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All Journal Berkala Kedokteran Jurnal Ilmiah Kedokteran Wijaya Kusuma
Mayun, Komang Abdi Baskara
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Combination of Modified Rhomboid Flap and Full-Thickness Skin Grafts (FTSG) for Scalp Defects Caused by Infiltrative Basal Cell Carcinoma (BCC): A Case Report Mayun, Komang Abdi Baskara; Irawan, Hendry
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.24408

Abstract

Basal cell carcinoma (BCC) is the most common form of malignancy and its prevalence is increasing. BCCs have a low fatality rate but can cause severe morbidity, mainly through local damage. Full-thickness skin grafts (FTSGs) is a classic approach of reconstructing skin defects that have been utilised for wide defects. Objective of this study is to report an experience in treating BCC with wide excision and reconstruction using modified rhomboid flap and FTSG in Udayana University Hospital. A 75 years old female came with a complaint of lump in the head in the last 6 months ago. It was originally the size of a marble and progressively increasing. Physical examination showed a visible mass measuring 9x5 cm on the right temporoparietal region. The patient was diagnosed with BCC on the right temporoparietal region. It was planned for wide excision and reconstruction using modified rhomboid flap and FTSG. The donor site of the skin graft was harvested from the right inguinal. After underwent these procedures, a post-operative histopathological examination was conducted. The result showed BCC with infiltrative subtype. After one month, the reconstruction was acceptable and there was no sign of cancer recurrence. The flap and graft were in good and viable condition and there were no signs of inflammatory response. Combining modified rhomboid flap and FTSG gave numerous advantages for handling skin defects, especially in terms of healing process which shows better aesthetic and functional outcome, greater coverage, and less secondary contraction. These benefits can be seen in this case.
Evaluation of Therapeutic Antibiotics After Laparoscopic Cholecystectomy: A Quasi- Experimental Study Mayun, Komang Abdi Baskara; Sudartana, Ketut; Sudarsa, Wayan; Sueta, Made Agus Dwianthara; Sudiasa, Ketut; Budiarta, Ida Bagus
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v14i2.4666

Abstract

Background: The routine use of postoperative therapeutic antibiotics after laparoscopic cholecystectomy remains controversial due to limited evidence of clinical benefit and concerns over antimicrobial resistance. Objective: To evaluate the effect of postoperative therapeutic antibiotics on surgical site infections (SSI) and laboratory outcomes after laparoscopic cholecystectomy. Methods: A quasi-experimental, post-testonly study with a non-equivalent control group was conducted at RSUP Prof. Dr. I.G.N.G. Ngoerah (September 2023–March 2024). Fifty-six patients were divided into two groups: postoperative antibiotics (cefoperazone followed by cefixime) versus no antibiotics. SSI was assessed on postoperative days 7 and 30 using the ASEPSIS scoring system. Laboratory parameters (leukocytes, neutrophils, lymphocytes, hemoglobin, and platelet counts) were compared between groups. No SSI occurred in either group. Laboratory outcomes showed nostatistically significant differences between the antibiotic and non-antibiotic groups (p > 0.05). Results: The mean age of participants was 45.2 ± 15.1 years, with female predominance. Conclusion: Postoperative therapeutic antibiotics did not reduce SSI rates or alter laboratory outcomes followinglaparoscopic cholecystectomy. Routine use is not supported in mild to moderate cases, and limiting unnecessary antibiotics may help reduce antimicrobial resistance.
Co-Authors Budiarta, Ida Bagus Hendry Irawan Sudarsa, Wayan Sudartana, Ketut Sudiasa, Ketut Sueta, Made Agus Dwianthara