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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran
Setiawan, Stefanus Imanuel
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Diagnosis dan Tatalaksana Uterus Bikornu Setiawan, Stefanus Imanuel
Cermin Dunia Kedokteran Vol 48, No 12 (2021): General Medicine
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.667 KB) | DOI: 10.55175/cdk.v48i12.1576

Abstract

Malformasi uterus atau yang dikenal sebagai kelainan Mullerian, merupakan kelainan anatomis uterus, serviks, atau vagina. Salah satu jenis malformasi uterus adalah uterus bikornu. Selain temuan klinis melalui anamnesis dan pemeriksaan fisik, pemeriksaan radiologis seperti ultrasonografi (USG), histerosalpingografi (HSG) dan magnetic resonance imaging (MRI) memiliki peranan dalam diagnosis uterus bikornu. Rekonstruksi bedah direkomendasikan untuk pasien uterus bikornu dengan riwayat abortus spontan multipel tanpa faktor penyebab lain.Uterus malformations, also known as Mullerian anomalies, are structural anomalies of uterus, cervix, or vagina. Bicornuate uterus is one among several types of uterus malformations. Besides clinical findings from anamnesis and physical examination, ultrasonography (USG), hysterosalpingography (HSG) and magnetic resonance imaging (MRI) have roles in diagnostic assessment. Reconstructive surgery procedure is recommended for bicornuate uterus patient with history of multiple spontaneous abortions without other causing factors.
Diagnosis dan Tatalaksana Uterus Bikornu Setiawan, Stefanus Imanuel
Cermin Dunia Kedokteran Vol 48, No 3 (2021): Obstetri dan Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.638 KB) | DOI: 10.55175/cdk.v48i3.1325

Abstract

Malformasi uterus atau yang dikenal sebagai kelainan Mullerian, merupakan kelainan anatomis uterus, serviks, atau vagina. Salah satu jenis malformasi uterus adalah uterus bikornu. Selain temuan klinis melalui anamnesis dan pemeriksaan fisik, pemeriksaan radiologis seperti ultrasonografi (USG), histerosalpingografi (HSG) dan magnetic resonance imaging (MRI) memiliki peranan dalam diagnosis uterus bikornu. Rekonstruksi bedah direkomendasikan untuk pasien uterus bikornu dengan riwayat abortus spontan multipel tanpa faktor penyebab lain.Uterus malformations, also known as Mullerian anomalies, are structural anomalies of uterus, cervix, or vagina. Bicornuate uterus is one among several types of uterus malformations. Besides clinical findings from anamnesis and physical examination, ultrasonography (USG), hysterosalpingography (HSG) and magnetic resonance imaging (MRI) have roles in diagnostic assessment. Reconstruction using surgery procedure is recommended for bicornuate uterus patient with history of multiple spontaneous abortions without other causing factors. 
Nilai Diagnostik Sonografi Saraf Median Pada Kasus Carpal Tunnel Syndrome Fase Kronis Di Indonesia Prasetyo, Marcel; Widya, Widya; Safri, Ahmad Yanuar; Prihartono, Joedo; Setiawan, Stefanus Imanuel
Majalah Kedokteran Indonesia Vol 72 No 4 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.4-2022-550

Abstract

Background. Ultrasound evaluation on the median nerve in carpal tunnel syndrome (CTS) patients by measuring cross-sectional area (CSA) is widely known. However, studies have shown that CSA of the median nerve could vary in different demographical factors. Therefore, the cut-off CSA value for CTS in the Indonesian population could be significantly different. Purpose. To compare mean CSA of the median nerve between normal and CTS populations and establish a cut-off point of CSA to diagnose CTS. Materials and Methods. A comparative cross-sectional study was conducted involving 40 people divided equally into CTS and normal groups. Normal and CTS subjects are determined by Electrodiagnostic study (EDx) using EMG and Nerve Conduction Study (NCS). The CSA measurement was performed at the level of the carpal tunnel inlet. Results. The mean CSA value at the level of tunnel inlet of the normal group was 8.3 ± 1.4 mm2 and for the CTS group is 15.4 ± 4.4 mm2. The receiver operating characteristics (ROC) analysis showed 10.6 mm2 as the cut-off point with 95% sensitivity and 95% specificity (P less than 0.001). Conclusion. The median nerve CSA at the tunnel inlet is significantly larger in the CTS population and the cut-off point can be recommended in detecting CTS in the Indonesian population.
Co-Authors Joedo Prihartono Marcel Prasetyo Safri, Ahmad Yanuar Widya Widya, Widya