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Journal of International Surgery and Clinical Medicine
Published by Universitas Syiah Kuala
ISSN : -     EISSN : 28077008     DOI : https://doi.org/10.51559/jiscm
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal of International Surgery and Clinical Medicine; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. JISCM publishes articles that encompass basic research/clinical studies related to Surgical Oncology, Digestive Surgery, Vascular Surgery and Endovascular, Pediatric Surgery, Urology, Neurosurgery, Orthopedics, Plastic Surgery. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship and encourage a vigorous dialogue between medical scholars and practitioners.
Arjuna Subject : Kedokteran - Pembedahan
Articles 47 Documents
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Conservative management of penile fracture: a case report Ahlan Syaheza; Rudi Haris Munandar; Dahril
Journal of International Surgery and Clinical Medicine Vol. 2 No. 2 (2022): Available Online: December 2022
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v2i2.31

Abstract

Background: One of the uncommon emergencies in urology is a penile fracture. Due to blunt trauma to the erect penis, the tunica albuginea of one or both corpus cavernosum was disrupted, a rare kind of urologic damage. Corpus spongiosum or urethral rupture and dorsal nerve and vascular injury may also be present. Here, we describe a penile fracture case that was successfully treated conservatively at Zainoel Abidin Hospital. Case report: A 38-year-old male who had been having sex an hour before and had meatal bleeding, a history of cracking noises, and rapid detumescence presented to the emergency room at Zainoel Abidin Hospital. The patient also had pain when urinating. Physical examination revealed an enlarged penis and meatal hemorrhage but no ecchymosis or eggplant-like appearance. No bladder is full. The Foley catheter was put in. on ultrasonography of the penile. The hematoma was present in the corpus cavernous and spongiosum, and the urethra lumen was uneven. A pendulous urethral rip about 5 mm in size was found during urethroscopy. After 2 days of observation, the erectile function returned without pain or menstrual blood. After two days of conservative therapy, the patient was discharged from the hospital. Conclusion: Conservative treatment of the penile fracture is still an option based on clinical findings in cases.
Severe foreskin adhesion and meatal stenosis – complications after Circumcision: A Case Report Khalilullah, Said Alfin; Ismy, Jufriady
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.32

Abstract

Introduction: Although circumcision is the most common surgical surgery performed on newborn males, problems can still occur regardless of the technique utilized by the operator. Case description: This case report aims to highlight the case of a 13-year-old boy who presented with severe foreskin adhesion and meatal stenosis after circumcision and underwent surgical reconstruction. During surgery, the foreskin firmly bonds to the glans and cannot be scraped away. Even the glans penis is injured when released abruptly. The glans penis was then clearly visible and could be distinguished between the skin and glans penis after a circumferential incision was performed on the penis skin above the coronary sulcus. Adhesiolysis was then conducted from the proximal to the distal wound. After that, the meatoplasty was performed. Conclusion: Since issues related to complications of circumcision continue to emerge, it is important to have a proper understanding of the circumcision procedure and how to manage the complication. To our knowledge, this is the new insight into managing severe foreskin adhesion with a good outcome.
Laboratory diagnosis of COVID-19 cases from nasal and oropharyngeal swab specimens Renatha, Nainggolan
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.33

Abstract

Introduction: Indonesia first reported Covid-19 on March 2, 2020, which continued to increase and spread rapidly throughout Indonesia. WHO recommends molecular examinations for patients with suspected COVID-19 through molecular detection method or NAAT (Nucleic Acid Amplification Test), including Real Time-Polymerase Chain Reaction (RT-PCR) tests. This study aimed to describe the profile of RT-PCR test services on nasal and oropharyngeal swab specimens from patients treated at Dr. Pirngadi Hospital Medan and patients of primary health care (Puskesmas) or other hospitals referred for RT-PCR examination at the Laboratory of Dr. Pirngadi Hospital. Method: This was a retrospective, descriptive study using secondary data from medical records from August 2020 to July 2021. Using consecutive sampling, the study sample was all suspected and confirmed COVID-19 specimens collected at Dr. Pirngadi Hospital, Medan. All collected data were processed and analyzed using IBM SPSS version 20.0. Result: There were 7495 specimens of COVID-19 from Dr. Pirngadi Hospital from August 2020 to July 2021, of which 1264 (17%) were confirmed positive, and 6231 (83%) had negative results. Meanwhile, 12.274 specimens were obtained from primary health care or other hospitals, of which 2602 (2%) samples were confirmed positive, and 9672 (98%) had negative results. Based on sex, 884 men (44%) and 1108 women (56%) had confirmed COVID-19 cases. Conclusion: From August 2020 to July 2021, this study found 17%  and 2% of confirmed COVID-19 cases at Dr. Pirngadi Hospital and primary health care or other hospitals, respectively. COVID-19-confirmed issues were more common in women.
A case report of neuroendocrine tumor of extrahepatic biliary tract Yusuf, Muhammad; Taqwa, Muhammad
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.34

