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The Analysis Study of Safety and Outcome of Ureteroscopy During Pregnancy: A Comprehensive Systematic Review Adzana Yasadhy Hangga Prasetyo; Yosie Yulanda Putra
The Indonesian Journal of General Medicine Vol. 7 No. 1 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/17c34338

Background: Symptomatic urolithiasis in pregnancy can result in significant morbidity, causing conditions such as renal colic, urinary tract infections, and ureteral obstruction. This systematic review aim to analyze the safety and outcomes of uretrhoscopy for pregnant women. Methods: The study followed PRISMA 2020 guidelines, reviewing English-language publications from 2014 to 2024. Editorials, duplicate reviews from the same journal, and papers lacking a DOI were excluded. The literature search was conducted using PubMed, SagePub, SpringerLink, and Google Scholar. Result: A total of 2,172 articles were initially identified through online databases (PubMed, SagePub, SpringerLink, and Google Scholar). After three rounds of screening, eight relevant studies were selected for full-text analysis. Conclusion: Ureteroscopy is a safe, effective, and cost-efficient treatment for ureteral calculi during pregnancy. Early intervention minimizes complications, and URS remains a successful option for managing obstructive uropathy. Future research should optimize protocols and assess long-term outcomes for improved care.

The Comprehensive Literature Review of Surgical Management of Omphalocele Yosie Yulanda Putra; Ririn Azhari
The Indonesian Journal of General Medicine Vol. 7 No. 2 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/a42kkh91

Background: The surgical management of omphalocele has undergone significant evolution over the past decade, with various studies contributing to a deeper understanding of treatment modalities and outcomes. Literature Review: In developing countries, challenges persist, particularly in managing ruptured omphaloceles where resources are limited. The adaptation of surgical techniques, such as employing simple suture methods in the absence of advanced materials, underscores the need for flexibility in surgical management (Komlatsè Akakpo-Numado et al., 2012). Furthermore, innovative conservative management approaches have shown promise, with gentian violet yielding satisfactory survival rates and reduced hospital stays, emphasizing the role of a multidisciplinary team in optimizing care (Rahman Mitul & Ferdous, 2012). The importance of individualized treatment plans is reinforced by findings from a tertiary care center, which advocate for conservative approaches in cases of giant omphalocele, utilizing staged management strategies that prioritize patient safety . Moreover, systemic inflammation's role in pulmonary hypertension related to isolated giant omphalocele further emphasizes the need for prenatal diagnosis and careful postnatal management, suggesting that a "paint-and-wait" approach can be beneficial (Teillet et al., 2022). Conclusion: In conclusion, the surgical management of omphalocele encompasses a variety of strategies that reflect the complexity of the condition and the necessity for individualized care. The literature collectively emphasizes the importance of adapting surgical techniques to specific patient needs, the benefits of conservative management in certain contexts, and the critical role of multidisciplinary teams in improving patient outcomes.

The Comprehensive Literature Review of Surgical Management of Gastroschisis Yosie Yulanda Putra; Ririn Azhari
The Indonesian Journal of General Medicine Vol. 7 No. 2 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/pzcy0v35

Background: The surgical management of gastroschisis has evolved significantly over the years, reflecting advancements in both surgical techniques and neonatal care. The literature indicates a marked increase in the birth prevalence of gastroschisis, with a notable reduction in mortality rates from 60% in the 1960s to 3-10% by the mid-1990s, although recent studies suggest that mortality rates have plateaued (J Bradnock et al., 2011). Literature Review: Innovative approaches, such as the use of composite mesh, have emerged to address cases where traditional fascial closure is not feasible, thus highlighting the adaptability of surgical methods to meet patient-specific needs (K. Dikshit et al., 2015). Moreover, the focus on low- and middle-income countries (LMICs) emphasizes the need for accessible and practical surgical strategies, particularly the application of preformed silos that can be managed by trained healthcare personnel in resource-limited settings (J Wright et al., 2018). Emerging research on fetal surgical interventions highlights the potential for proactive management strategies that could improve outcomes by addressing the defect before birth (Durmaz et al., 2022). This shift towards minimally invasive techniques reflects a broader trend in surgical management, emphasizing the importance of careful patient selection and timing of intervention. Finally, the implications of umbilical cord graft closure and its association with umbilical hernia development underscore the need for meticulous postoperative assessment and management, highlighting the complexities involved in the long-term care of these patients (Taher et al., 2022). Conclusion: In conclusion, the literature on the surgical management of gastroschisis reveals a dynamic and evolving landscape characterized by innovation and adaptability in surgical techniques. The advancements in surgical care, particularly the integration of minimally invasive approaches and the focus on practical solutions for resource-limited settings, are pivotal in enhancing patient outcomes. However, ongoing research is essential to address existing gaps in knowledge and to refine management strategies further.

