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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 7 Documents
 1 
Search results for , issue "vol. 9, no. 2" : 7 Documents clear
Transformation of accreditation of higher education in health in Indonesia: qualitative assessment Moenadjat, Yefta; Tunru, Insan Sosiawan A.; Soemardjo, Sutrisno
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Accreditation of higher education in health in Indonesia shifts to the qualitative assessment driven to ensure quality improvement. The method replaces the former quantitative assessment method that has been applied since 2012; it will be effective in January 2025. The driving factors and rationale of transformation are outlined in this article. The rationale of the qualitative assessment that applies principle–based accreditation and the quantitative assessment that applies rule–based accreditation is reviewed here. Information on the accreditation procedure and the goal is presented, aiming for institutions to prepare for this new version of accreditation.
Navigating Wound Closure Strategies: Primary Closure vs. Delayed Primary Closure in Digestive Surgery—A Systematic Review and Meta-Analysis on Surgical Site Infections Sihardo, Lam; Lalisang, Arnetta NL; Putra, Afid B; Suryawiditya, Bagus A
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Surgical site infection (SSI) is a significant concern following digestive surgery, with varying incidence rates based on wound contamination levels. The choice between Primary Closure (PC) and Delayed Primary Closure (DPC) impacts SSI occurrence, making it essential to evaluate their comparative effectiveness. DPC is hypothesized superior to PC to prevent SSI or wound infection after a contaminated abdominal surgery. Methods. This systematic review study was carried out through PubMed, Scopus, and Cochrane (CENTRAL). Quality was assessed using Risk of Bias (ROB-2) tool. All results were summarized, and quantitative analysis was performed using a random-effect model. This study is reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Eligibility criteria included adult patients undergoing abdominal gastrointestinal surgery, evaluating SSI and hospital stay, directly comparing PC and DPC, and randomized controlled trials (RCT) study. Results. Of 447 published studies, there were 10 eligible RCTs, consist of 672 subjects who received DPC and 668 subjects who received PC. We found no significant difference in SSI occurrence between PC and DPC (RR=0.62, 95%CI: 0.38–1.02; p=0.06) with high heterogeneity (I2=74%, p Conclusion. DPC tend to decrease SSI risk. Our findings revealed that PC is not inferior than DPC to prevent SSI and improve hospital stay in abdominal surgery. The choice between techniques should be individualized, considering patient characteristics and surgical context. Standardized criteria and further research are crucial for refining closure method selection, ultimately enhancing patient outcomes and reducing the burden of SSI.
The Role of Active Surveillance of Papillary Thyroid Microcarcinoma: A Literature Review Prasojo, Prasojo; Gunawan Wibisana, I Gusti Ngurah Gunawan
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction: Thyroid cancer is one of the most common cancers in the world, with incidence 144,7: 100.000 population. The incidence has risen up to 211% within the last 30 years, and one–third of thyroid cancer is papillary thyroid microcarcinoma. There are still controversies regarding whether immediate surgery or active surveillance is the better option for treating this condition. This review aims to evaluate the safety and efficacy of active papillary thyroid microcarcinoma surveillance. Methods: Cochrane, PubMed, EBSCOHost, and ProQuest were searched for relevant studies of active surveillance of papillary thyroid microcarcinoma. Results: Six publications were selected after a literature search and review Conclusion: Active surveillance could be implemented as a treatment of papillary thyroid microcarcinoma in selected cases. The overall survival rate of papillary thyroid microcarcinoma is up to 99%, with cancer growth >3mm at 4.4% to 8%. Lymph node metastases were 1.2% to 3.8%, and distant metastases were only found in 0.04% of cases
Surgical Treatment for Hepatocellular Carcinoma with Right Atrium Tumor Thrombus: A Literature Review Hazmi, Mohammad Z; Syaiful, Ridho A
