Muntadhar M Isa - Academia.edu (original) (raw)
Papers by Muntadhar M Isa
Bali Medical Journal, 2021
Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric ... more Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric patients. Complete resection in case of a total tubular duplication that requires total or subtotal colectomy is undesirable in children.Case Presentation: This case presented a simple surgical technique for treating complete colonic duplication without colonic resection. A 2 months old female baby with abdominal distention and stool complaint came out from her vaginal vestibular and normal anus. A digital rectal exam showed a palpable mass in the posterior region. Abdominal CT Scan showed a rounded mass with size 2x2 cm in the left posterolateral of rectum region. The initial diagnosis was suspected sacrococcygeal tumor type 4 with rectovestibular fistula. Intraoperative findings showed duplication of the caecum, appendix, total colon (ascending to sigmoid) and rectum (one directed to the vagina and the other to anus). The ileostomy was done 20 cm from the ileocaecal junction as a temp...
Journal Of The Indonesian Medical Association, 2021
Pendahuluan: Apendisitis akut adalah inflamasi yang terjadi pada apendiks vermiformis. Respon inf... more Pendahuluan: Apendisitis akut adalah inflamasi yang terjadi pada apendiks vermiformis. Respon inflamasi pada apendisitis akut ditandai dengan aktivasi efektor seluler dan molekuler, termasuk rekrutmen dan aktivasi neutrofil. Rasio Neutrofil-Limfosit (RNL) adalah perbandingan jumlah neutrofil dengan limfosit digunakan sebagai tolak ukur sederhana. Metode: Penelitian uji diagnostik observasional analitik, desain studi cross sectional retrospektif. Subjek penelitian adalah pasien apendisitis akut di RSU Zainal Abidin tahun 2018-2019. Subjek saat kedatangan dilakukan pemeriksaan darah, kemudian dihitung RNL, hasil hitung RNL dibandingkan dengan pemeriksaan patologi anatomi posapendektomi. Data dianalisis dengan analisis statistik deskriptif, kurva ROC dan uji diagnostik. Hasil: Sebanyak 176 pasien yang datang ke IGD dengan diagnosis apendisitis akut, didapatkan usia terbanyak 17-25 tahun (31,2%), 81 orang penderita laki-laki (46%), 95 orang penderita perempuan (54%). Dari hasil patologi...
Annals of Medicine & Surgery
Introduction and Importance: Ventriculoperitoneal shunt (VPS) is the most common procedure perfor... more Introduction and Importance: Ventriculoperitoneal shunt (VPS) is the most common procedure performed on children with hydrocephalus. Migration of VPS outside the peritoneal cavity is rare, especially fallopian tube migration with vaginal extrusion without organ perforation. Presentation of Case: A 3-year-old girl came to the hospital with the main complaint of having a white tube exposed from her vagina 4 days before admission. A history of frequent clear watery discharge from the vagina since one week before the admission alongside intermittent pain in the suprapubic area was obtained from the parents. A laparotomy was conducted on the patient. We found the distal shunt catheter had adhered to the omentum and it appeared that the catheter tube entered the right fallopian tube before it went into the uterus and out to the vagina. We replaced the distal catheter with a new one. The patient came home on the fourth day of the post-surgery in a good condition. Clinical Discussion: The etiology of distal shunt catheter migration into the vagina remains unclear. Our patient is the third documented case of fallopian tube migration with vaginal extrusion without organ perforation, suspected due to postsurgical adhesions to the fallopian tube. An evaluation of vaginal discharge associated with abdominal pain is an important clue for distal migration of the VPS to the vagina. Conclusion: The migration of catheter to the vagina should be considered of profuse watery discharge from vagina alongside intermittent abdominal colicky pain. The surgical goal is to re-establish a new VP shunt system.
Bali Medical Journal, 2020
International Surgery Journal, Apr 29, 2019
Background: One-stage pull-through operation has become increasingly popular for the treatment of... more Background: One-stage pull-through operation has become increasingly popular for the treatment of Hirschsprung's disease. The advantages of total transanal pull-through include minimal resection of the dilated ganglionic part of the colon, shorter hospital stay, decreased total cost, lower risk of adhesive intestinal obstruction. Methods: A retrospective study of patients with HD underwent transanal endorectal pull-through (TERPT) procedure treated at Dr. Zainoel Abidin Hospital Banda Aceh, Indonesia between January 2010-December 2013. We assessed patients characteristic, outcome and complication including Hirsch sprung associated enterocolitis (HAEC). Results: A total 77 patients were included in this study. The mean age was 13.01 months (range from 11 days-8 years old). Most of the patients (55.8%) were male and female (44.2%). Clinical classification of HD: short segment 74 patients (96.1%) and ultra-short segment 3 patients (3.9%). The mean of bowel resection length in TERPT procedure was 18.64 cm (range from 7-25 cm). There is no mortality associated with TERPT procedure. Hirsch sprung associated enterocolitis (HAEC) occurred in 43 subjects (54.5%). Statistical analysis showed the significant relation between age at surgery and HAEC (p= 0.000) and no significant relationship between gender (p=0.425) and bowel resection length (p=0.780) with HAEC. Conclusions: Transanal endorectal pull-through procedure has been shown as an effective minimally invasive treatment in resolving obstructive symptoms in ultra-short segment of HD patients. The number of HAEC incidence among HD patients underwent TERPT significantly increased with older age of children.
