The New Ropanasuri : Journal of Surgery最新文献

The use of Laparoscopy In Treatment of Perforated Peptic Ulcer: A Literature Review A Literature Review 腹腔镜在穿孔性消化性溃疡治疗中的应用:文献综述

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1075

A. Soeratman, A. Putranto

引用次数: 0

External Validation Of 10 Points Intraoperative Gallbladder Scoring System (G10) In Laparoscopic Cholecystectomy at RSUPN dr. Cipto Mangunkusumo 腹腔镜胆囊切除术中10分胆囊评分系统(G10)的外部验证

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1068

Y. Mazni, W. Jeo, Rony Rony

{"title":"External Validation Of 10 Points Intraoperative Gallbladder Scoring System (G10) In Laparoscopic Cholecystectomy at RSUPN dr. Cipto Mangunkusumo","authors":"Y. Mazni, W. Jeo, Rony Rony","doi":"10.7454/nrjs.v5i2.1068","DOIUrl":"https://doi.org/10.7454/nrjs.v5i2.1068","url":null,"abstract":"Introduction. Laparoscopic cholecystectomy has become a standard treatment for symptomatic cholecystolithiasis in dr. Cipto Mangunkusumo Hospital (RSCM). This study aims as a preliminary study to externally validate the 10-point intraoperative gallbladder scoring system (G10), an assessment system of laparoscopic cholecystectomy's difficulty. Method. A cross-sectional study was carried out. Enrolling subjects who underwent laparoscopic cholecystectomy from January 2019 to December 2019. Data of the subjects were collected from medical records. We assessed each of the subjects' G10 scores and operation techniques based on the intraoperative images and surgical reports. The surgical technique divided into two groups, those are the Critical View of Safety (CVS) technique and bailout procedure group, consisting of fundus–first cholecystectomy, subtotal cholecystectomy, and conversion. The correlation of G10 score between CVS and bailout was analysed using the Mann-Whitney nonparametric test. A Kendall's tau was performed to measure the correlation between the G10 score and the bailout procedure. Statistical power was calculated by Gpower application. A ROC test was performed to calculate the sensitivity and specificity of the G10 scoring system to predict bailout procedure, then the cut-off value was determined. Results. There was a significant and positive correlation between the G10 score with the bailout procedure (<0.001,+0.487). Testing the G10 score on the validation set yielded an AUROC=0.865 (<0.001), and the score >2 indicate subjects at high risk of bailout procedure (72.2% vs. 20.98%).. Conclusion: This study showed that the G10 score has good accuracy in predicting a bailout procedure. The use of G10 scores intraoperatively is \"essential\" to provide valid and objective assessment in determining the difficulty of surgery. When the G10 score is 1 or 2, it's safe to perform the CVS technique. Whereas, if the G10 score is three or greater, surgeon should consider bailout procedure.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130047680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Uncomplicated Stanford Type B Aortic Dissection : A Literature Review 无并发症Stanford B型主动脉夹层的处理:文献综述

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1089

Zamzania Shalih, A. Muradi

引用次数: 0

Final Outcome of Hybrid Laparoscopic for Colorectal Cancer: A Literature Review 混合腹腔镜治疗结直肠癌的最终结果:文献综述

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1079

Dyan Novitalia, Y. Mazni

引用次数: 0

Transanastomotic Feeding Tube In Surgical Management of Congenital Duodenal Obstruction: Case Series 经吻合口饲管在先天性十二指肠梗阻手术治疗中的应用:病例系列

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1090

Hardian Gunardi, A. Rachmawati, Nanok Susilo, R. Tamba

{"title":"Transanastomotic Feeding Tube In Surgical Management of Congenital Duodenal Obstruction: Case Series","authors":"Hardian Gunardi, A. Rachmawati, Nanok Susilo, R. Tamba","doi":"10.7454/nrjs.v5i2.1090","DOIUrl":"https://doi.org/10.7454/nrjs.v5i2.1090","url":null,"abstract":"Introduction. Prolonged fasting is a major concern in the postoperative management of congenital duodenal obstruction. Massive dilatation of the proximal segment would lead to diameter discrepancy and lack of propulsion, thus delaying enteral feeding. A transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction. The study evaluates the effectiveness and safety of a transanastomotic feeding tubes in the surgical management of congenital duodenal obstruction. Method. The transanastomotic feeding tube's effectiveness in cases of congenital duodenal obstruction of the newborn underwent surgical correction was evaluated. Those managed from January 2016 to December 2018 at dr. Cipto Mangunkusumo and Fatmawati General Hospital were subjected to the evaluation. Results. Ten cases were recorded, with the mean gestational age of 30.4 weeks (SD ± 2.12), with a mean bodyweight of 2.571 g (SD ± 392). Seventy percent of the cases accompanied by other anomalies. Enteral nutrition was introduced immediately after surgery. The median time of oral nutrition initiation was 13 days (3-21), and the patients were fully fed in 19.5 days (13-37). The average length of stay was 24.5 days (16-40 days). One case had a complication requiring surgery, and mortality in two cases complicated with sepsis. Conclusion: Transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction of congenital duodenal obstruction.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115287227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Academic Atmosphere in Training Program of Surgery 外科学培训项目的学术氛围

