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All Journal Jurnal Plastik Rekonstruksi
Samiadji, Muhammad
Yayasan Lingkar Studi Bedah Plastik
Civil Engineering, Building, Construction & Architecture Other

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Synechia of Major Labia and It’s Operative Technique: A Case Report Samiadji, Muhammad; Pudjisriyani, Pudjisriyani; Swantari, Ni Made; Sukasah, Chaula L.
Jurnal Plastik Rekonstruksi Vol. 1 No. 2 (2012): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.239 KB) | DOI: 10.14228/jpr.v1i2.53

Abstract

Background: Labial synechia (labial fusion or labial adhesion) is a clinical entity rarely seen in adults. Labial synechia are usually caused by a combination of local inflammation, chronic infection and estrogen deficiency. This condition is not life threatening, but severe cases usually result in urinary problems.Methods: A case report based on the medical and surgical records was done. We found one case of labial synechia on a 65 years old female which was referred to plastic and reconstructive surgery department from the Gynecology department.Results: The reconstructive surgery was performed with two stage. Local anaestethic adhesiolysis as the first treatment then continued with general anesthesia reconstruction using both labial advancement flap to close the mucous defect. Patient was stay in the hospital in 5 days, and the flap to reconstruct the labia was vital.Conclusion: Multifactorial causes such as chronic infection, chronic inflammation, poor hygiene and history of systemic disease can be the etiology. Surgical approach is the best choice for this case because the synechia causes urinary problems.
Clinical Applications of Micro-Skin Grafting For Skin Defect Coverage Wardhana, Aditya; Samiadji, Muhammad
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (478.294 KB) | DOI: 10.14228/jpr.v1i1.39

Abstract

Microskin graft is a technique of skin defect closure using a minimum of STSG donors to cover the large defect. Some considerations were taken, which includes the general status of the patient, donor area morbidity, and patient refusal to act is one of the reasons for the use microskin graft. History STSG failure with previous defect closure and lack of donor area would to bene!t from microskin graft. Case of boy 12 years old with extensive defects in the forearm due to burns. Consideration of the lack of donor area made us deciding to use microskin graft as main option to close the defect. We did one-week post operative evaluation. Epithelialization occurs at day 7, while complete epithelialization occurred at 14th day. Three month during follow-up control, the scar are minimal. We conclude that microskin graft is one technic that can be used in skin defect closure with minimal donor.
Co-Authors Pudjisriyani, Pudjisriyani Sukasah, Chaula L. Swantari, Ni Made Yundari, Yundari