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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 107 Documents
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The Efficiency of Well-Written Manuals Aided-Hand Knotting Skills Acquisition for Undergraduates Prasetyono, Theddeus O.H; Rezkini, Putri
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Abstract

Introduction. Standard procedural skills training methods include tutorial, workshop, and feedback. Written manuals might add value to those standard methods; nevertheless, depends on how well they are composed. This research is aimed to evaluate the efficiency of well-written manuals of hand knotting skills in order to improve students’ procedural skills learning and competency. Methods. This research was conducted through preliminary study to identify the assessor reliability and main study to evaluate the students’ scores for reef and surgeon’s knots using an objective structured assessment of technical skills (OSATS). Subjects’ preparedness and perception of the quality of the manuals were evaluated through survey. Students were randomly divided into two groups. The treatment group received written manuals a day before the workshop. Both groups experienced same five steps procedural skills teaching methods. The results were analyzed by SPSS 17.0 through Pearson Chi-square test and independent t-test. Results. Preliminary study showed that the assessors had no difference in evaluating students’ skills. Main study included 31 subjects in treatment group and 34 subjects in control group. The OSATS scores were statistically significant different between the groups. Students in treatment group had higher mean scores (43.42±7.98) than those in control group (27.21±5.64); p Conclusion. Well-written manuals of hand knotting skills given prior to skills training improve student’s skills acquisition in addition to the standard teaching methods.
External Validation Of 10 Points Intraoperative Gallbladder Scoring System (G10) In Laparoscopic Cholecystectomy at RSUPN dr. Cipto Mangunkusumo Mazni, Yarman; Jeo, Wifanto Saditya; -, Rony
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Laparoscopic cholecystectomy has become a standard treatment for symptomatic cholecystolithiasis in dr. Cipto Mangunkusumo Hospital (RSCM). This study aims as a preliminary study to externally validate the 10-point intraoperative gallbladder scoring system (G10), an assessment system of laparoscopic cholecystectomy's difficulty. Method. A cross-sectional study was carried out. Enrolling subjects who underwent laparoscopic cholecystectomy from January 2019 to December 2019. Data of the subjects were collected from medical records. We assessed each of the subjects' G10 scores and operation techniques based on the intraoperative images and surgical reports. The surgical technique divided into two groups, those are the Critical View of Safety (CVS) technique and bailout procedure group, consisting of fundus–first cholecystectomy, subtotal cholecystectomy, and conversion. The correlation of G10 score between CVS and bailout was analysed using the Mann-Whitney nonparametric test. A Kendall's tau was performed to measure the correlation between the G10 score and the bailout procedure. Statistical power was calculated by G-power application. A ROC test was performed to calculate the sensitivity and specificity of the G10 scoring system to predict bailout procedure, then the cut-off value was determined. Results. There was a significant and positive correlation between the G10 score with the bailout procedure (2 indicate subjects at high risk of bailout procedure (72.2% vs. 20.98%). Conclusion: This study showed that the G10 score has good accuracy in predicting a bailout procedure. The use of G10 scores intraoperatively is "essential" to provide valid and objective assessment in determining the difficulty of surgery. When the G10 score is 1 or 2, it's safe to perform the CVS technique. Whereas, if the G10 score is three or greater, surgeon should consider bailout procedure.
The Survival Rate of Colorectal Cancer in dr. Cipto Mangunkusumo Hospital Jeo, Wifanto S.; Subrata, Feyona H
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Colorectal cancer (CC) is a malignancy with the third highest incidence and the second cause of death. 1.4 million new cases of colorectal cancer occurred in 2012, increasing to 1.8 million new cases in 2019, with almost 900,000 deaths caused by CC in the world. In Indonesia, there were 30,017 new cases of CC in 2019, with fatalities reaching nearly 16,000 cases. There are differences in the survival rates of the CC between developed countries and Indonesia. This study aims to determine the survival rate of CC patients in Indonesia. Method. A retrospective cohort study design with survival analysis. The study was conducted at the Department of Surgery, Faculty of Medicine, University of Indonesia, RSCM, from January 2014 to December 2016. 316 samples were obtained from the registration of the RSC M CC with the CC who had received therapy according to the stage of cancer they suffered during the period January 2014 to December 2016. Results. The overall five-year survival rate in this study was 43%. The survival rate of colorectal cancer patients aged ≥45 years reached 50% at observation 20 months. Age group(95% CI 44.03-57.32) months, stage III was 38.59 months (95% CI 32.20-44.97), 30.36 months in stage IV subjects (95 % CI 25,638-35.09). the average survival of subjects who received chemotherapy was 38.28 months (95% CI 33.44-43.11). not receiving adjuvant therapy was 33.71 months (95% CI 27.79-39.63). Mean survival of subjects who received definitive surgery (44.39 months; 95% CI 40.35-48.43) and who did not get definitive surgery (20.08 months; 95% CI 15.82-24.36). Conclusion: The overall survival rate of the CC within five years at the RSCM was 43%. Factors that influence patient survival are clinical stage and definitive surgery in primary tumor mass resection
