The New Ropanasuri : Journal of Surgery最新文献_第2页

Capsular Contracture, Prolonged Use of Breast Implant with Pleural Effusion: A Case Reports 包膜挛缩，长时间使用乳房植入物伴胸腔积液一例报告

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1072

Y. Moenadjat

引用次数: 0

Postoperative Wound Irrigation Using Distilled Water in Preventing Surgical Site Infection in a Tertiary Hospital: A Retrospective Cohort and Cost-effective Study 三甲医院术后用蒸馏水冲洗伤口预防手术部位感染:回顾性队列和成本效益研究

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1074

W. Jeo, D. Pratama, Yoni Vanto, A. Kekalih, Y. Moenadjat

{"title":"Postoperative Wound Irrigation Using Distilled Water in Preventing Surgical Site Infection in a Tertiary Hospital: A Retrospective Cohort and Cost-effective Study","authors":"W. Jeo, D. Pratama, Yoni Vanto, A. Kekalih, Y. Moenadjat","doi":"10.7454/nrjs.v5i1.1074","DOIUrl":"https://doi.org/10.7454/nrjs.v5i1.1074","url":null,"abstract":"Introduction . The incidence of surgical site infections (SSIs) is reducing following the global campaign that requires all the stakeholder involvement. However, of all hospital-acquired infection prevention programs, wound irrigation is hard to be implemented in our hospital. There is a belief that the wound irrigation procedure leading to the spreading of infection. In contrast, the use of antiseptic and topical antibiotic, as well as systemic antibiotic, is uncontrolled high. Thus, we run a cost-effective study of wound irrigation to change the practice. Method . We carried out a prospective cohort study comparing wound irrigation and the standard protocol in wound care in those underwent median laparotomy during the period of January to July 2018. A total of 80 subjects enrolled in this study, which divided into two groups, 40 for each group. The first group was those treated using antiseptics (povidone-iodine) and antibiotic contained paraffin tulle, while the second group was those treated using irrigation. This study performed in the digestive surgery division, which initiated irrigation protocol for wound irrigation. Stitch specimen taken for bacterial culture proceeded on 7 th day postoperative and clinical signs of infection following CDC criteria was observed then statistically analyzed. Results . The bacterial culture showed no significant difference (p = 0.82) between the two groups. Clinical signs are showing no significant difference between the two groups (p = 1.00). In the cost perspective, the application of wound irrigation saving IDR 57,500,00 or four USD per subject. Conclusion : Wound irrigation using distilled water efficiently prevent SSIs.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"11 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":"133141555","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: 2

A Solitary Bone Plasmacytoma In the Mandible: A Case Report 下颌骨单发骨浆细胞瘤1例报告

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1062

E. D. Yulian, Andre Suryadi

引用次数: 1

Intraoperative Pancreatic Assessment in Pancreaticoduodenectomy The Correlation with Pancreatic Fistula Formation 胰十二指肠切除术术中胰腺功能评估与胰瘘形成的关系

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1066

Y. Mazni, Ardani Syafiuddin, A. Putranto

{"title":"Intraoperative Pancreatic Assessment in Pancreaticoduodenectomy The Correlation with Pancreatic Fistula Formation","authors":"Y. Mazni, Ardani Syafiuddin, A. Putranto","doi":"10.7454/nrjs.v5i1.1066","DOIUrl":"https://doi.org/10.7454/nrjs.v5i1.1066","url":null,"abstract":"Introduction. Anastomotic leaks are most of the complications after pancreaticoduodenectomy. About 45% followed with fistula formation. The study aimed to discover intraoperative pancreatic assessment associated with postoperative pancreatic fistula (POPF). Method. A cross-sectional design study carried out enrolling patients with tumor of the pancreatic tumors whose underwent pancreaticoduodenectomy. Pancreatic duct diameter, pancreatic texture, the use of stent in the pancreaticojejunal anastomosis, and pancreaticojejunal anastomosis’ technique were the independent variables in the study. While the postoperative pancreatic fistula (POPF) referred to a dependent one, these variables analyzed using the Spearman test due to abnormality data distribution. Results. Of 70 subjects enrolled in the study, Subjects with no POPF found in and with POPF noted in 78.6% subjects and those with no POPF in 21.4% subjects. Of the subjects with POPF, type A found in 69.1%, type B in 14.5%, and type C 16.4% subjects, respectively Conclusion: Intraoperative assessment of the pancreatic duct diameter associated significantly in predicting pancreatic fistula after pancreaticoduodenectomy.","PeriodicalId":305853,"journal":{"name":"The New Ropanasuri : Journal of Surgery","volume":"15 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":"122077909","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

Endovascular Management of Post Traumatic Lower Extremity Pseudoaneurysm: An Evidence Based Case Report 创伤后下肢假性动脉瘤的血管内治疗:一个基于证据的病例报告

The New Ropanasuri : Journal of Surgery Pub Date : 2020-06-10 DOI: 10.7454/nrjs.v5i1.1065

Patrianef Darwis, Feyona H. Subrata

引用次数: 0