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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 126 Documents
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Characteristics of Metacarpal Fracture Patients in Orthopaedic and Traumatology Department of Dr. Mohammad Hoesin General Hospital Period January 2017 - December 2019 Daniel Ferrand; Nur Rachmat Lubis
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.48

Abstract

Introduction: Metacarpal fracture is the most common injury of manus region found in the emergency department (ER). Injuries to the manus region, especially metacarpal fractures, can cause great losses, especially in the productive age range. The diagnostic accuracy of metacarpal fractures is required for further operative or nonoperative management as indicated. Methods: This research is a retrospective study with a descriptive design. The aim of this study was to describe patient characteristics based on age, gender, fracture position, fracture location, mechanism of injury, and metacarpal fracture management. There are 48 cases in this study. Results: The metacarpal fracture patients dominated by male. Most common found in 20-29 years age. The youngest age was 5 years and the oldest was 60 years (mean age 31.06 ± 14.23 years). Most fracture position found on the right side of the fifth metacarpal location. Mechanism of injur dominated by low energy trauma (LET). Open reduction management with miniplate-type dominant in this study sample. Conclusion: Early prevention and treatment of orthopedic surgery can be considered as the most important for the management of metacarpal fracture patients.
Characteristics of Maxilofacial Fractures That Entered the ER at Dr. Mohammad Hoesin General Hospital Palembang Period 1 January 2019 - 31 December 2019 Bram Permadi Tant; Abda Arief
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.49

Abstract

Background: Maxillofacial trauma is a wound or injury that affects the face and jaw.1 Trauma to the hard tissues of the face can cause maxillofacial fractures, which is damage or breaking of the continuity of the facial bones. Traffic accidents remain the main cause of maxillofacial injury, followed by violence, sports, work-related injuries, and falls 9,10,11,12 The high number of traffic accidents and violence in Palembang city can increase the risk of maxillofacial fracture. The absence of data regarding the characteristics of patients with maxillofacial fractures at Dr. Mohammad Hoesin General Hospital Palembang became the reason for this research. Methods: This research is a descriptive observational study with a cross sectional design using secondary data through patient medical records for the period January 2019- December 2019. Results: There were 89 patients with maxillofacial fractures with complete medical record data. There were more men (83.14%) than women (16.85%). The youngest age of the patient was 7 years, while the oldest age was 70 years, with the mean age of the patient was 29 years. Traffic accidents were the most common cause (79.7%) followed by falls (11.2 %), violence (4.4 %), sports accidents (1.1 %), and other causes (3.3%). 28 fracture locations were recorded on the upper face, 55 with fracture locations at the midface, 26 with fracture locations on the lower face. The zygomaticomaxillaris complex fracture was the most common fractured bone (35.9%). Regarding management, most were managed with ORIF (66.2%) followed by elevated craniotomy (16.85%), conservative (12.35%), soft tissue debridement repair (2.2%) and closed reduction and nasal repositioning (2.2%). Conclusion: Maxillofacial fracture are found commonly in men. Most patient age ranges. is the age of 21-30 years. The most common cause is traffic accidents. The most frequently affected fracture site is the midface, where the most commonly affected bone is the zygomaticomaxillaris complex. The treatment option most often applied is ORIF.
Characteristic of Head Injury Patients Admitted to Intensive Care Unit in Dr. Mohammad Hoesin Palembang General Hospital Ferdi Stefiyan; Trijoso Permono
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.50

