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Department of Surgery, Faculty of Medicine, Universitas Indonesia RS dr. Cipto Mangunkusumo, Jakarta Jl. Diponegoro 71 Jakarta Pusat 10430, Indonesia
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The New Ropanasuri Journal of Surgery
Published by Universitas Indonesia
ISSN : 25033328     EISSN : 25497871     DOI : 10.7454
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology
The journal focused on general surgery with the scope of surgical research and surgery-related studies.
Arjuna Subject : Kedokteran - Pembedahan
Articles 9 Documents
 1 
Search results for , issue "vol. 4, no. 1" : 9 Documents clear
Risk Factors of Colorectal Carcinoma Incidence in Young Adults: A Meta-Analysis Putranto, Agi Satria; Julistian, Julistian
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Abstract

Introduction. The incidence and mortality of colorectal cancer (CRC) in young adults (below the age of 50 years) has been increased. However, there’s no screening method for these cancer in those group of age because there isno scientifically proven risk factor. Thus, a meta-analysis carried out to find out the risk factor for CRC in young adults. Method. A Meta-analysis study was conducted in January 2017. Literature search addressed to the articles published during a period of 2007– 2017 in Cochrane and PubMed using keywords: “young” AND “risk factor” AND “colorectal cancer” OR “colon cancer” or “rectal cancer”. Inclusion criteria were the CRC prevalence, risk factor analysis for CRC incidence and young population (below 50 years old). The meta-analysis carried out through qualitative and quantitative approach. Results. In the last 10 years, there were twelve published articles met the criteria. Those were cohort study (an article), case–control study (four articles), and cross–sectional study (seven articles). Twenty–five risk factors were noted. The meta–analysis showed that gender (males) with OR = 1.66, 95% CI = (1.04–2.64); I2 = 93%), family history with OR = 2.01, 95% CI = (1.11–3.67); I2 = 78%), metabolic syndrome with OR = 1.80, 95% CI = (1.49–2.16), I2 = 0%), and smoking with OR = 1.57, 95% CI = (1.40–1.77), I2 = 4%) were the significant risk factors with the association of CRC. Conclusion. Young adults of males, with a family history of CRC, metabolic syndrome, and smoking were at the risk to have colorectal cancer
Long–Term Patency of Arteriovenous Fistula After Endovascular Salvage Procedure and It's Affecting Factors Darwis, Patrianef; Sitorus, Londung B.; Muradi, Akhmadu
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. The limited durability of vascular access referred to the great challenges in hemodialysis. An immature arteriovenous fistula (AVF) that inadequately develops to support dialysis noted as the leading cause to immature AVF if stenosis found after creation. The endovascular fistula salvage (EFS) addressed for the preemptive repair of immature AVF despite surgicalrevision. However, no study on EFS proceeded in Indonesia with its specific characteristics. Thus, this study aimed to evaluate the efficacy of EFS and its influencing factors. Method. A retrospective cohort study carried out on those with immature AFV who underwent EFS procedures during the period ofJanuary 2016 to December 2016. The primary patency after EFSwas assessed in correlation to subjects’ characteristics, anatomical variations, diabetes mellitus, and the length and diameter of balloon to post EFS patency Results. There was 125 stenosis noted, a total of 66 stenoses noted in juxta anastomosis. The average length of stenosis was 33.18 mm. Age, diabetes mellitus, length of stenosis and multiple stenoses were found as the influencing factors to the primary patency. The length of stenosis was the most influencing variable in 6 months primary patency (p
Intraoperative Blood flow Rate as a Predictor for Maturity of Radiocephalic Arteriovenous Fistula Pratama, Dedy; Darwis, Patrianef; Yang, Andrew Jackson
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Arteriovenous fistula (AVF) is the best access for hemodialysis. The failure of arteriovenous fistula maturation is currently a major problem faced today. This study aims to assess whether an intraoperative blood flow rate measured with Doppler ultrasound can be a predictor of the maturity ofradiocephalic AVF. Method. Subjects were patients to be made radiocephalic AVFwith USG mapping according to the standard. Shortly after, the anastomosis blood flow rate was measured with a linear probe Doppler ultrasound. This study used a cross-sectional analytic design to obtain radiocephalic AVF maturation relationship with intraoperative blood flow rate. Results. Radiocephalic AVF (n = 71) in 71 patients were made and evaluated in 6 weeks. The mean intraoperative blood flow rate in mature fistulas was significantly higher than those which did not mature (201.85 and 141.96 mL/min; p 165.5 mL/min has a good predictor value for radiocephalic AVF maturation. Thus, it can be used as a reference to determine whether the surgeon needs for further assessment and revision intraoperatively, which in turn is expected to decrease the maturation failure rate of arteriovenous fistula.