Bali Medical Journal, 2021
Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric ... more Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric patients. Complete resection in case of a total tubular duplication that requires total or subtotal colectomy is undesirable in children.Case Presentation: This case presented a simple surgical technique for treating complete colonic duplication without colonic resection. A 2 months old female baby with abdominal distention and stool complaint came out from her vaginal vestibular and normal anus. A digital rectal exam showed a palpable mass in the posterior region. Abdominal CT Scan showed a rounded mass with size 2x2 cm in the left posterolateral of rectum region. The initial diagnosis was suspected sacrococcygeal tumor type 4 with rectovestibular fistula. Intraoperative findings showed duplication of the caecum, appendix, total colon (ascending to sigmoid) and rectum (one directed to the vagina and the other to anus). The ileostomy was done 20 cm from the ileocaecal junction as a temp...
Journal Of The Indonesian Medical Association, 2021
Pendahuluan: Apendisitis akut adalah inflamasi yang terjadi pada apendiks vermiformis. Respon inf... more Pendahuluan: Apendisitis akut adalah inflamasi yang terjadi pada apendiks vermiformis. Respon inflamasi pada apendisitis akut ditandai dengan aktivasi efektor seluler dan molekuler, termasuk rekrutmen dan aktivasi neutrofil. Rasio Neutrofil-Limfosit (RNL) adalah perbandingan jumlah neutrofil dengan limfosit digunakan sebagai tolak ukur sederhana. Metode: Penelitian uji diagnostik observasional analitik, desain studi cross sectional retrospektif. Subjek penelitian adalah pasien apendisitis akut di RSU Zainal Abidin tahun 2018-2019. Subjek saat kedatangan dilakukan pemeriksaan darah, kemudian dihitung RNL, hasil hitung RNL dibandingkan dengan pemeriksaan patologi anatomi posapendektomi. Data dianalisis dengan analisis statistik deskriptif, kurva ROC dan uji diagnostik. Hasil: Sebanyak 176 pasien yang datang ke IGD dengan diagnosis apendisitis akut, didapatkan usia terbanyak 17-25 tahun (31,2%), 81 orang penderita laki-laki (46%), 95 orang penderita perempuan (54%). Dari hasil patologi...
Annals of Medicine & Surgery
Introduction and Importance: Ventriculoperitoneal shunt (VPS) is the most common procedure perfor... more Introduction and Importance: Ventriculoperitoneal shunt (VPS) is the most common procedure performed on children with hydrocephalus. Migration of VPS outside the peritoneal cavity is rare, especially fallopian tube migration with vaginal extrusion without organ perforation. Presentation of Case: A 3-year-old girl came to the hospital with the main complaint of having a white tube exposed from her vagina 4 days before admission. A history of frequent clear watery discharge from the vagina since one week before the admission alongside intermittent pain in the suprapubic area was obtained from the parents. A laparotomy was conducted on the patient. We found the distal shunt catheter had adhered to the omentum and it appeared that the catheter tube entered the right fallopian tube before it went into the uterus and out to the vagina. We replaced the distal catheter with a new one. The patient came home on the fourth day of the post-surgery in a good condition. Clinical Discussion: The etiology of distal shunt catheter migration into the vagina remains unclear. Our patient is the third documented case of fallopian tube migration with vaginal extrusion without organ perforation, suspected due to postsurgical adhesions to the fallopian tube. An evaluation of vaginal discharge associated with abdominal pain is an important clue for distal migration of the VPS to the vagina. Conclusion: The migration of catheter to the vagina should be considered of profuse watery discharge from vagina alongside intermittent abdominal colicky pain. The surgical goal is to re-establish a new VP shunt system.
Bali Medical Journal, 2020
International Surgery Journal, Apr 29, 2019
Background: One-stage pull-through operation has become increasingly popular for the treatment of... more Background: One-stage pull-through operation has become increasingly popular for the treatment of Hirschsprung's disease. The advantages of total transanal pull-through include minimal resection of the dilated ganglionic part of the colon, shorter hospital stay, decreased total cost, lower risk of adhesive intestinal obstruction. Methods: A retrospective study of patients with HD underwent transanal endorectal pull-through (TERPT) procedure treated at Dr. Zainoel Abidin Hospital Banda Aceh, Indonesia between January 2010-December 2013. We assessed patients characteristic, outcome and complication including Hirsch sprung associated enterocolitis (HAEC). Results: A total 77 patients were included in this study. The mean age was 13.01 months (range from 11 days-8 years old). Most of the patients (55.8%) were male and female (44.2%). Clinical classification of HD: short segment 74 patients (96.1%) and ultra-short segment 3 patients (3.9%). The mean of bowel resection length in TERPT procedure was 18.64 cm (range from 7-25 cm). There is no mortality associated with TERPT procedure. Hirsch sprung associated enterocolitis (HAEC) occurred in 43 subjects (54.5%). Statistical analysis showed the significant relation between age at surgery and HAEC (p= 0.000) and no significant relationship between gender (p=0.425) and bowel resection length (p=0.780) with HAEC. Conclusions: Transanal endorectal pull-through procedure has been shown as an effective minimally invasive treatment in resolving obstructive symptoms in ultra-short segment of HD patients. The number of HAEC incidence among HD patients underwent TERPT significantly increased with older age of children.