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Dahril
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Journal of International Surgery and Clinical Medicine
Published by Universitas Syiah Kuala
ISSN : -     EISSN : 28077008     DOI : https://doi.org/10.51559/jiscm
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal of International Surgery and Clinical Medicine; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. JISCM publishes articles that encompass basic research/clinical studies related to Surgical Oncology, Digestive Surgery, Vascular Surgery and Endovascular, Pediatric Surgery, Urology, Neurosurgery, Orthopedics, Plastic Surgery. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship and encourage a vigorous dialogue between medical scholars and practitioners.
Arjuna Subject : Kedokteran - Pembedahan
Articles 6 Documents
 1 
Search results for , issue "Vol. 1 No. 2 (2021): Available Online: December 2021" : 6 Documents clear
Traditional massage therapy-induced traumatic rupture of hydronephrosis secondary to ureteral obstruction: a case report Dahril; Jufriady Ismy; Muhammad Puteh Mauny; Yasser Kuddah; Richardo Richard Handoko; Muhammad Azmi Fanany; Bellinda Paterasari; Andreas
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.2

Abstract

Introduction: The vast majority of renal injuries occurred by blunt mechanisms with fall and motor vehicle crashes. Massage therapy is widely used as traditional medicine and has been viewed as a safe treatment tool without major complications or side effects. Renal rupture due to traditional massage therapy is a rare complication. Moreover, it occurs even less commonly considering the anatomical location of the kidneys, where they are well-protected. The purpose of this article is to present a case of a patient with an acute ruptured kidney due to traditional massage therapy four hours before admission to the hospital. Case description: A 52-years-old man came to the emergency department with right upper and lower abdominal pain. The pain began in the flank region and spread to the right lower abdomen. He visited a traditional massage therapist and received massage therapy in the abdominal and back region with no history of other trauma or other activities before admission. The hemodynamic status was unstable. Physical examination revealed tenderness in the right upper and lower abdominal region and bulge area at the right flank region. We performed an emergency laparotomy due to hemodynamic instability. Right retroperitoneal exploration revealed active bleeding from a ruptured right kidney. Thus right nephrectomy was performed. Post-operative non-contrast CT scan showed ureteral obstruction due to the presence of right distal ureteral stone Conclusion: Kidneys with anatomical abnormalities such as hydronephrosis and blunt abdominal trauma may increase pressure in the hydronephrotic renal pelvis and cause a rupture. We suggest that surgeons should be cautious of the possibility of renal rupture in blunt trauma due to the change of normal morphological structure of the kidney and attenuation of the renal parenchyma.
Histopathological overview of wound healing process in white rats (Rattus norvegicus) using Chromolaena odorata leaf jelly extract Indra Yudhika; Muhammad Jailani; Dasrul
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.16

Abstract

Background: Various efforts have been made to accelerate the wound healing process in white rats, one of which is using Chromolaena odorata. The leaves contain tannins, phenols, flavonoids, saponins, and steroids, which accelerate the wound healing process. The purpose of this study was to determine the effect of Chromolaena odorata leaf jelly extract on the wound healing process in the inflammatory and proliferative phases in white rats microscopically (Rattus norvegicus).  Methods: A total of 27 healthy adult male white rats aged 3-4 months old were given open wounds on the back measuring 2x2 cm. The rats were then divided into four groups, a group administered with jelly without Chromolaena odorata leaf jelly extract (P0) and groups administered with Chromolaena odorata leaf jelly extract with concentrations of 10% (P1) and 30% (P2), respectively. Chromolaena odorata leaf jelly extracts were given daily by rubbing them on the wound surfaces. Skin biopsies were collected and evaluated histopathologically on days 3, 7, and 14 post-treatment. The histological assessment of wound healing was based on epithelialization and collagen density using Nagaoka criteria. The data were analyzed by analysis of variance (ANOVA) and continued with the Duncan test. Results: The Duncan test results showed that the mean score of the degree of epithelialization and collagen density of wound tissue on days 7 and 14 was significantly higher in the P2 group compared to the P0 and P1 treatments, while the P1 group was not significantly different from P0.  Conclusions: In conclusion, the administration of Chromolaena odorata leaf jelly extract could accelerate the degree of epithelialization and collagen density in the wound healing process of the inflammatory and proliferative phases of white rats (Rattus novergicus).
The effect of oral glucose administration before surgery based on Enhanced Recovery After Surgery (ERAS) protocol on preventing insulin resistance and patient's quality of life Jufriady Ismy; Indra Wisesa; Muhammad Yusuf; Iflan Naufal; Imam Hidayat; Muslim
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.17

Abstract

Introduction Preoperative oral glucose administration is part of the ERAS protocol, which is still not implemented worldwide. This study aims to determine the effect of preoperative oral glucose administration based on the ERAS protocol on the patient's quality of life and insulin resistance. Method This study is a quantitative quasi-experimental study (post-test with control group) involving patients undergoing surgery using general anesthesia at dr. Zainoel Abidin Banda Aceh from January 2021 to April 2021. The intervention was carried out on patients who were about to undergo surgery divided into two groups: the group receiving and the group not receiving 50 grams of oral glucose 2 hours before surgery according to the ERAS protocol. The data obtained were processed using Chi Square statistical test, Mann- Whitney, and unpaired T-test to assess patients' quality of life and insulin resistance. Result A total of 48 patients (24 treatment group and 24 control group patients) were involved in the study. There were significant mean differences in all quality of life indicators between the group receiving and the group not receiving oral glucose with a significance value of p<0.05. There is a relationship between oral glucose administration and prevention of insulin resistance with a significance value of p<0.05. Conclusion: There is a relationship between preoperative oral glucose administration on quality of life and postoperative insulin resistance according to the ERAS protocol. 
Sardjito score accuracy value in enforcing COVID-19 diagnosis in surgical patients in General Hospital dr. Zainoel Abidin Banda Aceh Yudi Nugraha; Safrizal Rahman; Jufriady Ismy
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.18

