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318 |
Hafizar, Hamid A.R.A.H., Saraswati M. |
57224823578;57202054669;57208472364; |
Cystoscopy-assisted laparoscopic partial cystectomy for muscle-invasive bladder cancer: Initial experience in Cipto Mangunkusumo Hospital, Jakarta |
2021 |
International Journal of Surgery Case Reports |
84 |
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106083 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108324475&doi=10.1016%2fj.ijscr.2021.106083&partnerID=40&md5=5cb1198507ed3b79541fd99fb1fe97d8 |
Department of Urology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Department of Anatomical Pathology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia |
Hafizar, Department of Urology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Hamid, A.R.A.H., Department of Urology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Saraswati, M., Department of Anatomical Pathology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia |
Introduction: We report the experience with patients of urachal adenocarcinoma of the bladder, a rare malignancy in the urinary bladder, treated with laparoscopic partial cystectomy. Aim: Solitary transitional cell carcinoma (TCC) of the dome/anterior wall of the bladder in some cases. As compared to radical surgery, partial cystectomy has a lower morbidity rate and similar oncological outcomes. We present our experience with laparoscopic partial cystectomy (LPC) in patients with urachal adenocarcinoma. Case presentation: Until being admitted to the hospital, a 60-year-old woman had been suffering from painless, sporadic gross hematuria for the previous year. Her physical examination was undistinguished. Computed tomography revealed an enhancing firmly bordered mass on the anterior-superior aspect of the bladder wall. The patient then underwent cystoscopy and laparoscopic partial cystectomy simultaneously. Conclusion: Based on our first experience in LPC, we suggest that cystoscopy assisted LPC is a reasonable and safe procedure with fewer complications and does not extend the operating time. The procedure's effectiveness hinges on the patient's selection. However, many cases needed to emphasize the effectiveness and safety of LPC. © 2021 The Authors |
Bladder cancer; Cystoscopy; Laparoscopy |
cisplatin; doxorubicin; gemcitabine; abdominal radiography; adenocarcinoma; adjuvant chemotherapy; adult; Article; bladder tumor; bladder wall; bleeding; cancer chemotherapy; cancer patient; cancer surgery; case report; clinical article; colloid carcinoma; computer assisted tomography; cystectomy; cystography; cystoscopy; differential diagnosis; echography; female; general anesthesia; hematuria; histopathology; human; human tissue; laparoscopic surgery; lithotomy; lower abdominal pain; medical history; middle aged; multiple cycle treatment; muscle invasive bladder cancer; transitional cell carcinoma; urachus |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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319 |
Oesman I., Sari C.M. |
57203961169;57224515809; |
Neglected neurogenic clubfoot treated with Achilles tendon lengthening using Z-plasty, total talectomy, and tibiocalcaneal arthrodesis |
2021 |
International Journal of Surgery Case Reports |
84 |
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106051 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107734709&doi=10.1016%2fj.ijscr.2021.106051&partnerID=40&md5=551520e63137809a0d35da15c3df6ec0 |
Foot and Ankle Consultant, Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia; Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia |
Oesman, I., Foot and Ankle Consultant, Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia; Sari, C.M., Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia |
Introduction: The most common foot and ankle deformity from injury to the nervous system is equinocavovarus. This deformity comprises of equinus, cavus, varus, and adduction of the forefoot which leads to pain and poor stability in stance phase of gait. Treatment for this condition is difficult regarding literature limitation of the neurogenic clubfoot management. We reported a 18-year-old female with neglected right neurogenic clubfoot treated with 2 stage deformity correction. Case report: A 18-year-old female presented with crooked right foot since birth. It caused pain, especially during walking and standing for a long time and resulted in occasional skin infection on the bottom of the foot. However, currently she could walk in limping gait without walking aid. The patient was born aterm 39 weeks through caesarean delivery due to severe preeclampsia. There was delayed development of walking at 2 years and 9 months. Previously, she had history of spina bifida and undergone surgery in 2001. Afterward, she underwent VP shunt surgery. Physical examination demonstrated cavus varus, tenderness of the right foot, and limited ankle motion. The patient was diagnosed with neglected right neurogenic clubfoot and underwent two stage deformity correction consisting of Achilles tendon lengthening using Z-plasty, total talectomy, and tibiocalcaneal arthrodesis followed by posteromedial release, tendon lengthening (Tibialis posterior, FDL, FDB) and plantar fascia release. Conclusions: Two stage deformity correction can be successful in patients with neglected neurogenic clubfoot. Further studies are required to investigate the safety and efficacy of such procedure in neurogenic clubfoot. © 2021 The Authors |
