scholarly journals Characteristics of Enterovesical Fistula Patients Visiting the Urology Department of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2015 to 2019

2021 ◽  
Vol 53 (3) ◽  
pp. 174-178
Author(s):  
Daniel Saputra ◽  
◽  
Tjahjodjati

Enterovesical fistula (EVF) represents an abnormal channel between the intestine and the bladder. The EVF is a complication of inflammatory or neoplastic diseases and injuries. Diagnosis of EVF can be challenging and often delayed up to several months after the onset of the symptoms. This study aimed to determine the characteristics of patients with enterovesical fistula visiting Dr. Hasan Sadikin General Hospital Bandung, Indonesia. This retrospective descriptive study used the medical records of EVF patients treated in the urology department of Dr. Hasan Sadikin General Hospital from 2015 to 2019 as the secondary data to be analyzed. A total of 58 patients with EVF were enrolled in this study. By gender, that more than half of the patients were male patients (n=30, 51.7%) and 45% of patients were between 41 and 50 years old. The most common symptoms of EVF were pneumaturia and fecaluria which were seen in 30 (51.7%) and 20 (34.5%) patients, respectively. Twenty-nine (50%) patients experienced malnutrition and 18 (31.1%) patients had diabetes mellitus as a comorbid. The most common type of fistula was rectovesical fistula (n=45, 77.6%) and 26 (66.6%) patients suffered from rectosigmoid cancer and malignancy (68.95) had become the most predominant etiology. Escherichia coli was found in 42 (72.4%) urine cultures collected from the patients and cystoscopy with fistula biopsy was found in 43.1% of cases, followed by fistula repair (29.3%) and urethral catheter drainage (15.5%). Hence, malignancy and rectosigmoid cancer become the most common etiology of EVF while cystoscopy with fistula biopsy is the most frequently performed procedure.

2020 ◽  
Vol 9 (1) ◽  
pp. 190-197
Author(s):  
Luh Putu Desy Puspaningrat ◽  
Gusti Putu Candra ◽  
Putu Dian Prima Kusuma Dewi ◽  
I Made Sundayana ◽  
Indrie Lutfiana

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01). 


Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Susilorini Susilorini ◽  
Udadi Sadhana ◽  
Indra Widjaya

Introduction: A periodical database is important including for skin cancer. Periodical registration is needed to acknowledge changes in pattern and frequencies of skin lesion. Objective: The purpose of this study was to describe the pattern and the frequency of skin lesion in RSUD Kariadi.Method: A cross-sectional study was conducted through analysis of the medical records of patients diagnosed skin lesion in the pathology labolatory of RSUD Kariadi between 2008 and 2009. The variables were secondary data including age, gender, specimen area, dan histopathology diagnosis. Data was choosen by consecutive sampling from 381 medical records of skin tissues examined at laboratorium of pathology anatomy of Dr. Kariadi general hospital during 2008-2009.Result: 381 cases were recorded comprising of 246 (65%) neoplastic and 135 (35%) non neoplastic lesion. 120 patients presented with skin cancer, and 126 with benign skin lesion. Most malignancy was observed among female patients (62.5%) on age catagory of 15-39 (65%). The most common lesion was basal cell carcinoma (48.3%) followed by squamous cell carcinoma (33.3%), malignant melanoma (10%), skin appendix carcinoma (2.5%), other malignancies (4.9%).Conclusion: the most common malignancies in Dr. Kariadi general hospital before 2008 was similar to data from 13 laboratory of pathology anatomy in Indonesia, which is squamous cell carcinoma.


Author(s):  
Salsabilla Gina Rania ◽  
Lynda Hariani ◽  
Helmia Hasan ◽  
Iswinarno Doso Saputro

Introduction: Inhalation injury is one of burns impact. Airway burns due to inhalation injury is a non-specific term which refer to all respiratory tract injuries occurred due to irritative chemicals, including heat and smoke during inspiration. Inhalation injury increases the risk of death in burns. Pneumonia is one of burns-related inhalation injury complications.Methods: This was a descriptive retrospective study aiming to determine the incidence of pneumonia in burn patients with inhalation injury using secondary data at Burn Center Dr. Soetomo General Hospital Surabaya in the period of January 2015 - December 2018.Results: There were 5 cases of pneumonia in 14 burn cases with inhalation injury (35.71%). Respectively, 2 and 3 cases were found in 2017 and 2018. There were 2 female (40%) and 3 male (60%) patients, with age varied within 28-73 years old. The burn area of burn patients with inhalation injury and pneumonia were found by 15%, 20%, 24%, 32% and 71%, or within the classification of 11-20% burn area, and most complication found was hypoalbuminemia, as much as 3 cases (60%).\Conclusion: Most pneumonia in burn cases with inhalation injury was occurred in 2018, dominated by male patients. The age of the patient were ranging from early adulthood to elderly. Most burns were in the range of 11-20% burn area with the most complication found was hypoalbuminemia.