Analysis of Preoperative and Intraoperative Risk Factors Of Surgical Site Infection In Gastrointestinal Surgeries Syafitri, Annisa; Mazni, Yarman; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Surgical site infection (SSI) after gastrointestinal surgery can affect the mortality and morbidity of the patients. Risk factors are needed to prevent and decrease the number of SSI. This study investigated the incidence of SSI, the preoperative and intraoperative risk factors of gastrointestinal surgeries.. Method. A retrospective audit analysis of age, nutritional status, preoperative length of stay, length of surgery, type of surgery, degree of contamination in adult gastrointestinal surgery patients at dr. Cipto Mangunkusumo General Hospital from 2012 to 2016. Outcomes consisted of incidence, and potential univariate risk factors were determined to investigate the independently associated factors using multivariate logistic regression. Results. In four years, the incidence of SSI is 3.4% among 4,357 gastrointestinal surgeries, with 86.4% of surgical site infections appears in contaminated wound operations. Our study included 116 subjects. From univariate analysis between SSI as dependent factors and the risk factors, age (p = 0.2), preoperative length of stay (p=0,06), length of surgery (p = 0.1), and degree of contamination (p = 0.003) have correlative association with SSI. The risk factor with surgical site infection is surgical wound contamination (OR = 1.233, p = 0.011) and independent from other risk factors.. Conclusion: Four factors correlate with SSI; there are age, preoperative length of stay, length of surgery, and degree of contamination. The degree of contamination is a significant risk factor for SSI.
The Application of Bromelain Enzyme on Pig Skin to be used as Surgery Training Model Prasetyono, Theddeus O.H; Andrian, Christopher R; Kinanthi, Elisabet L.A; Putri, Siti R.K
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Postmortem changes in pigskin made it difficult to be manipulated as a model for advanced technique in surgery training. The use of bromelain enzyme on these pigskins could be an alternative way to obtain the ideal surgery training model. Method. Thirty-five pigskin-blocks (10×15cm) was divided evenly into seven groups consisted of six groups of different bromelain enzyme treatment (4g/20min, 4g/40min, 8g/20min, 8g/40min, 12g/20min, 12g/40min) and one group of control. Then five chief-plastic-surgery-residents blindly assessed and scored each pigskin and compared its likeliness to the back of human skin. The scores were then analyzed with an interrater reliability test using SPSS 16.0. Results. All five assessors unanimously chose the 8g/40min group as the most likeliness to the back of human skin. The highest score was obtained for piercing the needle into the pigskin (8.4 ± 0.54). Conclusion: The appliance of 8 grams bromelain enzyme in 10×15cm pigskin blocks for 40 minutes was proven to be an ideal surgery training model comparing the back of human skin, especially for tangential excision.
The use of Laparoscopy In Treatment of Perforated Peptic Ulcer: A Literature Review Soeratman, Alif R; Putranto, Agi S
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Final Outcome of Hybrid Laparoscopic for Colorectal Cancer: A Literature Review Novitalia, Dyan; Mazni, Yarman
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Management of Uncomplicated Stanford Type B Aortic Dissection : A Literature Review: Shalih, Zamzania A; Muradi, Akhmadu
The New Ropanasuri Journal of Surgery
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Atypical Presentation of Acute Appendicitis: A Case Report Kloping, Yudhistira Pradnyan; Putri, R. Cita Resti Anantia
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Despite the fact that acute appendicitis is one of the most common surgical emergencies worldwide, delays in establishing a diagnosis still occur. We report a case of acute appendicitis with an atypical presentation based on the patient’s clinical and laboratory findings. A 25-year-old male was brought with pain in his right lower quadrant. Pain migration, fever, anorexia, nausea, vomiting, or dysuria were denied. Laboratory results were within normal limits. USG examination was not able to visualize the appendix. An abdominal CT-Scan showed a sign of acute appendicitis. The patient was planned for appendectomy. It is important to not immediately rule out the diagnosis of appendicitis because an atypical presentation may be presented and could potentially lead to fatal complications.
Transanastomotic Feeding Tube in Surgical Management of Congenital Duodenal Obstruction: Case Series Gunardi, Hardian; Rachmawati, Asri D; Susilo, Nanok E; Tamba, Riana P
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Prolonged fasting is a major concern in the postoperative management of congenital duodenal obstruction. Massive dilatation of the proximal segment would lead to diameter discrepancy and lack of propulsion, thus delaying enteral feeding. A transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction. The study evaluates the effectiveness and safety of a transanastomotic feeding tubes in the surgical management of congenital duodenal obstruction. Method. The transanastomotic feeding tube's effectiveness in cases of congenital duodenal obstruction of the newborn underwent surgical correction was evaluated. Those managed from January 2016 to December 2018 at dr. Cipto Mangunkusumo and Fatmawati General Hospital were subjected to the evaluation. Results. Ten cases were recorded, with the mean gestational age of 30.4 weeks (SD ± 2.12), with a mean bodyweight of 2.571 g (SD ± 392). Seventy percent of the cases accompanied by other anomalies. Enteral nutrition was introduced immediately after surgery. The median time of oral nutrition initiation was 13 days (3-21), and the patients were fully fed in 19.5 days (13-37). The average length of stay was 24.5 days (16-40 days). One case had a complication requiring surgery, and mortality in two cases complicated with sepsis. Conclusion: Transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction of congenital duodenal obstruction.

Page 8 of 11 | Total Record : 107

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