Duration and frequency of catheterization in central vein stenosis: A case control study Suhartono, Raden; Supit, Caroline
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Placement of the central vein catheterization (CVC) is a major risk factor for central vein stenosis (CVS). Repetitive endothelial exposures to the CVC results in inflammation, microthrombi formation, hyperplasia of the intima, fibrosis and thus development of CVS. The study aimed to find out the correlation between the duration and frequency of CVC in patients with CVS. Method. A matched case-control study was conducted in dr. Cipto Mangunkusumo General Hospital. Samples were taken from the medical record. Multivariate statistical comparisons were done using Chi-square tests. Results. Fifty–four out of 717 patients underwent CVC for hemodialysis had CVS. A total of 32 patients with CVS enrolled in the study with 128 non–CVS patients as a control. Duration of CVC >6 weeks does not increase the risk of CVS (p = 0.207), whilst the odds ratio of CVS on the frequency of CVC >2 times is 30 times compared to those underwent 2 times increased the risk of CVS. Longer duration of CVC for hemodialysis did not increase CVS rate.
Hospital Malnutrition in Pediatric Surgery at dr. Cipto Mangunkusumo General Hospital 2015 and Its Associated Factors Cendrawan, Novi Kurnia; Budianto, Iskandar R.
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Hospital malnutrition is known to increase the length of stays, mortality, and morbidity, however, the factors associated with the development of hospital malnutrition, especially in pediatric surgery patient population, has not been recognized. Method. This study was done to evaluate the occurrence of hospital malnutrition in pediatric surgery population and to identify the factors associated with hospital malnutrition. Primary data was gathered from pediatric surgery patients hospitalized in the pediatric surgery ward of Dr. Cipto Mangunkusumo General Hospital within July–December 2015. Data on age, diagnosis, nutrition status at admission, whether any procedure was done during a hospital stay, fasting duration, duration of surgery, length of stays and classification of surgical procedure done were collected. Univariate and multivariate analysis was done to identify the association between these variables and hospital malnutrition. Results. Out of 198 patients admitted in the pediatric surgery ward, 50 subjects were enrolled. The occurrence of hospital malnutrition among these subjects was 40%. Among the categorical variables (age, diagnosis, nutrition status at admission, whether any procedure was done during a hospital stay, classification of surgical procedure) only the classification of surgical procedure was found to be significantly associated with hospital malnutrition (p = 0.013). Meanwhile, among the numerical variables (fasting duration, duration of surgery, length of stays) only postoperative length of stays was correlated with hospital malnutrition (p = 0.009). Conclusion. It can be inferred that the burden of surgery is associated with hospital malnutrition, and in turn, hospital–malnutrition is associated with increased postoperative length of stays.
Relationship between sepsis and timing achievement of peristaltic function in congenital duodenal obstruction Sastiono, Sastiono; Rahmaania, Juwita Cresti
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Abstract

Introduction. Intestinal obstruction has been shown to induce bacterial translocation and in turn, would be associated with an increased risk of sepsis. Such a condition would be affecting the achievement of peristaltic and ultimately increased morbidity and mortality. In addition, nosocomial infections that threaten neonates cause sepsis also will affect the achievement of a peristaltic. Thus, the aim of this study was to investigate the relationship between sepsis with timing achievement of peristaltic postoperatively. Method. This is a cross-sectional study with data obtained from medical records of patients with duodenal obstruction without congenital abnormalities (gastroschisis, omphalocele, and another intestinal atresia) that underwent operations in RSCM during the period of January 2010 to July 2016. Subjects were grouped into sepsis and without sepsis. The association between sepsis and timing achievement of peristaltic, and confounding variables (gestational age, birth weight, congenital abnormalities, conditions of hypoxia and electrolyte imbalance) were analyzed. Data analyzed using univariate, bivariate (Mann Whitney, Chi-Square or Fischer) and multivariate (linear regression) with the significance of
Wide Excision of Non–Melanoma Skin Cancer at dr. Cipto Mangunkusumo General Hospital, 2012–2015: Recurrence and Prognostic Factors Pratama, Dennis William; Kurnia, Ahmad
