No records
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477 |
Surachman A.J.D., Yanuarso, Akbar D.L. |
57222404106;57222408215;57219271823; |
Emergency decompression and stabilization of 1st thoracic spinal cord injury and sacral fracture in a Covid-19 patient: A case report |
2021 |
International Journal of Surgery Case Reports |
81 |
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105670 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102643865&doi=10.1016%2fj.ijscr.2021.105670&partnerID=40&md5=fc2cec315c580c625636dffb12bb6883 |
Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Surachman, A.J.D., Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Yanuarso, Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Akbar, D.L., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Introduction and importance: Spinal cord injury is mostly caused by traumatic accident and usually associated with several injuries. The ideal treatment of orthopaedic injury is to perform surgical decompression and stabilization early. Case presentation: A 24-year-old-male patient came in emergency department with history of severe pain in his thoracic vertebrae after fell from 10 m height. His buttock was hit the ground first and patient was alert. He felt hypoesthesia below the injured level and dysfunctional motor and sensory of both lower extremities. We put pedicle screw at the C7, Th1, Th2 and Th 3. Then we put rods and nuts. After that, we did decompression by laminectomy of the C7 and Th1 and we put vacuumed drain for the wound. Clinical discussion: This patient was diagnosed with traumatic spinal cord injury of 1st thoracic vertebra ASIA Impairment Scale (AIS) C and sacral fracture Denis classification zone II of right side with confirmed Covid-19 case. First patient treated with 1000 mg methyl prednisolone. An early surgical treatment was open reduction and internal fixation (ORIF) sacral fracture. We put a two-hole 4.5 narrow dynamic compression plate (DCP) at the lateral side of posterior ridge of iliac bone, between posterior superior iliac spine (PSIS) and posterior inferior iliac spine (PIIS). Conclusion: Immediate surgical decompression and stabilization for spinal cord injury give significant improvement in motor and sensory function. Appropriate management for Covid-19 patient with Favipiravir and some supplements, had been proved control the virus and give patient good quality of life. © 2021 |
Covid-19; Sacral fracture; Spinal cord injury |
D dimer; favipiravir; methylprednisolone; adult; antiviral therapy; Article; bleeding prophylaxis; bolus injection; buttock; case report; clinical article; compression fracture; coronavirus disease 2019; corticosteroid therapy; COVID-19 nucleic acid testing; disease severity; drug dose reduction; early intervention; emergency surgery; emergency ward; enhanced recovery after surgery; erythrocyte concentrate; falling; general condition improvement; human; hypesthesia; iliac bone; intensive care unit; laminectomy; limb dysesthesia; limb weakness; lower limb; male; medical history; motor dysfunction; muscle strength; nasopharyngeal swab; nuclear magnetic resonance imaging; open fracture reduction; operative blood loss; osteosynthesis; palpation; pelvic pain; pelvis radiography; physical examin |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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478 |
Harzif A.K., Ambalagen S., Charilda F.E., Mutia H.D. |
57191493435;57222325337;57222329284;57214329625; |
A rare case of multiple leiomyomas on rudimentary uterus in a woman with Mayer Rokitansky Kuster Hauser (MRKH) syndrome: A challenging diagnosis and laparoscopic approach |
2021 |
International Journal of Surgery Case Reports |
81 |
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105711 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102294473&doi=10.1016%2fj.ijscr.2021.105711&partnerID=40&md5=bba041a44dbdde737dce08836c3493cf |
Division of Reproductive Immuno-Endocrinology, Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Department of Obstetrics and Gynecology, Dr. Cipto Mangunkusumo Hospital Jakarta, Faculty of Medicine Universitas Indonesia, Pangeran Diponegoro Street No. 71, Kenari, Jakarta, Indonesia; Indonesian Reproductive Medicine Research and Training Center (INA- REPROMED), Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Pangeran Diponegoro Street No. 71, Kenari, Central of Jakarta, 10430, Indonesia |
