48 results match your criteria: "Prof. Dr. I.G.N.G. Ngoerah General Hospital[Affiliation]"

Purpose: Hypospadias, one of the congenital anomalies commonly associated with some degrees of ventral penile curvature that may arise from malformation of dartos fascia, the chordee. Our study aims to determine the correlation between the histopathology properties of dartos fascia and the severity of ventral penile curvature in hypospadias.

Materials And Methods: One hundred hypospadias patients with various degrees of ventral penile curvature were included in this cross-sectional analytical study from 2020 to 2022.

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To determine the effect of Conjugated Linoleic Acid (CLA) supplementation on Bcl-2, P53 protein and TNF- α expression in the bladder of rats which is exposed to cigarette smoke.

Methods: The study is a true experimental in Wistar rats. Sample was divided into 4 groups: group A had a 0.

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Occipital Vascularized Bone Graft for Reconstruction of a C3-C7 Defect.

Plast Reconstr Surg Glob Open

November 2024

From the Plastic Reconstructive and Aesthetic Surgery Division, Faculty of Medicine, Udayana University, Prof. Dr. I.G..G. Ngoerah General Hospital, Denpasar, Bali, Indonesia.

The number of spinal reconstruction cases is growing, as are the accompanying complications. Wound complications after spinal reconstruction can be fatal and can affect up to 19% of patients undergoing major spine surgery. The discipline of spinoplastic surgery is characterized by the use of vascularized bone grafts to reconstruct spinal defects, which provide better results compared with nonvascularized and allogenic equivalents, owing to their superior blood supply.

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Article Synopsis
  • Spontaneous spinal epidural hematoma (SSEH) is a rare but serious condition in children that can lead to spinal cord compression and neurological issues, necessitating prompt diagnosis and intervention.
  • A case study of a 14-year-old boy with SSEH showed successful treatment through emergent surgery, ultimately leading to complete recovery with no neurological deficits.
  • Research identified 81 articles on SSEH in children, emphasizing the importance of early surgical intervention to alleviate pressure on the spinal cord and improve outcomes.
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Article Synopsis
  • - A 28-year-old male suffered a rare penetrating brain injury from a nail gun accident, requiring immediate surgical intervention to prevent infection.
  • - The patient underwent a craniotomy for the removal of the foreign object, with imaging used to accurately locate the injury and customize the surgical approach while minimizing damage to brain tissue.
  • - Post-surgery, he received antibiotics and seizure medications, resulting in no neurological deficits or infections during follow-up, highlighting the effectiveness of prompt treatment in such unusual cases.
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Article Synopsis
  • * Four studies were reviewed, and three underwent meta-analysis, showing that early implantation resulted in significantly fewer short-term complications compared to delayed implantation.
  • * Additionally, patients who had early implantation reported higher overall satisfaction rates than those who received delayed implantation, confirming the benefits of earlier intervention.
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  • This study investigates the safety and effectiveness of starting beta-blocker (BB) therapy in patients hospitalized for acute heart failure (AHF), focusing on both in-hospital and long-term outcomes.
  • Results from eight studies with over 16,000 patients indicated that early BB initiation significantly lowered in-hospital complications, overall mortality during hospitalization, mortality at discharge, and rates of rehospitalization compared to a control group.
  • The findings suggest that initiating beta-blocker treatment in AHF patients is both beneficial in terms of efficacy and safe, as there were no significant negative side effects observed between the groups.
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Background: Unilateral percutaneous balloon kyphoplasty (PBK) is increasingly utilized for the management of osteoporotic vertebral compression fractures (OVCFs). Its potential advantages include procedural simplicity, reduced tissue trauma, and minimal radiation exposure.

Case Description: A 59-year-old female with osteoporosis presented with back pain but was neurologically intact 2 weeks after a fall.

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Background: Catheter ablation in the pediatric population using fluoroscopy has been known to cause adverse events. This study aims to assess the effectiveness and safety of zero fluoroscopy (ZF) and near-ZF-guided catheter ablation for the treatment of arrhythmias in the pediatric population.

Methods: The PubMed, Embase, and Cochrane library databases were searched and reviewed for relevant studies.

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Background: Ventricular tachycardia (VT) remains a risk in repaired Tetralogy of Fallot (rTOF); however, long-term benefits of VT ablation have not been established. This study compares the outcomes of rTOF patients with and without VT ablation.

Methods: We searched multiple databases examining the outcomes of rTOF patients who had undergone VT ablation compared to those without ablation.

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Multilevel thoracic spinal epidural angiolipoma.

Surg Neurol Int

July 2024

Department of Neurosurgery, Medical Faculty of Mataram University, West Nusa Tenggara General Hospital, Mataram, Indonesia.

Background: Spinal epidural angiolipomas (SEAL) are rare benign tumors composed of mature adipose tissue and abnormal blood vessels. SEALs account for 0.04-1.

