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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 11 Documents
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Search results for , issue "vol. 4, no. 2" : 11 Documents clear
Effectiveness of Balloon Angioplasty and Stent Angioplasty: Wound Healing in Critically Limb Ischemic Pamungkas, Wisnu; Darwis, Patrianef
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Critical limb ischemia (CLI) is a vascular disease that has a significant amputation and mortality risk with diabetes mellitus; the most significant risk factor in CLI is prevalent among Indonesian. Endovascular intervention (EVI) is preferred in treating CLI because it is non-invasive and effective. Balloon angioplasty and stent angioplasty are the most common method of EVI in Indonesia. This study aims to compare the effectiveness of balloon angioplasty and stent angioplasty on wound healing in CLI. Method. A cross sectional study enrolled 90 subjects of CLI who underwent endovascular intervention using balloon angioplasty dan stent angioplasty from January 2013 to July 2017 in dr. Cipto Mangunkusumo General Hospital, Jakarta. The wound healing period between balloon angioplasty dan stent angioplasty analysed using an unpaired T-test. Results. The wound healing period in balloon angioplasty and stent angioplasty distributed normally. The mean value of the wound healing period in balloon angioplasty and stent angioplasty is 84.8 ± 2.423 and 59.93 ± 2.423 days with a mean difference of 25 days. The difference in the wound healing period in both groups is statically significant. Conclusion. Stent angioplasty is a better method than balloon angioplasty for wound healing in patients with CLI.
Correlation between Internal Jugular Vein Tunnel Cuffed Catheter Tip Position as Hemodialysis Access with Suspected Catheter Related Bacteremia and Related Risk Factors at RSCM 2018–2019 Pratomo, Susatyo J; Muradi, Akhmadu
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Infection is the main complication of prolonged–term catheter uses as hemodialysis access. The KDOQI recommends the insertion of tunnel venous hemodialysis catheter in the right internal jugular vein (IJV) where the tip placed in the right atrium and the arterial opening enfacing the mediastinum. The previous study showed that the incidence of catheter–related bacteremia (CRB) is 35% at three months' use and 54% at six months' use. The TCC tip position as hemodialysis access in left IJV is correlated more to dysfunction and infection compared to the right IJV. Method. A cross–sectional study was conducted with 62 subjects of hemodialysis patients using IJV TCC access. Data of TCC site of insertion, TCC tip position, suspected CRB, and subject’s characteristics including age, sex, and diabetes mellitus from January 2018 to January 2019 collected from medical records. The correlation between these variables analyzed using Chi–Square test with a p–value of Results. Out of 62 subjects enrolled in this study, 45 (72.6%) were 60 yr. or less, forty (66.1%) males, fifteen with diabetes mellitus as the comorbid (24.2%). Thirty–nine subjects (62.9%) TCC tip positioned in SVC, two subjects (3.2%) in CAJ, and 21 subjects (33.9%) in RA. Twenty–two of these 62 with suspected CRB (35.48%). There is no significant correlation between the TCC tip position with suspected CRB incidence (p = 0.92, OR 1.05, 95% CI = 0.35 – 3.08). Age, gender, and diabetes mellitus were not statistically proven as risk factors of suspected CRB. Conclusion. There is no significant correlation between the TCC tip position and studied risk factors with suspected CRB.
Recanalization After Radio-frequency Ablation (RFA) in Limb Varices at Dr. Cipto Mangunkusumo and Fatmawati General Hospitals from 2015- 2017 Hermansyah, Rudi; Pratama, Dedy; Irfan, Witra
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Ligation in upper location and stripping of the varicose veins, enfacing high incidence of failure, recanalization. Endovascular surgery is a modality used to treat limb varicose. However, the recanalization following the procedure was never evaluated. Method. We ran a cohort study on subjects with reflux of the great saphenous vein treated by RFA. Following the RFA procedure, the evaluation proceeded using ultrasound within the first three weeks. Results. A total of 77 subjects were analysed for recanalization post-RFA. Recanalization was found in one subject (1.3%), partial recanalization in 6 subjects (7.79%), and no recanalization in 70 subjects (90.9%). No significant difference between the diameter of the great saphenous vein with the procedure (p <0.001). Conclusion. We concluded that RFA is effective in treating limb varicose. In addition, we found there is no association between recanalization and age, sex, and body mass index statistically.
