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INDONESIA
Jurnal Plastik Rekonstruksi
Published by Yayasan Lingkar Studi Bedah Plastik
ISSN : 20896492     EISSN : 20899734     DOI : -
Core Subject : Education, Engineering,
Civil Engineering, Building, Construction & Architecture Other
Jurnal Plastik Rekonstruksi is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery. JPR publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types.
Arjuna Subject : -
Articles 250 Documents
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Vascular Malformation Cases Profile in RSUP Dr. Kariadi Central-General Hospital Semarang Between 2020-2023 Handoko, Tan Margaretha Heidina; Najatullah, Najatullah
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): (2025) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.36

Abstract

Introduction: Vascular malformations are abnormalities of the vascular system that arise from improper development during embryogenesis. These vascular anomalies are present at birth and grow proportionally to the size of the child. They have complex clinical presentations and are often misdiagnosed. There are few reports on epidemiology data of these anomalies, and this paper aim to contribute on vascular malformations descriptive epidemiological data.Method: Patients with vascular malformations who were registered in RSUP Dr. Kariadi Central-General Hospital between January 2020 and December 2023 were included in this paper. All data were collected retrospectively from medical records.Results: The gender distribution is dominated by male then followed female with the frequency of 51.2% and 48.8% subsequently. Age 1-20 years was the most dominant age range, contributing to 63.2% of the cases. The most commonly found type of vascular malformations are low-flow malformations with venous malformations (69.6%) being the most common and followed by lymphatic malformations (16%). Surgical treatment was done on 52% of the cases, followed by non-surgical (39.2%) and combination of both surgical and non-surgical methods (8.8%). The most common anatomical site was the craniofacial area (56.8%) followed by the limbs area (28.8%).Conclusion: Both diagnostic and therapy remain a challenge on vascular malformations. By fully understanding about these vascular anomalies, the proper diagnostic can be made hence the proper treatment.
Current Updates of Biomaterials for Skin Replacement: A Systematic Review Sandora, Normalina; Amalina Fitria, Nur; Wardhana, Aditya; Melati Putri , Nandita; Noviandi Syarif , Akhmad; Rahmah Kusuma, Tyas; Karimah, Benati
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): (2025) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.45

Abstract

Background: The human skin envelops the entire body surface and is highly susceptible to damage. Partial- and full-thickness skin loss often necessitates the use of skin substitutes. Autologous grafting remains the gold standard for skin replacement. Furthermore, the application is usually constrained by the limited availability of donor skin, the technical challenges of surgery, and the added difficulties encountered in severe cases. In this systematic review, we summarise the strengths and limitations of biological and synthetic biomaterials as skin substitutes, with evidence drawn from clinical practice, human trials, and preclinical animal studies. This systematic review evaluates the advantages and disadvantages of biological and synthetic biomaterials used as skin substitutes, drawing evidence from clinical practice, human studies, and animal studies.”Method: We performed a comprehensive literature review using the search engines OVID, ScienceDirect, Google Scholar, and PubMed databases. Search terms or keywords included "artificial skin," "biomaterials," "skin substitute," "full-thickness burn," "synthetic materials," "burn graft materials," and "wound care." From an initial pool of 97 articles, 65 met the inclusion criteria, which required peer-reviewed studies published in English after 2000, focusing on biomaterials for skin substitutes evaluated in clinical, human, or animal studies.Results:  Skin substitutes commercially available in the market were predominantly incorporated with human fibroblasts and keratinocytes within a three-dimensional matrix, with a preference for biological materials due to their biocompatibility. Nevertheless, biological substitutes face challenges such as limited availability, extended production time, high costs, and lack of immediate usability. In contrast, synthetic substitutes are more accessible and scalable but often do not integrate well with the recipient's tissue, which limits their clinical efficacy.Conclusion: While both biological and synthetic artificial skin substitutes are available on the market, none of the current options fully meet the ideal criteria for skin replacement, such as affordability, availability, seamless integration with the surrounding tissue, and the ability to minimise scarring. More research is needed to address these limitations and advance the development of next-generation biomaterials that can effectively replace skin.
How to Harvest Deep Inferior Epigastric Perforator Free Flap Ramadan, Mohamad Rachadian; Keusuma, Khanza Isdiharana; Ali, Gary; Maharani, Anisa Ayu; Sarena, Ayu Putri Balqis
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): (2025) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.47