Harzif, A.K., Division of Reproductive Immuno-Endocrinology, Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Ambalagen, S., Department of Obstetrics and Gynecology, Dr. Cipto Mangunkusumo Hospital Jakarta, Faculty of Medicine Universitas Indonesia, Pangeran Diponegoro Street No. 71, Kenari, Jakarta, Indonesia; Charilda, F.E., Indonesian Reproductive Medicine Research and Training Center (INA- REPROMED), Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Pangeran Diponegoro Street No. 71, Kenari, Central of Jakarta, 10430, Indonesia; Mutia, H.D., Indonesian Reproductive Medicine Research and Training Center (INA- REPROMED), Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Pangeran Diponegoro Street No. 71, Kenari, Central of Jakarta, 10430, Indonesia |
Mayer Rokitansky Kuster Hauser (MRKH) syndrome is a congenital disorder involving reproductive, genitourinary, bone, and cardiac malformation. The incidence is 1 in 4000–5000 females livebirths. The phenotype is female 46 XX karyotype, normal secondary sexual characteristics, and normal functional ovaries. The occurrence of leiomyoma in uterine remnant in MRKH syndrome is a very rare case, even though several cases have been reported. The diagnosis and management approach, in this case, is quite challenging. Here, we report a 38 years old female who represents multiple leiomyomas on the rudimentary uterus, then we did laparoscopic removal of the fibroids and adjacent rudimentary uterus. © 2021 |
Case report; Laparascopic; Mayer Rokitansky Kuster Hauser (MRKH) syndrome; Multiple leiomyomas; Rudimentary uterus |
analgesic agent; abdominal discomfort; abdominal pain; adult; analgesia; Article; clinical assessment; echography; family history; female; genital system; hair; histopathology; human; infertility; karyotype 46,XX; laparoscopic surgery; leiomyoma; major clinical study; multiple cancer; nuclear magnetic resonance imaging; ovary function; pelvic examination; physical examination; primary amenorrhea; priority journal; Rokitansky syndrome; secondary sexual characteristics; sexual intercourse; transabdominal ultrasonography; transrectal ultrasonography; uterus horn; uterus myoma; vagina mucosa |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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479 |
Indrawan D.H., Sigumonrong Y. |
57222327477;57209291346; |
Case report: The theory of post-ileocystoplasty spherical configuration in patients with low-capacity bladder |
2021 |
International Journal of Surgery Case Reports |
81 |
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105731 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102278318&doi=10.1016%2fj.ijscr.2021.105731&partnerID=40&md5=6af280fe10f677e5711beb7bae89a0f0 |
Department of Urology, Faculty of Medicine, Universitas Indonesia – Haji Adam Malik General Hospital Medan, Jl. Bunga Lau No.17, Kemenangan Tani, Kec. Medan Tuntungan, Kota Medan, Sumatera Utara, 20136, Indonesia; Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara – Haji Adam Malik General Hospital Medan, Jl. Bunga Lau No.17, Kemenangan Tani, Kec. Medan Tuntungan, Kota Medan, Sumatera Utara, 20136, Indonesia |
Indrawan, D.H., Department of Urology, Faculty of Medicine, Universitas Indonesia – Haji Adam Malik General Hospital Medan, Jl. Bunga Lau No.17, Kemenangan Tani, Kec. Medan Tuntungan, Kota Medan, Sumatera Utara, 20136, Indonesia; Sigumonrong, Y., Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara – Haji Adam Malik General Hospital Medan, Jl. Bunga Lau No.17, Kemenangan Tani, Kec. Medan Tuntungan, Kota Medan, Sumatera Utara, 20136, Indonesia |
Introduction: Bladder augmentation can be performed by detubularization of the small or large intestine. A large capacity bladder is necessary to avoid frequent urination; thus, the ileal sac must be able to store the maximum volume of urine with relatively low pressure and the shortest length of the intestine. The acceptable pressure capacity should always be under ureteric pressure to avoid back pressure and kidney damage. Large capacity at low pressure is referred to as good compliance. Desirable preparations for augmentation, which is the use of the shortest length of the intestine, reduce the chance of diarrhea and vitamin deficiency and retain the intestines which may be required for augmentation. Aim: Clinical and urodynamic evaluation of the recent postoperative condition of the patient who underwent ileocystoplasty, confirmed by the theory of detubularization (spherical) configuration. Case presentation: Patient with complaints of frequent urination and small amount of urine. Ultrasound examination showed low volume bladder capacity and bilateral hydronephrosis and hydroureter. From cystography and VCUG examination, low capacity bladder, grade 1 VUR on the right side, grade 4 VUR on the left side accompanied by bilateral hydronephrosis and hydroureter. The patient has a history of right nephrectomy in 2014 for pyonephrosis due to kidney stones. The patient was then subjected to bladder augmentation using a segment of the ileum (ileocystoplasty) in 2015. In the postoperative evaluation, clinical symptoms, radiological and uroflowmetric examinations were evaluated. Conclusion: The detubularization form offers greater volume and lower pressure in the reservoir to augment the bladder. © 2021 The Authors |
