Papers by Sulistyaningsih ,Ni Kadek
Journal of Indonesia Vascular Access, Sep 1, 2022
Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is th... more Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is the most common complication in a patient with ERSD, which needs urgent surgical intervention. This research explained the patients' characteristics with pseudoaneurysm in vascular access that underwent surgical intervention immediately. Methods: Retrospectively, it reported cases of pseudoaneurysm that underwent immediate surgical intervention in an operating theatre in the emergency department of RS Dr. Soetomo Surabaya. Result: Twenty-one patients, whose age range from 26-to 64 years old (mean 46.57 + 12.14 years), have undergone immediate surgical and vascular intervention in an operating theater in the emergency department of RS Dr. Soetomo from 2017 until March 2021. The site of pseudoaneurysm varies from cubiti (90.4%), with signs and symptoms of impending rupture (57.1%), rupture (28.6%), and infected pseudoaneurysm (14.3%). Surgical management such as arterial repair was conducted in 90.4% of cases, and two patients (9.6%) unfortunately underwent takedown AVF. It was found from all 21 cases that nine cases didn't have vascular access as recommended, leading to repetitive puncture in the same puncture site. Conclusion: Iatrogenic Pseudoaneurysm in ESRD patients on regular hemodialysis is the most common complication that has been treated. The medical staff's knowledge about recognition and prevention is a crucial factor in controlling this complication.
e-Jurnal Medika Udayana, Nov 3, 2016
Jumlah lansia di Dunia terus mengalami peningkatan yang diikuti dengan peningkatan jumlah geriatr... more Jumlah lansia di Dunia terus mengalami peningkatan yang diikuti dengan peningkatan jumlah geriatri beserta berbagai komplikasinya. Salah satu komplikasi dari proses degeneratif tersebut adalah fraktur femur proksimal. Resiko mengalami komplikasi ini semakin meningkat seiring dengan meningkatnya angka kasus osteoporosis pada geriatri. Fraktur femur secara umum dapat dengan segera memperburuk kualitas hidup lansia akibat timbulnya kecacatan atau komplikasi lain yang lebih buruk dan tak jarang kematian. Namun, hingga saat ini penelitian mengenai fraktur femur proksimal di Indonesia, khususnya di Bali masih sangat jarang dilakukan. Bahkan hingga saat ini belum terdapat data mengenai kejadian fraktur femur pada geriatri di Bali. Penelitian ini bertujuan untuk mengetahui karakteristik dari fraktur tersebut pada geriatri di RSUP Sanglah-Denpasar. Metode: Penelitian deskriptif observasional dilakukan pada 66 pasien fraktur femur proksimal berusia di atas 45 tahun di Rumah Sakit Umum Pusat (RSUP) Sanglah, Denpasar selama bulan Januari 2013 hingga Desember 2013. Data diperoleh dari catatan rekam medis di ruang perawatan Bangsal Angsoka serta ruang penyimpanan rekam medis RSUP Sanglah. Analisa statistik dilakukan dengan program SPSS. Hasil: Didapatkan 66 pasien fraktur femur yang terdiri dari 45 (68,2%) wanita. Rata-rata umur sampel 67,71+13,46 tahun. Dari total sampel diperoleh kelompok usia lansia beresiko (>70 tahun) sebanyak 32 (48,5%) pasien. Berdasarkan tipe fraktur femur didapatkan fraktur pada leher femur sebanyak 21 (31,8%) pasien, fraktur intertrokanter 32 (48,5%) pasien dan fraktur subtrokanter sebanyak 13 (19,7%) pasien. Intensitas trauma dibagi menjadi lowenergy trauma (47,0%) dan high-energy trauma (53,0%). Simpulan: Karakteristik dari fraktur femur proksimal pada geriatri di RSUP Sanglah Tahun 2013 adalah lebih banyak terjadi pada wanita, berjenis fraktur intertrokanter, kelompok umur lansia beresiko, dan intensitas trauma penyebab fraktur tersering adalah high-energy trauma.
