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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN JBN (Jurnal Bedah Nasional) Indonesian Journal of Cancer Lux Mensana: Journal of Scientific Health
Sudartana, I Ketut
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Pengaruh Ligasi Side Branch Vena Sefalika pada Pembuatan Arteovenous Fistula Radiosefalika Terhadap Laju Aliran Draining Vein pada Pasien Gagal Ginjal Kronis Stadium V di RSUP Prof. Dr. IGNG Ngoerah Aria, Anselmus Danus; Yasa, Ketut Putu; Manuaba, Ida Bagus Putra; Golden, I Nyoman; Sudartana, I Ketut
JBN (Jurnal Bedah Nasional) Vol 8 No 2 (2024): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2024.v08.i02.p03

Abstract

Tujuan: Mengetahui pengaruh ligasi side branch vena sefalika pada pembuatan arterovenosa fistula radiosefalika terhadap laju aliran draining vein pada pasien gagal ginjal kronis stadium V di RSUP Prof dr. IGNG Ngoerah. Metode: Penelitian observasional analitik dengan rancangan kohort retrospektif ini dilakukan pada Januari 2021 hingga September 2022 di RSUP Prof. dr. IGNG Ngoerah. Pasien gagal ginjal kronis stadium V diinklusi dan dikelompokkan berdasarkan dilakukannya ligasi side branch vena sefalika. Data laju aliran draining vein diambil dari catatan rekam medis. Analisis data yang dilakukan dengan statistik deskriptif dan uji perbandingan proporsi dengan uji chi square. Hasil: Sebanyak 66 subjek penelitian diinklusi dengan masing-masing kelompok sebanyak 33 subjek. Laju aliran dari draining vein pada kelompok ligasi side branch dan bukan ligasi side branch sama dengan median sebesar 150 (100-170) ml/menit. Hasil analisis risiko tidak ditemukan adanya perbedaan bermakna antara kelompok yang dilakukan ligasi side branch dan bukan ligasi side branch (RR=0,17 IK95%= 0,19-1,58, p=0,087). Simpulan: Tidak terdapat pengaruh tindakan ligasi side branch pada vena sefalika terhadap laju aliran draining vein pada pasien gagal ginjal kronis stadium V di RSUP Prof. dr. IGNG Ngoerah.
Peritoneal lavage with sterile water reduces IL-1 levels and postoperative adhesions following laparotomy in rats Fernandi, Ryan; Sudartana, I Ketut; Sueta, Made Agus Dwianthara; Mahayasa, I Made; Yasa, Ketut Putu; Wibawa, I Gusti Agung Bagus Krisna
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2024): June 2024
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v15i1.36698

Abstract

Peritoneal lavage with normal saline is common in abdominal surgeries, yet recent studies indicate that it increases intraperitoneal adhesion risks. This study compares the effects of peritoneal lavage with normal saline versus sterile water on interleukin-1 (IL-1) levels and intraperitoneal adhesion following laparotomy in rats. In this post-test control group study, 20 adult Wistar rats were subjected to laparotomy before being randomly divided into two groups to receive either intraperitoneal lavage with normal saline (0.9% NaCl) or sterile water. After 7 days, IL-1 level and degree of adhesion were evaluated. The saline group had higher adhesion levels (4 rats with grade 4, 5 with grade 3, 1 with grade 2) than the sterile water group, which had lower levels (2 rats with grade 3, 5 with grade 2, 3 with grade 1). There was a significant difference in IL-1 levels between the sterile water group (37,111.6 ± 6,535.61 pg/ml) and the normal saline group (57,456.3 ± 10,583.41 pg/ml). There was a significant correlation between IL-1 levels and adhesion grade (p=0.008). Intraperitoneal lavage with sterile water results in significantly lower adhesion grade and IL-1 levels than normal saline, suggesting its potential for reducing postoperative adhesions. Further studies are needed to elucidate the mechanism of reduced adhesion and inflammation associated with sterile water lavage.
Stage, Grade, and Pre-Operative Red Cell Distribution Width (RDW) Associated with Mortality of Colorectal Cancer Patients at Prof. Dr. I.G.N.G Ngoerah Hospital, Bali Ratmayanti, Made Ayu Laksmi; Sueta, Made Agus Dwianthara; Sudartana, I Ketut
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1377

Abstract

Background: Colorectal cancer is a world health problem with a high mortality rate and low survival rate. Previous studies have shown that factors such as age, histopathological type, TNM stage, and red cell distribution width (RDW) can influence patient mortality. This study aimed to evaluate the factors associated with the mortality of colorectal cancer patients at Prof. Dr. I.G.N.G Ngoerah Hospital, Bali.Method: This is an analytical observational study with a case-control design in the Department of Digestive Surgery, Prof. Dr. I.G.N.G Ngoerah Hospital, Bali, from April to August 2023. This study included colorectal cancer patients aged 18, within a study period, and with known clinical outcomes. Patients with incomplete medical records and severe comorbidity were excluded from this study. Statistical analysis was carried out with SPSS ver 20.0 for univariate, receiver operating characteristic (ROC) curve, bivariate, and multivariate tests.Results: This study collected 118 samples, divided into 59 dead patients (cases) and 59 living patients (controls). Most of the colorectal cancer patients who died were stage IV patients (62.7%), had higher pre-operative RDW values (15.91 ± 4.14), and 20.3% were poorly differentiated. Multivariate analysis showed that stage IV (p = 0.04), poorly differentiated grade (p = 0.04), and pre-operative RDW 13,575 ( 0.001) were independent factors of mortality in colorectal cancer patients. Conclusion: Stage, grade, and pre-operative RDW affected the mortality of colorectal cancer patients at Prof. Dr. I.G.N.G Ngoerah Hospital, Bali.
FATAL COMPLICATION OF RECTAL WASHING: A CASE REPORT OF HYPOKALEMIA AND CARDIAC ARREST IN ADVANCED RECTOSIGMOID CANCER Lukman, Stephen; Sudartana, I Ketut
Lux Mensana: Journal of Scientific Health Vol. 4 Issue 1 (2025)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction. Rectal washing is a routine procedure in bowel preparation but may cause complications, especially in high-risk patients. This report discusses a case of fatal complications following rectal washing in a patient with a malignant rectosigmoid tumor and comorbidities, emphasizing the potential risks of hypokalemia and cardiac instability. Method. A case study was conducted on a 65-year-old male with chronic heart failure and suspected rectosigmoid malignancy, who underwent colonoscopy at Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali. Comprehensive clinical data were obtained, including detailed medical history, physical examination, laboratory testing, imaging studies (ultrasound and CT scan), and colonoscopy with biopsy. Management adhered to established protocols for atrial fibrillation with rapid ventricular response, chronic heart failure, partial bowel obstruction, and suspected metastatic rectosigmoid carcinoma. The patient's condition was closely monitored through continuous assessment of vital signs, clinical progression, and follow-up diagnostics. Result & Analysis. The case highlights the interplay of rectal washing, electrolyte imbalance (suspected hypokalemia), and cardiac arrhythmia in a high-risk patient. Contributing factors such as metastatic burden and comorbidities compounded the fatal outcome. Discussion. This case underscores the need for vigilant monitoring and tailored bowel preparation strategies in patients with significant comorbidities to mitigate life-threatening complications.
Co-Authors Aria, Anselmus Danus Fernandi, Ryan Golden, I Nyoman Ida Bagus Putra Manuaba Ketut Putu Yasa Lukman, Stephen Mahayasa, I Made Ratmayanti, Made Ayu Laksmi Sueta, Made Agus Dwianthara Wibawa, I Gusti Agung Bagus Krisna