Bladder augmentation; Case report; Detubularization; Ileocystoplasty |
adolescent; Article; bladder augmentation; bladder capacity; bladder reconstruction; case report; clinical article; clinical assessment; cystography; cystostomy; diarrhea; end to end anastomosis; human; hydronephrosis; hydroureter; ileocystoplasty; ileum; intravenous pyelography; male; micturition cystourethrography; micturition disorder; nephrectomy; nephrolithiasis; nephrostomy; pollakisuria; polyuria; priority journal; pyonephrosis; surgical technique; treatment outcome; ultrasound; urine flow rate; uroflowmetry; vesicoureteral reflux; vitamin deficiency |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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481 |
Deviandri R., Siswanto I.G.M.F., Lubis A.M.T. |
57222171014;57222162272;15122639800; |
Mini open triple tunnel- double flip button techniques in treatment of acute acromioclavicular joint injuries: Case report |
2021 |
Trauma Case Reports |
32 |
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100450 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101784406&doi=10.1016%2fj.tcr.2021.100450&partnerID=40&md5=a224e173340aa2318470dfbe298e79a1 |
Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands; Department of Physiology, Faculty of Medicine, Universitas Riau, Arifin Achmad Hospital, Pekanbaru, Indonesia; Department of Orthopedics Sport Injury, Royal Progress Hospital Jakarta, Indonesia; Department of Orthopedics, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Deviandri, R., Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, Department of Physiology, Faculty of Medicine, Universitas Riau, Arifin Achmad Hospital, Pekanbaru, Indonesia; Siswanto, I.G.M.F., Department of Orthopedics Sport Injury, Royal Progress Hospital Jakarta, Indonesia; Lubis, A.M.T., Department of Orthopedics, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Acute acromioclavicular (AC) joint injuries are common and often occur in a contact sport activity. Most acute AC joint injuries surgery techniques focus on coracoclavicular (CC) ligament complex fixation; by single or double clavicle tunnel, but persisting vertical instability. In this paper, we introduce mini open triple tunnel- double flip button (TTDB) technique for acute AC joint dislocation by adding tunnel on clavicle to expand coverage of footprint of conoid and trapezoid ligament in order to improve vertical stability of the AC joint. This method is based on CC ligament augmentation with a double flip button/polydioxanone (PDS), combined with V-loop pulley suture for anatomical fixation. This is a prospective case report. Two professional, male basketball players in this study with a mean age of 25 years underwent surgery in 2019. Clinical subjective outcome, VAS score, Nottingham Clavicle Score, and radiological CC distance were measured before and after the operation. There were noticeable improvement in the patients' recovery after two years since the operation. We introduce TTDB technique as one of the open techniques for acute AC joint injuries in limited-resource hospital setting. © 2021 The Author(s) |
AC joint injuries; Double button; Triple tunnel; TTDB; V-loop suture |
acromioclavicular dislocation; adult; Article; basketball player; case report; clinical article; clinical outcome; human; male; Nottingham clavicle score; orthopedic surgery; prospective study; scoring system; sport injury; surgical technique; triple tunnel double flip button; visual analog scale |
Elsevier Ltd |
23526440 |
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Article |
Q3 |
183 |
20512 |
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487 |
Anacak Y., Zubizarreta E., Zaghloul M., Laskar S., Alert J., Gondhowiardjo S., Giselvania A., Correa-Villar R., Pedrosa F., Dorj B., Kamer S., Howard S.C., Quintana Y., Ribeiro R.C., Rosenblatt E., Hopkins K. |
6603635579;6603081805;7005397003;26666792500;6603284454;6508327402;57217201891;57220085641;7004231496;57220089211;6508205483;7202813210;6603342439;7202534592;15767995600;7102810539; |
The Practice of Paediatric Radiation Oncology in Low- and Middle-income Countries: Outcomes of an International Atomic Energy Agency Study |
2021 |
Clinical Oncology |
33 |
4 |
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e211 |
e220 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85096826569&doi=10.1016%2fj.clon.2020.11.004&partnerID=40&md5=2878f21b666e99aa706708e55c436b4a |
