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Galih Wilatikta
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INDONESIA
Jurnal Ilmu Bedah Indonesia
Published by Ikatan Ahli Bedah Indonesia
ISSN : -     EISSN : 27237494     DOI : https://doi.org/10.46800/ilmbed
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology
The Indonesian Journal of Surgery (JIBI) is a peer-reviewed and open access journal focuses on publishing journals in the scope of surgery. JIBI accepts any kind of manuscript(s) related to surgery, i.e. original article, meta–analysis, systematic review, comprehensive review, case report, serial cases, and also idea and innovation (selected ideas and innovations) regarding surgical diseases and conditions, surgical procedure, and basic science. JIBI also accept letter to editor and comment / and or response to a published manuscript with an opinion included. JIBI accept subject in the following fields of surgery: Pediatric Vascular Digestive Orthopedic Urology Neurosurgery Plastic Surgery Oncology Cardiothoracic
Arjuna Subject : Kedokteran - Pembedahan
Articles 2 Documents
 1 
Search results for , issue "Vol. 49 No. 2 (2021): Desember 2021" : 2 Documents clear
Internal Pudendal Artery Perforator Flap Reconstruction After Post-Radical Vulvectomy: A Case Report Anak Agung Ayu Anggreni; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya
Jurnal llmu Bedah Indonesia Vol. 49 No. 2 (2021): Desember 2021
Publisher : Ikatan Ahli Bedah Indonesia

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Abstract

Introduction. Reconstruction of vulvar defects following radical vulvectomy can be challenging. It is related to the functional and aesthetic aspects of the woman's body important part. In addition, the nature of the vulvar region also affects wound healing. This case report aims to share our experience in managing vulvar defects using the internal pudendal artery perforator (IPAP) flap. Case Description. We present a thirty-year-old woman with carcinoma of the vulva stage IB (tumor size 8×3 cm). The gynecologic oncologist performed radical vulvectomy and bilateral inguinal lymph nodes removal using separate groin incisions. Those procedures result in a 16×8 cm vulvar defect. We reconstructed the bilateral defects using right IPAP flap-type I-1 (propeller flap), left IPAP flap-type II (V-Y advancement flap), and a vaginoplasty in the lithotomy position. The flaps were designed based on Doppler signals. The vulvar defect was successfully recovered, and no complications were observed, including cellulitis, wound dehiscence, and flap necrosis of the reconstructed and donor sites. Conclusion. IPAP flap is a well-vascularized flap suitable for areas with the inherent risk of delayed wound healing, such as the vulvar region. IPAP flap might benefit vulvar reconstruction regarding the shape, volume, and function restoration.
Kualitas Hidup Penderita Adenokarsinoma Kolorektal Pascaoperasi di RSUPN dr. Cipto Mangunkusumo Maida Tanara; Agi Satria Putranto
Jurnal llmu Bedah Indonesia Vol. 49 No. 2 (2021): Desember 2021
Publisher : Ikatan Ahli Bedah Indonesia

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Abstract

Latar Belakang. The risk of venous thromboembolism (VTE) associated with malignancy is 4.1-fold greater compared to patients without malignancy. Malignancy patient have greater risk of bleeding with the commonly used anticoagulant therapy. Inferior Vena Cava Filter (IVCF) have been recommended as an controversial alternative. This study aimed to find the highest evidence in the safety, benefit, and clinical outcome of the IVCF for managing VTE associated with malignancy. Metode. Studi dilakukan dengan desain deskriptif, populasi penderita adenokarsinoma kolorektal pascaoperasi sejak Januari 2017-Desember 2020 dan bersedia serta mampu menjawab kuesioner diinklusi dalam penelitian. Luaran yang dievaluasi adalah kualitas hidup dihubungkan dengan usia, jenis kelamin, familial, stadium dan jumlah terapi adjuvant. Hasil. Terdapat 304 subjek penderita adenokarsinoma kolorektal pasca operasi , 123 pasien dinyatakan meninggal, 98 subjek yang menjawab kuesioner dalam penelitian ini, dengan 56 laki-laki dan 42 perempuan. 83 subjek (84.69%) tidak memiliki riwayat familial. Mayoritas penderita stadium IV sebanyak 71 subjek (72,44%), stadium III 23 subjek (23.46%) dan stadium II hanya 4 subjek (4.08%). Kualitas hidup menunjukkan sebaran data yang tidak normal dengan median 70 (50-90) pada semua domain. Ditemukan dua subjek yang menunjukkan nilai kurang pada domain kesehatan fisik. Pada domain psikologis, hubungan sosial dan lingkungan didapatkan seluruh subjek mendapatkan skor kualitas hidup diatas dari 60 dengan median secara berturut-turut 70(70-90), 70(60-90), dan 70(60-92). Didapatkan asosiasi yang bermakna secara statistik antara kualitas hidup dengan jenis kelamin, usia, stadium, dan jumlah terapi adjuvan yang memiliki p sebesar 0,011; 0,015; 0,002; dan 0,005. Tidak ditemukan asosiasi yang bermakna secara statistik antara kualitas hidup dengan familial. Kesimpulan. Terdapat hubungan antara kualitas hidup penderita adenokarsinoma kolorektal di RSUPN dr. Cipto Mangukusumo apabila dihubungkan dengan usia, jenis kelamin, stadium kanker, dan jumlah terapi adjuvan.

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