cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Rachmat Hidayat
Contact Email
dr.rachmat.hidayat@gmail.com
Phone
+6288225053819
Journal Mail Official
sriwijayajournalsurgery@gmail.com
Editorial Address
Surgery Department,Faculty of Medicine, Universitas Sriwijaya Palembang, South Sumatera, Indonesia
Location
Kab. ogan ilir,
Sumatera selatan
INDONESIA
Sriwijaya Journal of Surgery
Published by Universitas Sriwijaya
ISSN : -     EISSN : 27223558     DOI : https://doi.org/10.37275/sjs.v2i2
Core Subject : Health,
Medicine & Pharmacology
SRIWIJAYA JOURNAL OF SURGERY Sriwijaya Journal of Surgery (SJS) is a peer-reviewed journal published twice a year (June and December) by Department of Surgery, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia. SJS is intended to be the journal for publishing articles reporting the results of research on surgery. SJS invites manuscripts in the various topics include: General Surgery, Gastrointestinal Surgery, Neurosurgery, Orthopedics, Oncology Surgery, Thoracovascular Surgery, Reconstruction Surgery, Children Surgery, Urology, all aspect related surgery and medicine.
Arjuna Subject : Kedokteran - Pembedahan
Articles 127 Documents
 9   10   11   12   13 
Maxillary Intercanine Width in a South Sumatran Population: Implications for Maxillofacial Reconstruction Mufida Muzakkie; Lawrencia Toline; SNA Ratna Sari Devi; Ziske Maritska
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.113

Abstract

Introduction: The maxilla is a crucial bone in the facial skeleton, contributing significantly to both aesthetics and function. Understanding the morphometric variations of the maxilla, particularly the intercanine width (ICW), is vital for successful maxillofacial reconstruction procedures. This study aimed to investigate the ICW in a South Sumatran population, considering its implications for reconstructive surgeries. Methods: This retrospective study analyzed computed tomography (CT) scans of 96 adult patients (60 males, 36 females) from South Sumatra. The ICW was measured using 3D reconstruction software, and the data were analyzed for gender-based differences. The findings were compared with existing literature to understand regional variations in maxillary morphology. Results: The mean ICW for males was 3.58 ± 0.27 cm and for females was 3.44 ± 0.18 cm. Males exhibited a significantly larger ICW than females (p < 0.05). These findings are consistent with previous studies indicating sexual dimorphism in maxillary morphology. Conclusion: This study provides valuable data on maxillary intercanine width in a South Sumatran population. The observed gender-based differences highlight the importance of considering patient demographics in maxillofacial reconstruction. This information can aid surgeons in achieving optimal functional and aesthetic outcomes.
Activated Growth Factors (AGF), an Advanced Platelet-Rich Plasma (PRP) Modality, as a Novel Biological Treatment for Partial Anterior Cruciate Ligament Tears: A Case Report Hidayat, Rachmat; Kemas Abdul Mutholib Luthfi; Olivia Azalia Putri; Sony Sanjaya; Linda Purnama; Sonya Syarifah; Nadia Khoirina; Abu Bakar; Rashidah Unaib Al Zayid; Reisha Notonegoro
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.114

Abstract

Introduction: Partial anterior cruciate ligament (ACL) ruptures present a complex clinical challenge. Traditional treatment options, including conservative management and surgical reconstruction, often yield unpredictable outcomes and extended recovery periods. This case report explores the potential of activated growth factors (AGF), an advanced platelet-rich plasma (PRP) modality, as a novel biological treatment strategy for partial ACL tears. Case presentation: A 39-year-old male presented with right knee pain and instability following a twisting injury sustained during exercise. Magnetic resonance imaging (MRI) confirmed a partial tear of the anteromedial bundle of the ACL. The patient was treated with a series of three intra-articular injections of AGF, administered at weekly intervals. The AGF was prepared using a proprietary protocol aimed at optimizing growth factor concentration and release. The patient's progress was meticulously monitored through clinical evaluations and functional assessments at 3 and 6 months post-treatment. Conclusion: This case suggests that AGF may offer a promising alternative for the treatment of partial ACL tears, potentially facilitating accelerated healing and improved clinical outcomes. Further research, including controlled trials, is warranted to validate these findings and establish the efficacy and safety of AGF in a larger patient population.
Spinal Accessory Nerve to Suprascapular Nerve Neurotization for Brachial Plexus Injury: A Retrospective Study Seti Aji Hadinoto; Raditya Ramadhan
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.115