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Skin cancer is one of many kinds of cancer which incidence increases globally. Basal cell carcinoma (BSC) and squamous cell carcinoma (SCC) are the most common prevalence of non–melanoma skin cancer, and also are the most common cancer among skin cancer. The main therapy for such skin cancer is wide excision within its safety margin added by adjuvant therapy. Despite adequate therapy, people with skin cancer still have a risk of recurrence. This study assesses the prognostic factors of recurrence among people with non–melanoma skin cancer who underwent wide excision surgery. Method. This study was a retrospective cohort with survival analysis. The patient's data who underwent wide excision surgery were from Perhimpunan Ahli Bedah Onkologi Indonesia (PERABOI)registry and medical record from Oncology Surgery Division in RSCM from January 2012–December 2015. Data selection was done based on inclusion and exclusion criteria. Results. There were 187 patients with non–melanoma skin cancer who underwent wide excision surgery; the recurrence was detected on 15% of the case. Most of the patients were ≥45 years old with the most common histopathological feature of the skin cancer was basal cell carcinoma. We did a survival analysis with Cox regression and the result was previous history of skin cancer (RR 6.903; 95% CI 2.925–16.292), perineural invasion (HR 3.818; 95% CI 1.561–9.340), location of the lesion (HR 0.071; 95% CI 0.022–0.228), and size of the tumor (HR 1.842; 95% CI 1.244–2.729) was the factorsthat increased recurrence. Conclusion. History of previous skin cancer, perineural invasion, location of the lesion, and size of the tumor were the prognostic factors for recurrence among patients with non–melanoma skin cancer who underwent wide excision surgery
Factors Related with Complication Following Gastrectomy: Retrospective Analysis based on the Clavien–Dindo Classification System Putranto, Agi Satria; Siahaya, Fransisca Janne
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Surgical resection is the only curative treatment option in the management of gastric cancer. A study carried out and aimed to retrospectively analyze all complications following gastrectomy in accordance with severity of Clavien–Dindo classification, in addition to identify the related factors to postoperative complications. Method. The cross-sectional study enrolling a total of 35 patients with complete medical records who underwent gastrectomy in Cipto Mangunkusumo General Hospital Jakarta between January 2007 and December 2017. The complications and related factors were evaluated. Statistical analysis was employed to find out the correlation. Results. Of the 35 patients underwent gastrectomy at Cipto Mangunkusumo General Hospital Jakarta, the median age was 67, and 51.4% were female. Median of preoperative albumin was 3.0 g/dL, intraoperative blood transfusion was 217 mL and intraoperative blood loss was 500 mL. A total of 32 out of 35 subjects (91.4%) underwent partial gastrectomy and three total gastrectomy (8.6%). The incidence of severe complications (stage ≥IIIa) was 25.7% (n = 9). Those requiring surgical intervention caused by pneumothorax (5.7%), intra-abdominal bleeding (2.9%), anastomotic leakage (5.7%), duodenal stump leak (2.9%). Septic shock/death also found (8.5%). Age, intraoperative blood loss, and intraoperative blood transfusion were positively correlated with complication (p
Gallstone Ileus in Cipto Mangunkusumo General Hospital, Jakarta: A Case Series Lalisang, Toar JM; Hehuwat, Georgina P.; Lalisang, Arnetta NL; Pratama, Irfan K.; Mazni, Yarman
The New Ropanasuri Journal of Surgery Vol. 4, No. 1
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Introduction. Gallstone ileus is an uncommon mechanical bowel obstruction caused by a gallstone in the gastrointestinal tract which enters due to bile-enteric fistulae. This study aims to describe gallstone ileus and its management. Method. Data were retrospectively collected from medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected. Results. We report two gallstone ileus cases at Cipto Mangunkusumo General Hospital, Jakarta which admitted in the last 20 years. The first case was a woman 33 years in 2002 and the second was man 45 years in 2017. Ileus was the main clinical symptoms. Gallstone ileus was diagnosed with preoperatively based on clinical and radiology findings. Laparotomy was performed and ileostomy for stones evacuation and cholecystectomy were performed without bile-enteric fistula repair. Large black stones were found at terminal ileum which made the obstruction. Conclusion. Gallstone ileus was an uncommon disease which can be treated and has a good prognosis. Plain abdominal x-ray has an important role in diagnosis and treatment approach.

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