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Rachmat Hidayat
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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 127 Documents
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Relationship of Expression Ki67 Pre Neoadjuvant Chemoterapy with Prognosis in Stadium IIIB Breast Cancer Patients that Performed Mastectomy Surgery at Dr. Mohammad Hoesin Hospital Palembang Mulawan Umar; Aulia Muhardi; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.69

Abstract

Background: Breast cancer is 42.1 per 100,000 population with an average of 17 deaths per 100,000 population. Breast cancer management includes surgery, radiotherapy, chemotherapy and hormonal therapy. Neoadjuvant therapy has a several goals in breast cancer: reducing the volume of initially inoperable tumors, evaluating in vivo chemosensitivity and analyzing micrometastasis management. Cell proliferation is often measured through Ki67 resulting in independent prognostic markers and as predictive markers of responsiveness or resistance to chemotherapy or endocrine therapy. In breast cancer with high risk has a higher expression of Ki67, so it will have a worse prognosis. This study was conducted to find out the relationship of Ki67 pre chemotherapy neoadjuvant levels with prognosis in patients with stage IIIB breast cancer who performed mastectomy surgery at Moehammad Hoesin Palembang General Hospital. Method: Cohort Retrospective research on 40 samples Breast cancer patients in the Medical Record Room and Anatomical Pathology Room of Dr. Moehammad Hoesin Palembang in July-September 2021.Results: There were 14 out of 40 samples that had high Ki67 levels (>30%), chi square and fisher exact analysis showed Ki67 levels >30% were significantly associated with mortality (p<0.05, OR 13,8(2,7-70,2)). At cut off points Ki67 >20% is also significantly associated with mortality (p<0.05, OR 7,1 (0,8-63,1)) with a sensitivity value of 91,6% and specificity of 39,2%.Conclusion: Ki67 >20% can be a worse prognosis in predicting death and overall survival.
Correlation between APACHE II Score on Mortality Severe Head Injury Patients in the Educational Room of Dr. Mohammad Hoesin General Hospital Palembang in 2019-2020 Anggi Ciptawan; Trijoso Permono; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.70

Abstract

tissue due to trauma. Severe head injuries account for about 10% of the total head injuries. In addition to death caused by severe head injury itself, head injury patients are susceptible to complications that can occur while the patient is hospitalized. The purpose of this study was to determine the correlation between the APACHE II Score on the mortality of severe head injury patients who were treated in the GICU room, Dr. Mohammad Hoesin Palembang. This type of research is a quantitative research using a retrospective analytical study survey design. Between group variables are unpaired because no matching is done. The research sample is 30 respondents. Results of analysis in this study, after statistical testing using the Chi Square test, p value < 0. 002 was obtained which clarified that there was a relationship between APACHE II Score and mortality in respondents with severe head injuries who were treated in the GICU, Dr. Mohammad Hoesin Palembang. Severe head injury in the GICU room, Dr. Mohammad Hoesin Palembang (p=0.002). The higher the patient's APACHE II score, the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3 the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3 the more likely the patient to leave the GICU dead. From a total of 30 respondents who were treated in the GICU room, the highest APACHE II score was 28 and the lowest was 3.
Compatibility between MRI Examination and Histopathological Findings in Tuberculous Spondylitis Patients at Dr. Mohammad Hoesin Palembang Riama Noveria Sianturi; Zulkarnain Muslim; Rendra Leonas; Hanna Marsinta Uli; Aida Farida; Irsan Saleh
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.71