Abstract

Introduction: Brachial plexus injuries (BPIs) often lead to significant functional impairment of the upper extremity, particularly affecting shoulder abduction and external rotation. Spinal accessory nerve (SAN) to suprascapular nerve (SSN) neurotization is a surgical technique employed to restore shoulder function in these patients. This study aimed to evaluate the outcomes of this procedure in a series of patients with BPI. Methods: A retrospective observational case series study was conducted, including patients who underwent SAN to SSN neurotization for BPI at a single institution between January 2019 and December 2021. Patient demographics, injury characteristics, surgical details, and functional outcomes were collected from medical records. Functional outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score preoperatively and at the final follow-up. Results: A total of 8 patients were included in the study. The mean age was 25.7 years (range, 12-39 years), with a majority being male (55.6%). The most common cause of BPI was motor vehicle accidents (90%). The mean DASH score improved significantly from 72.5 preoperatively to 37.5 postoperatively (p<0.05). Conclusion: SAN to SSN neurotization appears to be a safe and effective technique for improving shoulder function in patients with BPI. This study demonstrated significant improvements in DASH scores following the procedure. However, further research with larger sample sizes and longer follow-up periods is needed to confirm these findings and evaluate the long-term outcomes of this technique.
Predicting Burn Patient Mortality: A Comparative Analysis of the BOBI and R-Baux Scoring Systems Abda Arif; Ruli Robi Ferli; Theodorus
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.116

Abstract

Introduction: Burns represents a significant global health challenge, causing considerable morbidity and mortality. Accurate prognostication is crucial for optimal burn care management. This study compared the accuracy of the BOBI and R-Baux scores in predicting mortality among burn patients. Methods: This retrospective study analyzed data from 46 burn patients treated at Dr. Mohammad Hoesin General Hospital Palembang. Patient demographics, burn characteristics, and mortality outcomes were recorded. BOBI and R-Baux scores were calculated for each patient. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and Youden Index were determined for both scores. Agreement between the scores was assessed using the Kappa statistic. Statistical analysis was performed using SPSS v25. Results: The majority of patients were male (76.1%) and under 50 years old (84.8%). Fire burns (63%) and superficial-mid dermal injuries (32.6%) were most prevalent. The BOBI score demonstrated fair accuracy (sensitivity: 84.6%, specificity: 63.6%, PPV: 0.478, NPV: 0.913, Youden Index: 0.480). The R-Baux score showed lower sensitivity (76.9%) but higher specificity (78.8%) (PPV: 0.588, NPV: 0.896, Youden Index: 0.560). The Kappa test indicated good agreement between the two scores (κ = 0.783, p = 0.000). Conclusion: Both BOBI and R-Baux scores can be used to predict mortality in burn patients. The BOBI score demonstrated higher sensitivity, while the R-Baux score exhibited higher specificity. The choice of scoring system may depend on the specific clinical context and the relative importance of sensitivity and specificity.
An Unusual Presentation of Pancreatic Neuroendocrine Carcinoma in a Young Woman: A Case Report Iman Hakim Wicaksana; Suryo Wahyu Raharjo
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.117

Abstract

Introduction: Pancreatic neuroendocrine tumors (PNETs) are rare neoplasms arising from the endocrine cells of the pancreas. They are typically diagnosed in older adults, with a peak incidence between 70 and 74 years. PNETs in young adults are uncommon and often present with non-specific symptoms, leading to delays in diagnosis and treatment. Case presentation: We report the case of a 22-year-old woman who presented with a large, non-functional PNET located in the tail of the pancreas. The patient initially complained of vague abdominal discomfort, nausea, and vomiting. Imaging studies revealed a large, heterogeneous mass in the left upper quadrant. The patient underwent a distal pancreatectomy, and histopathological examination confirmed the diagnosis of a poorly differentiated pancreatic neuroendocrine carcinoma. Conclusion: This case highlights the challenges in diagnosing PNETs in young adults. Clinicians should maintain a high index of suspicion for PNETs in young patients presenting with abdominal symptoms, even in the absence of classic hormonal syndromes. Early diagnosis and surgical intervention are crucial for improving outcomes in these patients.
Predicting Postoperative Mortality in Head Injury Patients: Evaluating the Accuracy of Rotterdam Score Fadhli Aufar Kasyfi; Agung Muda Patih; Erial Bahar
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.118

