{"title":"Factors affecting the Survival of Soft Tissue Sarcoma Patients of the Extremities at Cipto Mangunkusumo Hospital, Indonesia","authors":"","doi":"10.7454/nrjs.v8i2.1147","DOIUrl":"https://doi.org/10.7454/nrjs.v8i2.1147","url":null,"abstract":"","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124662562","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}
{"title":"Secondary Spontaneous Tension Pneumothorax: A Case Report of an Uncommon Presentation of Post-Tuberculosis Sequelae","authors":"","doi":"10.7454/nrjs.v8i2.1149","DOIUrl":"https://doi.org/10.7454/nrjs.v8i2.1149","url":null,"abstract":"Introduction. Tuberculosis (TB) remains one of the top life-threatening infectious diseases worldwide. Even after completion of treatment, numerous patients had postTB sequelae as a consequence of lung damage during TB infection. We reported an uncommon case of secondary spontaneous tension pneumothorax in a patient with post-TB sequelae. Case Presentation. A 68-year-old smoker man presented with sudden shortness of breath since 2 hours ago. He had a history of pulmonary TB 15 years ago which had completed antituberculosis treatment and had been experiencing symptoms associated with post-TB sequelae for the last 1 year. Physical examinations and chest X-ray showed tension pneumothorax. The recent GeneXpert sputum test showed a negative result for Mycobacterium tuberculosis. We performed urgent needle decompression, followed by chest tube insertion. He responded well to the treatment and was discharged after the seventh day with no residual pneumothorax. Conclusion. Spontaneous tension pneumothorax in patients with post-TB sequelae is rare and has a complex pathogenesis. It may include several factors including pulmonary fibrosis, pleural adhesion, ruptured open healed cavity or bullae, and lung damage from cigarette smoking. It should be managed by urgent needle decompression followed by chest tube thoracostomy. .","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128921804","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}
{"title":"Seroma as a Biological Tissue Expander on Post-Mastectomy Reconstruction: A Case Report","authors":"","doi":"10.7454/nrjs.v8i2.1144","DOIUrl":"https://doi.org/10.7454/nrjs.v8i2.1144","url":null,"abstract":"Introduction. Previous studies have reported that patient satisfaction with breast cancer management is related to the success of breast reconstruction. The tissue expander used in breast reconstruction today has several disadvantages: the high cost, the nature of the foreign body, and the risk of failure. Seroma has the potential as a natural tissue developer in post-mastectomy reconstruction. This case report aims to describe the technique, results, advantages, and limitations of post-mastectomy breast reconstruction using a seroma as a natural tissue expander that has never been done before. Case Presentation A 37-year-old woman was diagnosed with stage IIIA non-special type (NST) invasive breast carcinoma stage III without lymphovascular invasion. The patient underwent a modified radical mastectomy (MRM) on the right side breast. Postoperatively, a drain was placed for observation. If no maceration of the skin was found, the drain was removed within the first 24 hours postoperatively to accumulate seroma in the dead space formed in the breast flap. Next, seroma molding is done with a special bra that fits the shape of the bust. Observations were made during the treatment, and the seroma molding process occurred. During the follow-up period, the patient complained of mild pain and did not experience tumor recurrence. Conclusion. This case report shows seroma as a biological tissue expander that can potentially be used as an alternative breast reconstruction method with body fluid accumulation.","PeriodicalId":360019,"journal":{"name":"The New Ropanasury Journal of Surgery","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131689710","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}
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