Abstract

Summary : The Deep Inferior Epigastric Perforator (DIEP) free flap is a microsurgical breast reconstruction technique that uses skin and subcutaneous fat from the lower abdomen while preserving the rectus abdominis muscle. This approach provides a natural breast mound with minimal donor-site morbidity compared to TRAM flaps, reducing risks of muscle weakness and abdominal wall hernia. Advantages include improved postoperative recovery, better abdominal contour, and long-lasting aesthetic results, as the reconstructed breast maintains its volume over time. However, it is technically demanding, requires longer operative time, and carries risks of flap loss or vascular complications if microsurgery fails. The procedure involves dissecting perforator vessels from the deep inferior epigastric system, transferring the tissue to the chest, and connecting vessels under a microscope. Expected outcomes include a soft, natural breast shape with improved patient satisfaction, though surgical expertise and careful patient selection are essential to minimize complications and ensure optimal results.
Drain and Debulk: A Dual Approach to Advanced Lower Limb Lymphedema Using Simultaneous LVB and Lymph-Sparing Liposuction Wicaksana, Aditya; Ramadan, Mohamad Rachadian; Atmodiwirjo, Parintosa
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): (2025) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.51

Abstract

Background: Advanced-stage lymphedema is characterized by lymphatic dysfunction and fibroadipose overgrowth. Single-modality treatments, such as lymphaticovenous bypass (LVB) or liposuction alone, are often inadequate. This case series evaluates the safety and outcomes of simultaneous LVB and lymph-sparing liposuction in advanced lower-limb disease.Method: We conducted a case series involving four patients (n=4) with secondary lower limb lymphedema (ISL stage II–III; LDB stage IV–V). All underwent simultaneous LVB and lymph-sparing liposuction. Limb volume was calculated using the truncated cone formula at baseline, 1 week, and 12 months postoperatively. Quality of life was measured using the LYMPH-Q questionnaire. One patient with bilateral lymphedema received LVB on both limbs but underwent liposuction on only one, allowing for direct internal comparison.Results: In all four patients patients demonstrated immediate postoperative limb volume reductions ranging from 12.13% to 37.68%, with further improvements at 12 months (up to 42.1%). Quality of life scores significantly increased, with improvements of up to 37.29%. In the bilateral case, the limb treated with both LVB and liposuction showed superior outcomes compared to the limb treated with LVB alone. No major complications occurred.Conclusions: Simultaneous LVB and lymph-sparing liposuction is a safe and effective treatment for advanced lymphedema. This dual-modality approach addresses both fluid accumulation and fibrotic hypertrophy, resulting in better functional and aesthetic outcomes than either technique alone. Larger studies with longer follow-up are needed to confirm these findings and optimize patient selection.
The Efficacy of Topical Tranexamic Acid in Breast Surgery Evaluating The Drain Output and Complications Reduction: A Systematic Review and Meta-Analysis Sudarman, Jesica Putri; Sayudo, Iqbal F.; Putri, Marcelvina Mutiara; Ali, Gary; Handini, Nurliati Sari
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.370

Abstract

Introduction : The topical administration of Tranexamic Acid (TXA) has gained significant attention for its potential advantages in various plastic surgery procedures. This study aims to conduct a systematic review and meta-analysis focusing on the use of topical TXA in breast surgery, analysing its impact on postoperative drain output and complications.Method : PubMed, Embase and the Cochrane Library databases were systematically searched to identify relevant studies. The data synthesis utilized random-effects models and the findings were presented as a mean difference and weighted odds ratio along with the corresponding 95% confidence interval.Results : Seven studies including four RCTs and three observational studies, comprising 1,553 breasts undergoing surgery were included. The average age of participants was 46 years; mean body mass index (BMI) was 26.1 kg/mm2. Of the breasts studied, 764 (49%) received topical TXA and 789 (51%) received normal saline as placebo. Overall, topical TXA was associated with a lower drain output in the first 24 hours postoperative (MD -25.87; p=0.00001) and a lower cumulative drain output (MD -59.72; p<0.00001). The rate of hematoma is significantly lower in the topical TXA group compared to the control group (OR 0.19; p=0.0009). There were no significant differences in rates of seroma, infection, thromboembolic events and time to drain removal between groups.  Conclusion: Evidence of this study suggests that administration of topical TXA significantly reduces the drain output production and hematoma in breast surgery. The use of topical TXA not significantly affecting rates of seroma, infection and postoperative duration with drain.
Results of Measuring Lactate Levels Value in Free Flap Reconstruction Muzakkie, Mufida; Adhania, Karnissa Rizkia
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.374