Abstract

Introduction: Head injury remains a leading cause of mortality and morbidity globally, necessitating accurate prognostic tools to guide clinical decision-making and inform patient outcomes. Rotterdam Score, a computed tomography (CT)-based scoring system, has shown promise in predicting mortality in head injury patients. This study aimed to evaluate the accuracy of the Rotterdam Score in predicting postoperative mortality in head injury patients undergoing surgery. Methods: A retrospective analysis was conducted on 56 head injury patients who underwent surgery at Dr. Mohammad Hoesin General Hospital, Palembang, between December 2023 and November 2024. Patient demographics, clinical characteristics, and CT scan findings were collected. Rotterdam Score was calculated for each patient, and its accuracy in predicting postoperative mortality was assessed using receiver operating characteristic (ROC) curve analysis. Results: The study cohort comprised 37 (66.1%) males and 19 (33.9%) females, with a mean age of 31.8 ± 21.6 years. Mild head injury was the most common Glasgow Coma Scale (GCS) classification (42.9%). The overall mortality rate was 17.8%. ROC curve analysis revealed an area under the curve (AUC) of 0.953 for the Rotterdam Score, with an optimal cut-off value of 4.5. Rotterdam Score demonstrated a sensitivity of 80%, specificity of 97.8%, positive predictive value (PPV) of 88.8%, and negative predictive value (NPV) of 95.7% in predicting postoperative mortality. Conclusion: The Rotterdam Score is a highly accurate predictor of postoperative mortality in head injury patients undergoing surgery. Its CT-based assessment allows for rapid and objective prognostication, aiding clinicians in risk stratification and treatment planning. Further research with larger and more diverse populations is warranted to validate these findings and establish the generalizability of Rotterdam Score across different healthcare settings.
Can Pediatric Appendicitis Risk Calculator Replace Pediatric Appendicitis Score? A Comparative Study in Diagnosing Acute Appendicitis in Children Egha; Windi Astriana; Theodorus
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.119

Abstract

Introduction: Acute appendicitis is the most common cause of operative emergencies in children, necessitating prompt and accurate diagnosis to minimize complications. Clinical scoring systems like the pediatric appendicitis score (PAS) and the more recent pediatric appendicitis risk calculator (pARC) have been developed to aid in diagnosis. This study aimed to compare the accuracy of pARC and PAS in diagnosing acute appendicitis in children. Methods: This retrospective study analyzed the medical records of pediatric patients (age: 5-18 years) admitted to Dr. Mohammad Hoesin General Hospital Palembang with suspected acute appendicitis between October 2022 and October 2024. pARC and PAS scores were calculated for each patient, and their diagnostic accuracy was compared using histopathology results as the gold standard. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and kappa statistics were calculated. Results: A total of 36 patients with histopathologically confirmed acute appendicitis were included. The pARC score demonstrated a sensitivity of 82.8%, specificity of 100%, PPV of 96.6%, and NPV of 100%. The PAS score showed a sensitivity of 80.0%, specificity of 100%, PPV of 96.5%, and NPV of 100%. The kappa statistic indicated good agreement between pARC and PAS (0.861). Conclusion: Both pARC and PAS demonstrated high accuracy in diagnosing acute appendicitis in children. While pARC showed slightly higher sensitivity and PPV, the difference was not statistically significant. These findings suggest that pARC could potentially replace PAS as the preferred diagnostic tool, but further research with larger sample sizes is needed to confirm these results.
Chemotherapy and Quality of Life in Breast Cancer Patients: A Case-Series Study in Palembang, Indonesia Eka Satyani Belina; Mulawan Umar; Theodorus
Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v8i1.120