Ege University School of Medicine, Izmir, Turkey; International Atomic Energy AgencyVienna, Austria; National Cancer Institute, Cairo University, Cairo, Egypt; Children's Cancer Hospital, Cairo, Egypt; Tata Memorial Hospital, Mumbai, India; Instituto de Oncología y Radiobiología, Habana, Cuba; Faculty of Medicine, University of Indonesia/Dr Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Centro Infantil Boldrini, Sao Paulo, Brazil; Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil; National Cancer Centre, Ulaanbaatar, Mongolia; University of Tennessee Health Science Center, Memphis, TN, United States; Harvard Medical School, Boston, MA, United States; St Jude Children's Research Hospital, Memphis, TN, United States |
Anacak, Y., Ege University School of Medicine, Izmir, Turkey; Zubizarreta, E., International Atomic Energy AgencyVienna, Austria; Zaghloul, M., National Cancer Institute, Cairo University, Cairo, Egypt, Children's Cancer Hospital, Cairo, Egypt; Laskar, S., Tata Memorial Hospital, Mumbai, India; Alert, J., Instituto de Oncología y Radiobiología, Habana, Cuba; Gondhowiardjo, S., Faculty of Medicine, University of Indonesia/Dr Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Giselvania, A., Faculty of Medicine, University of Indonesia/Dr Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Correa-Villar, R., Centro Infantil Boldrini, Sao Paulo, Brazil; Pedrosa, F., Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil; Dorj, B., National Cancer Centre, Ulaanbaatar, Mongolia; Kamer, S., Ege University School of Medicine, Izmir, Turkey; Howard, S.C., University of Tennessee Health Science Center, Memphis, TN, United States; Quintana, Y., Harvard Medical School, Boston, MA, United States; Ribeiro, R.C., St Jude Children's Research Hospital, Memphis, TN, United States; Rosenblatt, E., International Atomic Energy AgencyVienna, Austria; Hopkins, K., International Atomic Energy AgencyVienna, Austria |
Aims: Childhood cancer survival is suboptimal in most low- and middle-income countries (LMICs). Radiotherapy plays a significant role in the standard care of many patients. To assess the current status of paediatric radiotherapy, the International Atomic Energy Agency (IAEA) undertook a global survey and a review of practice in eight leading treatment centres in middle-income countries (MICs) under Coordinated Research Project E3.30.31; ‘Paediatric radiation oncology practice in low and middle income countries: a patterns-of-care study by the International Atomic Energy Agency.’ Materials and methods: A survey of paediatric radiotherapy practices was distributed to 189 centres worldwide. Eight leading radiotherapy centres in MICs treating a significant number of children were selected and developed a database of individual patients treated in their centres comprising 46 variables related to radiotherapy technique. Results: Data were received from 134 radiotherapy centres in 42 countries. The percentage of children treated with curative intent fell sequentially from high-income countries (HICs; 82%) to low-income countries (53%). Increasing deficiencies were identified in diagnostic imaging, radiation staff numbers, radiotherapy technology and supportive care. More than 92.3% of centres in HICs practice multidisciplinary tumour board decision making, whereas only 65.5% of centres in LMICs use this process. Clinical guidelines were used in most centres. Practice in the eight specialist centres in MICs approximated more closely to that in HICs, but only 52% of patients were treated according to national/international protocols whereas institution-based protocols were used in 41%. Conclusions: Quality levels in paediatric radiotherapy differ among countries but also between centres within countries. In many LMICs, resources are scarce, coordination with paediatric oncology is poor or non-existent and access to supportive care is limited. Multidisciplinary treatment planning enhances care and development may represent an area where external partners can help. Commitment to the use of protocols is evident, but current international guidelines may lack relevance; the development of resources that reflect the capacity and needs of LMICs is required. In some LMICs, there are already leading centres experienced in paediatric radiotherapy where patient care approximates to that in HICs. These centres have the potential to drive improvements in service, training, mentorship and research in their regions and ultimately to improve the care and outcomes for paediatric cancer patients. © 2020 The Royal College of Radiologists |
Developing countries; paediatric cancer; radiation oncology; radiotherapy |