Biology of Glycocalyx: The Essential Role in Maintaining Epithelial Barrier: A Mini-Review Lalisang, Toar J.M.
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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A Rare Presentation of A Giant Epidermal Cyst of The Parietooccipital Region: A Case Reports Kereh, David; Septiman, Septiman
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Epidermal cysts are common benign cutaneous cysts. An epidermal cyst may be classified as a giant epidermal cyst if it exceeds 5 cm. Giant epidermal cysts with a diameter of 5 cm or more are rare but have been reported. The epidermal cyst rarely discloses malignancy. Although rare, a case of malignant change of benign epidermal cyst is possible. We describe here a rare case of a giant epidermal cyst of the parietooccipital region in a 35-year-old man. Case Illustration. A 35-year-old man was admitted to the hospital with a huge swelling over the scalp for the past 30 years. The swelling was non-tender, cystic, measuring 18x13x 9 cm, and was situated in the parietooccipital region. Skull CT revealed an oval shape, hypodense mass, well defined, in the parietooccipital scalp with no intra-cranial extension. Complete excision of the lesion was carried out. Excision of redundant skin is needed to achieve good aesthetic results. Histopathological examination showed a thin layer of benign stratified squamous epithelium and lamellated keratin debris present in the cyst. There is no sign of malignant transformation. Conclusions. It can be stated that although epidermal cyst is a slow-growing benign tumor, it can cause diagnostic difficulties when located in the scalp area and when there is a possibility that cranial bones and even intracranial structures are affected by the cyst. CT, MRI or ultrasonography are crucial to determine if the cyst contacts intracranial structures. The histopathology examination should be done to detect malignant transformation.
Pulmonary Resection in Complicated Primary Pediatric Pulmonary Tuberculosis: An Evidence-based Case Report Wibowo, Hendra; Wardoyo, Suprayitno; Shinta, Dhama
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Paediatric pulmonary tuberculosis incidence was increasing, with many undetected cases. Antituberculosis regiments are known to be the treatment of choice for tuberculosis. Even though pulmonary resection for pulmonary tuberculosis has reduced in daily practice, it remains continues to play an important role in several advanced conditions and complications. Currently, there are no specific practical guidelines concerning surgical indications and approaches for pulmonary tuberculosis. We report a case with complicated primary paediatric pulmonary tuberculosis underwent resection and looking for the literature of the best evidence. Method. A case report completed with a discussion based on the best evidence. The database used for the literature search were Cochrane, Medline, ProQuest, and ScienceDirect. Keywords for the search were “primary pulmonary tuberculosis”, “surgery”, “Lung resection”, and “children”. Inclusion criteria were studies in English, children under 18 years old as the subject, and full-text articles available. The assessment carried out according to Oxford Centre for Evidence-Based Medicine 2011. Results. Six cohort studies were analyzed. Surgery indicated for patients with complicated TB that were unresponsive towards treatment. It should be noted that the experiments were done before the standard WHO antituberculosis therapy was applied. Thus, the result may be different from the current application. Conclusion. Currently, there was no guideline on pulmonary resection. However, surgery yielded better mortality and morbidity in children with complicated pulmonary tuberculosis.
Open Surgery with Intraoperative Enteroscopy in Jejunoileal Massive Bleeding in Pediatric Patient: An Evidence-Based Case Report Husni, Rini Y; Rinaldhy, Kshetra
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. A case report of surgical exploratory laparotomy with intraoperative enteroscopy (IOE) as a treatment in massive jejunoileal bleeding in children. Method. We conducted a literature search on databases such as Cochrane, PubMed, ScienceDirect, and Google Scholar. Abstract and title screening was done based on exclusion criteria, inclusion criteria, and double filtering. The selected article then reviewed using critical appraisal tools based on its validity, importance, and applicability. Selected articles were benchmark to the discussion. Results. The application of open surgery with IOE as the final treatment that can be recommended in the critical or life-threatening condition of jejunoileal bleeding. Conclusion: surgical exploratory laparotomy with intraoperative enteroscopy is the best final treatment that can be a choice for massive jejunoileal bleeding, whether in the acute case or repeated case, supported with the level of evidence 4
Association Between the Adequacy of Preoperative Antituberculosis Treatment with Abdominal Postoperative Morbidity and Mortality on Tuberculosis Patients El Anshori, Riza; Putranto, Agi S.