2020 ◽  
Vol 7 (2) ◽  
pp. 77-82
Author(s):  
Lucretya Yeniwati Tanuwijaya

Background: Burns is a type of trauma that requires treatment and rehabilitation, which is still difficult and requires perseverance, a high amount of costs, and trained and skilled personnel. Morbidity and mortality of burns are relatively high, especially in developing countries where burn prevention and treatment systems are inadequate. The prevalence of burns is expected to be an advantage for the development of science in further research and could help clinicians prevent and curative burn care efforts. Method: The study subjects were burned patients examined and hospitalized at Dr. Kariadi General Hospital, Semarang. Data from each sample's clinical examination results were then collected to be described based on gender, age, burns degree criteria, and etiology of burns. Results: The total sample obtained was 72 samples, including 61 patients (85.53%) with new burns and 11 non-emergency patients (14.47%). From a total of 61 new burn patients, eight female patients (13.11%) and 53 male patients (86.89%) were obtained; 10 patients (16.40%) were children (0-18 years), 50 (81.96%)were adults (18-65), and one patient (1.64%) belonged to geriatric (> 65 years) ); based on the degree of the burns, seven patients (11.48%) had a moderate degree and 54 patients (88.52%) had a severe degree; there were 28 patients (45.90%) who suffered burns caused by fire, 20 patients (32.79%) due to electricity, six patients (9.84%) caused by scald, and seven patients (11.47 %) with an unknown cause. Of the 61 new burn patients, there were five patients (8.20%) who died. Conclusion: Burn prevalence in Dr. Kariadi General Hospital, Semarang in 2012-2014 are mostly experienced by men, adults, with severe burn criteria, with the most common etiology is fire.  


2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Fatan Abshari ◽  
Irfan Wahyudi ◽  
Arry Rodjani

Objective: Analyzing the factors causing delays in the management of patients with testicular torsion in Dr. Cipto Mangunkusumo General Hospital Jakarta. Material & methods: This research is a retrospective research using questionnaire from patients as primary data and from Dr. Cipto Mangunkusumo General Hospital medical records or urologic reports as secondary data from 1st January 2011 to 30th April 2015. Results: 4 patients diagnosed with left testicular torsion admitted to hospital with >4 hours onset (as a prehospital factor). 3 of 4 patients were adult, who came with left testicle pain. The minimum VAS score perceived is 2. 3 of 4 patients had 540o medial left testicle rotation intraoperatively while all patients left testicles were unvital. Conclusion: Further examination is required to diagnose testicular torsion in adult-geriatric. Non-specific complaints, such as lower abdominal pain or painful testicles and mild pain in scrotum  were some of the most important factors, thus causing delays in testicular torsion management. However, a comprehensive education to all health workers, especially for doctors is still required, because the complaints of pain in patients with testicular torsion does not always appear acutely. This becomes important for early identification of patients with testicular torsion, in order to prevent delay in management.


Author(s):  
Farihazqa Hafez Mikala ◽  
Alpha Fardah Athiyyah ◽  
I Gusti Bagus Adria Hariastawa ◽  
I Gusti Made Reza Gunadi Ranuh

Introduction: Ileostomy is needed as an important part of the management of several congenital disorders of the intestine. One of the indication of ileostomy in children is short bowel syndrome, which is caused by intestinal atresia such as ileal atresia and intussusception. Ileostomy is a surgery procedure which consists of creating holes on abdominal walls to release stool. The objective of this study was to determine the description of pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Methods: This was a retrospective descriptive study on medical records in the Central Medical Record Department of Pediatrics and General Surgery Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018. Results: There were 26 pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Samples from male patients consisted of 57.7%, while female patients consisted of 42.3% with the most common age group was neonates with 57.7%, infants 30.8%, and toddlers 11.5%. There were 30.7% patients with 2.0-2.9 kg body weight, 27% with 3.0-3.9 kg body weight, and 42.3% with more than 4 kg body weight. The outcome showed that repair was needed, or the patient was discharged with periodic follow-up after ileostomy. Conclusion: Ileostomy was performed mostly in neonates with average weight within normal body mass index (BMI) and the highest incidence of pediatric patient with ileum stoma was in pediatric patients.


Author(s):  
Andi Arus Victor ◽  
Eko Hadi Waluyojati ◽  
Ari Djatikusumo ◽  
Elvioza Elvioza ◽  
Gitalisa Andayani ◽  
...  

