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Profil Pasien Trauma Maksilofasial di Rumah Sakit Umum Daerah Waikabubak Sumba Barat Tahun 2018–2021: Hasil Penelitian Angela Djunaedi; Adityas Sukmadi Karjosukarso
Cermin Dunia Kedokteran Vol 51 No 7 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i7.1104

Introduction: Maxillofacial trauma is related to head trauma, mostly caused by motorcycle traffic accidents in Sumba. The limitations in diagnostic evaluation at rural hospitals present unique challenges to healthcare providers. This research describes some characteristics of maxillofacial trauma cases in Waikabubak General Hospital, West Sumba, East Nusa Tenggara. Methods: A retrospective descriptive study based on medical records between 2018 – 2021. Results: A total of 37 patients were included; the majority were in the 16 to 64 year-old age group (78%), with males (81%). Motorcycle road traffic accidents (73%) were the main cause, and the most common fracture site was the mandibula (35%). Skull AP lateral plain radiography was the most commonly used x-ray technique (49%). Cases were mostly discharged against medical advice (54%). Conclusion: Motorcycle road traffic accidents were the main cause of maxillofacial injuries, and the mandibula was the most common site of fractures.

Profil Pasien Luka Bakar di Rumah Sakit Umum Daerah Waikabubak, Sumba Barat , Indonesia Tahun 2019–2021 Angela Djunaedi; Adityas Sukmadi Karjosukarso
Cermin Dunia Kedokteran Vol 51 No 9 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i9.1105

Introduction: West Sumba, East Nusa Tenggara, is known as one of the areas with limited healthcare facilities. Burn injury can happen to anyone from all sorts of backgrounds. This research was conducted to observe the pattern of burn injury in Waikabubak General Hospital. Methods: A retrospective descriptive study was conducted using medical records data at Waikabubak General Hospital from 2019-2021. Results: Thirty-five burn injuries patients were evaluated. The majority of patients were male (71%) and ranging from the age of < 2 - 12 years old (54%). Scald burns by hot water were the most common cause (54%). The extremities were the common site of injury (34%), with the mean total body surface area (TBSA) was 16.8%, and the most common complications were severe dehydration (9%) and death (9%). The main comorbid disease was epilepsy (11%), most had a length of stay of 5-10 days, with an average of 6 days, and the most frequent intervention was debridement (54%). Most patients were discharged with improved condition (74%). Conclusion: Children and patients with epilepsy were at risk. It is important to equip caregivers and family members with specific preventive strategies and first aid training programs.

PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW Djunaedi, Angela; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.65076

Highlights: 1. The absence of Stage 1 pressure injuries reflects the need for a predictive assessment tool.2. The majority of patients were aged 60–71 and had unstageable pressure injuries.3. The main referring departments were Internal Medicine, Cardiology, and Pulmonology. Abstract: Introduction: Pressure injury (PI) is a worldwide health problem, a burden in many aspects, and influences life quality. Every PI case would be different due to several underlying factors and conditions which hindered the prevention strategies. We share the overview of PI patients on South East Indonesia. Method: A descriptive-retrospective study with chart review approach was held to review all case of PI consulted to plastic surgery from 2021-2023. Basic demographic data was collected along with the wound area, PI stage, and referrer department. Result: PI was more frequent in Male patients insignificantly (p=0.069) developed more PI (55.13%) than female patients (44.87%). Almost half of PI case occurred in patients with more than 60 years old of age (48.71%). Most case were referred by the internal medicine, pulmology and cardiology department (43.59%) and mostly located in sacral region, (64.10%). Unstageable PI was found the most (48.72%) while no stage 1 PI was consulted. Discussion: The finding of the study existing knowledge about the risk factors for pressure injuries (PI), particularly sensory and motor impairment as well as immobility. The absence of stage 1 PI underscores the importance of a standardized predictive assessment tool to enhance early detection and intervention. Integrating routine visual inspection and palpation into the assessment process could improve the early recognition of PI. The intervention should be extended to educational program to family caregiver in discharge planning. Conclusion: PI incidence corresponds with known risk populations. Hospital leadership should implement predictive PI assessment tools and incorporate PI education into discharge planning to improve early detection and intervention.

Profil Pasien Trauma Maksilofasial di Rumah Sakit Umum Daerah Waikabubak Sumba Barat Tahun 2018–2021: Hasil Penelitian Djunaedi, Angela; Karjosukarso, Adityas Sukmadi
Cermin Dunia Kedokteran Vol 51 No 7 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i7.1104

Introduction: Maxillofacial trauma is related to head trauma, mostly caused by motorcycle traffic accidents in Sumba. The limitations in diagnostic evaluation at rural hospitals present unique challenges to healthcare providers. This research describes some characteristics of maxillofacial trauma cases in Waikabubak General Hospital, West Sumba, East Nusa Tenggara. Methods: A retrospective descriptive study based on medical records between 2018 – 2021. Results: A total of 37 patients were included; the majority were in the 16 to 64 year-old age group (78%), with males (81%). Motorcycle road traffic accidents (73%) were the main cause, and the most common fracture site was the mandibula (35%). Skull AP lateral plain radiography was the most commonly used x-ray technique (49%). Cases were mostly discharged against medical advice (54%). Conclusion: Motorcycle road traffic accidents were the main cause of maxillofacial injuries, and the mandibula was the most common site of fractures.