Article; cancer patient; cancer radiotherapy; cancer survival; child; childhood cancer; clinical decision making; clinical practice; clinical protocol; controlled study; diagnostic imaging; female; health care personnel; health care planning; high income country; human; low income country; major clinical study; male; middle income country; overall survival; pediatrics; practice guideline; quality of life; radiation oncology; social support; developing country; international cooperation; neoplasm; nuclear energy; oncology; Child; Developing Countries; Humans; International Agencies; Medical Oncology; Neoplasms; Nuclear Energy; Radiation Oncology |
Elsevier Ltd |
09366555 |
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33250288 |
Article |
Q1 |
1037 |
4156 |
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533 |
Harzif A.K., Maidarti M., Ginanjar I., Shadrina A., Meutia A.P. |
57191493435;56320510400;57222277529;57195984988;57203368133; |
Vesicouterine fistula presenting with cyclical haematuria mimicking bladder endometriosis: A case report |
2021 |
International Journal of Surgery Case Reports |
80 |
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105709 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102104682&doi=10.1016%2fj.ijscr.2021.105709&partnerID=40&md5=a7cce7444d199f8f94c660f216a8bc66 |
Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Harzif, A.K., Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Maidarti, M., Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Ginanjar, I., Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Shadrina, A., Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Meutia, A.P., Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Vesicouterine fistula (VUF) is an abnormal communication between the bladder and uterus, occurring 1–4% of all urogenital fistulas. Diagnosis is still a challenge because symptoms may appear late or fistula may be missed even after repeated examination. A 37-year old woman who has two children born through caesarean section complained of the absence of menstruation for the past three years. At the same time point, she experienced cyclic haematuria and amenorrhea. The diagnosis was made through ultrasonography, cystoscopy and hysteroscopy. She was then managed with laparoscopic bladder fistula repair continued with total laparoscopic hysterectomy. The VUF can present as an undesirable consequence of caesarean section. © 2021 The Authors |
Case report; Cyclic hematuria; Secondary amenorrhea; Vesicocervical fistula |
contrast medium; adult; Article; bladder disease; bladder fistula; bladder injury; bladder neck; bladder trigone; case report; cesarean section; clinical article; contrast enhancement; cystoscopy; cystostomy; endometrial thickness; endometriosis; female; hematuria; human; hysterectomy; hysterosalpingography; hysteroscopy; laparoscopic surgery; postoperative period; premenstrual syndrome; priority journal; reconstructive surgery; secondary amenorrhea; transvaginal echography; urography; uterus disease; vesicouterine fistula; x-ray computed tomography |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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536 |
Tua Lubis A.M., Budimansyah M., Made Febry Siswanto I.G., Yanuarso Y., Marsetio A.F. |
15122639800;57222168054;57222170597;57222173063;57192180884; |
Functional outcome of implant-free bone-patellar tendon autograft versus hamstring autograft in arthroscopic anterior cruciate ligament reconstruction: A prospective study |
2021 |
Annals of Medicine and Surgery |
63 |
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102184 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101786286&doi=10.1016%2fj.amsu.2021.102184&partnerID=40&md5=2c7a67ad1a6831d518d84971baadc9be |
Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jl. Diponegoro No. 71, Jakarta, Pusat 10430, Indonesia; Persahabatan Hospital, Jl. Persahabatan Raya No.1, Jakarta, Timur 13230, Indonesia; Royal Progress Hospital, Jl. Danau Sunter Utara, Tanjung Priok, Jakarta, Utara 14350, Indonesia; Gatot Soebroto Army Hospital, Jl. Abdul Rahman Saleh Raya No.24, Senen, Jakarta, Pusat 10410, Indonesia |
Tua Lubis, A.M., Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jl. Diponegoro No. 71, Jakarta, Pusat 10430, Indonesia; Budimansyah, M., Persahabatan Hospital, Jl. Persahabatan Raya No.1, Jakarta, Timur 13230, Indonesia; Made Febry Siswanto, I.G., Royal Progress Hospital, Jl. Danau Sunter Utara, Tanjung Priok, Jakarta, Utara 14350, Indonesia; Yanuarso, Y., Gatot Soebroto Army Hospital, Jl. Abdul Rahman Saleh Raya No.24, Senen, Jakarta, Pusat 10410, Indonesia; Marsetio, A.F., Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jl. Diponegoro No. 71, Jakarta, Pusat 10430, Indonesia |
