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All Journal Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) World Nutrition Journal Proceedings of the International Conference on Nursing and Health Sciences Transformatif: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Masyarakat Bhinneka Media Gizi Ilmiah Indonesia Journal of Local Therapy Jurnal Medika: Medika
Nyono Dedi Prabowo
Universitas Negeri Medan
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Journal : journal of local therapy

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Gizi Pra-bedah pada Anak Gizi Kurang dengan Undesensus Testis dan Hernia Inguinalis Ireponibel: Laporan Kasus Meintansari Manik; Nyono Dedi Prabowo
Journal of Local Therapy Vol 5 No 1 (2026): Journal of Local Therapy
Publisher : Pusat Unggulan IPTEK Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jlt.v5i1.6212

Abstract

The management of irreducible inguinal hernia with cryptorchidism is complicated by malnutrition, creating a "surgical-nutritional paradox" where surgical urgency conflicts with metabolic fragility. This case report elucidates the integrated nutritional management of a 10-year-old male presenting with an undescended testis, incarcerated hernia, and wasting. Methods: Utilizing the standardized Nutrition Care Process Terminology, a 72-hour preoperative "metabolic priming" strategy was implemented. This involved a High-Energy High-Protein (HEHP) diet synergized with Metamizole for pain and Dexamethasone for appetite stimulation to maintain the oral route. The intervention reversed the "Pain-Anorexia Cycle," increasing oral intake from a 52.3% deficit to 115.5% hyper-alimentation within three days. This optimization replenished glycogen stores, allowing for successful orchidopexy and herniotomy without complications. Short-term, aggressive preoperative nutritional support serves as a vital therapeutic bridge in hemodynamically stable patients, challenging the dogma of immediate incision.
Co-Authors Abdul Fandi Ade Salma Yunia Rachmah Afifa Naura Harahap Alwi, Juwitriani Arya Ulilalbab Assyaukani, Luthfi Dea Anenta Veonika Diah Kurnia Mirawati Diah Kurnia Mirwati Emira Tri Silawati Fadella, Risty Fathia Rahmadini Fernanda, Aprilia Fitni Hidayati Husnul Khatimah Jenri Parlinggoman Hutasoit Kalasta Ayunda Putri Khaerul Fadly Meintansari Manik Mifta Wahyu Rafa Sakina Nila Authoria Nila Authoria Nisa', Ariqah Hidayatun Renita Maulidya Tarigan Reny Rahmawati Reny Rahmawati Reny Rahmawati Reny Yuliana Siahaan Reny Yuliana Siahaan Rokhiyatul Maila Putri Setyo Sri Rahardjo Setyo Sri Rahardjo Yoanita Indra Kumala Dewi