No records
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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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788 |
Nasrun M.W.S., Kusumaningrum P., Redayani P., Lahino H.L., Mardhiyah F.S., Basfiansa A.D., Nadila N. |
57196216137;55645015800;57224504437;57224499395;57224509939;57224506079;57224506058; |
Relationship between Quality of Life of People with Dementia and Their Caregivers in Indonesia |
2021 |
Journal of Alzheimer's Disease |
81 |
3 |
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1311 |
1320 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107718718&doi=10.3233%2fJAD-201550&partnerID=40&md5=1552dbf607377e4dc97ac5eb8d635a1d |
Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Nasrun, M.W.S., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Kusumaningrum, P., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Redayani, P., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Lahino, H.L., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Mardhiyah, F.S., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Basfiansa, A.D., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Nadila, N., Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Background: Caregivers, as one of the most important roles in caring for a person with dementia, have a challenging task. Therefore, maintaining the quality of life (QoL) of caregivers is an integral part of dementia care. Objective: To explore the relationship between the QoL of people with dementia and their caregivers in Indonesia. Methods: This is a cross-sectional study using binary correlations to analyze the relationship between people with dementia and caregivers' QoL. Conducted in Cipto Mangunkusumo Hospital in Jakarta, the subjects were 42 people diagnosed with dementia according to the PPDGJ-III (adapted from the ICD 10) and 42 primary caregivers with at least 6 hours duration of caregiving per day. The QoL of people with dementia was measured by EuroQol-5D and VAS EQ-5D, while severity of dementia was measured by MMSE. Caregivers underwent an interview using WHO Quality of Life Instrument (WHOQOL-BREF) and NPI. Results: Most caregivers were women, aged 40-70 years old. The study found caregivers' QoL environmental domain strongly correlated with people with dementia's QoL (r = 0.839). Severity of dementia had a strong correlation with caregivers' QoL physical domain (r = 0.946). Age, duration of caregiving per day, period of care provided by caregivers, and caregiver's distress had a strong correlation with caregiver QoL for specific domains. Conclusion: There was a strong correlation between people with dementia's QoL and caregiver QoL, so in managing dementia, clinicians should consider caregivers' wellbeing as an essential part significantly affecting the quality of elderly care improvement. © 2021-IOS Press. All rights reserved. |
Caregivers; dementia; Indonesia; quality of life |
adult; age; aged; agitation; apathy; Article; caregiver; clinical article; correlational study; cross-sectional study; dementia; demography; depression; disease severity; European Quality of Life 5 Dimensions questionnaire; female; human; Indonesia; male; mental disease assessment; middle aged; Mini Mental State Examination; neuropsychiatry inventory; quality of life; questionnaire; sleep disorder; social interaction; WHOQOL-BREF; caregiver; dementia; psychology; quality of life; very elderly; Adult; Aged; Aged, 80 and over; Caregivers; Cross-Sectional Studies; Dementia; Female; Humans; Indonesia; Male; Middle Aged; Quality of Life; Surveys and Questionnaires |
IOS Press BV |
13872877 |
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33935083 |
Article |
Q1 |
1677 |
1840 |
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No records
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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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Article |
Q3 |
232 |
17549 |
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414 |
Rasyid N., Nainggolan H.J., Jonardi P.A., Raharja P.A.R., Wiweko B., Atmoko W., Birowo P. |
56245069300;57222668459;57222670069;57201013616;43061741400;57193125664;6504153311; |
Early-onset complete spontaneous migration of contraceptive intrauterine device to the bladder in a post C-section patient: A case report |
2021 |
International Journal of Surgery Case Reports |
82 |
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105850 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103712294&doi=10.1016%2fj.ijscr.2021.105850&partnerID=40&md5=098c129a6d385c5e68c5b79c45fb304a |
Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Division of Reproductive Endocrinology and Infertility, Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia |
Rasyid, N., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Nainggolan, H.J., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Jonardi, P.A., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Raharja, P.A.R., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Wiweko, B., Division of Reproductive Endocrinology and Infertility, Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Atmoko, W., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia; Birowo, P., Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia |
Introduction and importance: Spontaneous migration of a contraceptive intrauterine device (IUD) to the bladder is very rare. It usually takes years for the IUD to migrate completely from the uterine cavity to the bladder. We report a case of early-onset complete spontaneous migration of contraceptive IUD to the bladder in a post C-section patient. Case presentation: A 30-year-old woman presented with suprapubic pain and dysuria three weeks prior to hospitalization. She had C-section three months prior and underwent copper IUD insertion two months after the surgery. One week after IUD insertion, radiography showed that the IUD remained in the uterus, but the patient felt suprapubic pain and dysuria. Computed tomography (CT) three weeks after IUD insertions showed IUD migration to the bladder with its tips embedded in the uterine wall. Cystoscopy was performed one week later and the IUD was completely inside the bladder. By then, the IUD was removed completely via forceps with no complication. Clinical discussion: The exact pathophysiology of spontaneous IUD migration is unknown, but migration always starts with uterine perforation. In our case, uterine perforation was probably caused by immediate traumatic perforation. CT is the preferred radiological examination. IUD removal was performed one month after IUD insertion showing complete migration of the IUD, though CT one week prior suggested that the tips of the IUD remained embedded. Conclusion: In cases of early-onset complete spontaneous migration of contraceptive IUD to the bladder, CT is the preferred radiological examination, and delaying removal procedure may be beneficial. © 2021 The Author(s) |
Bladder; Case report; Cystoscopy; Intrauterine device; Spontaneous migration |
nonsteroid antiinflammatory agent; adult; Article; case report; clinical article; cystoscopy; dysuria; female; human; hysterography; hysteroscopy; intrauterine device migration; priority journal |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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415 |
Moegni F., Hakim S., Hidayah G.N., Suskhan, Priyatini T., Meutia A.P., Santoso B.I. |
55450456100;57192276095;57222671850;57222669994;57192265423;57203368133;56653822500; |
Cervical elongation caused by big cervical fibroid resembling malignant cervical prolapse? Management via vaginal surgery |
2021 |
International Journal of Surgery Case Reports |
82 |
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105847 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103699159&doi=10.1016%2fj.ijscr.2021.105847&partnerID=40&md5=a743d245c32a335e6a80121129df706c |
Urogynecology Division Department of Obstetrics and Gynecology, 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; Hakim, S., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Hidayah, G.N., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Suskhan, 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; Meutia, A.P., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Santoso, B.I., Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction: Cervical elongation could lead to cervical elongation thus worsen the descent of uterine prolapse. In certain cases, this hypertrophic and hyperplastic mass could have fragile surface with some bleeding and necrotic, resembling cervical cancer. As case of cervical elongation due to cervical fibroid is quite rare, such cases are valuable to be reported. We present two cases of cervical fibroid with cervical elongation resembling cervical malignancy. Presentation of case: First case was A 59-year-old lady with intractable vaginal mass since one day before admission. Bleeding from the mass was positive. We found a bulky vaginal mass exceeding hymenal ring, 14 × 7 × 6 cm sized, with some necrotic and discharge, foul smelling, and some bleeding area. Ultrasound evaluation revealed a cervical fibroid with differential diagnosis cervical malignancy. The second case was Mrs 53-year-old with vaginal mass since last year. For the last 7 months the mass has been bigger and could not be inserted into vagina, with some bleeding. We found globular vaginal mass 12 × 9 × 6 cm exceeding hymenal ring, with some necrotic and reddish surface, foul smelling, discharge, and some blood. Ultrasound evaluation revealed cervical mass on anterior lip with elongated cervices. Both cases have been menopaused. As the clinical presentation resembling malignancy, we did biopsy. The biopsy results were no evidence of malignancy, then we did Manchester fothergill, and colporaphy as needed. Discussion: Length between internal to external cervical ostium ≥ 5 cm correlated to cervical elongation. Growing cervical mass could drag the cervix, predisposing to cervical elongation and prolapse. Cervical fibroids protruded through vagina was usually pedunculated. But in our cases, the fibroids were not pedunculated but manifested as a bulky mass on the cervical tissue with some bleeding and necrotics, mimicking cervical malignancy. The most important initial management besides ultrasound evaluation was mass biopsy. Conclusion: In such cervical fibroids with cervical elongation resembling cervical malignancy, biopsy is compulsory to determine the diagnosis and to lead the management. © 2021 The Authors |