Abstract

Introduction : Free flap surgery which is performed by transferring tissue along with its vascularization, can fail due to vascular compromised which cause by thrombosis formation either in vein or artery. Disruption of blood flow patency that not treated immediately can cause ischemia and necrosis occurred in free flap, especially within five days after reconstruction. Previous study has proven that free flap monitoring with lactate levels measurement can accurately for evaluate the occurrence vascular compromised in free flap.Method : This study is a descriptive observational study with cross-sectional design. It was conducted by observing medical record of free flap reconstruction patient from November 2022 until November 2023 at Plastic and Reconstructive Surgery Department of RSUP Dr. Mohammad Hoesin Palembang. Data collection was carried out using total sampling technique and analysed using Statistical Package for the Social Science (SPSS) version 22.0 with univariate technique.Result : Free flap with vascular compromise has higher lactate levels value than viable one. Lactate levels value transition of viable free flap showed an increase after anastomosis and gradually decrease at the next assessment time, while lactate levels in free flap with vascular compromise increased to above reference value, mainly on the first day vascular compromise occurred.Conclusion: Clinical monitoring which combined with lactate levels assessment can accelerate the diagnose of blood flow patency disruption in free flap so that cause success rate improvement and better prognosis of free flap reconstruction patients.
Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis Sari, Felicia Puspita; Satrio, Kenny; Samsarga, Gede Wara
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.368

Abstract

Introduction : The technique for repairing a cleft palate depends on the length and width of the palate and the type of cleft palate according to the Veau classification. The most common surgical techniques include the Furlow double opposing Z-plasty, the Bardach palatoplasty, the von Langenbeck palatoplasty, and the V-Y pushback. One of the most frequent complications after cleft palate repair is an oronasal fistula (ONF). This article aimed to compare the risk of postoperative ONF formation following cleft palate repair.Method : We searched for manuscripts involving patients with ONF formation following the Furlow, Bardach, von Langenbeck, and V-Y pushback palatoplasty. Electronic literature searching of the PubMed, Scopus, and Cochrane databases was conducted for the studies published up to November 2022.Result: The meta-analysis used 17 studies, including the analysis of 3,207 repaired cleft palates. The Furlow technique was associated with a statistically lower risk of ONF formation when compared to the von Langenbeck and V-Y pushback techniques (RR=0.06[0.43-0.840],p<0.01 and RR=0.30[0.15-0.62],p<0.01 respectively). There were no statistically significant differences regarding ONF formation between the Furlow technique and the Bardach technique (RR=1.45[0.48-0.43],p=0.51).Conclusion: The Furlow technique is associated with a lower risk of ONF compared to the von Langenbeck and V-Y pushback techniques. There were no statistically significant differences in ONF formation between the Furlow and Bardach techniques.
Retrospective Single-Centre Descriptive Study of Characteristic and Management of Paediatric vs Adult Patients Presenting with Craniomaxillofacial Fracture Tania, Vika; Handayani, Siti; Santoso, Imam; Rodjani, Ines Hadianesti
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.372

