Garuda - Garba Rujukan Digital

Article Per Year (5 Year)

All

Jurnal Plastik Rekonstruksi

jpr
Website

Published by Yayasan Lingkar Studi Bedah Plastik

ISSN : 20896492 EISSN : 20899734 DOI : -

Core Subject : Education, Engineering,

Civil Engineering, Building, Construction & Architecture Other

Jurnal Plastik Rekonstruksi is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery. JPR publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types.

Arjuna Subject : -

Articles 16 Documents

1 2

Search results for , issue "Vol. 1 No. 4 (2012): July Issue" : 16 Documents clear

Modalities to Treat Penile Glans Amputation: Case Series Sukasah, Chaula L.; Atmodiwirjo, Parintosa; Anindhawati, Nur
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: In Indonesia, a country with Muslim population as a majority, circumcision is the most common operation performed in males. However, since circumcisions are also commonly performed by inexperienced individuals and during communal circumcision event, we frequently come across complications. One of the most severe complications is amputation of the penile glans. There are several techniques that can be used to treat this complication. In this paper we present some which have been used in our division and the result. Patient and Methods: We report three cases of traumatic penile glans amputation as a complication of circumcision that has been admitted to Cipto Mangunkusumo Hospital during January 2011 – January 2012. In first case we performed full thickness skin graft, in the second one we performed groin flap, and scrotal flap to reconstruct the third case. We evaluate the result for several months. Results: The three techniques showed no complication, good result in function and also aesthetically acceptable for patient and the family. Choice of technique that has been used to repair the amputated penis depended on the patient condition, and surgeon’s choice.Summary: The three techniques each has advantages and disadvantages, but all of them are acceptable, functionally and aesthetically.

Comparison of Wound-bed Preparation Time in Chronic Traumatic Wound Using Topical Honey Application and Conventional Dressing Mukarramah, Dewi A.; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Prior to the de!nitive closure of wound by skin graft, it is essential for the recipient wound to be prepared adequately. Honey has been shown to exert a valuable effect in wound healing, atributale to its six favorable characteristics. This clinical study is proposed to determine the effectiveness of a specific sample honey (Madu Nusantara®) in accelarating the time of wound bed preparation in chronic traumatic wound.Methods: A randomized non-blinded clinical trial was done on patients with chronic traumatic wound who required wound bed preparation before definitive closure, during a one-year period. A total of 18 patients were included in the study, divided into two interventions. One has wound treated by topical application of honey (HDR), and controls were treated by conventional dressing (CDR). Daily wound treatment and evaluation was done using The Bates-Jensen Wound Assesment Tool until wound-bed was ready to be skin-grafted. The time required until wounds were ready to be grafted was also measured in both groups.Results: The mean time of wound bed preparation in HDR gorup was 12 days (n=11), and 26 days in CDR group(n=7, p 0.0055). The mean Bates-Jensen score of HDR improved from 45.45 before treatment to 23.36, versus 44.00 to 29.00 in CDR subjects.Conclusion: A favorable wound bed is essential prior to skin grafting.Our data shows that topical application of honey is more effective in accelerating the time of wound bed preparation than conventional dressing in patients with chronic traumatic wound.

Early Detection of Elevated Serum Procalcitonin Is Required as Warning Sign of Sepsis in Burn Patients Fortuna, Fory; Wardhana, Aditya
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Backgrounds: Procalcitonin (PCT) is a marker of the inflammatory response. This biomarker also plays a key role in burn injury, as it is accompanied by systemic inflammatory response syndrome (SIRS). Elevated level of serum PCT possibly interprets the state of inflammation and multiple organ dysfunctions (MOD) with the risk of lethal outcome.Patients and Methods: We detected high serum PCT level associated with its warning state of inflammation in 3 adult patients. We found that each high PCT level was continued by its state of inflammation. These four patients encounter serum PCT level into more than 10 ng/ml. Sepsis was diagnosed according to American Burn Association Sepsis Criteria.Results: High elevated PCT serum level (161.70 ng/mL) was detected on the first patient 8 days post burn injuryand died on the next 5 days. on the second patient, high PCT serum level (40.81 ng/mL) detected 9 days after burn injury and died on the next 2 days. The third patient was detected with high PCT serum level (12.28ng/mL) 2 days after burn injury was died on the next 2 days. The pediatric patient was detected with high PCT level (23.41 ng/ml)11 days after burn injury and died on the next 4 days.Summary: We found that it is important to initiate PCT measurements in burn patients at the time of admission. Daily measurement of PCT levels is needed for an early diagnosis and treatment of burn sepsis, monitoring therapy and MOD prevention.

Modified Radial Incision Technique in Reduction Nipple Hypertrophy Marita, Adinda; Budiman, Budiman
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Nipple hypertrophy causes psychosocial embarrassment and discomfort to the affected individuals. The only mean to correct it is by performing surgical procedure aiming to reduce the diameter as well as the vertical height of the nipple while preserving the lactiferous ducts. Patients and Methods: Two cases of nipple hypertrophy were described in this case series : the first one was a male patient presented with an overly prominent nipple of the left breast. Second case was a female patient with bilateral nipple hypertrophy. Circular design was performed at the tip of the nipple to match the size of the normal nipple. Three wedged excisions was made, and also three radial pillars with its pedicle divided into two parts: the lower part was de-epithelialized. This technique was able to reduce the diameter and also the vertical height of nipples without compromising their vascular supply. Result: No complications such as nipple necrosis or sensory loss were found in both patients during follow-up period. The normal symmetry of the nipple contour was restored. Conclusion: We described a simple technique for both male and female patients with nipple hypertrophy, which provided good aesthetic result and patient satisfaction.