Cervical cancer; Cervical elongation; Fibroids; Manchester |
adult; anemia; anterior vaginal wall prolapse; case report; cervical elongation; cervical fibroid; cervical length; chronic inflammation; clinical article; clinical outcome; dissection; echography; emergency ward; endometrial thickness; endomyometritis; female; follow up; gynecologic surgery; histopathology; human; human tissue; incision; middle aged; necrosis; posterior vaginal wall prolapse; priority journal; Short Survey; surgical wound; tachycardia; uterine cervix biopsy; uterine cervix disease; vagina bleeding; vagina discharge (disease); vagina reconstruction; wound healing |
Elsevier Ltd |
22102612 |
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Short Survey |
Q3 |
232 |
17549 |
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416 |
Irawati Y., Fitri M.A.R., Natalia M.E.R., Atmodiwirjo P., Ramadan M.R., Triatmoko S.E. |
57201260313;57222671166;57222668119;57222670453;57222667572;57222671805; |
A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap |
2021 |
International Journal of Surgery Case Reports |
82 |
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105856 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103698401&doi=10.1016%2fj.ijscr.2021.105856&partnerID=40&md5=af73a4517bc594c3298dc3cd1272efe3 |
Plastic Reconstructive Surgery Division, Ophthalmology Department, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Ophthalmology Department, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia |
Irawati, Y., Plastic Reconstructive Surgery Division, Ophthalmology Department, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Fitri, M.A.R., Ophthalmology Department, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Natalia, M.E.R., Ophthalmology Department, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Atmodiwirjo, P., Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Ramadan, M.R., Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Triatmoko, S.E., Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia |
Introduction and importance: Ocular injury is second mostly caused by motor vehicle accident (MVA) and often leads to severe ocular injury even to visual loss and various aesthetic problems. The outcome is determined by the magnitude of the initial damage and treatment availability. Treating ocular and facial injury due to MVA is challenging given the scope of the damage and may result in various outcomes. Case presentation: This case presented a 22-years old woman with a history of car accident assessed with total upper eyelid avulsion with corneal perforation and involvement of multiple facial fractures on the left side. The visual function is irreparable due to the extensive corneal defect from exposure and secondary infection, and possible optic nerve damage. Clinical discussion: This case presented a complete upper eyelid avulsion with severe facial tissue injury. Therefore, the reconstructive procedure main objectives are to maintain appropriate prosthetic position and to improve cosmetic function. This case used anterolateral thigh free flap as the reconstructive surgery method because it is convenient for large defects and the donor scar is not visible. After completing the surgery and several follow-up procedures, the patient recovered without any significant complications. Conclusion: Despite visual loss due to the extent damage of the eye, it is important to restore the facial damages. Visual function is as crucial as cosmetic function in determining the patient's quality of life. © 2021 |
Anterolateral thigh free flap; Case report; Ocular injury; Surgical intervention; Upper eyelid avulsion |
abscess; adult; anterolateral thigh flap; Article; avulsion injury; bulbar conjunctiva; canthopexy; case report; chemosis; clinical article; collaborative care team; computer assisted tomography; conjunctival hyperemia; convalescence; cornea perforation; corneal abscess; ectropion; esthetic surgery; esthetics; eye evisceration; eye examination; eye injury; eye surgery; eyelid disease; eyelid reconstruction; face fracture; face injury; female; hair transplantation; horizontal palpebral fissure; human; injury severity; keratitis; lagophthalmos; liposuction; multiple fracture; palpebral fissure; patient referral; patient safety; patient satisfaction; plastic surgeon; priority journal; pus; socialization; soft tissue injury; suture technique; three-dimensional imaging; tissue necrosis; total q |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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