Sriwijaya Journal of Surgery最新文献

Reconstruction of Chronic Monteggia Fracture with Radial Head Excision: A Case Report 用桡骨头切除术重建慢性 Monteggia 骨折：病例报告

Sriwijaya Journal of Surgery Pub Date : 2024-07-08 DOI: 10.37275/sjs.v7i2.111

Nur Khumaira Baharuddin, Andi Dhedie, Prasatia Sam, Fadil Mula Putra

{"title":"Reconstruction of Chronic Monteggia Fracture with Radial Head Excision: A Case Report","authors":"Nur Khumaira Baharuddin, Andi Dhedie, Prasatia Sam, Fadil Mula Putra","doi":"10.37275/sjs.v7i2.111","DOIUrl":"https://doi.org/10.37275/sjs.v7i2.111","url":null,"abstract":"Introduction: Chronic Monteggia fracture is a rare and clinically challenging condition, characterized by a non-union fracture of the proximal ulna with dislocation of the radial head. This case report presents the case of a 42-year-old woman with a chronic Monteggia fracture diagnosed 21 years after the initial injury, highlighting the importance of a careful patient history and radiographic investigation. \u0000Case presentation: A 42-year-old woman presented with left elbow pain and a history of significant trauma 21 years previously. Physical examination revealed limited range of motion and radiographic examination revealed a nonfused fracture of the proximal ulna with dislocation of the radial head. The patient underwent open reduction and internal fixation (ORIF) reconstruction of the ulna and excision of the radial head. \u0000Conclusion: Successful surgical reconstruction of chronic Monteggia fractures results in significant improvements in the patient's function and quality of life. This case report emphasizes the importance of early diagnosis and timely surgical intervention to prevent long-term complications and achieve optimal functional outcomes.","PeriodicalId":481706,"journal":{"name":"Sriwijaya Journal of Surgery","volume":" 870","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669175","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

Accuracy of D-dimer as a Predictive Biomarker for Outcome in Head Injured Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia d -二聚体作为预测脑损伤患者预后的生物标志物的准确性在Dr. Mohammad Hoesin总医院，巨港，印度尼西亚

Sriwijaya Journal of Surgery Pub Date : 2023-10-09 DOI: 10.37275/sjs.v6i2.95

Gayuh Prastya Masdiyanto, None Agung Muda Patih, None Erial Bahar

{"title":"Accuracy of D-dimer as a Predictive Biomarker for Outcome in Head Injured Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia","authors":"Gayuh Prastya Masdiyanto, None Agung Muda Patih, None Erial Bahar","doi":"10.37275/sjs.v6i2.95","DOIUrl":"https://doi.org/10.37275/sjs.v6i2.95","url":null,"abstract":"Introduction: D-dimer reflects the upregulation of the overall hemostatic system upon admission. If D-dimer levels increase, coagulation disorders appear. This is considered a poor prognostic factor. High D-dimer levels reflect the severity of brain injury. Activation of systemic coagulation causes extensive intravascular fibrin deposition and a decrease in platelets and coagulation factors. This study aimed to assess the accuracy of D-dimer as a predictive biomarker for outcomes in head injury patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. Methods: This study is a prospective prognostic test study to test the sensitivity and specificity of D-dimer for prediction mortality in patients with severe head injuries at Dr. Mohammad Hoesin General Hospital (RSMH) Palembang in the period June 2023 to August 2023. A total of 47 research subjects participated in this study. Results: Post 24-hour D-dimer levels have a cut-off point of 11.78 mg/L, which has high accuracy in poor outcomes. D-dimer levels after 5 days have a cut-off point value of 2.3 mg/L and have high sensitivity in predicting poor outcomes, and the value of the difference in changes in D-dimer based on poor outcome patients have a cut-off point of 3.33 mg/L, which has a high sensitivity in predicting a poor prognosis. Conclusion: D-dimer levels are quite accurate as a predictive biomarker for outcomes in head injury patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.","PeriodicalId":481706,"journal":{"name":"Sriwijaya Journal of Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135094865","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

Determinant of Abdominal Wound Dehiscence (AWD) in Post-Laparotomy Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia 印度尼西亚巨港Dr. Mohammad Hoesin总医院剖腹手术后患者腹部伤口裂开(AWD)的决定因素

Sriwijaya Journal of Surgery Pub Date : 2023-10-04 DOI: 10.37275/sjs.v6i2.94

M. Arisma Dwirian Putra, None Efman EU Manawan, None Mgs. Irsan Saleh

{"title":"Determinant of Abdominal Wound Dehiscence (AWD) in Post-Laparotomy Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia","authors":"M. Arisma Dwirian Putra, None Efman EU Manawan, None Mgs. Irsan Saleh","doi":"10.37275/sjs.v6i2.94","DOIUrl":"https://doi.org/10.37275/sjs.v6i2.94","url":null,"abstract":"Introduction. Abdominal wound dehiscence (AWD) is a significant risk factor for mortality during the perioperative period. The high mortality rate, prolonged hospitalization, and increased incidence of repeat operations increase in hospital costs result in worsening the AWD problem itself. This study aims to determine the determinants of abdominal wound dehiscence in post-laparotomy patients at the Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. Methods. This study is quantitative analytical research with a cross-sectional design to determine the determinants of abdominal wound dehiscence (AWD) in post-laparotomy patients based on secondary data from medical records at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. A total of 161 research subjects participated in this study. Results. Emergency surgery patients are 0.4 times more likely to experience AWD than elective patients. Then, patients who experience hypoalbuminemia have 1.8 times the risk, those aged more than 60 years have 0.5 times the risk, sepsis has 1.5 times the risk, and trauma patients have 0.8 times the risk of experiencing AWD. Conclusion. Emergency surgery is the most influential determinant in the incidence of AWD at Dr. Mohammad Hoesin Palembang, Indonesia.","PeriodicalId":481706,"journal":{"name":"Sriwijaya Journal of Surgery","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135592353","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

