy Rusly Hariantana Hamid Astrinita Lestari Suyata Dewa Ayu Agung Anggita Ningrat I Gusti Ayu Putri Purwanthi I Gusti Putu Hendra Sanjaya I Gusti Putu Hendra Sanjaya I Made Sindhu S Nugraha I Made Sindhu Satya Nugraha I Made Suka Adnyana I. B. Tjakra Wibawa Manuaba Komang Januartha Putra Pinatih Ni Made Ratih Purnama Dewi Ni Made Ratih Purnama Dewi Ni Made Suari Utami Shita Diwyani Sudarsa Yudo Affandi