Abstract

Tuberculous spondylitis or Pott's disease is an infection disease caused by Mycobacterium tuberculosis that affects the spine. Tuberculous spondylitis is the most dangerous form of musculoskeletal tuberculosis because it can cause serious morbidity due to bone destruction, deformity and paraplegia, therefore early diagnosis is very important. This study aims to determine the compability between clinical diagnosis and histopathological findings in patients with tuberculous spondylitis. This research is a diagnostic research conducted in polyclinic, orthopedic surgery, radiology room and Pathology laboratory of Mohammad Hoesin Hospital Palembang. The sample in this study were all patients with suspected being diagnosed tuberculous spondylitis, who underwent an MRI examination and surgery and histopathological examination. There were 15 patients suspected of being diagnosed with tuberculous spondylitis. In this study, histopathologically, there were 12 samples with a diagnosis of tuberculous spondylitis, while based on MRI, 14 samples were obtained with a diagnosis of tuberculous spondylitis. The results of the MRI examination had a sensitivity of 100%, specificity 33.3%, PPV 85.7%, NPV 100%, positive Likelihood ratio 1.499 and negative Likelihood ratio 0. The accuracy between MRI examination and histopathological findings in tuberculous spondylitis patients was 0.867 with this test. Kappa obtained a conformity value of 0.444 with a significance of 0.038 (p < 0.05). The accuracy between MRI examination and histopathological findings in patients with tuberculous spondylitis had a very good of reliability with a moderate degree of compability.
Accuracy Value Chest Trauma Score and Thorax Trauma Severity Score Predictors Outcome in Thoracic Trauma Patients at Dr. Mohammad Hoesin General Hospital Palembang Triyanto Amrisal Mohammad; Ahmat Umar; Theodorus
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.72

Abstract

Background: Thoracic trauma is the third most common cause of death from trauma, after head and spinal cord injuries. There are several trauma scales that are used globally but because of the difficulty of applying multiple scores, and the use of scores that are found to be less significant. A guideline is needed that can be used as a national system, especially in developing countries, so as to facilitate the assessment and management of thoracic trauma patients. This study aimed to determine the accuracy of the Chest Trauma Score (CTS) and Thorax Trauma Severity Score (TTSS) as outcome predictors in blunt thoracic trauma patients at Dr. Mohammad Hoesin General Hospital Palembang. Methods: Accuracy test by comparing 2 scoring systems, namely CTS and TTSS in thoracic trauma patients at Dr. Mohammad Hoesin General Hospital Palembang. Variable analysis used bivariate analysis. If the scale used is nominal, then a table with the kappa test is used. If the scale used is ordinal and interval, it must be changed to a nominal scale by assessing the ROC cut point. Comparison of examination results is known by means of assessment of correlation, accuracy, sensitivity, specificity, positive predictive value, and negative predictive value. Results: The kappa coefficient value of CTS and TTSS is 0.743 (p=0.000). The TTSS score has a sensitivity of 80%, specificity of 94.1%, a positive predictive value of 33.3%, a negative predictive value of 3% and an accuracy value of 92.3%. The CTS score has a sensitivity of 100%, a specificity of 67.6%, a positive predictive value of 68.7%, a negative predictive value of 0% and an accuracy value of 71.8%. There was a significant relationship between length of stay with CTS ≥4 (p=0.009) and TTSS ≥11 (p=0.023). There was a significant relationship between the need for ventilator use with a CTS ≥4 (p=0.033) and a TTSS ≥11 (p=0.002). Conclusion: TTSS and CTS are strong predictors of mortality in thoracic trauma patients.
Comparison of the Accuracy of Boey Score and PULP Score in Prediction of Gastric Perforation Mortality at Dr. Mohammad Hoesin General Hospital Palembang Nipolin Sonoki Meidiansyah; Efman EU Manawan; Legiran
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.73

Abstract

Background: Gastric perforation whose clinical features vary and frequent delay in diagnosis may lead to high mortality. The Boey and PULP scores were developed to predict mortality in order for high-risk patients to be treated more intensively. Purpose of this study was to determine the Boey and PULP scores in predicting mortality in gastric perforation patients. Method: This retrospective observational study was conducted at the RSMH Medical Record Installation. Data that met all inclusion criteria and no exclusion criteria were analyzed descriptively and the diagnostic value was determined using SPSS. Results: A total of 44 subjects with gastric perforation and treated with exploratory laparotomy during 2020–2021 were enrolled in the study, the majority of which were male (68.2%) with a mean age of 60.57±12.79 years. The Boey score showed that high and low risk subjects were comparable (50.0%) and the majority were low risk based on the PULP score (56.8%). We found a significant difference in age (P=0.006), creatinine level (P=0.002), and length of stay (P=0.001) between who is deceased and survived. The accuracy of Boey score at the cutoff point of 1.5 is less good (0.591) with: 57.1% sensitivity; specificity 62.5%; 0.727 PPV; and 0.591 NPV. The accuracy of the PULP score at the cut-off point of 4.5 is good (0.750) with: sensitivity of 78.6%; specificity 68.8%; 0.815 PPV; and 0.647 NPV. Conclusion: The PULP score has better accuracy than the BOEY score in predicting mortality in gastric perforation patients.
Comparison of Total Volume Drain Post-Modified Radical Mastectomy with Songket Technique Using Full Negative Pressure Suction Drain with Half Negative Pressure Suction Drain in Dr. Mohammad Hoesin General Hospital Palembang Rayka Ivan; Nur Qodir; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): 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.v5i1.74