Accuracy of Bleeding Volume as a Predictor of Mortality in Epidural Hemorrhage Patients Undergoing Surgery at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia 在印度尼西亚巨港的Dr. Mohammad Hoesin总医院接受手术的硬膜外出血患者中，出血量作为死亡率预测因子的准确性

Sriwijaya Journal of Surgery Pub Date : 2023-10-04 DOI: 10.37275/sjs.v6i2.93

Ferdi Stefiyan, None Trijoso Permono, None Erial Bahar

{"title":"Accuracy of Bleeding Volume as a Predictor of Mortality in Epidural Hemorrhage Patients Undergoing Surgery at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia","authors":"Ferdi Stefiyan, None Trijoso Permono, None Erial Bahar","doi":"10.37275/sjs.v6i2.93","DOIUrl":"https://doi.org/10.37275/sjs.v6i2.93","url":null,"abstract":"Introduction: EDH is a collection of blood clots between the dura layer and the cranium. This is usually caused by rupture of the middle meningeal artery but can also be caused by rupture of the dural venous sinus, diploic vein, meningeal vein, or bleeding from the fracture line. CT scan is the investigation of choice to detect intracranial injury after trauma. CT scans can also identify additional features that influence the results, namely, midline shifting, blood clot thickness and hematoma volume, cerebral edema, and cranium fractures. This study aimed to determine the accuracy of bleeding volume as a predictor of mortality in epidural hemorrhage patients undergoing surgery at Dr. Mohammad Hoesin General Hospital, Palembang Indonesia. Methods: This study is a retrospective study of prognostic tests to determine the accuracy of bleeding volume as a predictor of mortality in patients with EDH who underwent surgery at Dr. Mohammad Hoesin General Hospital. This study uses secondary data obtained from medical record data at the medical records installation of Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. A total of 106 research subjects participated in this study.  Results: The sensitivity value of bleeding volume was 77.7%, and specificity was 78.3%, and also obtained a positive predictive value of 7.21% and a negative predictive value of 97.4%, it can be concluded that bleeding volume is not accurate as a predictor of mortality. Conclusion: Bleeding volume is not an accurate predictor of mortality in epidural hemorrhage patients undergoing surgery at Dr. Mohammad Hoesin General Hospital, Palembang Indonesia.","PeriodicalId":481706,"journal":{"name":"Sriwijaya Journal of Surgery","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135547300","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 Relationship between Maxillofacial Injury Severity Score (MFISS) and Outcomes of Maxillofacial Trauma Patients at Dr. Mohammad Hoesin General Hospital (RSMH) Palembang, Indonesia 印度尼西亚巨港Dr. Mohammad Hoesin总医院(RSMH)颌面外伤患者损伤严重程度评分(MFISS)与预后的关系

Sriwijaya Journal of Surgery Pub Date : 2023-09-28 DOI: 10.37275/sjs.v6i2.92

Deo Valendra, None Iqmal Perlianta, None Erial Bahar

{"title":"The Relationship between Maxillofacial Injury Severity Score (MFISS) and Outcomes of Maxillofacial Trauma Patients at Dr. Mohammad Hoesin General Hospital (RSMH) Palembang, Indonesia","authors":"Deo Valendra, None Iqmal Perlianta, None Erial Bahar","doi":"10.37275/sjs.v6i2.92","DOIUrl":"https://doi.org/10.37275/sjs.v6i2.92","url":null,"abstract":"Introduction: Maxillofacial trauma is an important public health problem, and understanding the relationship between injury severity and patient outcomes is critical for effective management. This study aimed to determine the relationship between the maxillofacial injury severity score (MFISS) and the outcomes of maxillofacial trauma patients at Dr. Mohammad Hoesin General Hospital, Palembang. Methods: An analytical observational study was conducted involving 121 maxillofacial trauma patients from April to May 2023. Data regarding patient characteristics, MFISS scores, type of management, length of stay, and mortality were collected and analyzed using statistical tests. Results: The majority of maxillofacial trauma patients were male (74.4%) and aged over 18 years (63.6%). Traffic accidents are the main cause of trauma (84.3%). The distribution of MFISS scores showed that 75% of patients had mild scores, 18.2% had moderate scores, and 5.8% had severe scores. Most patients underwent surgical management, with the majority having a length of stay of ≤7 days. The mortality rate was 2.5%. There was no significant relationship between the MFISS score and type of management (p > 0.05). However, there was a significant difference in the length of stay based on the MFISS score (p = 0.000). Patients with severe MFISS scores had significantly longer lengths of stay compared with patients with mild or moderate scores. In addition, there was a significant relationship between MFISS score and mortality (p = 0.000). Patients with severe MFISS scores had a higher risk of death compared with patients with mild to moderate scores. Conclusion: The MFISS score is associated with length of stay and mortality in maxillofacial trauma patients. However, there was no significant relationship between the MFISS score and the type of management.","PeriodicalId":481706,"journal":{"name":"Sriwijaya Journal of Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135343191","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