Publikasi Scopus 926 artikel (Per 14 Maret 2022)

Alfarissi F., Putri N.M., Atmoko W.
57197871808;57192904294;57193125664;
Multidisciplinary approach for large retroperitoneal abscess management: A case report
2021
International Journal of Surgery Case Reports
80
105668
Department of Urology, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Indonesia; Plastic Reconstructive and Esthetic Division, Department of Surgery, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Indonesia
Alfarissi, F., Department of Urology, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Indonesia; Putri, N.M., Plastic Reconstructive and Esthetic Division, Department of Surgery, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Indonesia; Atmoko, W., Department of Urology, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Indonesia
Introduction and importance: Retroperitoneal abscess is a rare disease that is often difficult to diagnose and require multidisciplinary management. We report a case of large retroperitoneal abscess and the usage lumbar artery perforator (LAP) for the defect closure. Case presentation: A 52-year-old-women was admitted to our emergency with a chief complaint of left flank pain. Patient had history of multiple genitourinary tract procedure and diabetes mellitus type 2. We found a bulging mass on the left flank accompanied by pressure pain. A contrast CT scan revealed a large abscess on the retroperitoneal region that involved the left retroperitoneal hemiabdomen muscles. We performed multistage-treatment comprising of radical abscess debridement, followed by honey-impregnated gauze and negative pressure wound therapy for wound bed preparation. Post-debridement, the defect was closed with LAP and keystone flap. LAP flap was raised and transposed to close the defect on the caudal area. One-month follow up showed the outcome was satisfactory. Clinical discussion: In our case, the source of infection was thought to origin from genitourinary infection. The history of multiple urology procedures and diabetes mellitus became the main risk factors. Multistage managements were needed to eradicate the abscess. The usage of NPWT and honey-impregnated gauze was proven successful in preparing the wound bed prior to definitive closure. Lastly, the utilization LAP flap combined with keystone flap showed satisfactory outcome for defect closure. Conclusion: The management of patient with large retroperitoneal abscess require multidisciplinary approach including extensive debridement and well-prepared wound bed. In this report, LAP flap was proven reliable option to resurface large defect around flank area. © 2021 The Authors
Honey-impregnated gauze; Keystone flap; Lumbar artery perforator flap; Multidisciplinary approach; NPWT; Retroperitoneal abscess
antidiabetic agent; glucose; abdominal wall musculature; abscess drainage; adult; Article; blister; case report; clinical article; clinical outcome; diabetic ketoacidosis; disease severity; emergency ward; erythema; extracorporeal shock wave lithotripsy; female; flank mass; flank pain; follow up; glucose blood level; health care system; human; keystone flap; kidney calyx; leukocytosis; lumbar artery; middle aged; multidisciplinary approach; nephrolithiasis; non insulin dependent diabetes mellitus; patient satisfaction; perforator flap; plastic surgery; postoperative period; priority journal; pus; pyelolithotomy; pyelonephritis; retroperitoneal abscess; risk factor; skin necrosis; staghorn stone; subcutaneous tissue; surgical debridement; surgical wound; tissue flap; vacuum assisted closure
Elsevier Ltd
22102612
Article
Q3
232
17549