Abstract

Background: A rare form of tumor is a neuroendocrine tumor (NET). According to the 2015 National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology, all endocrine tumors of the digestive system should be treated with neuroendocrine tumors of the gastrointestinal system. The incidence of NET is 2.5 cases per 100,000 people annually on average. Since NET has a variety of clinical symptoms, it can be divided into functionally active and inactive types. This study aimed to present a neuroendocrine tumor of the extrahepatic biliary tract. Case presentation: An 18-year-old female with a lump in the upper right abdomen with intermittent pain that had been felt in the last 8 months. There was evidence of previous weight loss and an easy appetite. Physical inspection revealed a mass with a fixed, smooth, flat edge and solid consistency. A vesica felea enlargement and a normal wall were discovered on the CT scan. Stone and sludge were not detected. The choleducus and cystic duct were normal-looking, and a 0.5 cm spherical stone was present. Bile fluid was found to move smoothly from the ductus cysticus to the distal and into the ampulla of Vater. Our patient was diagnosed early with an intra-abdominal tumor. An intraoperative cystic tumor measuring 9x7x8 cm and attached to the duodenum was discovered at the pancreatic cap. The pancreatic uncinate process underwent tumor excision. The patient was managed post-op in a stable condition, and the tumor's histology revealed a carcinoid tumor. Conclusion: NET is a rare type of tumor, but two third of it occurs in the gastrointestinal system. It is hard to detect because of its heterogeneous nature and various clinical presentation. Surgery is the first-line therapy in this disease, followed by chemotherapy, radiotherapy, and tumor debulking as palliative management.
Interaction of antifibrinolytic providing intrathecal in intraventricular blood: a systematic review and meta-analysis Fitra; Rizki Meizikri; Rafif Alfayat; Imam Hidayat; Wahyu Asrizal, Cynthia
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.40

Abstract

Introduction: Intraventricular hemorrhage refers to the presence of blood in the cerebroventricular system.  Intraventricular hemorrhage can lead to severe complications such as hydrocephalus. One of the therapeutic modalities for intraventricular hemorrhage is to perform CSF diversion using an external ventricular drain (EVD). To overcome complications related to the use of EVD, there have been several efforts to accelerate its excretion in ventricular blood, one of which is by intraventricular injection of fibrinolytic. The mixed results of studies on intraventricular fibrinolysis prompted investigators to conduct a review and meta-analysis of this treatment modality. Method: We conducted systematic reviews and meta-analyses on several literature databases and included articles in English. We were using the boolean operator AND to search for literature containing all keywords in the databases and analyze the data using SPSS and Revmann. Results: Unfavorable outcomes with the use of intraventricular fibrinolytic therapy in IVH occurred in a median of 51% of cases. The risk of an unfavorable outcome in IVH patients who received intraventricular fibrinolytic was 0.93 times compared to controls. The risk of an unfavorable outcome in IVH patients receiving rtPA and intraventricular urokinase was 0.95 and 0.73 times, respectively, compared to controls. The use of intraventricular fibrinolysis was able to reduce IVH volume by an average of 22.84 cc. The use of intraventricular fibrinolysis was able to improve the modified Graeb Score with an average change of 5.24 points Conclusion: Intraventricular fibrinolysis administration helps to reduce the risk of unfavorable outcomes in IVH cases.
Overview of the first 1000 days of life and stunting in toddlers 0-2 years old in Tegallalang District, Bali Province Pradnyawati, Luh Gede; Dewa Ayu Putu Ratna Juwita; Komang Triyani Kartinawati; Made Indra Wijaya; Anak Agung Sagung Mirah Prabandari
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.41