Abstract

Introduction: Head injury is both major health and socioeconomic problem worldwide. Epidemiological studies of head injuries are essential for the effective prevention and treatment of head injury patients, but often found with unclear definitions of head injury. The use of the ICU is associated with higher costs and decreased availability for patients who need it. Oftenly, patients with head injuries require admission to the ICU both before surgery and after surgery. We aim to describe the charachteristic of patients with head injuries who were admitted to the emergency department (ED) and treated in the ICU at Mohamad Hoesin Hospital Methods: This research was an observational descriptive study. Using secondary data from the medical records of Mohammad Hoesin Hospital, Palembang. Performed in the from July 2019 to December 2019. Samples were all patients diagnosed with head injuries. Results: There were 177 subjects participated who met study critera, of which 51 subjects were admitted to ICU. ICU-admitted head injured patients were mostly male (78.5%). The largest age distribution is 11-20 year old (33.3%). The most common type of head injuries admitted to ICU according to CT scan was hemorrhagic head injuries (88.9%). The most common type of head injury admitted to ICU according to GCS was severe head injury (51.1%) Conclusion: Male patients, patients age of 11–20-year-old, severe head injury, and hemorrhagic head injury were the most common characteristic of patients diagnosed with head injuries admitted to ICU at Mohammad Hoesin Hospital
Description of Post-Laparotomy Patients with Wound Dehiscence From 1st January 2019 – 31th December 2019 at Dr. Mohammad Hoesin General Hospital Octiara Gisca Amilia; Hafizd Komar
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.51

Abstract

Introduction: Wound dehiscence is a postoperative condition that can occur several days after surgery and requires special intervention. Various risk factors sucah as patients-related and surgery-related may influence the incidence of wound dehiscence. A good understanding of these risk factors is necessary to prevent the complication and decrease mortality and morbidity. This study aims to see the characteristics of patients affected by abdominal laparotomy who are treated with wound dehiscence at dr. Mohammad Hoesin General Hospital Palembang. Methods: This research was a cross-sectional, restrospective descriptive study. Using secondary data from the medical records of Mohammad Hoesin Hospital, Palembang. Performed in the from January 2019 to December 2019. Samples were all patients who underwent abdominal laparotomy and diagnosed with post- operative wound dehiscence. Results: There were 26 subjects participated who met study critera. Subjects with post laparotomy wound dehiscence were mostly male (69%). The largest age distribution is 40-59 years old (61.53%), with the average age was 48 years old. The most common type of surgery was emergency surgery (73%). The most common albumin level was hypoalbuminemia (76%). Subjects without diabetes melitus were the most common (88%). Conclusion: Male patients, patients age 40-59 years old, underwent emergency operation, have low albumin level in blood and without diabetes melitus, are all the most common characteristic of patients diagnosed with post laparotomy wound dehiscence.
Characteristics of Patients with Abdominal Trauma from January 1st 2019 to December 31st 2019 at Dr. Mohammad Hoesin General Hospital Muhammad Fikri Aulia; Efman EU Manawan
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.53

Abstract

Background: Trauma is the main cause of death in the subgroup of patients under 40 years of age. The main cause of death. Abdominal trauma ranks third as a cause of death due to trauma after head and chest injuries. The classification of abdominal trauma based on the type of trauma is divided into two, namely sharp trauma and blunt trauma. The aim of this study is to investigate the characteristics of abdominal trauma patients at dr. Mohammad Hoesin Palembang General Hospital. Methods: This research was a retrospective descriptive study. Using secondary data from the medical records of Mohammad Hoesin Hospital, Palembang. Performed in the from January 2019 to December 2019. Samples inculded were all patients diagnosed with abdominal trauma, underwent laparotomy, and hospitalized in digestive surgery wards. Results: There were 33 subjects participated who met study critera. The highest age group for abdominal trauma was at the age group 26-45 years as many as 16 people. Abdominal trauma patients were mostly found in the male, with 32 people (97%). Based on their causes of abdominal trauma, most of them were caused by stab wounds as many as 16 people (48.5%). In abdominal trauma patients based on the type of trauma, most of them occurred due to sharp trauma, with 23 people (69.7%). The organs most frequently injured due to abdominal trauma were the small intestine and large intestine, with 14 people (42.4%). The length of stay of patients with abdominal trauma varies from 1 day to 22 days, with the most length of stay between 0-7 days as many as 20 cases (60.6%). Conclusion: Male patients, aged 26–45-year-old, caused by stab wound, sharp trauma, affecting small and large intestine, and hospitalized up to 7 days are the most common characteristic of patients diagnosed with abdominal trauma.
Platelet/Lymphocyte Ratio Accuracy as Predictor of Neo-Adjuvant Chemotherapy Response in Locally Advanced Breast Cancer at Dr. Mohammad Hoesin General Hospital Palembang Abdur Rahman; Mulawan Umar; Erial Bahar
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.54