Achilles tendon lengthening; Neurogenic clubfoot; Tibiocalcaneal arthrodesis; Total talectomy |
cefoperazone plus sulbactam; polypropylene; achilles tendon; adult; arthrodesis; Article; bone graft; calcaneus; case report; clinical article; clubfoot; deformity; female; fibrosis; follow up; general anesthesia; human; limp (gait); motor development; neurologic disease; osteotomy; pain; physical examination; postoperative period; preoperative period; preoperative treatment; skin infection; spinal dysraphism; standing; surgical technique; talectomy; tibia; walking; X ray; young adult; Z plasty |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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320 |
Priyatini T., Roziana |
57192265423;57218684529; |
Modified Passerini-Glazel feminizing genitoplasty outcomes in adults: Two rare cases |
2021 |
International Journal of Surgery Case Reports |
84 |
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106086 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107634308&doi=10.1016%2fj.ijscr.2021.106086&partnerID=40&md5=1f174f5a5decf1024dcb84cf6d7d80f7 |
Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Priyatini, T., Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Roziana, Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction: Modified Passerini-Glazel feminizing genitoplasty is typically performed in children with atypical genitalia. In our article, we have performed the procedure in adults with genital anomalies. Case presentation: The first case was a 22 years old woman who was planning to get married. She presented with a chief complaint of having no vaginal canal. Gynecological examination showed no vaginal opening. The common channel was visible, and the size of the perineal body was 3 cm. The patient underwent vaginal reconstruction using a modified Passerini-Glazel technique without amnion graft. The second case was a 20 years old girl planning to get married, with a chief complaint of small vaginal introitus. Gynecology examination showed small minor labia with an introitus size of 1 cm. The patients underwent vaginal reconstruction and labioplasty using a modified Passerini-Glazel technique with an amnion graft. Both patients have undergone anal atresia surgery in childhood. Discussion: There was no difference in outcome between using amnion graft and without amnion graft following the modified Passerini-Glazel feminizing genitoplasty procedure. The first patient had been pregnant and had successful delivery by elective cesarean section. Moreover, the second patient had no complaint of sexual disorders after the procedure. No cases of dysuria, urinary tract infection, leukorrhea, hematocolpos, or malodorous vaginal discharge were reported in both cases. Conclusion: Modified Passerini-Glazel feminizing genitoplasty is a safe and effective procedure. Daily vaginal dilation in the postoperative period was unnecessary, and it allowed for an excellent cosmetic result. © 2021 The Authors |
Genitalia anomaly; Good outcome; Modified Passerini-Glazel feminizing genitoplasty |
polyglycolic acid; adult; amnion; anal mucosa; anus atresia; anus injury; anus surgery; bulbocavernosus muscle; case report; cesarean section; clinical article; clinical outcome; echography; female; follow up; gynecological examination; hematocolpos; high school graduate; human; hydrosalpinx; hysteroscopy; incision; labia minora; menstrual irregularity; menstruation; micturition; modified Passerini-Glazel feminizing genitoplasty; palpation; postoperative period; pregnancy; reconstructive surgery; scar; sexual dysfunction; sexual function; sexual intercourse; Short Survey; surgical technique; suture technique; tissue graft; unemployment; urine color; urogenital tract malformation; urologic surgery; uterus malformation; vagina; vagina aplasia; vagina mucosa; vaginoscopy; young adult |
Elsevier Ltd |
22102612 |
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Short Survey |
Q3 |
232 |
17549 |
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359 |
Priyatini T., Roziana |
57192265423;57218684529; |
A case report: Common channel anomaly with vaginal agenesis and rectal stone after posterior sagittal anorectoplasty (PSARP) |
2021 |
International Journal of Surgery Case Reports |
83 |
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106032 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107780089&doi=10.1016%2fj.ijscr.2021.106032&partnerID=40&md5=28cc4fe008ececf074994d080ed05597 |
Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Priyatini, T., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Roziana, Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: We reported a case of common channel anomaly complicated with vaginal agenesis and rectal stone, which is a long-term complication of PSARP, a combination of very rare conditions with high morbidity and especially difficult treatment. Presentation of case: A 15-year-old female presented with a chief complaint of cyclic abdominal pain. The patient had no history of menstruation before. Physical examination showed a common channel. The diameter of the common channel was approximately 1 cm and 0.3 cm in length. A sound (±2 mm thickness) was inserted to the small opening between the urethra and anal mucosa with the length of the canal 6 cm. At the end of the opening, a stone-like structure was felt. The management of this case was abdominal hysterectomy with right salpingectomy and stone evacuation. Discussion: Cloacal malformation is thought to be associated with vaginal agenesis since both malformations are considered to have a similar pathophysiologic background. Treatment can be performed using posterior sagittal combined with laparotomy approach. After surgery, patients will need a long-term follow-up since the conditions may be associated with many possible urologic and gynecologic comorbidities, including recurrent urinary tract infections, hematosalpinx, and vesicourethral reflux, including stone formation. Conclusion: Our case was considered one of the most complex common channel anomalies because it was complicated with a rare condition called vaginal agenesis and rectal stone after PSARP. A multidiscipline approach was necessary. © 2021 The Authors |
Common channel anomaly; Rectal stone; Vaginal agenesis |
analgesic agent; abdominal hysterectomy; abdominal pain; adolescent; anal canal; anal mucosa; anus surgery; Article; case report; chronic inflammation; clinical article; colostomy; cystoscopy; echography; enterolithiasis; female; follow up; goblet cell; hematometra; histopathology; human; human tissue; labia minora; nuclear magnetic resonance imaging; physical examination; posterior sagittal anorectoplasty; pubic hair; rectal tissue; salpingectomy; treatment outcome; urethra; uterus; uterus cavity; vagina aplasia; vagina atresia |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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366 |
Moegni F., Quzwain S., Rustamadji P. |
55450456100;57224084579;55321572200; |
Transverse vaginal septum managed by simple flap surgery technique: A case report |
2021 |
International Journal of Surgery Case Reports |
83 |
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105990 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85106902483&doi=10.1016%2fj.ijscr.2021.105990&partnerID=40&md5=4b34257622117eec368834315e672694 |
Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Department of Anatomic Pathology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Moegni, F., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Quzwain, S., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Rustamadji, P., Department of Anatomic Pathology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Background: Transverse Vaginal Septum (TVS) is a rare congenital abnormality, classified as the Mullerian duct anomaly development.1,2 TVS incidence range from 1:2.000 to 1:72.000. Management of TVS may only requirement local excision with a simple end to end anastomosis of the vagina, and use of skin grafts, but this technique has been reported has common complications of secondary tissue contracture, which often lead to stenosis of the vagina.3 In this case we managed TVS with simple flap technique to avoid such postoperative complications and maintain caliber of vagina. Case: A 11 years old girl complained cyclical abdominal pain since a year ago without history of menstrual blood. Patient already had vaginal surgery for removing menstrual blood, but after vaginal surgery the menstrual blood cannot be removed, then referred to our hospital. Ultrasound examination revealed hematometra and hemocolpos. The septum location was 3,38 cm proximal distance from vaginal introitus with the thickness of 8.1 mm. We performed simple excision of the septum with formerly performed distal vaginal septum mucosa preparation creating lateral flaps, then approximating the flaps to the edge of the proximal vaginal mucosa with interrupted suture continued with hymenorraphy. The patient has no complaint 6 months after surgery with vaginal length 8 cm, and had regular menstrual cycle. Conclusion: A simple flap surgery technique can be done in transverse vaginal septum, with no complication such as tissue contracture, vaginal stenosis, or insightly scarring. This is a simple technique and can be done with hymenorraphy to restore normal anatomy of hymen. © 2021 The Author(s) |
Simple flap vaginal technique; Surgery management; Transverse vaginal septum |
abdominal pain; abdominal ultrasound; Article; case report; child; clinical article; congenital disorder; echography; excision; female; follow up; hematocolpos; hematometra; histopathology; human; human tissue; menstrual cycle; priority journal; school child; spinal anesthesia; tissue flap; transperineal ultrasound; transrectal ultrasonography; transverse vaginal septum; vagina disease; vagina mucosa |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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367 |