Abstract

Background: Breast cancer is the most common malignancy in women, with a mortality rate of 13.0 cases per 100,000 women worldwide. Modified Radical Mastectomy (MRM) is the treatment of breast malignancy that is still operable. After MRM surgery, a suction drain is routinely used to drain the serous fluid that builds up, with a high negative pressure which is expected to drain accumulated fluid and reduce dead space, but this drain also causes obstruction of closure of injured lymph vessels and causes an increase in the amount of fluid coming out of the wound. This study aims to provide an overview of the comparison of the total drain volume in post-MRM breast cancer patients using a full negative pressure Songket suction drain incision design with suction at Dr. Mohammad Hoesin General Hospital Palembang. Methods: The characteristics of the sample will be presented in tabular form and narrated. Dichotomous variables will be analyzed by Chi-square test, while continuous variables will be analyzed by T-test if the data is normally distributed and Mann-Whitney if the data is not normally distributed. All analyzes used the SPSS version 23 computer program. Significance was determined based on the p-value < 0.05. Results: The Mann-Whitney test statistic found a significant difference in the total amount of fluid collected in the two groups (p=0.010), while there was no significant difference in length of stay between the two groups (p=1,000). Conclusion: there was a difference in the length of stay of patients after surgery between full and half negative pressure, with a p-value = 0.001.
Comparison of Androgen Receptor Expression in Patients with Benign Prostate Hyperplasia and Adenocarcinoma Prostate Engki Aditya; Didit Pramudhito; Aspitriani; Legiran
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): 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.v5i2.75

Abstract

Introduction: Benign prostate hyperplasia is a proliferation of stromal cells and epithelial cells which results an enlargement of the prostate gland and can cause obstruction of the urinary tract. Adenocarcinoma prostate is an invasive carcinoma consisting of a neoplasm of prostate epithelial cells with secretory cell differentiation. Abnormal growth of the prostate gland like benign lesions and malignant lesions are generally affected by androgen receptor (AR). The aim of this research is to analyse the comparison of AR expression in benign prostate hyperplasia and adenocarcinoma prostate. Methods: The design of this research is analiytical study with cross sectional approach. The samples are 18 cases of benign prostate hyperplasia and 20 cases of adenocarcinoma prostate. The samples are observed only once and at a time. Results: The average age of the adenocarcinoma prostate case was 63.95 ± 12.03 years (age range 33-84 years) while in the benign prostate hyperplasia case, the average age was 66.78 ± 9.49 (age range 54–89 years). There are no different about the expression of AR in benign prostate hyperplasia and adenocarcinoma prostate used Allred scores. There was a weak and negative correlation between Gleason score and AR expression in the adenocarcinoma prostate case group (p=0.237). Conclusion: There are no differences related to the expression of AR between the case of adenocarcinoma prostate and benign prostatic hyperplasia.
Prevalence and Risk Factors of Suspected Case Primary Bloodstream Infection in Chronic Renal Failure Patients with Catheter Double Lumen at Dr. Mohammad Hoesin General Hospital Palembang Sholekhuddin Wahyu; Kemas Muhammad Dahlan; Jaka Fahmi; Novadian; Theodorus
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): 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.v5i2.78