Abstract

Introduction: Pediatric facial fractures are recognized as separate entities from those occurring in the adult. They differ significantly in their epidemiology, diagnosis and treatment. An understanding of the cause, severity, and distribution of maxillofacial and skull vault trauma and associated injuries can assist in establishing clinical and research priorities for prevention and effective treatment of these injuries. Because there were no studies of maxillofacial injuries in a large series in Cipto Mangunkusumo Hospital, we retrospectively analyzed the characteristics of facial injury treated at our hospital from January 2009 to December 2013.Method: This research is a descriptive study to calculate and compare pediatric and adult maxillofacial fractures between 2009 until 2013. Total sampling of all medical record of maxillofacial trauma patient who came to Cipto Mangunkusumo Hospital form January 2009 until December 2013 was recorded. All data including age, gender, distribution of fracture site, etiology of fracture and fracture treatment were noted. Severity of mandibular and midface fracture also recorded along with their specific fracture distribution.Results: We recorded 409 patients with craniomaxilofacial (CMF) injuries for 5 previous years that being treated in Cipto Mangunkusumo Hospital. 17.6%(72) of these patients were pediatrics patient with age younger than 18 years old. From the gender distribution we can see that most of the patient were male (85.3%) with motorcycle as the main cause of trauma (75.6%). We can also see that midface fractures was highly suffered not only in adult patient but also in the pediatrics (58.7%) with orbital, nasal and zygomatic complex fractures as the top three most common fracture site. As for isolated mandible fractures share 22.7% from total fractures, and 18.6% suffered from both midface and mandible fracture. From all of these trauma patients, only 42.3% underwent open reduction and internal fixation surgery, while 28.9% refuse treatment.Conclusion: Maxillofacial trauma is not common in children; however, the incidence is increasing in this country. Although the principles of treatment follow as the adult’s, a few special considerations have to be taken into account in order to improve quality of life of the child in both short and long term. A multidisciplinary approach in the management is therefore highly recommended. Preventive measures and treatment plans in children and adult should be designed while keeping in mind their difference.
Sucralfate and Honey in Burn Wound Healing: An Article Review Wardhana, Aditya; Farhana, Nadya
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.371

Abstract

Introduction : Several studies stated that sucralfate and honey topically promote wound healing process. Sucralfate has been used for stomatitis, excoriation in perianal and peristomal, ulcers, and burn wounds. Honey as a food which is taken orally, is also used topically for several kind of wounds including burn wounds. However, there is no study reviewing sucralfate and honey in burn wounds.Method : Literature review was conducted from 1st until 6th of June 2022 using the terms of “honey”, “sucralfate”, “burns” and “wound healing”. Pubmed, Cohrane, Science Direct, Scopus, and Google Scholar were the online data bases we used. We identified eight studies, three trials evaluated the effects of sucralfate in burn wounds and five trials evaluated the effects of honey in burn wounds.Result : 3 Randomized Controlled Trials (RTCs) (n=170) about the effects of sucralfate and 5 RCTs (n=474) reported the effects of honey in burn wounds. Both Sucralfate and Honey group had similar wound healing duration around 18 days and had early sign of wound healing by day 7. Honey has faster complete wound healing compared to sucralfate by day 21. Honey has remarkable antimicrobial effect within one hour. No side effects were reported in both trials. Both honey and sucralfate reduce the necessity for skin grafting.Conclusion: Both sucralfate and honey have similar rapid re-epithelization in burn wounds, but honey has faster complete wound healing by day 21. Both has similar antimicrobial effect, no side effects, and reduce the necessity for skin grafting.
Forehead Flap for Facial Defects Reconstruction: Case Series and Review of The Literature Handoko, Tan Margaretha Heidina; Samuel, Darryl; Victe, Dona Christin; Yolla, Zulaekha; Sitorus, Gina Yunita Joice
Jurnal Plastik Rekonstruksi Vol. 10 No. 2 (2023): (2023) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i2.364

Abstract

Introduction: Forehead flap is one of the oldest techniques for reconstruction of the facial defects. Throughout the years, various advances in technologies and surgical techniques are continuously developing. Despite the ongoing advances in technology, forehead flap may be a simpler and useful alternative for facial defects.Method: This study was a retrospective case series of four patients presented to Dr. Kariadi Central-General Hospital during 2021-2022 with facial defects undergoing reconstruction with forehead flap. Case report based on the medical and surgical records.Result: All patients underwent reconstruction surgery in 2 stages. The first stage was flap elevation and transfer, and the second surgery was flap division and inset weeks later. All patients had overall good outcomes.Conclusion: Forehead flap is technically simple to perform, easy to master and provides good outcomes. In cases of free flap loss, a forehead flap can be used as a Plan B. Therefore, forehead flap is a reliable option for facial defect reconstruction and should be mastered especially by general plastic surgeons.

Page 24 of 25 | Total Record : 250

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