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Endoscopic Discectomy Versus Open Microdiscectomy: Systematic Review for Lumbar Disc Herniation Treatment Eric Wijaya; Alhoi Hendry Henderson; I Nyoman Ehrich Lister
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4: APRIL 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.7139

Abstract

Introduction: Lower back pain (LBP) is a widespread global issue, with nearly 80% of the population expected to experience at least one episode in their lifetime. Disc herniation is closely linked to disc degeneration, a process accelerated by aging. As individuals age, fibro chondrocytes in the disc undergo senescence, leading to reduced proteoglycan production. This reduction results in disc dehydration and collapse, increasing stress on the annulus fibrosus. Consequently, tears and fissures develop, facilitating the herniation of the nucleus pulposus. Chronic symptoms often emerge gradually due to the repetitive mechanical stress applied to the disc. Percutaneous endoscopic lumbar discectomy (PELD) has been shown to yield better outcomes compared to traditional methods, particularly in terms of reduced blood loss, smaller incisions, and shorter bed rest duration. However, conclusive guidelines comparing endoscopic to open approaches remain limited, underscoring the need for rigorous systematic reviews and risk-of-bias assessments to clarify the relative efficacy and safety profiles of these techniques. Method: We developed the methodology for this systematic review following criteria outlined in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 checklist. Additionally, we conducted a preliminary risk-of-bias assessment for the included studies to ensure more rigorous evaluation of their quality. Result: Both PELD and conventional surgery significantly decrease ODI and VAS scores postoperatively. However, the control group shows a more substantial reduction in scores than the PELD group. Despite this, PELD is effective in treating herniated lumbar discs, offering advantages such as minimal postoperative pain, faster recovery, and reduced blood loss. Due to heterogeneity in outcome measures and follow-up durations across the included studies, a formal meta-analysis was not performed. Conclusion: While PELD appears to improve surgical outcomes and reduce oxidative stress, further high-quality randomized trials are needed to confirm these benefits and establish standardized selection criteria.
Konseling dan Pemeriksaan Kesehatan Mata pada Pengabdian Masyarakat di Kelurahan Paal Lima Kecamatan Kota Baru Kota Jambi: Pengabdian Rica Tri Septinora; Sri Mulyati; Chrismis Novalinda Ginting; Dwight Mahaputera Marulitua Hutapea; I Nyoman Ehrich Lister
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 3 No. 4 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 3 Nomor 4 (April 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v3i4.1362

Abstract

Eye health is often overlooked, leading to many eye diseases that, if not properly treated, can cause visual impairment. Visual impairment remains a significant health issue both globally and in Indonesia, as it can interfere with a person’s daily activities. A tangible impact of impaired visual acuity is a decline in academic performance due to difficulty seeing writing from a distance, ultimately preventing children from fully absorbing the lessons taught. This community service activity aims to increase public knowledge and awareness of eye health through health education and direct eye examinations in Kota Baru Sub-district, Jambi City. The methods used include eye examinations, counseling, and distribution of takjil. The results of this service showed strong public enthusiasm and an improvement in understanding the importance of maintaining eye health. This activity is expected to have a long-term impact on healthy lifestyle behaviors related to vision.