Garuda - Garba Rujukan Digital

Article Per Year (5 Year)

All

Sriwijaya Journal of Surgery

sjs
Website

Published by Universitas Sriwijaya

ISSN : - EISSN : 27223558 DOI : https://doi.org/10.37275/sjs.v2i2

Core Subject : Health,

Medicine & Pharmacology

SRIWIJAYA JOURNAL OF SURGERY Sriwijaya Journal of Surgery (SJS) is a peer-reviewed journal published twice a year (June and December) by Department of Surgery, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia. SJS is intended to be the journal for publishing articles reporting the results of research on surgery. SJS invites manuscripts in the various topics include: General Surgery, Gastrointestinal Surgery, Neurosurgery, Orthopedics, Oncology Surgery, Thoracovascular Surgery, Reconstruction Surgery, Children Surgery, Urology, all aspect related surgery and medicine.

Arjuna Subject : Kedokteran - Pembedahan

Articles 83 Documents

1 2 3 4 5

Effects of Neoadjuvant Fluorouracyl-Adriamycin- Cytoxan (FAC) Chemotherapy Response to CD4 + Serum Levels In Breast Cancer Ade Permana; Benny Kusuma; Nur Qodir; Legiran
Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Introduction. CD4+ T-helper has an important role in immune system modulation especially to maintain long-term anti tumor effect. CD4+ also serves to activate CD8+ for destroyed the tumor cells. It was expected there were role of immunity on tumor growth and response of breast cancer chemotherapy to CD4+ levels serum. Furthermore, this study was aimed to investigate the effects of neoadjuvant chemotherapy on CD4+ levels in patients with locally advanced breast cancer at General Hospital Dr. Mohammad Hoesin Palembang. Method. This study was a non-comparable clinical trial by looking at serum CD4+ levels in patients with locally advanced breast cancer before and after neoadjuvant chemotherapy. Results. Of the 30 subjects the subject age ranged from 33-66 years with an average of 45 years. There were 17 patients with contraception history (56.7%), 13 patients with family history of breast cancer (43.3%). From this study, it was obtained 23 patients with good chemotherapy response (76.7%) and there were 7 patients who had poor chemotherapy response after neoadjuvan chemotherapy (23.3%). Paired t-test analysis showed that there was a significant difference in mean CD4+ count before and after neoadjuvan chemotherapy. At the CD4+ level before chemotherapy 775.55 had a sensitivity of 60% and a specificity of 57% (cut of point). While CD4+ levels after chemotherapy 470.85 with sensitivity of 60% and specificity of 57%. Conclusion. CD4+ pre-chemotherapy examination had a sensitivity score of 60% and a specificity of 57% in predicting neoadjuvant chemotherapy response.

Comparison of the Effectiveness of Sequential Organ Failure Assessment (SOFA) and Quick Sequential Organ Failure Assessment (qSOFA) in Predicting Mortality in Secondary Non-Traumatic Peritonitis Patients Nurwansyah; Alsen Arlan; Irfanuddin
Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Introduction. Peritonitis has a high mortality rate, SOFA is a scoring system that represents 6 organ functions namely respiration, blood coagulation, liver, cardiovascular, Central Nervous System, and Kidney the higher the SOFA score the higher the possibility of mortality, qSOFA is a new scoring , practical and has a strong predictive value. Method. This study was a diagnostic study in the form of a suitability test to assess the sensitivity, specificity, PPV and NPV, cut of points and the suitability of the SOFA and qSOFA scoring systems in predicting outcomes of patients with secondary peritonitis in RSMH Palembang. Results. Data processing was performed on 27 study subjects during November 2017-June 2018. SOFA prognosis test results with a cut-off point >5 obtained a sensitivity of 84.2%, 100% specificity, PPV 73.68%, NPV 100%, prognosis test results qSOFA with a cut off point> 2 Obtained a sensitivity of 91.7%, specificity of 100%, PPV 91.66%, NPV 80%, Conclusion.The qSOFA scoring system was more efficient than SOFA in predicting mortality