Lestari D.A., Rahadiani N., Syaiful R.A. |
57223975816;16426455700;57214818481; |
Isolated spleen tuberculosis in an immunocompetent patient, a rare case report |
2021 |
International Journal of Surgery Case Reports |
83 |
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105966 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85106577439&doi=10.1016%2fj.ijscr.2021.105966&partnerID=40&md5=f05086fe8ba1008071d740065a24ddd6 |
Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia |
Lestari, D.A., Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Rahadiani, N., Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Syaiful, R.A., Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia |
Introduction: Tuberculosis (TB), as a major public health concern, is affecting almost 10 million people globally. At present, diagnostic and screening efforts mainly focus on positive smear results. Therefore, the number of extra pulmonary and negative sputum TB is rising and hampering the diagnosis and treatment process due to the large number of false negatives. Rare cases such as solitary splenic TB are usually seen in patients with splenic abnormalities, spleen trauma, immunosuppression, sickle cell disease, pyogenic infections, etc. Presentation of case: A 40-year-old female with no comorbidity came with chief complaint of early satiety every mealtime and epigastric pain in the last 6 months prior to admission. There was no significant positive examination except for positive IGRA test and enlargement of spleen with multiple cystic lesions on abdominal CT. We performed laparotomy with splenectomy followed by a histopathology examination which showed features of primary tubercular abscess. Discussion: In the immunocompromised patient, the visceral abdomen is usually involved and a part of miliary TB. However, this case revealed the rare possibility of a healthy person with primary isolated tubercular splenic abscess while being immunocompetent and lacking any comorbidity. Conclusion: Splenic TB diagnosis is difficult in patients lacking pulmonary involvement and without specific symptoms. Thorough examinations and clinical expertise are needed to provide accurate diagnosis and treat uncommon forms of TB and cases with negative smear results in consideration of rising prevalence and difficult disease control. © 2021 The Authors |
Case report; Immunocompetent; Infection; Spleen; Tuberculosis |
gamma interferon; tuberculostatic agent; vaccine; adult; antibiotic therapy; Article; case report; clinical article; clinical feature; diagnostic imaging; epigastric pain; female; granulomatous inflammation; histopathology; hospital admission; human; human cell; human tissue; immunocompromised patient; infection risk; interferon gamma release assay; Langhans giant cell; laparotomy; leukocytosis; lymph node biopsy; lymphadenopathy; operative blood loss; pancreas cyst; priority journal; rare disease; risk reduction; satiety; spleen abscess; spleen cyst; splenectomy; splenic tuberculosis; splenomegaly; thrombocytosis; tissue necrosis; vaccination; x-ray computed tomography |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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375 |
Djusad S., Sari Y.M., Tjahjadi H. |
57192276788;57217020003;57210953454; |
Deep (aggressive) angiomyxoma of the vagina misdiagnosed as Gartner cyst: A case report |
2021 |
International Journal of Surgery Case Reports |
83 |
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105948 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85105312488&doi=10.1016%2fj.ijscr.2021.105948&partnerID=40&md5=b18f961bc2c3f8c96cac7a019b1ba409 |
Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Anatomic Pathology Department, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Djusad, S., Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Sari, Y.M., Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Tjahjadi, H., Anatomic Pathology Department, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: Aggressive angiomyxoma is a rare soft tissue tumor. Aggressive angiomyxoma is a slow-growing vulvovaginal mesenchymal neoplasm with a marked tendency for local recurrence, but with a low tendency to metastasize. As it has a predilection for the pelvic and perineal regions, Aggressive angiomyxoma is often misdiagnosed. This case report documented rare case of misdiagnosed Aggressive Angiomyxoma as Gartner duct cyst. Presentation of case: This article report a case of 31 year old women who complained mass came out from vagina without any urinary symptom and trauma. Physical examination and ultrasound finding suggested that the mass was Gartner Duct cyst. Management in this case was excision of the vaginal cyst. Histopathology examination revealed Deep (aggressive) angiomyxoma. Discussion: The rarity of Deep (Aggressive) Angiomyxoma makes the preoperative diagnosis fairly difficult. Aggressive angiomyxoma is often misdiagnosed as it may have similar clinical presentation to common lesions such as Bartholin cyst or prolapse vaginal wall, Gartner cyst or levator hernia. Aggressive Angiomyxoma should be considered as differential diagnosis in patient with vaginal cyst. Conclusion: Aggressive Angiomyxoma is rare condition. Preoperative diagnosis and management are challenging. Long term follow op and evaluation should be done due to high rate of recurrence. © 2021 The Author(s) |