Pitfalls in Rhinoplasty: Avoiding Mismatch Between Anatomy, Patient Expectation and Mastery of The Surgeon Susanto, Imam
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Aesthetic surgery is a component of Plastic Surgery which deals with a “normal” person with neither disease nor disfigurement. They seek surgery to enhance appearance, which is expected to boost confidence level and performance. Because aesthetic patient come with no physical deformity, their expectation for perfection is high. As plastic surgeons, we must be aware of the pitfalls in our works, how much can we deliver the expectations of patients as suited to our knowledge and our capability in mastering surgical technique including the implementation of new techniques combined with technology. Our awareness throughout each surgery, and the obsession for perfection must measure up to what the patient desire. Patients and Method: A review of 3 augmentation rhinoplasty patient cases who come to my private practice between 2006-2012 with concern of postoperative results is presented, prior previous surgeries were done either by author or other surgeons. Result: All patients received surgical counseling and scheduled correctional surgeries, nearly all patient accepted the final results and were satisfied. Summary: Pitfalls are common in aesthetic surgeries. To prevent this, we must be aware all aspects involved starting from the first consultation with patient, carefully assess the anatomy and anomaly of each case, master the surgical techniques used, and careful when implementing new techniques. Finally, have the wisdom to say ‘no’ to patients who are not good candidates for aesthetic surgery.

A Simple Method to Measure Serum Lactate Concentration as A Reliable Parameter to Detect Flaps Blood-flow Patency Handayani, Siti
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: The change in !ap blood flow patency can be monitored by measures. Subjective clinical observation through flap examinations is greatly biased depending on examiner’s experience. Standardised equipments of assessment are more reliable. This study propose the use of a device to provide an objective, safe,reproducible, simple, portable, and cost-effective method of monitoring flaps vitality by measuring serum concentration of lactic acid. Methods: An experimental lab-based study was conducted utilising Sprague-Dawley rats. Twenty rats were randomly assigned into two groups. In all subjects, bilateral groin-flaps were elevated. In rats of Group A, the vein pedicle of one-side of the flap was occluded while in Group B both the artery and vein on one-side of the flap were occluded. The other side of flaps in each rat were left unoccluded to serve as controls. Baseline serum lactate was measured in all flaps, then remeasured 60 and 120 minutes in all flaps after pedicle manipulations. Results: The mean lactate concentration of Group A rats with vein-occluded !aps was 2.5 ± 0.17 mmol/L at 0-min initially, and increased to 7.9 ± 0.16 mmol/L 120-min after occlusion (p<0.0005). The mean lactate concentration of Group B rats with arterial and venous flap occlusion was 2.55 ± 0.21 at baseline, which increased four-fold at 120-min to 9.86 ± 0.28 mmol/L (p<0.0005). Among the two groups, the lactate difference was also found to be significant. Conclusion: This study demonstrates that the proposed method detects serum lactate changes in flaps with vein and arteriovenous occlusions. This thus can be used as an objective parameter to evaluate compromised blood flow on cutaneous flaps.

Page 2 of 2 | Total Record : 16

1 2

Filter by Year

2012 2012

Filter By Issues

All Issue Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi Vol. 10 No. 2 (2023): Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi Vol. 9 No. 2 (2022): Jurnal Plastik Rekonstruksi Vol. 9 No. 1 (2022): Jurnal Plastik Rekonstruksi Vol. 8 No. 2 (2021): September Issue Vol. 8 No. 1 (2021): March Issue Vol. 7 No. 2 (2020): September Issue Vol. 7 No. 1 (2020): March Issue Vol. 6 No. 2 (2019): September Issue Vol. 6 No. 1 (2019): March Issue Vol. 5 No. 2 (2018): July Issue Vol. 5 No. 1 (2018): January Issue Vol. 4 No. 2 (2017): July Issue Vol. 4 No. 1 (2017): January Issue Vol. 3 No. 2 (2016): July Issue Vol. 3 No. 1 (2016): January Issue Vol. 2 No. 4 (2013): October Issue Vol. 2 No. 3 (2013): July Issue Vol. 2 No. 2 (2013): April Issue Vol. 2 No. 1 (2013): January Issue Vol. 1 No. 6 (2012): November Issue Vol. 1 No. 5 (2012): September Issue Vol. 1 No. 4 (2012): July Issue Vol. 1 No. 3 (2012): May Issue Vol. 1 No. 2 (2012): March Issue Vol. 1 No. 1 (2012): January Issue More Issue

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
-

Editorial Address
-

Location
Unknown,

Unknown

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name -

Contact Email -

Phone -

Journal Mail Official -

Editorial Address -

Location Unknown, Unknown INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
-

Contact Email
-

Phone
-

Journal Mail Official
-

Editorial Address
-

Location
Unknown,

Unknown

INDONESIA