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All Journal Medula MEDIA BINA ILMIAH Gelanggang Olahraga: Jurnal Pendidikan Jasmani dan Olahraga (JPJO) Jurnal Kesehatan Jurnal Kesehatan Karya Husada Community Development Journal: Jurnal Pengabdian Masyarakat
Satria, Muhammad
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Arts Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : Medula

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Hernia Umbilikalis: Ulasan Singkat Reghina Pratiwi Hidayat; Perwisa, Inna Rahmayanti; Satria, Muhammad
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.880

Abstract

An abnormal protrusion of an organ in the fascia of the abdominal wall is called a hernia. An umbilical hernia indicates that there is a protrusion in the anterior abdominal wall. Congenital umbilical hernias occur more frequently due to failure to obliterate the umbilical blood vessels into ligaments after birth. However, congenital umbilical hernia can completely close 85-90% by the age of 5 years. Adult umbilical hernias are usually associated with increased intra-abdominal pressure, such as chronic coughing, frequent straining and large abdominal tumors, requiring surgical treatment. The clinical manifestation of an umbilical hernia is usually a protrusion in or near the navel, but if it is incarcerated or strangulated, symptoms of nausea, vomiting, difficulty defecating and abdominal pain will appear. On physical examination, you will find a lump in the navel with skin color even red to black if strangulation has occurred. In addition, to the touch it will feel warm. The most severe clinical manifestations can be symptoms of sepsis such as hypotension and tachycardia. The necessary supporting examinations include initial imaging such as ultrasound and the most sensitive, namely an abdominal CT scan. Surgical treatment for adult umbilical hernias can be done with suture or mesh repairs, while pediatric umbilical hernias can be repaired with non-absorbable sutures and umbilicoplasty for aesthetic improvement. Complications of umbilical hernia are usually related to post-surgery such as hematoma, post-operative wound infection. The prognosis for an umbilical hernia is good after surgery.
Apendisitis Akut Pada Pasien Dewasa: Ulasan Singkat Fachmi Aditya; Satria, Muhammad
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.1053

Abstract

Acute appendicitis is an inflammatory condition that occurs within 24 hours in the vermiform appendix which is usually triggered by obstruction of the outlet of the appendix and in adult patients the obstruction is caused by lymphoid hyperplasia. The typical clinical manifestation that appears is periumbilical pain which then migrates to the right lower quadrant. Typical physical examination is tenderness at the McBurney point, Rovsing sign, obturator sign and psoas sign. The most important supporting examination is a complete blood test which indicates the presence of leukocytosis. Imaging modalities are performed if the clinical diagnosis is not yet established and to determine the size of the inflamed appendix. The imaging modality often chosen is abdominal ultrasound because it is cheap, easy and suitable for pregnant patients and children. Abdominal ultrasound will show an anteroposterior appendiceal diameter of >6 mm with an abnormal increase in peri-appendiceal fat echogenicity. After the diagnosis of acute appendicitis is made, the next step in treatment is to consider whether an appendectomy, either laparoscopic or open laparotomy, is needed. In addition, administering empirical broad-spectrum antibiotics such as a combination of cephalosporins or fluroquinolones with metronidazole is also important in this case.
Co-Authors Abdullah Al Ghazali, Muhamad Dzikry Dian Wahyuni Fachmi Aditya Hambali, Burhan Harianja, Meyliyani Hissania Br Lubis, Alweni Khoiriyah Nugraha, Reshandi Perwisa, Inna Rahmayanti Reghina Pratiwi Hidayat Riansyah, Riansyah Rivaldy, Vendry Rumondang, Rumondang Rustam, Raflis Septian, Regi Dwi Suriono, Hadi Ufran Ufran, Ufran Yusuf Hidayat Zainal Asikin