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Introduction: Delayed graft function (DGF) is a common condition that necessitates dialysis during the first week after transplantation. Although DGF rarely occurs following living-donor kidney transplantation (LDKT), it may eventually lead to acute or chronic graft rejection. This study aimed to assess the risk factors for DGF in patients who underwent LDKT.

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Introduction: Laminectomy has long been a "gold standard" to treat symptomatic lumbar spinal stenosis (LSS). Minimal invasive spine surgery (MISS) is widely developed to overcome the limitations of conventional laminectomy to achieve a better outcome with minimal complications. Full endoscopic percutaneous stenoscopic lumbar decompression (FE-PSLD) is the newest MISS technique for spinal canal decompression.

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Surgeon's point of view in vesico-vaginal fistula management.

Arch Ital Urol Androl

June 2024

Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta.

Objectives: Vesicovaginal fistulas (VVF) are the most commonly acquired fistulas of the urinary tract. The management of VVF is mainly based on expert opinion and surgeon experience. This study aims to provide the practice patterns and outcomes of vesicovaginal fistula (VVF) management in Indonesia.

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Article Synopsis
  • Posterior clinoid process (PCP) meningiomas are rare and challenging for neurosurgeons due to their critical location near vital neurovascular structures.
  • The article introduces a novel endoscopic endonasal approach for the surgical removal of PCP meningiomas, highlighting the benefits and limitations of various surgical techniques through a literature review.
  • A successful case is presented where the endoscopic method allowed for safer and earlier tumor detachment, suggesting that this approach is a viable alternative to traditional transcranial surgery for PCP meningiomas.
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Background: Open surgery is still acknowledged as the gold standard for complex abdominal aortic aneurysm (c-AAA). Recently, advanced-endovascular aortic aneurysm repair (EVAR) for c-AAA has been developed, but its effectiveness compared to open surgery is still unclear.

Method: A systematic search was performed on the MEDLINE through PubMed and ScienceDirect databases.

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Lucio phenomenon (LP) is a variant of type two leprosy, characterized by necrotizing erythema, frequently found in neglected leprosy patient who experience delayed diagnosis or inappropriate treatment. Indonesia is in the third place for highest leprosy cases worldwide. Nonetheless, LP is less common, regardless being an endemic country.

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The ventriculoperitoneal shunt procedure represents a frequently conducted neurosurgical intervention; nevertheless, it harbors inherent risks that can precipitate complications in patients. Intestinal perforation accompanied by distal shunt protrusion through the anus is an uncommon phenomenon, observed in ~0.1% to 0.

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The combination of atlantoaxial joint dislocation accompanied by an odontoid process fracture is exceptionally rare, with only a few cases reported. The estimated frequency of these cases is < 2% of all upper cervical spine injuries. In this report, the authors describe an unusual case of traumatic atlantoaxial dislocation with a type III odontoid fracture in a 44-year-old male patient.

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Objective: Erectile dysfunction (ED) is a condition of insufficient penile erection, consistently or recurrently, for sexual activity. Tumor necrosis factor-alpha (TNF-α) induces transforming growth factor-beta (TGF-β), which causes the transition of epithelial cells into mesenchymal cells that affect ED. This study aimed to evaluate the roles of TNF-α, TGF-β, degree of lower urinary tract symptoms, and prostatic volume for the presence of ED in benign prostatic hyperplasia (BPH) patients.

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Introduction: The optimal approach for pediatric ostium secundum atrial septal defect (ASD) closure remains uncertain. This study aims to assess complications and efficacies of surgical and transcatheter closures.

Methods: Systematic search in Medline, Cochrane, and EMBASE databases identified cohort studies until July 2023.

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Background: Arrhythmia is one of the most common complications after cardiac surgery. The objectives of this study were to determine the prevalence and analyze the risk factors of postoperative arrhythmia in pediatric patients after cardiac surgery for congenital heart defects (CHD) at a single center in Bali, Indonesia over 2 years period.

Methods: A cross-sectional study, among 120 pediatric patients with CHD who underwent cardiac surgery, 92 patients met inclusion criteria in this study.

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Introduction: Video-assisted telescope operating monitor (VITOM®) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM® 3D system for microsurgical varicocelectomy on varicocele patients.

Methods: We performed 35 microsurgical varicocelectomy procedures using the VITOM® 3D system on varying types and grades of varicoceles.

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Full-thickness scalp defect reconstruction is considered challenging for the surgeon. The goal of this procedure is to provide coverage of the calvarium. Scalp defect needs thorough and careful planning in reconstruction, not only in choosing the best closure strategy but also in post-operative care.

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Background: Ejection fraction (EF) is often used as a prognostic indicator and for classifying heart failure (HF) patients. This study evaluates the association of echocardiographic parameters with HF with improved EF (HFimpEF).

Methods: This single-centre study retrospectively included patients with HF with reduced EF (HFrEF) from a cohort of admitted patients over 2018-2020, who were then followed up prospectively until 2023.

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