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1101

Y. Moenadjat

引用次数: 0

The Application of Bromelain Enzyme on Pigskin to be used as Surgery Training Model 菠萝蛋白酶酶在猪皮上的应用作为外科训练模型

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1095

T. Prasetyono, Indonesian Clinical Training, C. Andrian, Elisabet Kinanthi, S. Putri

{"title":"The Application of Bromelain Enzyme on Pigskin to be used as Surgery Training Model","authors":"T. Prasetyono, Indonesian Clinical Training, C. Andrian, Elisabet Kinanthi, S. Putri","doi":"10.7454/nrjs.v5i2.1095","DOIUrl":"https://doi.org/10.7454/nrjs.v5i2.1095","url":null,"abstract":"Introduction. Postmortem changes in pigskin made it difficult to be manipulated as a model for advanced technique in surgery training. The use of bromelain enzyme on these pigskins could be an alternative way to obtain the ideal surgery training model. Method. Thirty-five pigskin-blocks (10×15cm) was divided evenly into seven groups consisted of six groups of different bromelain enzyme treatment (4g/20min, 4g/40min, 8g/20min, 8g/40min, 12g/20min, 12g/40min) and one group of control. Then five chief-plastic-surgery-residents blindly assessed and scored each pigskin and compared its likeliness to the back of human skin. The scores were then analyzed with an interrater reliability test using SPSS 16.0. Results. All five assessors unanimously chose the 8g/40min group as the most likeliness to the back of human skin. The highest score was obtained for piercing the needle into the pigskin (8.4 ± 0.54). Conclusion: The appliance of 8 grams bromelain enzyme in 10×15cm pigskin blocks for 40 minutes was proven to be an ideal surgery training model comparing the back of human skin, especially for tangential excision.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127955130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Efficiency of Well-Written Manuals Aided-Hand Knotting Skills Acquisition for Undergraduates 大学生手结技能习得的效率研究

The New Ropanasuri : Journal of Surgery Pub Date : 2020-12-18 DOI: 10.7454/nrjs.v5i2.1092

T. Prasetyono, Indonesian Clinical Training, Putri Purwadas

{"title":"The Efficiency of Well-Written Manuals Aided-Hand Knotting Skills Acquisition for Undergraduates","authors":"T. Prasetyono, Indonesian Clinical Training, Putri Purwadas","doi":"10.7454/nrjs.v5i2.1092","DOIUrl":"https://doi.org/10.7454/nrjs.v5i2.1092","url":null,"abstract":"Introduction. Standard procedural skills training methods include a tutorial, workshop, and feedback. Written manuals might add value to those standard methods; nevertheless, it depends on how well they are composed. This research aimed to evaluate the efficiency of well-written manuals of hand-knotting skills to improve students' procedural skills learning and competency. Method. This research was conducted through a preliminary study to identify the assessor reliability and main study to evaluate the students' scores for reef and surgeon's knots using an objective structured assessment of technical skills (OSATS). Subjects' preparedness and perception of the quality of the manuals were evaluated through a survey. Students were randomly divided into two groups. The treatment group received written manuals a day before the workshop. Both groups experienced the same five steps procedural skills teaching methods. The results were analyzed by SPSS 17.0 through the Pearson Chi-square test and independent t-test. Results. A preliminary study showed that the assessors had no difference in evaluating students' skills. The main study included 31 subjects in the treatment group and 34 subjects in the control group. The OSATS scores were statistically significantly different between the groups. Students in the treatment group had higher mean scores (43.42±7.98) than those in the control group (27.21±5.64); p<0.05. None of the control group students felt prepared, and most students (77%) considered the manuals to be well written. Conclusion: Well-written manuals of hand-knotting skills given before skills training improve students' skills acquisition and the standard teaching methods.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121213894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Circulating Tumor Cell and Regulator T-Lymphocyte in Core Biopsy for Breast Cancer 循环肿瘤细胞和调节t淋巴细胞在乳腺癌核心活检中的作用