Case report; Deep (aggressive) angiomyxoma of the vagina; Misdiagnosed Gartner cyst; Misdiagnosis of vaginal tumor; Rare case |
desmin; estrogen receptor; progesterone receptor; smooth muscle actin; adult; Article; case report; clinical article; diagnostic error; differential diagnosis; excision; female; Gartner cyst; histopathology; human; human tissue; physical examination; priority journal; translabial ultrasound; vagina aggressive angiomyxoma; vagina mucosa; vagina tumor; vaginal cyst |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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408 |
Prabowo Y., Saleh R.F. |
56682042400;57223172145; |
Pedicle screw system reconstruction in shoulder resection type IV-total scapulectomy: A case report and short term follow up |
2021 |
International Journal of Surgery Case Reports |
82 |
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105899 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85105046123&doi=10.1016%2fj.ijscr.2021.105899&partnerID=40&md5=8ea9fee43652fb219badfae749ce4703 |
Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia |
Prabowo, Y., Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia; Saleh, R.F., Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia |
Introduction: Shoulder resection remains a challenging procedure after scapulectomy for tumour resection. The results have various functional outcome, wound coverage, and cosmetic aspect. In this case report, we reported the outcome of pedicle screw application after scapulectomy procedure within 1 month follow up after surgical tumour excision. Case presentation: A 74-year-old female presented with a painful lump on the left shoulder since nine months before admission. We performed physical examination, radiological evaluation using x-ray and MRI. We performed limb salvage surgery with shoulder girdle resection of tumour procedure using Malawer technique type IVB and applied pedicle and screw in proximal end clavicula and proximal end of humerus. We performed histopathological examination to ensure the tumour. We evaluated the patient one month after surgery using DASH score. Discussion: MRI examination revealed that there was a solid mass with malignant characteristic destructing left scapular bone with the acromioclavicular and glenohumeral joint involvement. We used pedicle and screw to reconstruct the patient with efficient cost spending consideration. Clinical valuation showed there was no pain left and hand-free movement except the limitation of shoulder abduction. DASH score evaluation pre operative and post operative showed improvement from 70.8 to 45.0. Conclusion: Limb salvage procedure using pedicle screw system may be one of treatment of choice for treating tumour of the shoulder affecting glenohumeral joint with excellent result of evaluation both clinical and functional outcome. © 2021 |
DASH score; Pedicle screw; Scapulectomy; Shoulder tumour |
acromioclavicular joint; aged; Article; case report; clavicle; clinical article; Disabilities of the Arm, Shoulder and Hand (score); elbow; evaluation study; female; follow up; hand function; histopathology; human; limb salvage; nuclear magnetic resonance imaging; physical examination; practice guideline; priority journal; proximal humerus; radiodiagnosis; range of motion; shoulder girdle; shoulder surgery; solid malignant neoplasm; treatment outcome; tumor volume; X ray |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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411 |
Ardiansyah, Hadisoebroto I. |
57223036386;57223035081; |
Gluteus maximus transfer and mass graft (Capsulorraphy) in recurrent hip dislocation with the history of total hip replacement: A case series |
2021 |
International Journal of Surgery Case Reports |
82 |
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105890 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104672729&doi=10.1016%2fj.ijscr.2021.105890&partnerID=40&md5=e0db95bda423bc37810f0cd81c00c873 |
Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia |
Ardiansyah, Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Hadisoebroto, I., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia |
Introduction: Post THR dislocation has been a significant complication that interferes with the patient's life. Detection of risk factors, careful planning, proper operative procedures, and patient education is essential to prevent the incidence of dislocation. Several operative measures have been studied to achieve this, including the use of mesh for soft tissue procedures and capsulorraphy. Case Presentation: A total of four patients is included in this case series. Two had a history of trauma that contributes to the necessity of the procedure while the other two had degenerative joint issues. All were operated by soft tissue procedure of gluteus maximus transfer as an abductor replacement and along with capsule augmentation using synthetic mesh as a synthetic capsule to strengthen and provide more stability. Discussion: The abductor strength from this gluteus maximus procedure is sufficient to stabilize the pelvis and prevent pelvic sag. The primary material of the mesh should produce inflammatory reaction so that a fibro capsular structure is formed surrounding the hip joint to add stability. Conclusion: The use of mesh in soft tissue procedures, such as capsulorraphy, with the addition gluteus maximus transfer may assist to prevent (re)dislocations of the hip. However, further study should be conducted to validate the routine use of mesh and gluteus maximus transfer to prevent dislocation after the procedure. © 2021 |
Case series; Dislocation; Gluteus maximus; Mass graft; Recurrent |
adult; aged; capsulorraphy; case report; case study; clinical article; female; femoral neck fracture; follow up; gluteus maximus muscle; hip dislocation; hip osteoarthritis; human; middle aged; muscle transplantation; open reduction (procedure); periprosthetic joint infection; postoperative analgesia; priority journal; recurrent dislocation; Short Survey; total hip replacement; young adult |
Elsevier Ltd |
22102612 |
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Short Survey |
Q3 |
232 |
17549 |
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413 |
Basuki A., Song A., Yovita N.V., Suryadinata K.L., Sagala A.E. |
57201667022;57222711862;57222712061;57222712562;57222714377; |
The treatment challenges and limitation in high-voltage pediatric electrical burn at rural area: A case report |
2021 |
International Journal of Surgery Case Reports |
82 |
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105857 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103792595&doi=10.1016%2fj.ijscr.2021.105857&partnerID=40&md5=3f77d2991bbaae35b0c106d482e306f2 |
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia; Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjajaran, Indonesia; Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia |
Basuki, A., Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; Song, A., S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia; Yovita, N.V., Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo National General Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia; Suryadinata, K.L., Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjajaran, Indonesia; Sagala, A.E., S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia |
Introduction: Although rare, electrical injury in pediatrics is potentially life threatening and has significant and long-term impact in life. It is challenging to manage such cases in rural areas. Presentation of case: A fully conscious 13-year-old boy was admitted to the emergency room after being electrocuted by high-voltage power cable, with superficial partial thickness burn over right arm, trunk, and left leg (26 % of total body surface area). Tachycardia and non-specific ST depression was found on ECG examination and was diagnosed with high-voltage electrical injury. Treatments were based on ANZBA algorithm with several modifications, i.e., administering lower concentration of oxygen with nasal cannula instead of non-rebreathing mask as well as Ketorolac and Antrain® for analgesic instead of morphine. Discussion: Different choices of treatments were given due to limited resources. Despite possible cardiac and renal complication, further tests could not be done. Fortunately, after strict monitoring, no signs of abnormality were found. We used silver sulfadiazine, Sofratulle® and dry sterile gauze as a dressing of choice following immediate surgical debridement. The patient was observed daily through 7 days of hospitalization and followed-up for 1 year, achieving normal physiologic function of the affected area but unsatisfactory esthetic result. Conclusion: Lack of infrastructure, drugs, and trained personnel are some of the challenges that still exist in most rural areas. Thus, implementation of available standardized guidelines such as ANZBA, and giving similar training to personnel as well as providing feasible equipment followed by strict monitoring for the patient are needed to achieve maximum results. © 2021 |
Case report; Electrical burn; Pediatric; Rural area |
alanine aminotransferase; analgesic agent; antrain; aspartate aminotransferase; ceftriaxone; dipyrone; framycetin; ketorolac; olive oil; oxygen; Ringer lactate solution; sulfadiazine silver; adolescent; alanine aminotransferase blood level; analgesia; antibiotic prophylaxis; arm; Article; aspartate aminotransferase blood level; blood examination; burn; case report; clinical article; depression; drug substitution; drug withdrawal; electric accident; electric burn; electrocardiogram; electrocardiography; electrocution; emergency treatment; emergency ward; epithelization; fluid resuscitation; follow up; general anesthesia; granulation tissue; human; hypokalemia; leg; leukocytosis; male; outpatient care; oxygen saturation; patient monitoring; pediatric patient; priority journal; pulse oximetry |
Elsevier Ltd |
22102612 |
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