The Analysis Study of Surgical Approaches and Outcome in Living Donor Nephrectomy: A Comprehensive Systematic Review Adzana Yasadhy Hangga Prasetyo; Yosie Yulanda Putra
The International Journal of Medical Science and Health Research Vol. 7 No. 2 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/gf4zne44

Background: The shortage of deceased donor kidneys has led to a significant increase in the use of living donor kidneys for transplantation. Since the first successful living donor nephrectomy in the 1950s, surgical techniques have advanced considerably, evolving from open donor nephrectomy (ODN) to more refined minimally invasive procedures. This systematic review aims to compare the various surgical techniques for living donor nephrectomy and their outcomes. Methods: The study followed PRISMA 2020 guidelines, reviewing English-language publications from 2014 to 2024. Editorials, duplicate reviews from the same journal, and papers lacking a DOI were excluded. The literature search was conducted using PubMed, SagePub, SpringerLink, and Google Scholar. Result: A total of 2,172 articles were initially identified through online databases (PubMed, SagePub, SpringerLink, and Google Scholar). After three rounds of screening, eight relevant studies were selected for full-text analysis. Conclusion: LDN and other minimally invasive techniques, such as RDN and robot-assisted nephrectomy, offer advantages in recovery time and reduced complications. However, each method has unique strengths and considerations. The choice of approach should depend on donor anatomy, surgeon expertise, and institutional resources.

The Analysis Study of Surgical Management of Intussusception : A Pediatric Surgery Systematic Review Yosie Yulanda Putra; Ririn Azhari
The International Journal of Medical Science and Health Research Vol. 7 No. 4 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/gn96nt49

Background: Intussusception, a common abdominal emergency in children under three years of age, can lead to serious complications due to abnormal bowel movements, anatomical abnormalities, and infection. Surgical management is required if non-surgical reduction fails. Methods: This systematic review adheres to the PRISMA 2020 principles, focusing on full-text papers published in English between 2014 and 2024. Editorial and review articles without DOIs were removed to ensure that only high-quality sources were included. A comprehensive literature search was performed using major databases such as ScienceDirect, PubMed, and SagePub to uncover studies related to this research issue. Results: The database search identified over 1000 relevant publications, and eight were selected for in-depth analysis. Each study underwent rigorous critical appraisal to ensure quality and relevance, which formed the basis for a comprehensive review of the role of surgical management in the management of pediatric intussusception. Conclusions: Intussusception is a common condition in children under three years of age, with 85% of cases occurring during infancy. Surgical management is critical to the clinical outcome, with ultrasonography being the preferred diagnostic method. Secondary intussusception occurs in 1.5 to 15% of cases. In developing countries, surgical management is more common due to late diagnosis and limited access to radiological reduction methods.

The Analysis Study of Surgical Management of Hernia Inguinalis in Children : A Pediatric Surgery Systematic Review Yosie Yulanda Putra; Ririn Azhari
The International Journal of Medical Science and Health Research Vol. 7 No. 4 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/7wq40m73

Background: Inguinal hernia is a type of abdominal wall hernia, accounting for 7% of surgical consultations and 12% of total surgical procedures globally. Inguinal hernia can occur at any age, and premature infants have the highest incidence. Surgical treatment for inguinal hernia in children is necessary to avoid severe complications. Methods: This systematic review followed the PRISMA 2020 guidelines, focusing on full-text articles published in English between 2014 and 2024. Editorial and review articles without DOI were removed to ensure only high-quality sources were used. A comprehensive literature search process was performed through leading databases such as ScienceDirect, PubMed, and SagePub to identify studies relevant to this research topic. Results: An initial database search revealed more than 1000 publications relevant to this topic. After a thorough three-stage screening process, eight studies were selected based on pre-defined inclusion criteria and deemed eligible for further in-depth analysis. Each selected study underwent a thorough critical appraisal to ensure its quality and relevance, thus providing a solid foundation for a comprehensive study on the role of surgical management in the management of pediatric inguinal hernia. Conclusion: Laparoscopy is a minimally invasive procedure that requires specialized equipment that may not be available at all centers. Laparoscopic repair is gaining popularity due to its advantages over open surgery. Laparoscopic surgery is a viable option, but it has not shown significant advantages in terms of recurrence or short-term outcomes when compared to open surgery.

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