Introduction: This study aims to determine the anatomical and functional outcomes in patients with macular hole (MH) underwent vitrectomy with internal limiting membrane (ILM) peeling. Method: A descriptive retrospective study at Vitreoretinal Division of Ophthalmology Department, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo National General Hospital (FKUI-RSCM). Secondary data obtained from medical records of patient with MH within January – December 2017. The anatomical outcome was observed from the closure of MH. Functional outcome was observed from post-operative visual acuity at day-1, month-1, month-3, and month-6. Results: 16 patients who met the criteria were included in this study. MH closure was observed in 43.8% of cases and failed closure in 56.2%. Improvement of visual acuity was observed on closure cases in 3 months and 6 months, occurred in 71.43% and 100% of cases, respectively. Conclusion: MH closure rate was 43.8%. Satisfying result of improvement in visual acuity achieved after vitrectomy with ILM peeling.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Natasha A Harsas ◽  
Birgitta M Dewayani ◽  
Raden Yohana

Phyllodes tumor is a breast fibroepithelial lesion that rarely occurred. This type of tumor has tendency to recurre and metastasize. This study aimed to determine the features of phyllodes tumor in Hasan Sadikin General Hospital in period of 2012 to 2016, histopathologically and clinically. Descriptive study with cross sectional design was conducted in Department of Pathological Anatomy, Hasan Sadikin General Hospital, Bandung, from September 2016 to May 2017. Using total sampling, the secondary data are taken from medical records with the diagnosis of phyllodes tumor. From 88 samples taken, the mean age of the tumor occurrence is 45,56 years old and the mean size of tumor diameter is 10,98 cm. Tumor with benign type has the highest prevalence, with 54 cases reported. Mastectomy is the most common procedure performed on this tumor. There are 7 recurred patients and 1 patient with metastasis. As conclusions, phyllodes tumor is a rare tumor. In Hasan Sadikin general hospital, it mostly occurs in women aged 45 years old in the benign type. Mastectomy is often performed as a choice of surgical treatment.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Cicilia Reisy Amanda Walukow

Abstract: Neonatal pneumonia is a disease of acute respiratory infections (ARI) caused primarily by bacteria and is a significant cause of death in newborns, occurring within the first 30 days of life infants. Infants with uncomplicated pneumonia by blood-borne infections have an increased risk of death was 10% and the risk became three times if the infants had birth weight.  The design in this study was retrospective descriptive. Data was collected from December 2011 to January 2012 used secondary data from patients medical records in subsection of neonatology in Prof. Dr. R. D. Kandou Manado general hospital from January 2009 to July 2011.  Conclusion: The results showed that the majority of neonatal pneumonia patients was born in Prof. Dr. R. D. Kandou Manado general hospital with normal deliveries. Key words: neonatal pneumonia, subsection of neonatology, normal delivery. Abstrak: Pneumonia Neonatal merupakan penyakit infeksi saluran pernapasan akut (ISPA) yang disebabkan terutama oleh bakteri dan merupakan penyebab signifikan kematian pada bayi yang baru lahir, yang terjadi dalam 30 hari pertama kehidupan bayi.  Bayi dengan pneumonia yang terkomplikasi oleh infeksi melalui darah memiliki resiko kematian 10 % dan resiko ini menjadi tiga kali lipat jika bayi memiliki berat badan lahir.  Desain  penelitian ini bersifat deskriptif retrospektif.  Pengambilan data dilakukan dari bulan Desember 2011 sampai dengan Januari 2012 dengan menggunakan data sekunder melalui catatan rekam medik pasien yang di rawat di sub bagian neonatologi BLU RSU PROF. DR. R. D. Kandou Manado periode Januari 2009 sampai dengan Juli 2011.  Simpulan: Hasil penelitian menunjukkan bahwa yang terkena pneumonia neonatal terbanyak lahir di BLU RSU PROF. DR. R. D. Kandou dengan persalinan normal. Kata Kunci: Pneumonia neonatal, sub bagian neonatologi, persalinan normal.


Author(s):  
Husin Thamrin ◽  
Nadieda Ayu Marthalitasari ◽  
Subur Prajitno

AbstractGallstones formed due to imbalance of bile components, excessive/ high level of cholesterol, nor bilirubin. Obesity was a condition where body mass index (BMI) was excess, which can cause health problems such as an increase of cholesterol, triglycerides, insulin levels, and blood pressure. There’s growing attention to cholelithiasis in Indonesia, but there wasn’t any data on the prevalence due to the limited amount of study related to cholelithiasis and BMI. This study aimed to analyze the relationship between BMI and cholelithiasis in Dr. Soetomo General Hospital. An analytical descriptive study with the case-control design was conducted, and the data were collected from medical records. The sample was 124 patients from the internal outpatient clinic Dr. Soetomo General Hospital. The data were analyzed using a t-test 2 independent sample. The ratio between female and male patients was 3:1, mean of age was 36-45 years, 45.2% had weight range from 61-70 kg, 51.2% had height range 150-159 cm, the BMI from patient with cholelithiasis specifically 45.3% on at-risk scale and 40% on obese I, the result showed p-value 0.089 (p>0.05), which means that there was no significant differences with the BMI from patients with cholelithiasis and without cholelithiasis. In conclusion, BMI could not be used as a parameter to determine the occurrence of cholelithiasis on an individual.Keywords: body mass index, cholelithiasis, gallstone


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