Bali Medical Journal, Aug 1, 2019
Background: Cardiac myxoma is a primary tumor that grows intracardiac. Primary heart tumors are r... more Background: Cardiac myxoma is a primary tumor that grows intracardiac. Primary heart tumors are rare, and incidents range from 0.0017 to 0.03%. Around 75% of primary heart tumors are benign, and 50-80% are cardiac myxoma. Echocardiography is the gold standard in detecting tumor mass in the heart. With the development of diagnostic modalities and cardiac surgery techniques, cardiac myxoma can be detected and treated correctly and leading to a better prognosis. Objective: To report a series of cases of cardiac myxoma resection carried out by the Cardiac Surgery team of Sanglah General Hospital Denpasar. Cases: Data collected from 2016 to March 2019 cased based on Sanglah General Hospital Denpasar. Six cases were diagnosed based on the clinical, electrocardiographic, radiological, and histopathological basis. Conclusion: This series of cases reported six intracardiac tumor patients who were found through echocardiographic examination and five patients had open heart surgery for tumor resection; also all histopathological examination results were following cardiac myxoma. There were no reported post-treatment complications and the patients were discharged hemodynamically stable after hospitalized for approximately one week. Until now, there have been no reports of recurrence in patients who have taken resection and patients have normal daily life activities.
Open Access Macedonian Journal of Medical Sciences, Jun 28, 2022
BACKGROUND: Finding the optimum vascular grafts (VG) to replace damaged blood arteries in cardiac... more BACKGROUND: Finding the optimum vascular grafts (VG) to replace damaged blood arteries in cardiac surgery is still a work in progress. To be employed, a tissue-engineered VG (TEVG) must have the appropriate biological and mechanical qualities. Decellularized arteries may be a better TEVG than synthetic grafts because of their natural three-dimensional architecture. AIM: The goal of this study was to compare different concentrations and times of sodium dodecyl sulfate (SDS) to decellularize tissue to find the best decellularized VG. METHODS: In all decellularized scaffolds, which are 1% SDS-2 weeks group, hematoxylin and eosin and Masson's trichrome staining exhibited looser collagen networks and fewer nuclei. RESULTS: The orientation of collagen fibers was identical to native vascular scaffolds. Collagen I deposition was seen in the immunohistochemistry assay. A tensile strength test revealed that the decellularized scaffold (0.5% SDS for 4 weeks and 0.5% SDS for 2 weeks) had exceeded the native arteries' maximal strength. In comparison to 1% SDS in 4 weeks treated groups, scanning electron microscopy following decellularization revealed no endothelial cells on the inner side of 1% SDS in 2 weeks group with minimum extracellular matrix damage. The endothelial cells remained marginally visible on the inner side of all 0.5% SDS treated groups. The 3-(4,5-dimethylthiazol-2yl)2,5diphenyltetrazolium bromide test was used to determine the cytotoxicity of the decellularized scaffolds. CONCLUSION: This study reveals that exposing a bovine mesenteric artery to 1% SDS for 2 weeks is an excellent procedure for extracting the most acellular VG, potentially serving as a biological scaffold for TEVGs.
Journal of Indonesia Vascular Access
Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is th... more Introduction: Iatrogenic pseudoaneurysm (PSA) in hemodialysis vascular access puncture site is the most common complication in a patient with ERSD, which needs urgent surgical intervention. This research explained the patients’ characteristics with pseudoaneurysm in vascular access that underwent surgical intervention immediately. Methods: Retrospectively, it reported cases of pseudoaneurysm that underwent immediate surgical intervention in an operating theatre in the emergency department of RS Dr. Soetomo Surabaya. Result: Twenty-one patients, whose age range from 26-to 64 years old (mean 46.57 + 12.14 years), have undergone immediate surgical and vascular intervention in an operating theater in the emergency department of RS Dr. Soetomo from 2017 until March 2021. The site of pseudoaneurysm varies from cubiti (90.4%), with signs and symptoms of impending rupture (57.1%), rupture (28.6%), and infected pseudoaneurysm (14.3%). Surgical management such as arterial repair was conducted...