Revised Trauma Score (RTS) as a Mortality Predictor on Abdominal Trauma Ade Dian Anggraini; Efman EU Manawan; Legiran
Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Introduction: Trauma is a major health problem throughout the world. Trauma is the most common cause of death and the most common cause of disability in adults and young adults. Abdominal trauma accounts for 7-10% of all trauma sufferers and causes severe trauma. The purpose of this study was to determine the relationship between the Revised Trauma Score (RTS) to the mortality of abdominal trauma sufferers. Methods: This study was an observational analytic study with a retrospective design to assess the relationship between Revised Trauma Score (RTS) and mortality in abdominal trauma patients treated in the Emergency Department of RSUP DR. Mohammad Hoesin Palembang. Data collected were analyzed using SPSS-23 devices using the chi-square method and Mann Whitney Results: 144 abdominal trauma patients studied. The mean age was 28 Â± 11,340 years, 97.4% were male, 64.0% of patients had abdominal trauma. The average RTS value was 7.429 Â± 1,001. The mean value in the group of patients who died was 6.628 Â± 0.795 and the mean value of the RTS in the group of patients who did not die was 7.459 Â± 0.795. There was a significant relationship between RTS values â€‹â€‹and mortality in abdominal trauma patients (p = 0.0.03). Conclusion: the results of this study indicate that RTS is a meaningful assessment system in predicting death in abdominal trauma patients

Development of Scoring System for Prediction of Choledocholithiasis Danny Amos Tarigan; Hafid Komar; Legiran
Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Introduction. Gallstones (cholelithiasis) and gallbladder stones (choledocholithiasis) are still a public health problem because of the high incidence rate. Management of stones in common bile duct (CBD) is done with history taking about patient complaints and tracking patient history such as yellow appearance, physical examination, laboratory examination, and imaging examination before, during and after surgery. Of the many imaging assessment that can be done, in practice not all can be done because these tests are expensive, complicated, risk of morbidity and mortality. A scoring system that includes many parameters can be very useful for many surgeons to be able to assess the presence of gallbladder stones. Methods. The study was an analytic observational study with a cross sectional study design carried out in the digestive surgery polyclinic and the inpatient installation of Dr. Moh Husein general hospital, Palembang from September 2018 to May 2019. The sample of this study was all patients suspected of having gallbladder stones that met the inclusion and exclusion criteria. Results: Receiver operating characteristic (ROC) analysis of scoring on bile duct stone diagnosis had a cut-off of> 4 with a sensitivity value of 100% and a specificity of 75%. In the Fisher's Exact analysis test and it was found that the scoring had a significant relationship to the diagnosis of bile duct stones with an odd ratio (OR) value of 12.52. Conclusion. The use of a scoring system can predict the incidence of gallbladder stones.

Comparison of Hip Functional Value and Quality of Life Between Cemented and Uncemented Hip Arthroplasty Patients Fredy Ferdinand Carol; Wiria Aryanta; Legiran
Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Abstract Introduction. Hip arthroplasty is aimed to reduce pain and restore hip joint function. Until now, the most optimal method for fixation in Hip Arthroplasty is controversial. The purpose of this study was to analyze the comparison of hip functional value and quality of life between cemented and uncemented hip arthroplasty patients. Methods. This study used cross sectional design. Data were collected via medical record and SF-12 questionnaire and Oxford hip score in patients who have received hip arthroplasty at general hospital Dr. Moh. Hoesin Palembang. Results: There were 43 cases found, consisting of 28 cemented cases and 15 uncemented cases. The average age was 60.42 Â± 19.44 years with an age range of 24-88 years. 20 subjects (46.4%) and 23 subjects (53.5%) women. The most preoperative diagnosis was trauma / fracture (69.8%), followed by osteoarthritis (16.3%), osteonecrosis (4.7%). Previous normality tests have been done with the Sapiro-Wilk test and homogeneity test. A comparison of hip functional values â€‹â€‹between cemented and uncemented hip arthroplasty patients had a value of p = 0.76 (p <0.05) meaning there was no significant difference. Comparison of quality of life between cemented and uncemented hip arthroplasty patients has a value of p = 0.592 (p <0.05) which also means there is no significant difference. Conclusion: There was no difference in pelvic functional value and quality of life between cemented and uncemented hip arthroplasty patients.

CD8 + Tumoral as Predictor of Neoadjuvant Chemotherapy Response in Patients with Local Advanced Stage Breast Cancer Muhammad Danar Deswangga; Yamin Alsoph
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

ABSTRACT Introduction. Cancer until now has become a problem for health in the world including Indonesia. According to 2013 WHO data, cancer incidence has increased from 12.7 million cases in 2008 to 14.1 million cases in 2012. In local advanced breast cancer the treatment is neoadjuvant chemotherapy. Neoadjuvant therapy usually uses anthracycline or taxane based which can improve chemotherapy responses. Methods. This type of research is a CD8 + tumoral prognostic test used to predict neoadjuvant chemotherapy responses in patients with locally advanced breast cancer. The research was carried out in the oncology surgery clinic and inpatient Dr. Mohammad Hoesin Hospital Palembang. Assessment of CD8 + expression is done by immunohistochemistry. CD8 + expression is expressed as a percentage of cell expression, whose the cut off point is determined first. Result. There was a significant relationship between CD8 + tumoral with chemotherapy response (p = 0.033) with a sensitivity value: 43.5%; specificity: 100%, NR +: 100%; NR-: 35%; False positive: 0%; False negative: 65%; OR: 1.53. CD8 + predominantly had a good chemotherapy response in all samples of 10 (100%) patients while CD8 + non-dominant tumoral was more in a good chemotherapy response with 13 (65%) patients and poor chemotherapy response in 7 (35%) patient. Conclusion. CD8 + as a predictive factor for neoadjuvant chemotherapy responses in local advanced breast cancer has a significant relationship, with a p value = 0.033, sensitivity value: 43.5%; specificity: 100%, NR +: 100%; NR-: 35%; False positive: 0%; False negative: 65%.