Abstract

Introduction: Breast cancer is a prevalent malignancy affecting women worldwide, and its treatment, particularly chemotherapy, can significantly impact patients' quality of life (QoL). This study aimed to assess the QoL of breast cancer patients undergoing chemotherapy in Palembang, Indonesia, and to identify factors associated with their QoL. Methods: A cross-sectional study was conducted at the Oncology Unit of Dr. Mohammad Hoesin General Hospital in Palembang, Indonesia, from December 2024 to January 2025. A total of 150 breast cancer patients who met the inclusion criteria were enrolled in the study. Data were collected through medical records and the Functional Assessment of Cancer Therapy - Breast (FACT-B) questionnaire. The FACT-B assesses QoL in five domains: physical, social/family, emotional, functional, and breast cancer-specific concerns. Descriptive statistics, Spearman's correlation, and logistic regression were used to analyze the data. Results: The majority of the patients were aged 40-60 years (70%), had low educational levels (41.3%), were married (83.3%), had locally advanced disease (44%), and had completed chemotherapy (41.3%). The mean FACT-B total score was 76.8. A significant negative correlation was found between the intensity of chemotherapy and QoL (r = -0.306, p = 0.000). Logistic regression analysis revealed that patients who had completed chemotherapy had a significantly lower QoL than those who had not undergone chemotherapy (OR = 0.30, 95% CI = 0.15-0.60, p = 0.001). Conclusion: Chemotherapy significantly impacts the QoL of breast cancer patients in Palembang, Indonesia. Patients who have completed chemotherapy have a lower QoL than those who have not undergone chemotherapy. These findings highlight the importance of providing comprehensive supportive care to breast cancer patients undergoing chemotherapy to improve their QoL.
Small-Gauge (25/27G) versus 23-Gauge Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment Repair: A Meta-Analysis of Surgical Efficiency, Anatomical Success, and Postoperative Complications Ramzi Amin; Siti Pradyta Phiskanugrah
Sriwijaya Journal of Surgery Vol. 7 No. 1 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i1.121

Abstract

Introduction: Pars plana vitrectomy (PPV) is a cornerstone surgical treatment for rhegmatogenous retinal detachment (RRD). The evolution from traditional 20-gauge (G) systems to microincision vitrectomy surgery (MIVS) using 23G, 25G, and 27G instruments has aimed to reduce surgical trauma and improve postoperative recovery. However, the relative merits of smaller gauges (25/27G) compared to the widely adopted 23G system, specifically for RRD repair, remain debated, particularly regarding surgical efficiency, anatomical outcomes, and complication profiles. This meta-analysis aimed to synthesize available evidence comparing 25/27G MIVS with 23G MIVS for primary RRD repair. Methods: A systematic literature search was conducted across PubMed, Embase, Scopus, and the Cochrane Library for comparative studies published between January 1st, 2013, and December 31st, 2023. Studies comparing 25G or 27G PPV against 23G PPV for primary RRD repair and reporting on surgical time, primary anatomical success (PAS), final anatomical success (FAS), or relevant postoperative complications were included. Data were extracted independently by two reviewers. A random-effects model was used for meta-analysis to calculate pooled Odds Ratios (OR) for dichotomous outcomes and Mean Differences (MD) for continuous outcomes, with 95% confidence intervals (CIs). Heterogeneity was assessed using the I² statistic. Results: Six comparative studies involving a total of 1050 eyes (520 eyes in the 25/27G group, 530 eyes in the 23G group) met the inclusion criteria. Meta-analysis indicated no statistically significant difference in surgical time between the small-gauge (25/27G) and 23G groups (MD: 2.15 minutes, 95% CI: -1.80 to 6.10, P=0.28; I²=65%). Primary anatomical success rates were comparable between groups (OR: 0.92, 95% CI: 0.65 to 1.30, P=0.63; I²=15%). Analysis of postoperative complications revealed a trend towards higher rates of early transient hypotony in the 25/27G group, although not statistically significant in the pooled analysis (OR: 1.85, 95% CI: 0.90 to 3.80, P=0.09; I²=30%). Rates of endophthalmitis, choroidal detachment, significant PVR development, and cataract progression appeared similar, though data were limited for some outcomes. Conclusion: Small-gauge (25/27G) PPV demonstrated comparable surgical efficiency (time), primary anatomical success, and final anatomical success to 23G PPV for the repair of primary RRD. While a potential trend towards increased early postoperative hypotony exists with smaller gauges, overall complication rates, including PVR and endophthalmitis, were not significantly different. The choice of gauge size for RRD repair may depend on surgeon preference, specific case characteristics, and available instrumentation, as current evidence suggests broadly similar core outcomes. Further large-scale RCTs with standardized protocols and long-term follow-up are warranted.
Pars Plana Vitrectomy versus Scleral Buckling for Primary Rhegmatogenous Retinal Detachment Repair in Phakic Eyes: A Contemporary Systematic Review and Meta-Analysis of Anatomical and Functional Outcomes Ramzi Amin; Maria Ulfa
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.122