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Finding the optimum vascular grafts (VG) to replace damaged blood arteries in cardiac... more BACKGROUND: Finding the optimum vascular grafts (VG) to replace damaged blood arteries in cardiac surgery is still a work in progress. To be employed, a tissue-engineered VG (TEVG) must have the appropriate biological and mechanical qualities. Decellularized arteries may be a better TEVG than synthetic grafts because of their natural three-dimensional architecture. AIM: The goal of this study was to compare different concentrations and times of sodium dodecyl sulfate (SDS) to decellularize tissue to find the best decellularized VG. METHODS: In all decellularized scaffolds, which are 1% SDS-2 weeks group, hematoxylin and eosin and Masson’s trichrome staining exhibited looser collagen networks and fewer nuclei. RESULTS: The orientation of collagen fibers was identical to native vascular scaffolds. Collagen I deposition was seen in the immunohistochemistry assay. A tensile strength test revealed that the decellularized scaffold (0.5% SDS for 4 weeks and 0.5% SDS for 2 weeks) had exceed...
Bali Medical Journal, 2019
Background: Cardiac myxoma is a primary tumor that grows intracardiac. Primary heart tumors are r... more Background: Cardiac myxoma is a primary tumor that grows intracardiac. Primary heart tumors are rare, and incidents range from 0.0017 to 0.03%. Around 75% of primary heart tumors are benign, and 50-80% are cardiac myxoma. Echocardiography is the gold standard in detecting tumor mass in the heart. With the development of diagnostic modalities and cardiac surgery techniques, cardiac myxoma can be detected and treated correctly and leading to a better prognosis. Objective: To report a series of cases of cardiac myxoma resection carried out by the Cardiac Surgery team of Sanglah General Hospital Denpasar. Cases: Data collected from 2016 to March 2019 cased based on Sanglah General Hospital Denpasar. Six cases were diagnosed based on the clinical, electrocardiographic, radiological, and histopathological basis. Conclusion: This series of cases reported six intracardiac tumor patients who were found through echocardiographic examination and five patients had open heart surgery for tumor resection; also all histopathological examination results were following cardiac myxoma. There were no reported post-treatment complications and the patients were discharged hemodynamically stable after hospitalized for approximately one week. Until now, there have been no reports of recurrence in patients who have taken resection and patients have normal daily life activities.
e-Jurnal Medika Udayana, 2016
Latar belakang: Jumlah lansia di Dunia terus mengalami peningkatan yang diikuti dengan peningkata... more Latar belakang: Jumlah lansia di Dunia terus mengalami peningkatan yang diikuti dengan peningkatan jumlah geriatri beserta berbagai komplikasinya. Salah satu komplikasi dari proses degeneratif tersebut adalah fraktur femur proksimal. Resiko mengalami komplikasi ini semakin meningkat seiring dengan meningkatnya angka kasus osteoporosis pada geriatri. Fraktur femur secara umum dapat dengan segera memperburuk kualitas hidup lansia akibat timbulnya kecacatan atau komplikasi lain yang lebih buruk dan tak jarang kematian. Namun, hingga saat ini penelitian mengenai fraktur femur proksimal di Indonesia, khususnya di Bali masih sangat jarang dilakukan. Bahkan hingga saat ini belum terdapat data mengenai kejadian fraktur femur pada geriatri di Bali. Penelitian ini bertujuan untuk mengetahui karakteristik dari fraktur tersebut pada geriatri di RSUP Sanglah-Denpasar. Metode: Penelitian deskriptif observasional dilakukan pada 66 pasien fraktur femur proksimal berusia di atas 45 tahun di Rumah Sa...
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Papers by Sulistyaningsih ,Ni Kadek