Abstract

Introduction: The most crucial time for a child's physical and cognitive development is the first 1000 days of life. Their nutritional state will influence toddlers' future health, intelligence, and productivity in the first 1000 days of life. The study aimed to describe the first 1000 days of life in toddlers aged 0-2 years. Methods: This cross-sectional study used a household survey in 30 clusters. Five samples of children between 0-1 years old and five samples between the ages of 1-2 years old were selected by simple random sampling from each census block for 300 respondents. Nutrition adequacy was analyzed in Nutrisurvey 2007 program. All data were analyzed descriptively in the SPSS program. Results: The prevalence of stunting in children aged 0-2 in Tegallalang District was 12%. Among children 0-1 years old was 8%, while in children aged 1-2 years was 17%. 41% of pregnant women and toddlers were exposed to secondhand smoke. The rate of exclusive breastfeeding was 44%, vitamin A supplementation was 43.7%, deworming treatment was 52%, and only 20% of people had clean water. There were 115 toddlers aged 1-2 years w    deficits in carbohydrates, 140 toddlers with deficits deficiencies, and 80 toddlers with deficits in iron. Conclusion: The problem of stunting in Tegallalang District still exists. Community health workers should encourage women and their male partners regarding second-hand smoke, exclusive breastfeeding, vitamin A supplementation, and deworming treatment. Access to clean water is also urgently required. Further study is needed to determine the modifiable risk factors for stunting.
Pain score evaluation in patients underwent hand surgery under WALANT compared to those under local or general anesthesia with tourniquet Teuku Nanda Putra; Yanis, Melissa Abigail
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.38

Abstract

Background: The Wide Awake Local Anesthesia No Tourniquet (WALANT) has been reported to offer simpler pre-surgical instruction and assessment, faster operating time, better surgical visualization, shorter hospital stay, fewer complications and side effects, lower cost, faster post-operative recovery time, better patient’s satisfaction, and less pain and discomfort. This study aims to review the pain score in hand surgery using the WALANT technique compared to local anesthesia or general anesthesia with a tourniquet. Methods: A comprehensive literature search was conducted in PubMed, Cochrane Library, and Google Scholar in March 2021. Eligible randomized-controlled trials (RCTs) and cohort studies compared injection time intra-operative or post-operative pain using Visual Analog Score (VAS) in WALANT and local anesthesia or general anesthesia with a tourniquet. Results: Five studies (3 RCTs and two cohorts) were included in this article, including 645 hand surgeries (376 carpal tunnel syndrome cases, 181 trigger finger cases, 42 cubital tunnel syndrome cases, 44 de Quervain’s disease cases, and two ganglion cyst cases). Three studies reported a significantly lower VAS in the WALANT group, while the other two reported a lower VAS in the WALANT group, but not statistically significant. Conclusion: WALANT is still a technique worth considering in hand surgery because of its superiority in minimizing intra-operative and post-operative pain.
Mirror foot: a case report of rare ten toes polydactyly Sitorus, Gina Yunita J.; Putra, Teuku Nanda; Ikhsan, Muhammad; Jannah, Siti Miftahul
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.39

