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All Journal Jurnal Rekonstruksi dan Estetik Indonesian Journal of Biomedicine and Clinical Sciences
Herman Yosef Limpat Wihastyoko
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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USING OF NEGATIVE WOUND PRESSURE THERAPY (NPWT): A CASE SERIES OF WOUND DISRUPTION AS A COMPLICATION OF A CAESAREAN SECTION Herman Yosef Limpat Wihastyoko; Ellenora Resti Mustikaningrat; Dorothea Respa Kusumaningrat; Gisella Sekar Wruhastanti; Yohana Joni
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i1.53349

Abstract

Highlights: Surgical site infection during caesarean section can cause complications, thereby increasing maternal mortality and morbidity, especially in groups at risk. VAC therapy can stimulate granulation tissue formation so that primary wound junctions occur. VAC shows its ability to close wounds entirely within 3-4 weeks. Abstract: Introduction: Wound disruption following caesarean sections is a common issue that can increase maternal mortality and morbidity. Several factors have been identified, including maternal, procedural, and antibiotic factors. The re-suturing method,  primer, and secondary suture often fail, causing recurrent and delayed healing. Case Illustration: CASE 1: A 26-year-old woman, 7 days post-caesarean section, presented with a wet wound and yellowish serous fluid. Three weeks later, wound dehiscence occurred despite re-debridement and re-suturing. Subsequent installation of VAC resulted in granulation tissue and re-epithelialization. CASE 2: A 32-year-old woman, 14 days post-caesarean section, complained of weakness and pus in the surgical wound. Upon examination, a red-yellowish fluid was found, indicating wound dehiscence. Re-debridement and VAC installation led to the formation of granulation tissue and re-epithelialization. Discussion: VAC is the new wound care technique that suctions or collects excess exudate that absorbent gauze cannot accommodate. In comparison, absorbent gauze is limited in its capacity to absorb the fluid that produced in wounds. An innovation where the use of VAC, which has a negative pressure function, can stimulate granulation tissue to form and can bind the edges of the  wound so that it can close naturally. Conclusion: In instances of wound disruption following surgery, such as in the case of a caesarean section, it may be prudent to contemplate re-debridement followed by re-suturing. VAC presents itself as a viable alternative for managing wound dehiscence until the formation of granulation tissue.
Effectiveness of disinfectants against methicillin resistant Staphylococcus aureus (MRSA) contamination in hospital: a review Arviansyah; Herman Yosef Limpat Wihastyoko; Yudi Siswanto; Wilma Agustina; Elisabeth Prajanti Sintaningrum; Eka Nugraha Prima; Michelle Gunawan; Dewangga Yudisthira
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 2 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i2.12534

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) contamination is still widely reported in various hospital areas. Despite routine cleaning and preventive measures in places such as hospitals, the prevalence of MRSA is still increasing worldwide, especially in Asia. This review aimed to evaluate the effectiveness of disinfectants against MRSA contamination in hospitals. Articles were searched from PubMed, ScienceDirect, Cochrane, and Google Scholar databases using specific keywords and boolean operators. Journal selection from these databases was based on inclusion criteria, exclusion criteria, and PICOS framework. Studies that did not fit the topic or study design and had paid access and duplication were excluded. A total of five valid and reliable articles found that some disinfectants, such as JUC Polymer, a combination of hydrogen peroxide (H2O2) and silver cations (Ag), have effectiveness in eradicating germs or inhibiting the growth of MRSA germs. The application of disinfectants in MRSA also showed benefits in terms of cost. However, the use of disinfectants needs to be considered because they can cause tolerance and resistance. In conclusion, MRSA disinfectants are still proven effective with various methods and precautions. In addition, disinfectants are beneficial in terms of prevention and health financing.
Co-Authors Arviansyah Dewangga Yudisthira Dorothea Respa Kusumaningrat Eka Nugraha Prima Elisabeth Prajanti Sintaningrum Ellenora Resti Mustikaningrat Gisella Sekar Wruhastanti Michelle Gunawan Wilma Agustina Yohana Joni Yudi Siswanto