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All Journal Medical and Health Science Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan
Tjiptohardjo, Andianto Indrawan
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Dentistry Health Professions Medicine & Pharmacology Social Sciences Veterinary

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Comparison Between Hypnoanesthesia and Local Anesthesia in Minor Surgery Amri, Ihyan; Siahaan, Charles; Gunawan, Erik Jaya; Ritunga, Imelda; Tjiptohardjo, Andianto Indrawan
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.5882

Abstract

Background: Hypnoanesthesia is a state of anesthesia achieved through hypnosis techniques. Meanwhile, local anesthesia is anesthesia carried out by injecting local anesthetic drugs in or around the surgical site which causes temporary obstruction to the conduction of afferent impulses. Objective: This research was conducted to prove that there is no difference between hypnoanesthesia and local anesthesia in minor surgical procedures, with the indication of pain relief. Methods: The research subjects were patients with benign soft tissue tumors consisting of 40 people who were divided into 2 groups, namely treatment and control. Minor surgical procedures with hypnoanesthesia were performed in the treatment group, while in the control group, minor surgical procedures were performed with local anesthesia using 2% lidocaine. Pain is measured with FPS (Face Pain Scale) and monitored with a vital sign monitor. The intervention process was recorded with camcorder video. Changes in serum levels of excitatory neurotransmitters (Glutamic Acid and Substance P) and inhibitory (Beta Endorphin, Enkephalin, and Serotonin) before and after intervention were analyzed using ELISA (Enzym-Link Immunosorbent Assay) in both groups. Results: In the treatment group, it was discovered that patients did not feel pain after undergoing hypnoanesthesia intervention by providing suggestions for the relief of pain in the area where surgery would be performed. In the control group, patients also did not feel pain after local anesthetic intervention in the area to be operated on. However, the results of research and statistical tests showed that there was no significant difference in changes in Beta Endorphins, Enkephalin, and Serotonin as inhibitory neurotransmitters (p > 0.05) or Glutamic Acid and Substance P as excitatory neurotransmitters (p > 0.05) before and after the intervention in both groups of research subjects. Conclusion: the results of this study show that there is no significant difference between the treatment and control groups, they have equality in the final result, namely the relief of pain.
LAPORAN KASUS: PRESENTASI LANGKA PADA KELAHIRAN KEMBAR SIAM “DICEPHALIC PARAPAGUS” Siahaan, Salmon Charles; Banjarnahor, Dharma; Tjiptohardjo, Andianto Indrawan; Sucahyo, Yoselyn Natasya; Tannus, Ferdinand Aprianto
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 8 No 2 (2025): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Kembar siam adalah kondisi dua janin berkembang dalam satu kantong gestasi dengan bagian tubuh yang tergabung. Salah satu jenisnya adalah dicephalic parapagus, yang memiliki prognosis buruk. Laporan kasus ini bertujuan untuk menjelaskan langkah pencegahan dan penanganan kasus serupa di masa depan. Seorang ibu G3P2 usia 39 tahun dengan kehamilan 39/40 minggu datang ke IGD RSUD A dengan keluhan air ketuban keluar selama 6 jam dan kontraksi selama 2 jam. Tidak ditemukan denyut jantung janin. Pemeriksaan dalam menunjukkan pembukaan lengkap, presentasi bokong, dan ketuban jernih. Dilakukan persiapan untuk persalinan. Saat pemeriksaan, ditemukan sindaktili pada kaki yang tampak di vulva. Persalinan dimulai dengan melahirkan bokong, kaki, perut, dan dada menggunakan manuver pertolongan sungsang. Namun, terdapat hambatan saat melahirkan bahu, sehingga dilakukan manuver Løvset. Setelah bahu lahir, kepala sulit dilahirkan menggunakan manuver Mauriceau. Pemeriksaan menunjukkan adanya dua kepala pada janin, sehingga persalinan pervaginam tidak memungkinkan. Pasien ditawarkan kraniotomi tetapi menolak. Akhirnya, dilakukan manuver Zavanelli dan persalinan melalui operasi caesar. Kesimpulan, Prognosis kembar siam tipe dicephalic parapagus sangat buruk, terutama jika tidak terdeteksi sejak dini. Penanganan memerlukan keputusan kompleks yang melibatkan persetujuan keluarga. Pemeriksaan antenatal yang memadai dan evaluasi ultrasonografi sangat penting sebagai metode skrining dan perencanaan kelahiran. Kata kunci: dicephalic parapagus, kembar siam, dicephalic, parapagus, presentasi langka DOI : 10.35990/mk.v8n2.p209-218
Co-Authors Banjarnahor, Dharma Erik Jaya Gunawan Ihyan Amri Imelda Ritunga Siahaan, Charles Siahaan, Salmon Charles Sucahyo, Yoselyn Natasya Tannus, Ferdinand Aprianto