Erial Bahar
Department of Anatomy, Faculty of Medicine, Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia

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Comparison of Sternum Approximation Stability Using Stainless Steel Wire with Polydioxanone (PDS) Alif Arfiansyah Kartono; Gama Satria; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v5i2.79

Abstract

Background: The median sternal incision is an incision that is commonly done in heart surgery and vascular surgery. The existing techniques need elaboration and innovation to produce a method with an optimal level of healing effectiveness accompanied by a minimal risk of side effects. This study aims to determine the difference between sternal approximation using stainless steel wire compared to polydioxanone (PDS) based on biomechanical analysis. Methods: This was an in vitro experimental study using the sternum of a goat. A total of 24 sternums were divided into 6 treatment groups. Data analysis was performed with SPSS version 20. Univariate and bivariate analyzes were performed to compare the sternal approximation between stainless steel wire and PDS. Results: The use of PDS showed a higher average increase in transverse and longitudinal approximations compared to the use of stainless steel wire and was statistically different, p<0.05. PDS does not differ from stainless steel wire in lateral approximation. Conclusion: Stainless steel wire is more optimal in maintaining sternal stability than PDS based on biomechanical tests.
Factors Contributing to Patient Outcome after Decompressive Craniectomy in Traumatic and Non-Traumatic Cases I Made Kharunding Wijaya; Trijoso Permono; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v5i2.80

Abstract

Background: Decompressive craniectomy is an invasive procedure performed to reduce intracranial pressure. Inconsistent research results regarding the effectiveness of decompressive craniectomy are caused by various factors that are believed to play a role in patient outcomes after decompressive craniectomy. This study aims to determine the factors that play a role in patient outcomes after decompressive craniectomy in traumatic cases and in non-traumatic cases. Methods: This study is an analytic observational study with a cross-sectional approach. A total of 40 secondary data from postoperative decompressive craniectomy patients were included in this study. Data analysis was performed using SPSS version 25 with univariate, bivariate, and multivariate analysis. Results: Age and gender factors were not associated with patient outcomes after decompressive craniectomy in traumatic and non-traumatic cases. Clinical factors, initial GCS, and preoperative pupil diameter were shown to be unrelated to patient outcomes after decompressive craniectomy in traumatic cases. The time interval factor between trauma and decompressive craniectomy was also shown to be unrelated to patient outcomes after decompressive craniectomy in both traumatic and non-traumatic cases. The presence of comorbidities was also shown to be unrelated to patient outcomes after decompressive craniectomy in both traumatic and non-traumatic cases. Clinical factors and initial GCS showed a relationship with patient outcomes after decompressive craniectomy in non-traumatic cases. Conclusion: Age, gender, initial GCS, pupil diameter, the time interval of trauma and decompressive craniectomy surgery, and comorbidities are not associated with patient outcomes after decompressive craniectomy. In non-traumatic cases, only initial GCS was associated with patient outcomes after decompressive craniectomy.