Abstract

Background: Primary bloodstream infection (BSI) is an infection that occurs without any other organ or tissue suspected as a source of infection. BSI is often found in patients who have a catheter double lumen (CDL) attached device. The use of CDL causes a lot of risk of infection in patients with renal failure. Factors that influence the occurrence of BSI can be endogenous and exogenous factors. This study aimed to determine the prevalence rate and the factors that influence BSI in chronic renal failure patients with double-lumen catheters undergoing hemodialysis at the Dr. Mohammad Hoesin General Hospital, Palembang. Methods: This study was an analytical observational study with a cross-sectional design undertaken in the hemodialysis unit, medical record installation, and clinical laboratory of Dr. Mohammad Hoesin General Hospital Palembang from February to December 2021. There were 93 patients who met the inclusion criteria. The relationship between risk factors and the incidence of BSI was analyzed using the Chi-Square and Fisher Exact tests. All data were analyzed by SPPS version 22.0. Results: In this study, 44 people (47.3%) had primary bloodstream infection (BSI). In addition, there was a significant relationship between gender (PR = 2.508 (CI5% 1.087 – 5.784); p = 0.049); BMI (PR = 6.150 (CI5% 2.349 – 16.099); p = 0.000); and catheter type (p = 0.000) with the incidence of BSI. However, there was a non-significant relationship between age, catheter location, and duration of catheter insertion with the incidence of BSI (p > 0.05). Conclusion: Body mass index and gender are risk factors for primary bloodstream infection.
Comparison of Sternum Approximation Stability Using Stainless Steel Wire with Polydioxanone (PDS) Alif Arfiansyah Kartono; Gama Satria; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): 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.v5i2.79

Abstract

Background: The median sternal incision is an incision that is commonly done in heart surgery and vascular surgery. The existing techniques need elaboration and innovation to produce a method with an optimal level of healing effectiveness accompanied by a minimal risk of side effects. This study aims to determine the difference between sternal approximation using stainless steel wire compared to polydioxanone (PDS) based on biomechanical analysis. Methods: This was an in vitro experimental study using the sternum of a goat. A total of 24 sternums were divided into 6 treatment groups. Data analysis was performed with SPSS version 20. Univariate and bivariate analyzes were performed to compare the sternal approximation between stainless steel wire and PDS. Results: The use of PDS showed a higher average increase in transverse and longitudinal approximations compared to the use of stainless steel wire and was statistically different, p<0.05. PDS does not differ from stainless steel wire in lateral approximation. Conclusion: Stainless steel wire is more optimal in maintaining sternal stability than PDS based on biomechanical tests.
Factors Contributing to Patient Outcome after Decompressive Craniectomy in Traumatic and Non-Traumatic Cases I Made Kharunding Wijaya; Trijoso Permono; Erial Bahar
Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): 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.v5i2.80

Abstract

Background: Decompressive craniectomy is an invasive procedure performed to reduce intracranial pressure. Inconsistent research results regarding the effectiveness of decompressive craniectomy are caused by various factors that are believed to play a role in patient outcomes after decompressive craniectomy. This study aims to determine the factors that play a role in patient outcomes after decompressive craniectomy in traumatic cases and in non-traumatic cases. Methods: This study is an analytic observational study with a cross-sectional approach. A total of 40 secondary data from postoperative decompressive craniectomy patients were included in this study. Data analysis was performed using SPSS version 25 with univariate, bivariate, and multivariate analysis. Results: Age and gender factors were not associated with patient outcomes after decompressive craniectomy in traumatic and non-traumatic cases. Clinical factors, initial GCS, and preoperative pupil diameter were shown to be unrelated to patient outcomes after decompressive craniectomy in traumatic cases. The time interval factor between trauma and decompressive craniectomy was also shown to be unrelated to patient outcomes after decompressive craniectomy in both traumatic and non-traumatic cases. The presence of comorbidities was also shown to be unrelated to patient outcomes after decompressive craniectomy in both traumatic and non-traumatic cases. Clinical factors and initial GCS showed a relationship with patient outcomes after decompressive craniectomy in non-traumatic cases. Conclusion: Age, gender, initial GCS, pupil diameter, the time interval of trauma and decompressive craniectomy surgery, and comorbidities are not associated with patient outcomes after decompressive craniectomy. In non-traumatic cases, only initial GCS was associated with patient outcomes after decompressive craniectomy.

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