The New Ropanasury Journal of Surgery最新文献

Outcome of Endovascular Procedure in Chronic Limb Ischemia Femoropopliteal Lesion: A Literature Review 慢性肢体缺血股骨头病变的血管内手术效果：文献综述

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1151

{"title":"Outcome of Endovascular Procedure in Chronic Limb Ischemia Femoropopliteal Lesion: A Literature Review","authors":"","doi":"10.7454/nrjs.v8i3.1151","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1151","url":null,"abstract":"Introduction. Angioplasty and stenting are the two main endovascular treatments for femoropopliteal lesions associated with chronic limb ischemia. To summarize the research in this area, this article examines the state of these treatments today, diving into clinical subtleties and new trends. The objectives was to thoroughly analyze the body of research, combining knowledge about the results of endovascular angioplasty and stenting. Methods: Literature was searched in some databases (Cochrane, PubMed, and EBSCO) from June to July 2021. Results: Five articles that met the inclusion and exclusion criteria were identified. There were two randomized control trials and three cohort studies. There was no difference in primary patency of balloon angioplasty and nitinol stenting on follow-up for five years. Amputation-free survival rates in the coated balloon and plain balloon groups were not different. Revascularization was also not significantly different in both groups. There was no complication reported in either group. Mortality rates in both groups were also not different after follow-up in 30 days. Conclusions: There were no notable variations in the results of endovascular angioplasty and stenting for femoropopliteal lesions associated with chronic limb ischemia.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"56 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150945","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

Correlation of Thyroid Stimulating Hormone (TSH), T3, and T4 Hormones with Histopathological Characteristics of Thyroid Cancer at Cipto Mangunkusumo General Hospital Cipto Mangunkusumo 综合医院甲状腺刺激素（TSH）、T3 和 T4 激素与甲状腺癌组织病理学特征的相关性

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1198

{"title":"Correlation of Thyroid Stimulating Hormone (TSH), T3, and T4 Hormones with Histopathological Characteristics of Thyroid Cancer at Cipto Mangunkusumo General Hospital","authors":"","doi":"10.7454/nrjs.v8i3.1198","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1198","url":null,"abstract":"Introduction. In a study spanning 2008 to 2012 at Cipto Mangunkusumo General Hospital (CMGH) Jakarta, 668 cases of thyroid cancer were identified among 18,216 cancer cases. Globally, the papillary subtype is prevalent, and prior research indicates a link between thyroid hormone changes and thyroid carcinoma risk. To improve surgical care, this study aims to find the association between thyroid hormone levels and histological subtypes in thyroid carcinoma patients. Method. This cross-sectional study focused on thyroid cancer patients managed from 2013 to 2017. Despite subjects' characteristics, thyroid hormone levels and histopathological findings were the variables of interest. The findings were analyzed using ANOVA, Kruskal-Wallis, unpaired T-tests, Mann-Whitney tests, and Pearson or Spearman tests to find correlations with age, gender, clinical presentation, and body mass index. Results. The mean age was 48.7 years, with subjects having an average body weight of 64.5 kg, height of 154.4 cm, and BMI of 24.8 kg/m2. Hormonal analysis revealed mean T3 levels at 2.02 ng/mL, T4 levels were slightly lower at 1.92 ng/mL, and TSH levels were the lowest at 1.22 ng/mL. A very weak correlation existed between the T3 hormone and age (r = 0.05, p = 0.77). In the correlation between T4 thyroid hormone levels and age, a weak correlation was found between T4 thyroid hormone levels and age (r = 0.31, p = 0.08). In the correlation between thyroid cancer histopathology and gender, clinical presentation, and BMI, there was no significant association with gender, 𝑟s = 0,01; 95% 𝐵𝐶𝑎 [-3,37; 3.34]; p=0,94 Conclusion. This study indicates that the TSH, T3, and T4 hormone levels were not associated with the histopathological characteristics of thyroid cancer at CMGH. The T3, T4, and TSH hormone levels were unaffected by gender, nodule involvement, and age.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150279","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

Preoperative Neutrophil–Lymphocyte Ratio and Serum Carcinoembryonic Antigen as Predictive Factors of Colorectal Cancer Survival 术前中性粒细胞-淋巴细胞比率和血清癌胚抗原作为结直肠癌生存率的预测因素