Abstract

Introduction: The optimal surgical approach for primary rhegmatogenous retinal detachment (RRD) in phakic patients remains a subject of ongoing debate. Both pars plana vitrectomy (PPV) and scleral buckling (SB) possess distinct advantages and disadvantages, particularly concerning anatomical success, visual outcomes, and the integrity of the crystalline lens. This systematic review and meta-analysis aimed to compare the anatomical and functional outcomes of PPV versus SB for primary RRD repair exclusively in phakic eyes. Methods: A systematic literature search was conducted across PubMed, Scopus, Embase, and the Cochrane Library databases for studies published between January 1st, 2013, and December 31st, 2023. We included comparative studies (Randomized Controlled Trials [RCTs] and non-randomized comparative studies [NRCSs]) reporting outcomes of primary PPV versus primary SB in phakic patients with RRD. Data extraction and quality assessment (using Cochrane Risk of Bias tool 2 for RCTs and Newcastle-Ottawa Scale for NRCSs) were performed independently by two reviewers. Primary outcomes were primary anatomical success rate and final anatomical success rate. The secondary outcome was the change in Best Corrected Visual Acuity (BCVA) from baseline, converted to LogMAR. Meta-analysis was performed using a random-effects model to calculate pooled Odds Ratios (OR) for anatomical outcomes and Mean Differences (MD) for BCVA change, with 95% Confidence Intervals (CI). Heterogeneity was assessed using the I² statistic. Results: 7 studies met the inclusion criteria, encompassing a total of 1,258 phakic eyes (615 PPV, 643 SB). The overall quality of included studies ranged from moderate to high risk of bias, primarily due to potential selection bias and lack of blinding in NRCSs. The pooled analysis revealed no statistically significant difference in the primary anatomical success rate between PPV and SB (OR 0.92, 95% CI [0.68, 1.24], P=0.58; I²=35%). Similarly, the final anatomical success rate was comparable between the two groups (OR 1.05, 95% CI [0.70, 1.57], P=0.81; I²=15%). Regarding functional outcomes, the analysis of BCVA change (LogMAR) at final follow-up showed no statistically significant difference between PPV and SB groups when considering the reported final acuities (MD -0.03 LogMAR, 95% CI [-0.12, 0.06], P=0.51; I²=55%). Conclusion: This study found no significant difference in primary or final anatomical success rates between PPV and SB for primary RRD repair. Similarly, overall final BCVA improvement was comparable, although significant heterogeneity was noted. The major differentiating factor remains the substantially higher rate of subsequent cataract formation following PPV. The choice between PPV and SB for phakic RRD should be individualized, considering specific RRD characteristics, patient age, baseline lens status, surgeon expertise, and patient preferences after thorough counseling regarding the distinct postoperative sequelae, particularly the near-inevitability of cataract surgery after PPV.

Page 11 of 13 | Total Record : 127

 9   10   11   12   13 

Filter by Year

2018 2025


Reset
Filter By Issues
All Issue Vol. 8 No. 2 (2025): Sriwijaya Journal of Surgery Vol. 8 No. 1 (2025): Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery Vol. 7 No. 1 (2024): Sriwijaya Journal of Surgery Vol. 6 No. 2 (2023): Sriwijaya Journal of Surgery Vol. 6 No. 1 (2023): Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): Sriwijaya Journal of Surgery Vol. 4 No. 2 (2021): Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): Sriwijaya Journal of Surgery Vol. 3 No. 2 (2020): Sriwijaya Journal of Surgery Vol. 3 No. 1 (2020): Sriwijaya Journal of Surgery Vol. 2 No. 2 (2019): Sriwijaya Journal of Surgery Vol. 2 No. 1 (2019): Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery More Issue