Patterns of Changes in C-Reactive Protein (CRP) in Patients Performed Intestinal Anastomosis Resection Embong Wicaksono; Sarup Singh
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

ABSTRACT Introduction. C-reactive protein (CRP) is used as a marker of intestinal anastomosis leakage, its short half-life can be used as a predictor of intestinal anastomosis leakage. This study aimed to determine the pattern of increased preoperative and postoperative CRP in all patients undergoing bowel grafting. Methods. This was an observational analytic study with a prospective cohort design of 20 patients undergoing intestinal anastomosis. Comparative analysis using the unpaired t-test, man whitney test and fisher test. Results. The mean preoperative CRP serum up to the sixth postoperative day in the leakage group was higher than non-leakage, but there were no significant differences between the two groups (ppreop = 0.852; pPOH1 = 0.791; pPOH2 = 0.634; pPOH3 = 0.507; pPOH4 = 0.534; 0.507; pPOH5 = 0.506; pPOH6 = 0.595). CRP cut-off values >170 mg / L on the second postoperative day had the maximum sensitivity (67%) and specificity (65%) in knowing the risk of anastomotic leakage. Conclusion. An increase in CRP levels up to the third postoperative day is a marker of anastomotic leakage. CRP cut-off values> 170 mg / L on the second postoperative day have maximum sensitivity and specificity.

Hematocrit Changes as Parameters for Giving Mannitol in Severe Head Injury Donny Valensius Susanto; Trijoso Permono
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

ABSTRACT Introduction. Incidence of head injuries is also quite high in Indonesia, around 1.4 million cases per year with a mortality rate of 15-20% in the population aged 5 to 35 years. Head injuries are commonly divided into two separate time periods namely primary and secondary brain injuries. Primary brain injury is physical damage to the parenchyma (tissue and blood vessels) that occurs during a traumatic event, thus causing compression of the surrounding brain tissue. Secondary brain injury is a continuation of the results of primary brain injury with the main complications of brain injury in the following hours and days. This study was aimed to asses the benefits of administration of mannitol in cases of severe head injury in South Sumatra, Indonesia. Methods. This research was a clinical trial without comparison by looking at hematocrit levels in patients with severe head injuries with intracranial hypertension before and after given mannitol therapy. Data analysis was performed with IBM SPSS Version 23. Data was presented in the form of narrative tables. Then the paired T test was performed. P value <0.05. Results. From 39 research subjects, the age of the subjects ranged between 6-88 years with an average of 33 years. Based on sex there were 28 male sufferers (71.8%) and there were 11 female sufferers 28.2%. GCS varies from 3 to GCS 8 intra-cranial abnormalities. From 39 research subjects with severe head injury without surgery, a hematocrit examination was performed before, after 10 minutes and 6 hours of injection of mannitol bolus 1 g / kg body weight. It was obtained that averaged hematocrit before mannitol administration was 34, after 10 minutes was 33 and after 6 hours was 35. Conclusion. There is a decrease in hematocrit levels after administration of bolus mannitol 1 g / kg BW at the beginning of mannitol administration and hematocrit will increase again after 6 hours of mannitol administration

Sleep Quality Improvement of Benign Prostate Hyperplasia Patients After Transuretral Resection of Prostate Alice Agustine; Marta Hendry
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

