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All Journal The New Ropanasuri Journal of Surgery ETUDE: Journal of Educational Research
Kurnia, Ahmad
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Social Sciences Other

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Correlation between Obesity and Seroma Following Modified Radical Mastectomy Kurnia, Ahmad; Suhandi, Andri; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Obesity becomes one of concern for surgeon asit provides additional morbidity in breast cancer. It influencesthe healing process negatively, and increase the complications following mastectomy. The most often found complication is seroma. Its incidence in obese is found higher than non–obese patient. Studies evaluating the correlation between obesity and seroma showed controversy. Hence, we run a study aimed to find out such a correlation in our characteristics. Method.We conducted cross sectional study. All patients treated with modified radical mastectomy (MRM) during period of 2013 to 2014 were included. Subject characteristics were recorded, including age, body mass index (BMI). Bilateral breast malignancy, diabetes mellitus and hypertension were excluded.Drain production and infection, and length of staywas recorded. Kolmogorov Smirnov test is used to find out normal distribution. In normal distribution, Pearson test or Spearman’s is used to find out correlation. Results. Out of 72 samples underwent MRM and drainage, there were 67 enrolled. The mean age was found of 48.5±8.5 years, and mean BMI of 25.43 kg/m2 ± 4.08.Length of stay ranged of 3–8 days andmean total seroma production was found of 502.3mL ± 207.8. We foundmoderate positive linear correlation between obesity and seroma (r = 0.581; p <0.01; r2 = 0.338) rolled of 33.8% and strong positive linear correlation between seroma and length of stay (r = 0.581; p <0.01;r2 = 0.542)rolled of 52.4%. Conclusion. We found positive linear correlation between seroma and obesity, and positive linear correlation between seroma and length of stay
Wide Excision of Non–Melanoma Skin Cancer at dr. Cipto Mangunkusumo General Hospital, 2012–2015: Recurrence and Prognostic Factors Pratama, Dennis William; Kurnia, Ahmad
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Skin cancer is one of many kinds of cancer which incidence increases globally. Basal cell carcinoma (BSC) and squamous cell carcinoma (SCC) are the most common prevalence of non–melanoma skin cancer, and also are the most common cancer among skin cancer. The main therapy for such skin cancer is wide excision within its safety margin added by adjuvant therapy. Despite adequate therapy, people with skin cancer still have a risk of recurrence. This study assesses the prognostic factors of recurrence among people with non–melanoma skin cancer who underwent wide excision surgery. Method. This study was a retrospective cohort with survival analysis. The patient's data who underwent wide excision surgery were from Perhimpunan Ahli Bedah Onkologi Indonesia (PERABOI)registry and medical record from Oncology Surgery Division in RSCM from January 2012–December 2015. Data selection was done based on inclusion and exclusion criteria. Results. There were 187 patients with non–melanoma skin cancer who underwent wide excision surgery; the recurrence was detected on 15% of the case. Most of the patients were ≥45 years old with the most common histopathological feature of the skin cancer was basal cell carcinoma. We did a survival analysis with Cox regression and the result was previous history of skin cancer (RR 6.903; 95% CI 2.925–16.292), perineural invasion (HR 3.818; 95% CI 1.561–9.340), location of the lesion (HR 0.071; 95% CI 0.022–0.228), and size of the tumor (HR 1.842; 95% CI 1.244–2.729) was the factorsthat increased recurrence. Conclusion. History of previous skin cancer, perineural invasion, location of the lesion, and size of the tumor were the prognostic factors for recurrence among patients with non–melanoma skin cancer who underwent wide excision surgery
Purse-String Suture for Skin Closure Following Large Thyroidectomy Kurnia, Ahmad; Siregar, Bintang Abadi; Ramli, Muchlis
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. The total number of patients with thyroid nodules, especially large thyroid nodules (> 6 cm diameter), is increasing. However, the conventional suturing technique for closure of thyroidectomies is still only recommended as the standard for the tumor with a diameter up to 6 cm. Hence, this study aims to prove another surgical technique, purse-string stitching technique, for better esthetic outcomes on large thyroidectomy. Methods. This study was a non-randomized control trial. The subjects included the patients of Cipto Mangunkusumo Hospital in 2013 to 2014 with a thyroid tumor > 6 cm in diameter without any history of anterior cervical surgery and positive lymph nodes. Subjects were divided into the purse-string group and the conventional group. Thyroidectomies were done on all subjects, then were closed by the suturing technique of each group. Outcomes were recorded in the follow-up sessions, including wound scar size, wrinkle existence, and subject’s satisfaction level. Results. Purse-string technique resulted in shorter scar length compared to the conventional technique (median 35 mm vs. 94 mm, p< 0.01). The other outcomes, such as the width of the scar (median 3 mm vs. 2 mm, p=0.265), the presence of wrinkles (0 vs. 2, p=0.480), and satisfaction level of subjects (median 9 vs. 9, p=0.287) were also assessed. Conclusion. The purse-string suturing technique on large thyroidectomy wound closure could be an alternative, besides the conventional suturing technique for a better esthetic result.
Four square method for improving students’ writing ability in EF Teens & Kids Kalimalang Lumenta, Febriany Maria; Surista, Ade; Kurnia, Ahmad
ETUDE: Journal of Educational Research Vol 1, No 1 (2020): ETUDE: Journal of Educational Research Vol 1 No 1 November 2020
Publisher : CV. Mitra Palupi

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Background:  Children are easily to speak up their idea directly but do not know how to shift it into proper writing. The children, English learners, need the writing aspect due to fulfill every English aspect especially in their school academicPurpose: This research is going to increase the students’ writing ability through eclectic method.Design and methods: This research has another concept with drawing the eclectic method in different ways. The writer tries to put four square writing methods in order to apply the eclectic method in developing students’ writing ability in EF Kids and Teens Kalimalang. This research is a descriptive quantitative research which will be done by field work. In this research, the writer uses the descriptive and quantitative design to analyze the data. The instrument and variable of this research consist of several parts. They are the directive of teaching method, the directive of the test form, and the result test.Results: The combining of Four Square Writing Method and classroom writing performance as Eclectic Method significantly improves the students’ score. It is clearly showed by the increasing of the mean score. The mean score of the pretest is 68.46% while the mean score of the posttest is 79.13% which increased 10.46%.
Consequential Surgeries Limit Recurrence of Skin Malignancies in Xeroderma Pigmentosum: A Case Report Kurnia, Ahmad; Kartini, Diani; Herwirastri, Novinda; Adyasa, Zoya M
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Xeroderma Pigmentosum (XP) is a rare inherited skin malignancy with no causative treatment options. Reporting a 23-year-old woman with xeroderma pigmentosum who underwent several surgical tumor removals followed by further five procedures to apply tissue expander, facial resurfacing using full-thickness skin grafts with a donor from abdominal. The next series was tumor resection in the chin, forehead, nasal reconstruction, tumor removal on bilateral third digits, and defect closure. No recurrence after nine years of postoperative monitoring with an aesthetically acceptable result.
Co-Authors Adyasa, Zoya M Herwirastri, Novinda Kartini, Diani Lumenta, Febriany Maria Muchlis Ramli Pratama, Dennis William Setyawati Budiningsih Siregar, Bintang Abadi Suhandi, Andri Surista, Ade