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1181

{"title":"Preoperative Neutrophil–Lymphocyte Ratio and Serum Carcinoembryonic Antigen as Predictive Factors of Colorectal Cancer Survival","authors":"","doi":"10.7454/nrjs.v8i3.1181","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1181","url":null,"abstract":"Introduction. Colorectal cancer is the second leading cause of death worldwide, with a high mortality rate. This study investigates the predictive value of the neutrophil–lymphocyte ratio (NLR) and carcinoembryonic antigen (CEA) in predicting the survival rates of colorectal cancer patients in Indonesia. Method. This retrospective cohort study enrolled the colorectal cancer stage I–IV patients treated at Cipto Mangunkusumo General Hospital (CMGH). The independent variables are NLR and CEA, while the dependent variable is the five–year survival of colorectal cancer. The log rank test proceeded to find a correlation between NLR and CEA with 5–year survival, and the Cox proportional hazard regression proceeded to analyze the predictive value. Results. Of the ninety–six subjects who met the inclusion and exclusion criteria who were enrolled, 6.25% had high NLR, and 66.6% had high CEA levels. The overall five–year survival rate was 35.4%. However, the proportion of subjects with normal NLR had a higher five–year survival rate compared to those with high NLR, and the same pattern was observed for CEA levels. Subgroup analysis based on the cancer stage showed a significant association between high NLR and increased risk of mortality in TNM stages I–II. Still, no significant difference in survival based on NLR was observed in stages III–IV. Conclusion. The preoperative NLR ratio and preoperative CEA did not show a predictive role in colorectal cancer survival. However, when stratifying by cancer stage, there was a significant difference in preoperative NLR levels between the deceased and non–deceased groups in patients with stage I–II colorectal cancer.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"308 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152575","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

D-Dimer and Ultrasonography as the Early-Diagnostic Tools for Lower-Limb Trauma Patients with Deep Vein Thrombosis: A Literature Review D-二聚体和超声波检查是下肢创伤患者深静脉血栓形成的早期诊断工具：文献综述

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1183

{"title":"D-Dimer and Ultrasonography as the Early-Diagnostic Tools for Lower-Limb Trauma Patients with Deep Vein Thrombosis: A Literature Review","authors":"","doi":"10.7454/nrjs.v8i3.1183","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1183","url":null,"abstract":"Introduction. The mortality of venous thromboembolism increased among trauma patients. Both the D-dimer test and ultrasonography are selected to diagnose venous thromboembolism due to non-traumatic causes but are rarely utilized in emergency trauma settings. Objectives. This literature review comprehensively explains the accuracy of the D-dimer test and ultrasonography for deep vein thrombosis (DVT) diagnosis. This study finding might broaden the diagnostic recommendation for traumatic patients with deep vein thrombosis. Method. This study used articles from four distinct journal databases. Only eight of the 480 articles found during searching proceeded with the screening process. Thus, five articles were included in the review after matching the eligibility criteria. Results. Three articles compared the accuracy of using the D-dimer test and ultrasonography, while others compared the accuracy of conventional ultrasonography to venography or colour duplex ultrasonography. Using three mg/L as the cut-off point, the D-dimer test's pooled sensitivity and specificity were 88,37% and 96,96%. Meanwhile, ultrasonography for DVT resulted in a pooled sensitivity of 59% and specificity of 95%. Conclusion. Using both tools in trauma cases with DVT would give a more accurate diagnosis. A systematic review of this issue would be preferred to support this argument.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148431","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

Factors Influencing Ulcer Healing in Chronic Limb Threatening Ischemia Patients after Endovascular Angioplasty at Cipto Mangunkusumo General Hospital 影响 Cipto Mangunkusumo 综合医院慢性肢体缺血患者血管内成形术后溃疡愈合的因素