Profil Pasien Luka Bakar di Rumah Sakit Umum Daerah Waikabubak, Sumba Barat , Indonesia Tahun 2019–2021 Djunaedi, Angela; Sukmadi Karjosukarso, Adityas
Cermin Dunia Kedokteran Vol 51 No 9 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i9.1105

Introduction: West Sumba, East Nusa Tenggara, is known as one of the areas with limited healthcare facilities. Burn injury can happen to anyone from all sorts of backgrounds. This research was conducted to observe the pattern of burn injury in Waikabubak General Hospital. Methods: A retrospective descriptive study was conducted using medical records data at Waikabubak General Hospital from 2019-2021. Results: Thirty-five burn injuries patients were evaluated. The majority of patients were male (71%) and ranging from the age of < 2 - 12 years old (54%). Scald burns by hot water were the most common cause (54%). The extremities were the common site of injury (34%), with the mean total body surface area (TBSA) was 16.8%, and the most common complications were severe dehydration (9%) and death (9%). The main comorbid disease was epilepsy (11%), most had a length of stay of 5-10 days, with an average of 6 days, and the most frequent intervention was debridement (54%). Most patients were discharged with improved condition (74%). Conclusion: Children and patients with epilepsy were at risk. It is important to equip caregivers and family members with specific preventive strategies and first aid training programs.

Esophagogastrostomi dengan Stapler Linear Murny Rauf pada Achalasia Tipe III – Laporan Kasus: Laporan Kasus Djunaedi, Angela; Nitbani, Alders Alen Kusa; Marino, Widhitomo
Cermin Dunia Kedokteran Vol 53 No 02 (2026): Februari 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i02.1722

Introduction: Feeding difficulty is one of the main complaints of patients with achalasia. Achalasia is still considered a rare disorder with unknown etiology. The main goal of the treatment is to increase the patient’s quality of life and treat dysphagia to improve food intake.A successful esophagogastrostomy Murny Rauf procedure for achalasia treatment in a limited-resource hospital is presented. Case: A 47-year-old woman was diagnosed with type III achalasia (Eckardt’s score: 12) and severe malnutrition. The esophagogastrostomy with the Murny Rauf procedure was conducted to increase food intake. The patient gained weight due to improved feeding several weeks after the surgery. Discussion: Diagnosis of achalasia is made by clinical symptoms and confirmed by a diagnostic procedure. In this case, nonsurgical medications were not considered due to the uncertainty of the benefit and difficulties of routine visits due to the far distance of the patient’s residence to the hospital which may incur additional transportation costs. Conclusion: The esophagogastrostomy Murny Rauf procedure provides advantages in treating achalasia. This procedure gave a new insight into developing an efficient procedure for achalasia in rural areas.

ONE-STAGE MODIFIED BIPEDICLED SCROTAL FLAP IN PENILE SCLEROSING LIPOGRANULOMA SURGICAL RECONSTRUCTION: A CASE SERIES Telussa, Arley Sadra; Datusanantyo, Robertus Arian; Kale, Letitia Bellavesta; Djunaedi, Angela
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.968

Introduction: Sclerosing lipogranuloma is commonly encountered by urologists and plastic surgeons. Despite potential permanent damage, increasing penile size by injecting unusual substances, usually oil-based, becomes a trend in society. The immediate result, practicality, and affordability of the procedure caused penile shaft deformity, pain, and difficulties in sexual activity. Objective: This study aims to report three cases of modified scrotal flap reconstruction techniques to reconstruct heavily deformed penile shafts with satisfying results. Case(s) Presentation: Three males presented with painful enlarged and deformed penile shaft following a penile enlargement procedure by injection of unusual substances done by non-medical practitioners. Following penile sclerosing lipogranuloma diagnosis, lipogranuloma excision and one-stage modified bipedicle scrotal flap were conducted for all patients. Discussion: A reconstructive procedure is needed to eliminate pain and restore sexual functions. Among available surgical reconstruction techniques, the bipedicled scrotal flap was more suitable in most limited healthcare setting for its less technical complexity, fewer complications, better aesthetic outcomes, and better sexual functions. All cases were reconstructed in a one-stage procedure, they were cost-efficient without losing their features. Conclusion: The one-stage modified bipedicled scrotal flap technique is a beneficial technique for penile reconstruction caused by sclerosing lipogranuloma, especially in health centers where patients reside in distant places. Keywords: Sclerosing lipogranuloma, scrotal flap, reconstruction techniques.

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