Introduction: The use of implant in anterior cruciate ligament (ACL) reconstruction has been associated with several drawbacks including graft injury, implant osteolysis, implant migration and soft tissue irritation. Implant-free ACL reconstruction surgery offers additional benefits of cost-effective, improved graft incorporation and ease of revision surgery. Our study aimed to compare the functional outcome of ACL reconstruction by using bone-patellar tendon autograft with press-fit fixation technique and hamstring autografts with implant. Methods: A prospective cohort study design was used. Between March 2013 and March 2014, 12 patients underwent patella tendon-bone graft fixated by press-fit fixation technique (implant-free), while 24 patients underwent ACL reconstruction using implant-fixated hamstring tendon graft. Objective functional outcome was measured by using rolimeter, and subjective functional outcome was measured according to the functional score of IKDC, Tegner-Lysholm and KOOS. Results: Both techniques have shown no significant difference in terms of functional outcome, whether assessed by rolimeter measurement, IKDC score, Tegner-Lysholm, KOOS score between implant group and implant-free group, preoperatively and postoperatively. Discussion: Our study results are in line with several other studies with various follow-up time and systematic review. With the right technique, graft harvesting of patella tendon-tibial tuberosity bone block can be successfully performed, and associated donor site morbidity can be avoided. Conclusion: Patients who underwent ACL reconstruction using implant-free technique by press-fit fixation had comparable outcome with ACL reconstruction with implant, objectively and subjectively. This technique should be further revisited and reevaluated. © 2021 The Authors |
Anterior cruciate ligament; Anterior cruciate ligament injury; Bone-patellar tendon; Implant-free ACL reconstruction; Press-fit fixation |
adult; anterior cruciate ligament reconstruction; arthroscopic surgery; Article; bone patellar tendon bone graft; cohort analysis; controlled study; female; follow up; graft harvesting; hamstring tendon; human; Knee Injury and Osteoarthritis Outcome Score; male; nuclear magnetic resonance imaging; press fit graft fixation technique; prospective study; randomized controlled trial; scoring system; soccer; Tegner activity score; Tegner-Lysholm Knee Scoring Scale; tibial tuberosity; traffic accident; volleyball |
Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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538 |
Seswandhana R., Makrufardi F., Sudjatmiko G. |
8718699600;57214993245;16025731000; |
Fistula incidence after primary repair and correlation with cleft width-to-palatum width ratio: A prospective cohort study |
2021 |
Annals of Medicine and Surgery |
63 |
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102183 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101659670&doi=10.1016%2fj.amsu.2021.102183&partnerID=40&md5=ad5a9021a2b2389751b7ee5f65e256ee |
Plastic, Reconstructive, and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia; Department of Plastic Reconstructive, and Aesthetic Surgery, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Seswandhana, R., Plastic, Reconstructive, and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia; Makrufardi, F., Plastic, Reconstructive, and Aesthetic Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia; Sudjatmiko, G., Department of Plastic Reconstructive, and Aesthetic Surgery, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Background: Cleft lip with or without cleft palate is one of the most common birth defects and is certainly the most visible. Fistula rate after primary palatoplasty was ranging between 10 and 23% and could be detected in the first three weeks after surgery. The cleft width is the frequent factor which was assumed to correspond to fistula occurrence. This study aimed to find correlation between fistula occurrence with cleft width and palatum width ratio after primary palate repair. Methods: A prospective cohort study was conducted on 16 subjects, which consisted of 10 males and 6 females. We measured width of cleft palate, width of rest palate and width of palate arch on three level measurements (posterior, junction and anterior). The surgery was performed using the two-flap and three layers suturing technique. Results: Sixteen patients were enrolled in this study during January and February 2008. Ten patients were diagnosed with unilateral cleft palate while six patients had bilateral cleft palate. Mean of age was 22.31 ± 5.86 month. Correlation analysis between fistula occurrence and cleft width, cleft width-remnant palate width ratio and cleft width-palate arch width ratio using logistic regression did not show statistical correlation, and the same result was found between fistula occurrence and hemoglobin level, white blood count, nutritional status, cleft type and caries dentis factors (p > 0.05). Conclusion: Width of the cleft is not a factor associated with fistula occurrence. Two-flap three layers technique could be considered as a simple technique and gives a low rate of fistula occurrence. © 2021 |
