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Jurnal Plastik Rekonstruksi

jpr
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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.

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Articles 5 Documents

Search results for , issue "Vol. 2 No. 4 (2013): October Issue" : 5 Documents clear

Giant Abscess On Serve Leprosy Reaction With Prolong Used Of Steroid Narmada, Steven; Hasibuan, Lisa Y
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): October Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Abstract: Leprosy patients during the course of their illness may experience the leprosy reactions, the body's immune response against Mycobacterium leprae. Long-term use of steroids for treatment may decrease the body's immune system against Mycobacterium leprae. As severe leprosy reactions, giant abscess incidence is rare and has a high morbidity and motality. Therefore, it needs a comprehensive multidisciplinary management such multiple incision and drainage, proper pharmacologic treatment for leprosy reactions as underlying disease that involves the patient's systemic condition. Patient and Method: We report one case of giant abscess in bucal, left upper and lower extremities in leprosy patients who had been taking steroids for 1.5 years due to neuritis (Paucibacillary leprosy reaction type) but the leprosy reactions became more severe and the patient's condition deteriorated. We performed multiple incision through subcutaneus and fascia to expose each compartmens of muscle and drainage to remove pus. Result: There were 2,500 cc of pus in the left femoral region and 200 cc in the left antebrachial region. The culture was negative, showing that the giant abscess was not caused by bacterial infection, but a severe leprosy reactions. Systemic complications due to leprosy reactions, the longterm use of steroids and hypoalbuminemia prevent wound healing and patient’s recovery. Summary: Long-term use of steroids in leprosy may weaken the immune system and cause a giant abscess. Therefore we need a comprehensive management of multiple surgical incision and drainage as well as medical treatment and proper nutritional support.

Perigenital Defect Reconstruction Post Giant Condyloma Acuminata Resection: Experience With The Double Keystone Flap Suhartadi, Bayu; Supit, Laureen; Sukasah, Chaula
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): October Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Abstract: Due to its high recurrence, genital condyloma acuminata should be widely excised to include the full dermal thickness. Currettage is not advisable, as the rate of recurrence is high. The bigger the lession, the bigger donor area needed to close the defect. The reconstructive options do not merely depend on the defect area, but also on selecting a tissue donor of similar color, thickness, sensation and durability. The ease of donor transfer is equally important. Not many case of giant genital condyloma acuminata wide excision and reconstruction has been reported. For coverage of larger soft tissue defect, skin graft is the most common option; however durability is of concern and the perigenital area is a challenging area to graft. Two cases of perigenital reconstruction after giant genital condyloma excision is reported in this paper, using random perforator based flaps, the double keystone flap. Patient and Method: Both cases of giant genital condyloma underwent wide excision by the urologist and referred to our division for reconstruction. Both patients are male, and the defects were reconstructed using the double keystone flap. One patient needed a split thickness skin graft to cover remaining defect on the penile shaft. Result: In both cases, the double keystone flap successfully covered for the defects on the perigenital with tissue quality similar to its original characteristics. No complication ensued. All flaps were vital, no dehisence nor local infection occurred. Summary: The double keystone flap is a reliable option for the reconstruction of large defects on the perigenital region.

Incidence of Palatal Fistula after One-Stage Palatoplasty and Factors Influencing the Fistula Occurrence Vityadewi, Nurardhilah; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): October Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Cleft palate repair may be compromised by a number of complications, most commonly the development of a fistula. Fistulas are related to an increased rate of hypernasal speech, articulation problems, and food or liquid regurgitation from the nose. Fistulas also tend to recur after a secondary repair to address the fistulas. This study reviews the rate of fistula in our craniofacial center after a onestage cleft palate repair; and to determine whether, cleft type, age at repair, type of cleft repair, hemoglobin level presurgery, and patients nutritional state influence the risk of fistula occurence. Patient and Method: A retrospective analysis was performed on medical records of 93 patients who underwent palate repair between January 2012 to October 2013. All consecutive cleft (lip and) palate patients are included. Bivariate analysis was performed to identify the predictors of fistula formation. Result: Ninety-three patients (50 male and 43 female) underwent one-stage palatoplasty. Cleft palate fistulas occured in 19 of 93 patients (20,4%). The age of the patients at the time of repair ranged from 9 to 144 months (mode 18 months). All palate repairs were done in one stage, using either the two flap (N=66), Wardill-Kilner (N=24), Furlow (N=2), and Langenback (N=1) techniques. No significant influence was found related between age at the time of repair (p 0.789), body weight (p 0.725), Hemoglobin value (p 0.295), and type of cleft (p 0.249) to the rate of fistula occurrence. Summary: This study found no association between , body weight, preoperative hemoglobin value, and the type of cleft to the rate of fistula following cleft palate surgery.

Factors Associated with Occurrence of Amputation in Electrical Burns Narmada, Steven; Hasibuan, Lisa Y
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): October Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Electrical burns can cause damage to blood vessels in the burning extremities . This damage can lead to amputation that significantly impacts both physically and psychologically that affects the quality of life. This study aimed to determine the incidence and factors associated with the occurrence of amputation in electrical burns. Method: A retrospective cohort study was done to patients with electrical burns that came to RSHS from 2011 to 2013. Mulativariate analysis, logistic regression, was performed on the factors associated with the occurrence of amputation in electrical burns. Result: Most of the electrical burns were suffered by men (93.5%) at reproductive age (mean 34.1 years; range 10-60 years of age). The incidence of amputation in electrical burns is 54.8% from 31 patients. There is a significant relationship between the causes of high-voltage electrical burns> 1000V with the occurrence of amputation (p = 0.008; Relative risk ratio 8,125 ; 95% CI= 1,62-40,752) and there is a significant relationship between the presence of third degree of burns with amputation (p = 0,011; Relative risk ratio 16; 95 % CI=1,643-155,76). There is no significant relationship between the extent of burns and lactate levels with the amputation on electrical burns. Conclusion: Amputation in electrical burns have a fairly high incidence. High electrical voltage> 1000V and presence of third degree of burns are associated with the occurrence of amputation.

The Application of Moist Exposed Burn Ointment (MEBO) and Binahong Leaves in Treating Partial Thickness Burn : A Case Report Prasetyo, Arif Tri; Heridadi, Eko
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): October Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Burn healing is dependent on good wound care management. Infection is one of the cause of wound healing failure. Infectious wound should be treated immediately. Binahong’s leaves is trusted as traditional herbal medicine which is considered capable to help wound healing process. Patient and Method: A 35 years old women suffer from scald and got 3% surface partial thickness burn at her right hand. The patient was initialy treated by application of MEBO. After a week patient came and felt uncomforted with the gauze. So, binahong’s leaves was patched on her wound to help the wound healing process. Result: After a week with binahong’s leaves therapy, the epithelialization is good and there was no infection. The result is satisfactory. Conclusion: This study shows that binahong’s leaves can be used to help wound healing process.

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