Abstract

Background: Platelet/lymphocyte ratio (PLR) is considered as predictor for chemotherapy response in locally advanced breast cancer undergoing neo-adjuvant chemotherapy. This study aims to evaluate the relationship between the platelet/lymphocyte ratio and neo-adjuvant chemotherapy response in patients with locally advanced breast cancer at Dr. Mohammad Hoesin General Hospital Palembang. Methods: This study is a prognostic test of the platelet/lymphocyte ratio accuracy to predict the response of neo-adjuvant chemotherapy in patients with locally advanced breast cancer. The study included 113 subjects. Results: From 113 patients, the PLR cut off point value was 206.83 with an under curve area (AUC) of 91.8%. The results of the PLR prognostic test were sensitivity of 98%, specificity of 87%, Positive Predictive Value of 95%, Negative Predictive Value of 93%, and 95% of accuracy. There was a significant relationship between PLR and chemotherapy response in patients with locally advanced breast cancer (p = 0.000). Conclusion: There was a significant relationship between PLR on chemotherapy response. PLR can be used as a predictor of neo-adjuvant chemotherapy response with a good degree of accuracy.
Sensitivity and Specificity of Ultrasonographic Compared with CT Angiography in Detecting Femoropopliteal and Infrapopliteal Arterial Lesions in Lower Extremity Arterial Disease in Dr. Mohammad Hoesin General Hospital Palembang Radi Noorsyawal; Kemas Dahlan; Hanna Marsinta; Irfannuddin
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.55

Abstract

Background: Peripheral artery disease (PAD) is a chronic occlusive arterial disease of the extremities caused by atherosclerosis.1 It is estimated that 20-30% of the population worldwide suffered PAD.2 PAD is associated with a 1-year mortality and limb loss rate of 20%.7 Critical limb ischemia (CLI) is a late stage clinical presentation of PAD. Imaging of the entire artery is possible using CT angiography. However, CT angiography has its drawbacks because the contrast used can be nephrotoxic, the risk of allergies, expensive, and not all health services have it. Ultrasonographic’s (USG) sensitivity, specificity and accuracy were 96.55%, 61.53%, and 78.84% for detecting lower limb distal artery lesions.11 Ultrasonographic does not require the use of contrast, radiation, low cost and almost all health services have them.12 However, the Ultrasonographic examination has its limitations depending on the operator's capabilities. It is therefore necessary to conduct research that have never been previously studied in South Sumatra. Methods: This study is a diagnostic test study that examines the sensitivity and specificity of ultrasound in detecting LEAD artery lesions. The samples were 29 patients. Results: At the femoropopliteal level, the results obtained were 91% sensitivity and 86% specificity. At the infrapopliteal level, the results obtained were 95% sensitivity and 87% specificity. Conclusion: Ultrasonographic has high sensitivity and specificity in detecting LEAD’s lesions
Accuracy of Neutrophil/Lymphocyte Ratio as Predictor of Neoadjuvant Chemotherapy Response in Locally Advanced Breast Cancer at Dr. Mohammad Hoesin General Hospital Palembang M. Aprizal Putera; Mulawan Umar; Erial Bahar
Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): 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.v4i1.56