Cleft width and palate width ratio; Fistula occurrence; Primary palatoplasty; Two-flap three layers suturing technique |
amoxicillin; epinephrine; hemoglobin; lidocaine; paracetamol; anemia; anthropometry; Article; blood cell count; child; cleft palate; clinical article; cohort analysis; controlled study; correlation analysis; dental caries; female; fistula; gestational age; hemoglobin blood level; human; leukocyte count; major clinical study; male; nutritional status; obesity; palatoplasty; primary palate; prospective study; protein expression; suture technique |
Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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539 |
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 |
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105668 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101608960&doi=10.1016%2fj.ijscr.2021.105668&partnerID=40&md5=9f69d079d51ac679c79a59e093f702ce |
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 |
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Article |
Q3 |
232 |
17549 |
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542 |
Kamal A.F., Anshori F., Kodrat E. |
56648996700;57219779719;57191430080; |
Osteofibrous dysplasia-like adamantinoma versus osteofibrous dysplasia in children: A case report of challenging diagnosis |
2021 |
International Journal of Surgery Case Reports |
80 |
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105599 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101451168&doi=10.1016%2fj.ijscr.2021.01.093&partnerID=40&md5=97e46a083ddb3d0f1c9018ef6250c9ed |
Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia; Musculoskletal Pathology Division, Departement of Anatomic Pathology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Kamal, A.F., Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia; Anshori, F., Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia; Kodrat, E., Musculoskletal Pathology Division, Departement of Anatomic Pathology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction: Osteofibrous dysplasia (OFD) and Osteofibrous dysplasia-like Adamantinoma have a similar appearance both in clinical and radiography, but different in its histopathology. Despite this similarity, the treatment and prognosis are different, therefore the diagnosis should be established precisely. Case illustration: A three-year-old boy was admitted to hospital after falling on his lower leg. A bead size lump appeared on his tibia with pain and swelling, which later became enlarged. Diagnosis of osteofibrous dysplasia and adamantinoma was considered. We performed limb-salvage procedure by curretage, bone grafting, and internal fixation application. The histology section showed woven bone rimmed by polygonal osteoblast cell with intervening fibrous stroma and small nests of tumour cells raised the possibility of epithelial differentiation. The positivity for cytokeratin immunostaining confirmed the diagnosis as osteofibrous dysplasia-like adamantinoma. In this case it is a very rare spectrum of malignancy in children. Discussion: These two tumor entities have identical radiographic characteristics, histopathology features the distinction between classic adamantinoma and OFD-like adamantinoma based on the predominant epithelial component. The relationship of osteofibrous dysplasia with adamantinoma is unclear. Several authors considered possible calling relationship osteofibrous dysplasia as “juvenile adamantinoma”. However, does not rule out the possible existence of de novo osteofibrous dysplasia not related to adamantinoma. Conclusions: OFD-like adamantinoma and Osteofibrous Dysplasia had similar histopathology pattern, a pathologist must be aware of this feature and perform immunohistochemical staining for keratin particularly when the histopathological feature of osteofibrous dysplasia showed small nests of tumor cells within the fibrous stroma. diagnostic challenging and require multidisciplinary approach. © 2021 The Authors |
Immunohistochemical staining; Osteofibrous dysplasia; Osteofibrous dysplasia-like adamantinoma |
cytokeratin; ameloblastoma; Article; bone transplantation; cancer diagnosis; carcinogenesis; case report; cell differentiation; child; childhood cancer; clinical article; comparative study; curettage; dysplasia; epithelium cell; falling; fibroblast; histopathology; human; immunohistochemistry; intraoperative period; leg pain; leg swelling; limb salvage; male; nuclear magnetic resonance imaging; osteofibrous dysplasia; osteofibrous dysplasia like adamantinoma; preschool child; priority journal; proximal tibia |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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