Abstract

Introduction: A rare congenital deformity known as "mirror image polydactyly" of the feet is typified by symmetrical duplication of the foot's digits. According to one study, only 28 cases (seven of which have treatment records) have been described in the English-language literature. Mirror foot can arise as a single congenital defect or a component of a hereditary syndrome involving several congenital defects. In this study, we reported a mirror foot case and emphasized its rarity, unusual presentation, and successful surgical treatment. Case presentation: A 3-month-old female child was born with unilateral mirror image polydactyly of the foot with congenital talipes equinovarus (CTEV) and congenital genu recurvatum. She was referred to the outpatient clinic of the surgery department of dr. Kariadi General Hospital. In a radiological examination, ten digits and nine metatarsals were found on the left foot. Preaxial duplicates of the first to fourth metatarsals were disarticulated, followed by ablation of five digits. The aim of surgical management for this case was to reconstruct a functional and cosmetically pleasing foot, which will benefit orthopedic surgeons in managing CTEV for serial cast correction. Six months after surgical intervention, the foot showed a satisfactory appearance. However, management of the CTEV was uneventful at the local orthopedic department, and the patient was referred to the pediatric orthopedic center in Jakarta. Conclusion: Incidence of mirror foot is extremely rare, and treatment must be tailored to each individual. Coordination among different departments should be pursued to ensure optimum care for patients.
The Characteristics and Knowledge of Family of Patients with CKD about AV- Shunt At Dr. Zainoel Abidin General Hospital Rivai, Mohammad Arif; Junaidi, Fachrul; Khalilullah, Saif Alvin; Muzakkir, Yumna
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.43

Abstract

Introduction: Identifying the CKD progression of the patient should be presented with a range of choices for renal replacement treatment. Therefore, establishing vascular access for hemodialysis is significantly correlated with the survival rate of patients as well as knowledge related to access. Thus, in this study, we aim to report the characteristics and knowledge of the family of patients with CKD about AV-shunt at Dr. Zainoel Abidin General Hospital. Method: This research is descriptive research with a retrospective approach. This study evaluated the "Social Demographic and Medical Character" and "Knowledge towards AV Shunt" family of patients with CKD at RSUD Dr. Zainoel Abidin in Banda Aceh.  The samples in this study were all patients undergoing hemodialysis who had carried out AV-shunt at the hemodialysis installation at RSUD Dr. Zainoel Abidin from July 1 to July 31, 2021.  The data were analyzed descriptively by using SPSS. Results: From 80 respondents, an average age of 50.39 ± 12.594. Most AV Shunt care trainers are from doctors, and the rest are from doctors and nurses (6,3%). Regarding our study, 88,8% of the patients' families received education related to the AV-shunt, and only 11,3% did not. Conclusion: Regarding this study, we can conclude that the patient’s family knows about AV Shunt but must still be evaluated to maintain good AV Shunt function.
Bacterial patterns and antibiotics sensitivity in culture tests of diabetic foot ulcer Raja Fauzan, Teuku; Mahfudz, Lauhil
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.44

Abstract

Background: Diabetic foot ulcers are one of the complications of DM which can cause a decrease in productivity in patients. Diabetic ulcers make it easier for bacteria to grow and infect the body. Some pathogenic bacteria that are often found are Staphylococcus aureus, And Coli, Pseudomonas aeruginosa, Klebsiella pneumonia, and Proteus is wonderful. Antibiotics play an important role in the management of diabetic ulcers infected with bacteria, where the most sensitive antibiotics are Amikacin, Erythromycin, Meropenem, Ciprofloxacin, and Ampicillin. Therefore, this study aims to determine the bacterial patterns and bacterial sensitivity to antibiotics in diabetic ulcer patients in the surgical inpatient room of RSUDZA Banda Aceh. Method: This research is descriptive observational with a retrospective approach using medical record data from diabetic ulcer patients from August 2021 – August 2022. Sample collection was carried out randomly. non-probability sampling namely with total sampling. Data will be analyzed using univariate analysis Results: There were 60 samples of diabetic ulcer sufferers who underwent pus culture examination and antibiotic sensitivity testing in this study. Based on gender, men are the most likely to suffer from dibasic ulcers, namely 41 samples. The average age of diabetic ulcer sufferers was above 65 years in 19 samples. From the pus culture examination, it was found that the 4 most commonly found bacteria were: Staphylococcus aureus (13), E. Coli (13), Klebsiella pneumonia (10), and Pseudomonas aeruginosa (8). Based on the antibiotic sensitivity pattern, Meropenem has the strongest sensitivity to bacterial pneumonia and E. coli. Meanwhile, Levofloxacin has the strongest sensitivity to bacteria Staphylococcus aureus and Pseudomonas aeruginosa.  Conclusion: It can be concluded that the cause of most diabetic ulcer infections are Staphylococcus aureus and E. Coli, while the antibiotics of choice are Meropenem and Levofloxacin because they have the highest sensitivity.

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