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1177

{"title":"Factors Influencing Ulcer Healing in Chronic Limb Threatening Ischemia Patients after Endovascular Angioplasty at Cipto Mangunkusumo General Hospital","authors":"","doi":"10.7454/nrjs.v8i3.1177","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1177","url":null,"abstract":"Introduction. Chronic limb–threatening ischemia (CLTI) can cause rest pain in the lower extremities and the formation of ulcers or gangrene. Revascularization, which can be done using open surgery or endovascular procedures, is the first line of treatment in CLTI management. CLTI patients at CMGH usually came with advanced conditions and high re–amputation rates even after revascularization. This study aimed to determine factors associated with the outcome of endovascular angioplasty, especially ulcer healing. Method. A cross–sectional study was conducted at CMGH, enrolling CLTI patients with Rutherford grades 5 and 6 who underwent angioplasty. Age, gender, history of smoking, hypertension, atrial fibrillation, heart failure, chronic kidney disease (CKD), and diabetes mellitus were the independent variables of interest in this study. The dependent variable was ulcer healing, a clinical assessment after angioplasty assessed as complete ulcer epithelialization within four months after the procedure. Results. In 133 study subjects, it was found that 60.9% of patients underwent complete epithelialization. Factors that affect ulcer healing in CLTI patients include gender, hypertension, atrial fibrillation, heart failure, chronic kidney disease, and diabetes mellitus. The factor with the strongest association with ulcer healing after endovascular angioplasty based on the logistic regression test is diabetes mellitus. Conclusion. Factors that have a significant association with ulcer healing in patients with CLTI include gender, smoking, hypertension, atrial fibrillation, heart failure, CKD, and diabetes. The factor that was considered to have the strongest association was diabetes mellitus.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"3 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148794","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

Open Sympathectomy Effectiveness on Buerger's Disease’s Pain: An Evidence–Based Case Report 开放式交感神经切除术对布格尔病疼痛的疗效：循证病例报告

The New Ropanasury Journal of Surgery Pub Date : 2023-12-28 DOI: 10.7454/nrjs.v8i3.1186

{"title":"Open Sympathectomy Effectiveness on Buerger's Disease’s Pain: An Evidence–Based Case Report","authors":"","doi":"10.7454/nrjs.v8i3.1186","DOIUrl":"https://doi.org/10.7454/nrjs.v8i3.1186","url":null,"abstract":"Introduction. Thromboangiitis obliterans, often referred to as Buerger's disease, is a vascular disease that causes chronic inflammatory conditions, edema, and vascular obstruction due to blood clots. In Cipto Mangunkusumo General Hospital (CMGH), sympathectomy is a rarely done procedure. This evidence–based case report aimed to prove the effectiveness of sympathectomy for Buerger's Disease to reduce pain. Method. We reported a case of 44–year–old male with progressive pain and a history of darkened fingers of left limbs six months before admission. The patient underwent a lumbar sympathectomy, and there was no recurrence of symptoms after one year of follow–up. A systematic literature search proceeded, looking for evidence supporting the effectiveness of such a procedure on some databases and critically appraised. The discussion was elaborated using this evidence. Results. Two eligible articles proceeded with critical appraisal; validity, importance, and applicability were met in these articles. A cohort study from Yazid et al. reported significant improvement in ulcer areas in the intervention and control groups (p Conclusion. The study, supported by high–quality evidence, showed that open sympathectomy surgery effectively reduces the pain in Buerger's disease.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"12 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150167","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

Comparative Evaluation of Scar Tissue from Chest Tube Wound Closure Using Knotless and Conventional Methods Using the Patient and Observer Scar Assessment Scale 用患者和观察者疤痕评定量表比较评价无结法和常规方法胸管伤口愈合后瘢痕组织

The New Ropanasury Journal of Surgery Pub Date : 2023-06-23 DOI: 10.7454/nrjs.v8i2.1150

引用次数: 0

Effect of Everolimus on the Liver Function of Children Receiving Liver Transplant with Chronic Rejection: An Evidence–Based Case Report 依维莫司对肝移植慢性排斥儿童肝功能的影响:一份循证病例报告

The New Ropanasury Journal of Surgery Pub Date : 2023-06-23 DOI: 10.7454/nrjs.v8i2.1146

引用次数: 0

Impact of Advanced Trauma Life Support Training for Improving Mortality Outcome: A Systematic Review and Meta-analysis 高级创伤生命支持训练对改善死亡率结果的影响:系统回顾和荟萃分析

The New Ropanasury Journal of Surgery Pub Date : 2023-06-23 DOI: 10.7454/nrjs.v8i2.1152

引用次数: 0

ABO Blood Group Type and the Risks of Peripheral Artery Disease in Type II Diabetes Mellitus ABO血型与2型糖尿病外周动脉病变的风险

The New Ropanasury Journal of Surgery Pub Date : 2023-06-23 DOI: 10.7454/nrjs.v8i2.1148

引用次数: 0