Abstract

Introduction: Breast cancer is one of the most common neoplasm occurs in women. Neoadjuvant Chemotherapy (NACT) is widely used in Locally Advanced Breast Cancer (LABC) and Inflammatory Breast Cancer (IBC), to reduce tumor size (down-sizing), and further allowing breast-conserving surgery to be performed. Accurate markers are needed to prevent impractical chemotherapy that allows patients to receive definitive surgery in a timely manner. Previous study showed neutrophil/lymphocyte ratio (NLR) was superior in predicting long-term outcomes over PLR. This study aims to evaluate the relationship between the NLR value and neoadjuvant chemotherapy response in patients with locally advanced breast cancer at Dr. Mohammad Hoesin General Hospital Palembang. Methods: This study is a prognostic test of the NLR accuracy to predict the response of neoadjuvant chemotherapy in patients with locally advanced breast cancer. The study included 113 patients as study subjects. Results: The obtained NLR cut off point value was ≤ 2.92 with an area under the ROC curve (AUC) of 92.2%. The diagnostic measures of the NLR prognostic test had sensitivity of 93%, specificity of 93%, Positive Predictive Value of 97%, Negative Predictive Value of 82%, and accuracy of 93%. There is a significant relationship between NLR and chemotherapy response in patients with locally advanced breast cancer (p = 0.000). Conclusion: There is a significant relationship between NLTR and chemotherapy response. NLR can be used as a predictor of neoadjuvant chemotherapy response with a good degree of accuracy.
Association between Ki67 After Neoadjuvant Chemotherapy and Disease-Free Survival in Breast Cancer Aan Setiawan; Mulawan Umar; Erial Bahar
Sriwijaya Journal of Surgery Vol. 4 No. 2 (2021): 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.v4i2.57

Abstract

Background: Post Chemotherapy Ki67 in recent year has been investigated as a predictive and prognostic factor in locally advanced breast cancer patient undergoing neoadjuvant chemotherapy. Objectives: To describe the relationship between post-chemotherapy Ki67 and disease-free survival after neoadjuvant chemotherapy in patients with locally advanced breast cancer at Dr. Hospital. Mohammad Hoesin Palembang. Methods: This study is an analytical observational study with prognostic test design conducted in 30 stage III B breast cancer patient. A retrospective search of a prospectively maintained clinical database was performed to identify patient treated with neoadjuvant chemotherapy at the Mohammad Hoesin Hospital. The expression of Ki67 was assessed using immunohisto-chemistry in post therapy surgical excision specimen. Results: From 30 patients, there was a significant relationship between Post Chemotherapy Ki67 and disease- free survival in patients with locally advanced breast cancer (r = -0,742, p = 0.000). The cut off point value of Ki67 was 27,5% with an area under curve (AUC) of 0,716. The results of the post-chemotherapy Ki67 prognosis test included sensitivity 64%, specificity 60%, Positive Predictive Value 88,9%, Negative Predictive Value 25%, accuracy 63,3%. Conclusion: There is a significant relationship between Post Chemotherapy Ki67 to disease free survival and Post Chemotherapy Ki67 can be used as a prognostic biomarker in breast carcinoma patients undergoing neoadjuvant chemotherapy.
Accuracy of a Novel Scoring System for Prediction of Response to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer Patients Nurindah Dwi Utami; Nur Qodir; Erial Bahar
Sriwijaya Journal of Surgery Vol. 4 No. 2 (2021): 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.v4i2.58

Abstract

Background: Neoadjuvant chemotherapy (NAC) has become a widely accepted treatment option for locally advanced breast cancer (LABC). Furthermore, response to NAC is considered to be a predictor of favorable outcomes. It is known that some predictors are associated with NAC response. Objectives: To assess the accuracy of scoring system for prediction of response to neoadjuvant chemotherapy in LABC. Methods: Medical record of 50 patients received NAC at Mohammad Hoesin Hospital were retrospectively analysed between July 2019 to July 2020. Response of NAC in LABC was determined with Response Evaluation Criteria in Solid Tumours (RECIST). Variables of the scoring system are risk factors of breast cancer, immunohistochemical subtype, CD4+, CD8+, CD4+/CD8+ ratio, and neutrophil to lymphocyte ratio. Results: A total of 50 patients with LABC received and completed NAC. The mean age was 48.2 ± 11.0 at the time of diagnosis. Good response to NAC was achieved in 38 patients (76.0%). This scoring system shows a sensitivity of 77.8%, a specificity of 83.3%, a positive predictive value of 18.4%, and a negative predictive value of 24.4% with the Youden index of 66.1. The combination between less than three parity and positive estrogen receptor demonstrated better accuracy with a sensitivity of 96.3% and specificity of 77.7% and Youden index 74. Conclusion: This pilot study suggests that this scoring system is potentially useful for predicting response to neoadjuvant chemotherapy in LABC patients and warrants further investigation in a larger population to validate this finding.

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