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. The adequacy of tuberculosis treatment before abdominal surgery is a dilemma faced by surgeons who aims for low risk of morbidity and mortality. In addition, there is no data on morbidity and mortality post abdominal operation on TB patients in RSCM and RS Persahabatan. Therefore, this research aims to show the correlation between the adequacy of preoperative TB treatment and postoperative morbidity (fistula enterocutaneous, obstruction, and surgical site infection) and mortality. Method. This study is a descriptive-analytic cross-sectional study done in Cipto Mangunkusumo Hospital dan Persahabatan Hospital using total sampling method, a total of 59 subjects with TB and had undergone abdominal operation and was admitted from January 2011 to August 2017, that fulfilled the criteria of this study. Bivariate and multivariate analysis using SPSS was done to analyze the correlation between TB treatment adequacy and postoperative morbidity and mortality. Results 46 subjects (78%) did not receive adequate preoperative TB treatment. The morbidity rate in this study is 29 subjects 49.25% with significant correlation with the adequacy of preoperative TB treatment (p = 0.030). From the three morbidities in this study (fistula enterocutaneous, obstruction, surgical site infection), only surgical site infection (SSI) has significant correlation with TB treatment adequacy (p = 0.048). There is no significant correlation with postoperative mortality (p = 0.564). Compared to elective surgery, emergency surgery has higher morbidity (OR = 1.62; 95% CI 0.58 - 4.53) and SSI (OR = 2.02; 95% CI 0.63 - 6.46) incidence. A significant difference in the incidence of SSI between clean and dirty surgery wound was found (p = 0.030). Multivariate analysis showed that both adequacy of antituberculosis treatment and surgery type are independent risk factors for morbidity (p = 0.025). Conclusion: Adequate preoperative TB treatment lowers the postoperative morbidity such as surgical site infection. There is no significant correlation between adequate preoperative TB treatment and mortality, and other morbidities such as fistula enterocutaneous and obstruction. Morbidity and SSI are more likely to happen in emergency surgery than elective surgery. Both adequacy of antituberculosis treatment and surgery type are independent risk factors for morbidity.
Association between Obesity and Hormone Receptor Characteristics of Primary Breast Cancer at Cipto Mangunkusumo General Hospital, Jakarta, in 2017 Gunardi, Hardian; Kartini, Diani
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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Introduction. Obesity is an independent risk factor and prognostic factor of primary breast cancer. Abundant adipose tissue would lead to increment of blood estrogen level; thus, promoting proliferation of cancer cell, especially those with positive estrogen receptor (ER) and progesterone receptor (PR). No study reported the association between obesity and hormone receptor characteristics of primary breast cancer in Indonesia. Method. We collected cases of primary breast cancer which is diagnosed and undergone immunohistochemistry examination at Cipto Mangunkusumo General Hospital in 2017. The subjects divided into obese group and non-obese group. The ER and PR characteristics of both groups were compared Results. We collected 202 cases of primary breast cancer, with 89 cases (44%) in obese group and 113 cases (56%) in non-obese group. The mean body mass index (BMI) of the subjects was 24.45±4.3. Both groups were similar in terms of age, menopausal status, stage, histopathological morphology and grade. No significant association was found between obesity and ER or PR. We analyzed correlation between BMI and the percentage of expressed hormone receptor, but no correlation was found. This finding did not conform with other Western studies. Difference in characteristics of the subjects and other hormonal factors might contribute to the outcome. Conclusion. There is no association between obesity and hormone receptor characteristics of primary breast cancer at Cipto Mangunkusumo General Hospital in 2017. Keywords: obesity, hormone receptor, estrogen, progesterone, primary breast cancer
The Role of Melatonin in Improving Hypoxia in Malignant Tumor: A Mini-Review Kartini, Diani; Taher, Akmal; Panigoro, Sonar S.; Setiabudy, Rianto; Jusman, Sri W; Haryana, Sofia M; Abdullah, Murdani; Rustamadji, Primariadewi
The New Ropanasuri Journal of Surgery Vol. 4, No. 2
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