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1071

S. S. Panigoro, D. Kartini, D. Wulandari, Arif Supono

{"title":"Circulating Tumor Cell and Regulator T-Lymphocyte in Core Biopsy for Breast Cancer","authors":"S. S. Panigoro, D. Kartini, D. Wulandari, Arif Supono","doi":"10.7454/nrjs.v5i1.1071","DOIUrl":"https://doi.org/10.7454/nrjs.v5i1.1071","url":null,"abstract":"Introduction. Core biopsy is one of the modalities used in breast cancer diagnosis, with a 91-99% sensitivity and specificity of 96-100%. The procedure causes tumor tissue damage to let tumor cells to enter circulation (CTC) and provoke the infiltration of inflammatory cells. Consider the side effect of core biopsy, the procedure to be debatable/contradicting opinions. Based on this premise, this study aims to investigate Tregs and CTC count in the core biopsy procedure. Method. A study enrolled 32 blood sample from patients of Stage III and IV breast cancer who proceed core biopsy during August to December 2016. A consecutive sampling method employed in this study. Blood specimens taken two weeks before and after the procedure, and subjected to analyze of Tregs (CD4, CD25, FoxP3) and CTC count (CK19) using flow cytometry. Wilcoxon test proceeded to analyze CTC/Tregs count and Spearman correlation test proceeded to find out the correlation of Tregsand CTC count. Results. A decrease of CTC after core biopsy found in median value of 50% in and p = 0.569. Median of Tregs count after core biopsy was 26.31%, with p = 0.049. We found a small rho values (r = 0.165, r = 0.235, r = 0.046, respectively) and p > 0.0.5. Conclusion: No correlation between Tregs with CTC count, before or after core biopsy. The study denoted that core biopsy considered a safe method for histopathological diagnostic purposes in breast cancer.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125935392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors that Influence Hospital Length of Stay in Diabetic Foot Ulcer with Negative Pressure Wound Therapy at RS. dr. Cipto Mangunkusumo 影响在dr. Cipto Mangunkusumo进行负压伤口治疗的糖尿病足溃疡住院时间的危险因素

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1069

Prabowo W. Simbolon, Hilman Ibrahim

{"title":"Risk Factors that Influence Hospital Length of Stay in Diabetic Foot Ulcer with Negative Pressure Wound Therapy at RS. dr. Cipto Mangunkusumo","authors":"Prabowo W. Simbolon, Hilman Ibrahim","doi":"10.7454/nrjs.v5i1.1069","DOIUrl":"https://doi.org/10.7454/nrjs.v5i1.1069","url":null,"abstract":"Introduction. It estimated that around 15% of diabetic patients would experience diabetic foot ulcer (DFU) in their lifetime. Negative pressure wound therapy (NPWT) is proven to be more effective than conventional treatments. NPWT creates a moist wound environment, increases local blood flow, and stimulates tissue granulation, thereby accelerating wound healing. This study conducted to determine the risk factors that affect the length of stay of DFU with NPWT. Method. A retrospective study with a cross-sectional design carried out from January 2016 to December 2018 at RS. dr. Cipto Mangunkusumo Hospital, Jakarta. Subjects' characteristics and risk factors taken from medical records. The length of stay and application of NPWT was the focus of interests. The correlation to the risk factors was analyzed. Results. Out of 105 subjects enrolled, the length of stay of DFU with NPWT was 19.9 ± 19.3 days. Risk factors affecting the length of stay were history of ulcers (r = 0.01; p = 0.034), wound depth (r = 0.292; p = 0.003), Hb (r = 0.05; p = 0.039), HbA1c (r = 0.06; p = 0.033), Albumin (r = 0.06; p = 0.017), PCT (r = 0.10; p = 0.035), and duration of DM (r = 0.193; p = 0.009). Conclusion: The length of stay of DFU with NPWT influenced by systemic factors (duration of DM, Hb, HbA1c, albumin, and PCT) and local factors (history of previous ulcers and wound depth). The depth of the wound was the most positively related factor to the length of stay in DFU after NPWT (r = 0.292; p = 0.003). Interventions on factors that can be corrected before the application of NPWT may amplify the result of NPWT and reduce the length of treatment.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"244 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131488875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0