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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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INDONESIA
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 107 Documents
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Duration and frequency of catheterization in central vein stenosis: A case control study Suhartono, Raden; Supit, Caroline
The New Ropanasuri Journal of Surgery
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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
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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
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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
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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
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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
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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.
Effectiveness of Balloon Angioplasty and Stent Angioplasty: Wound Healing in Critically Limb Ischemic Pamungkas, Wisnu; Darwis, Patrianef
The New Ropanasuri Journal of Surgery
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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
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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
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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.
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Page 5 of 11 | Total Record : 107

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