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All Journal The International Journal of Medical Science and Health Research
Metti Herliani
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Analysis Study of Diagnosis and Surgical Management of Hemorrhoids: A Comprehensive Systematic Review Jiwa Zhaqi Adiguna; Betti Merdiani Putri; Metti Herliani
The International Journal of Medical Science and Health Research Vol. 8 No. 3 (2025): 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/m7yypt94

Abstract

Background: Although its precise prevalence is unknown, haemorrhoidal illness is a common reason for surgical consultation. Epidemiological studies are uncommon, and the numbers differ. According to a previous study, the global prevalence ranged from 3 to 30%. With about 3.3 million scheduled or emergency visits annually, it is regarded as the fourth most common gastrointestinal diagnosis in the US. The aim: The aim of this study to show about diagnosis and surgical management of hemorrhoids. Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Sciencedirect were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: Eight publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: Despite more complicated postoperative effects that may drive patient refusal, surgical treatment is associated with higher effectiveness and is necessary for less than 20% of patients who arrive with haemorrhoidal illness. We have emphasised surgical management-related elements that can help the practitioner make treatment decisions.
The Analysis Study of Diagnosis and Surgical Management of Appendicitis:A Comprehensive Systematic Review Jiwa Zhaqi Adiguna; Betti Merdiani Putri; Metti Herliani
The International Journal of Medical Science and Health Research Vol. 8 No. 3 (2025): 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/drdgfj46

Abstract

Introduction: Acute appendicitis (AA) is a prevalent cause of acute abdominal pain requiring emergency care. It poses a significant global healthcare burden, with a lifetime risk of 2–9%, peaking between ages 10 and 30. Complicated appendicitis accounts for 16–40% of cases, with a mortality rate of up to 5%. Advances in diagnosis and treatment, including imaging modalities and surgical techniques, have sparked debates on optimal strategies. Non-operative treatments like antibiotics are effective for uncomplicated cases but have recurrence risks, while complicated cases typically require surgical intervention. Methods: This systematic review adheres to PRISMA guidelines and evaluates studies from 2010–2024 on AA diagnosis and surgical management. Inclusion criteria encompass observational studies, RCTs, and cohort studies reporting diagnostic accuracy, surgical outcomes, and patient prognosis. Search strategies target databases like PubMed, Embase, Cochrane Library, and Scopus. Data extraction focuses on diagnostic methods, surgical techniques, and outcomes. Results: Preliminary findings from eight studies indicate varying outcomes based on diagnostic tools, surgical approaches (laparoscopic vs. open), and geographical practices. Complications, recurrence rates, and recovery times were analyzed to highlight trends and gaps in current knowledge. Conclusion: This review shows the importance of accurate, cost-effective diagnostic tools and tailored management strategies. Global variability in practices impacts outcomes, emphasizing the need for standardized protocols to optimize care and resource utilization in acute appendicitis management.
Co-Authors Betti Merdiani Putri Jiwa Zhaqi Adiguna