ABSTRACT Introduction. Nocturia is lower urinary tract symptoms on benign prostat hyperplasia patients that made him asleep at night to urinate. This condition impacted on many level of patient life, which are quality of life, quality of sleep, daytime function, morbidity and mortality and nocturia has the biggest impact on patient sleep quality. Methods. This is an observational study including 30 patient of benign prostat hyperplasia undergoing transurethral resection of the prostate as research subjects. All patient were assessed using the Pittsburgh sleep quality index and international prostate symptom score at baseline and 2 month after transuretral resection of the prostate Results. A total 23 patients (76,7%) had a sleep disorder as a score of 5 or more on Pittsburgh sleep quality index score. After the transurethral resection of the prostate, pittsburgh sleep quality index score of 12 patient have decreased (less than 5) and 11 others with persistent sleep disorder. Pittsburgh sleep quality index significantly decreased after transurethral resection of the prostate from Â±9,36 to Â±5,03 (p-value 0,000). Nocturia also significantly decreased after transuretral resection of the prostate from Â±3,46 to Â±2,40 (P value 0,003). Lower urinary track symptoms in this patient also getting better after surgery. The international prostat symtoms score decreased after transurethral resection of the prostat from Â±21,80 to Â±7,67 with P value 0,000 Conclusion. Transuretral resection of prostate improves sleep quality dan decreased lower urinary track symptoms in benign prostate hypertrophy patients.

The Effectiveness of Closed Reduction Method Using Chinese Finger Trap and Immobilization of Circular Casts in the Management of Distal Radius Closed Fractures Clement Dewanto; Zulkarnain Muslim
Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

ABSTRACT Introduction. Distal radius fractures are one of the most common fractures encountered by bone surgeons in the emergency room. In America, accounting for about 8% to 17% of all fracture cases that have been treated and around 75% of fractures in the forearm. In Palembang, especially in Dr. Moh Hoesin general hospital there was no data yet about the number of incidents of distal radius fractures, how to treat (conservatively or operatively) and success rates. For this reason it is difficult to measure accurately, how likely is it that a distal radius fracture can be successfully treated conservatively. Methods. This study was an observational analytic study with a longitudinal design to determine the effectiveness of closed reduction measures by immobilization casting through radiological examination in the management of cases of distal radius fractures at dr Moh Hoesin general hospital in Palembang Result. Based on the subject based on the type of fracture, there were 43.8% of subjects with Frykman-1; 6.3% of subjects with Frykman-2; 18.8% of subjects with Frykman-3; 12.5% â€‹â€‹subjects with Frykman-4; 6.3% of subjects with Frykman-5; 0% of subjects with Frykman-6; 6.3% of subjects with Frykman-7; 6.3% of subjects with Frykman-8. Based on the analysis between the Fracture Type and X-Ray parameters in the form of Radial Length, Radial Inclination, Radial Tilt and Ulnar Variance, only Ulnar Variance has a significant relationship with p = 0.001 Conclusion. The effectiveness of closed reduction is significantly related to the type of Frykman fracture and the most fracture type that has been successfully closed closed is the type of Frykman I fracture with the highest number of samples and 100% success rate.

Page 1 of 9 | Total Record : 83

1 2 3 4 5

Filter by Year

2018 2023

Filter By Issues

All Issue Vol. 6 No. 2 (2023): Sriwijaya Journal of Surgery Vol. 6 No. 1 (2023): Sriwijaya Journal of Surgery Vol. 5 No. 2 (2022): Sriwijaya Journal of Surgery Vol. 5 No. 1 (2022): Sriwijaya Journal of Surgery Vol. 4 No. 2 (2021): Sriwijaya Journal of Surgery Vol. 4 No. 1 (2021): Sriwijaya Journal of Surgery Vol. 3 No. 2 (2020): Sriwijaya Journal of Surgery Vol. 3 No. 1 (2020): Sriwijaya Journal of Surgery Vol. 2 No. 2 (2019): Sriwijaya Journal of Surgery Vol. 2 No. 1 (2019): Sriwijaya Journal of Surgery Vol. 1 No. 2 (2018): Sriwijaya Journal of Surgery Vol. 1 No. 1 (2018): Sriwijaya Journal of Surgery More Issue

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Rachmat Hidayat

Contact Email
dr.rachmat.hidayat@gmail.com

Phone
+6288225053819

Journal Mail Official
sriwijayajournalsurgery@gmail.com

Editorial Address
Surgery Department,Faculty of Medicine, Universitas Sriwijaya Palembang, South Sumatera, Indonesia

Location
Kab. ogan ilir,

Sumatera selatan

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Rachmat Hidayat

Contact Email dr.rachmat.hidayat@gmail.com

Phone +6288225053819

Journal Mail Official sriwijayajournalsurgery@gmail.com

Editorial Address Surgery Department,Faculty of Medicine, Universitas Sriwijaya Palembang, South Sumatera, Indonesia

Location Kab. ogan ilir, Sumatera selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Rachmat Hidayat

Contact Email
dr.rachmat.hidayat@gmail.com

Phone
+6288225053819

Journal Mail Official
sriwijayajournalsurgery@gmail.com

Editorial Address
Surgery Department,Faculty of Medicine, Universitas Sriwijaya Palembang, South Sumatera, Indonesia

Location
Kab. ogan ilir,

Sumatera selatan

INDONESIA