Abstract

Background: SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) is a virus with a positive chain of RNA (RiboNucleic Acid) This viral infection spread rapidly with subsequent human-to-human transmission and increase in the number of cases in other countries around the world. Aceh is one of the areas affected by COVID-19 in Indonesia. Despite the need for fast and precise diagnostics, facilities capable of carrying out RT-PCR are still limited in some places. This study aims to determine the accuracy of the Sardjito score in establishing the diagnosis of Covid 19 in surgical patients.. Methods: Consecutive sampling is included in the non-probability sampling technique where all subjects who come sequentially will be used as research samples until the required number of samples is met. The data obtained will be presented using tables and curves. For the analysis of the data results, the Spearman-Pearson correlation test was carried out, and for the correlation between the Sardjito Score and the PCR swab results, it was continued by analyzing the sensitivity and specificity values. Results: Based on the cross tabulation, it shows that the majority of patients' Sardjito scores are moderate probability. Research subjects with moderate probability and negative PCR results were 83 people (91.2%). The specificity of the Sardjito score is 87% compared to the PCR results. In addition, the positive predictive value of 62%. While the negative predictive value of 96%. Conclusions: This Sardjito Score can be used as a tool for COVID-19 diagnostic tests.
Impact of Covid-19 pandemic on urology practice in tertiary hospital in Banda Aceh, Indonesia: a descriptive study Kiagus Ferry Fabian Qosasi; Dahril
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.19

Abstract

ABSTRACT Introduction: Coronavirus disease-19 (Covid-19) pandemic has brought a dramatic change in health care worldwide, including urologic care. Patients requiring non-covid care are encouraged to avoid hospital visits and postpone elective surgeries to reduce the risk of transmission and anticipate a surge in Covid-19 patients. This study aims to describe Covid-19-related changes in urologic care in tertiary hospitals in Banda Aceh, Indonesia.  Methods: This is a descriptive study in dr. Zainoel Abidin Regional General Hospital, Banda Aceh. The number of outpatients’ visits and urologic surgeries performed in March – October 2020 were recorded and compared to the numbers within the same period in 2019. The most common surgery performed during a pandemic is determined.  Results: The number of outpatient visits in March – October 2020 was 2,595 visits, while in 2019 was 3,886. There was a 54.29% decrease in March-May 2020 and a 17.76% decrease in June – October 2020. The number of surgeries carried out in March – October 2020 was 381, while in 2019 was 264. The most common surgeries performed during the pandemic is stones removal (n = 119) and reconstructive surgeries (n = 104).  Conclusion: There were decreases in both number of outpatients’ visits and surgeries performed during the Covid-19 pandemic. The most common urologic surgery carried out during the pandemic were stones removal and reconstructive surgeries. 
Expression of transformating growth factor beta 1 (TGF- β1) in the healing process of a mouse achilles tendon rupture (Rattus norvegicus) given platelet rich plasma Ricky Aldofan; Zulkarnaini; Dasrul; Safrizal Rahman; T. Nanta Aulia; Jufriady Ismy
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.20

Abstract

Introduction: Platelet rich plasma (PRP) contains not only several growth factors but also proinflammatory cytokines that promote the healing process of tendon ruptures. Therefore, this study aimed to determine the effect of PRP administration on TGF- β1 expression during the healing process of Achilles tendon rupture in white rats (Rattus norvegicus). Method: This study was an experimental research with a Posttest-Only Control Group Design approach. This study enrolled 30 male white rats with a ruptured Achilles tendon, aged 3-4 months and weighing 200-250 grams.  The rats were randomly divided into 2 groups. The first (I) group as the control group included rats with Achilles tendon rupture without PRP administration, and group II as the experimental group included rats with Achilles tendon rupture with PRP 100 ul administration. Equal number of white rats from both groups were observed in 3 different times (on the day 7th, 14th, and 21st) after intervention. Part of the substance of the right Achilles tendon of each white rat was taken for examination of TGF-β1 expression by immunohistochemical examination with anti-TGF- β1 primary antibody. The data were analyzed by using SPSS 25.0. The descriptive data were provided in table, and the analytic data were analyzed by using unpaired t-test. The significant p value was <0.05. Results: We established that the intensity of TGF- β1 expression of Achilles tendon in the experimental group (with PRP administration) was statistically significant (P<0.05) compared to the control group. TGF- β1 expression in the experimental group established stronger and more extensive staining at weeks 1 and 2 (P < 0.05), while the control group established more extensive staining at week 3 (P < 0,05). Conclusion: PRP administration can increase TGF-β1 expression during the healing process of Achilles tendon rupture in white rats (Rattus norvegicus) and its statistically significant. 

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