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Introduction. The prognosis of patients with hepatocellular carcinoma (HCC) with right atrial tumor thrombus (RATT) is poor, with a mortality rate of 60 to 90%. Along with the development of multimodality management and surgical techniques in cases of HCC, surgery is still an option for curative purposes. This study aims to review the indications, appropriate surgical techniques, and postoperative survival outcomes in HCC with RATT. Methods. This literature review conducted using online databases, including Cochrane Library, PubMed, ScienceDirect, EBSCOhost, and ProQuest. Results. Six case reports and four retrospective studies were reviewed. Surgery for HCC with RATT has one, three, and five–year survival rates of 34% to 53%, 14% to 26%, and 13%, with a median survival of 8 months to 26 months. Surgery with adjuvants has a five–year survival rate of up to 41% up to 12 years. However, one study stated that ionizing particle radiation had a one and three–year higher survival rate than surgery (47% and 16% compared to 34% and 14%). Conclusion. In cases of HCC with RATT, It can undergo thrombectomy through the total hepatic vascular exclusion (THVE) technique in cardiopulmonary bypass (CPB) control to prevent the release of tumor thrombus and proceed with hepatectomy. This procedure is safe and has a survival rate of 8 to 26 months
C-Reactive Protein as an Early Predictor of Anastomosis Leakage after Colorectal Surgery: A Literature Review Permana, Lucky; Syaiful, Ridho A
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Anastomosis leakage is a defect in the intestinal wall at the anastomosis site after surgery. This condition is a serious complication causing increased morbidity and mortality. CRP is commonly used as an acute postoperative indicator after abdominal surgery. The use of CRP as an early predictor of anastomosis leakage after colorectal surgery is supported by several studies showing its good diagnostic value. However, using CRP as a biomarker is not standard at Cipto Mangunkusumo National Hospital. Therefore, this literature review aims to support the evidence for CRP in the early detection of anastomosis leakage after colorectal surgery. Method. This study is a literature review conducted by searching online databases, including PubMed, ScienceDirect, and ClinicalKey. Several key terms, such as "anastomosis leak," "C–Reactive Protein," "colorectal," "predictor," and "open surgery," were used. Results. Database searches yielded 445 articles, of which six studies met the inclusion criteria and were included in this review. These include one systematic review, two meta–analyses, and three prospective studies. Conclusion. CRP is a good early predictor for anastomosis leakage, with sensitivity ranging from 68% to 86%. The highest diagnostic value of CRP was observed between postoperative days 3 and 5.
Bacillus Calmette-Guerin (BCG) as an Intralesional Therapy for Cutaneous Metastatic Malignant Melanoma: A Literature Review Dina, Farisa B; Kurnia, Ahmad
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Malignant melanoma is the most lethal form of skin cancer and is the third most common cause of death of all malignancies in the world. Cutaneous metastatic lesions are the earliest and the most frequently encountered metastatic lesions in malignant melanoma. The use of Bacillus Calmette-Guerin (BCG) as an intradermal therapy agent has been long debated due to its effectiveness and adverse effects. This literature review aims to provide a comprehensive explanation regarding the use of intralesional BCG in establishing local control and preventing recurrence in cutaneous metastatic malignant melanoma. Method. A literature search was conducted on various online databases. The articles that were obtained were selected according to the 2020 PRISMA flow diagram. Among 79 articles obtained, six selected articles were included in this study. Results. Five included studies stated that intralesional BCG effectively induces complete regression of cutaneous metastatic lesions of malignant melanoma. Variable results have been obtained regarding the effectiveness of intralesional BCG in preventing the recurrence of malignant melanoma. In three studies, significant differences were found in disease-free and median survival, but no studies included incidence of recurrence data in their results. Conclusion. BCG can be considered as an intralesional therapy agent of choice to induce local control in cutaneous metastatic malignant melanoma. However, its use has proven ineffective in preventing cutaneous metastatic malignant melanoma recurrence.
Infrarenal Abdominal Aortic Pseudoaneurysm with Suspected Behcet Disease: A Unique Case Report Gunardi, Harsya D; Pratama, Danny; Prabowo, Andrio W; Hidayat, Nanang W; Putera, M Aprizal; Krisandi, Grady
The New Ropanasuri Journal of Surgery Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Abdominal aortic pseudoaneurysm caused by autoimmune vasculitis is a rare complication. Clinical presentation of patients is often late with life–threatening complications. Case Illustration: A 62–year–old male patient with infrarenal abdominal aortic pseudoaneurysm presenting with a 2–week worsening severe abdominal and lumbar pain with a history of uncontrolled hypertension and a history of oral ulcer. He was successfully treated with tube grafting through open surgical repair. Conclusion: The pseudoaneurysm was successfully removed and replaced with a polyester tube graft with no perioperative complications and was discharged 5 days later

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