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Surgery

The New Ropanasuri Journal of Surgery

Pediatric

Publication Year

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Full-Text Articles in Medicine and Health Sciences

Effect Of Everolimus On The Liver Function Of Children Receiving Liver Transplant With Chronic Rejection: An Evidence–Based Case Report, Adi Nd Puruboyo, Tri H. Rahayatri, Marini Stephanie Jun 2023

Effect Of Everolimus On The Liver Function Of Children Receiving Liver Transplant With Chronic Rejection: An Evidence–Based Case Report, Adi Nd Puruboyo, Tri H. Rahayatri, Marini Stephanie

The New Ropanasuri Journal of Surgery

Introduction. Chronic rejection, a complication after pediatric living donor liver transplantation (LDLT), is challenging to treat as management generally requires retransplantation. However, retransplantation is avoided because of rejection risks, longer operating time, higher mortality, and lower survival rates. Immunosuppressant therapy has potential as an option for nonsurgical treatment. Everolimus, a mammalian target of rapamycin inhibitors (mTOR inhibitors), is a well-known immunosuppressant in treating chronic rejection of LDLT. However, studies in the pediatric field remain minimum.

Method. The discussion was based on evidence found from studies found through a systematic literature search. These three studies showed permanent liver function improvement after …


Seroma As A Biological Tissue Expander On Post-Mastectomy Reconstruction: A Case Report, Ahmad Kurnia, Fatahillah Muazdhani Jun 2023

Seroma As A Biological Tissue Expander On Post-Mastectomy Reconstruction: A Case Report, Ahmad Kurnia, Fatahillah Muazdhani

The New Ropanasuri Journal of Surgery

Introduction. Previous studies have reported that patient satisfaction with breast cancer management is related to the success of breast reconstruction. The tissue expander used in breast reconstruction today has several disadvantages: the high cost, the nature of the foreign body, and the risk of failure. Seroma has the potential as a natural tissue developer in post-mastectomy reconstruction. This case report aims to describe the technique, results, advantages, and limitations of post-mastectomy breast reconstruction using a seroma as a natural tissue expander that has never been done before.

Case Presentation. A 37-year-old woman was diagnosed with stage IIIA non-special type (NST) …


Pulmonary Resection In Complicated Primary Pediatric Pulmonary Tuberculosis: An Evidence-Based Case Report, Hendra Wibowo, Suprayitno Wardoyo, Dhama Shinta Dec 2019

Pulmonary Resection In Complicated Primary Pediatric Pulmonary Tuberculosis: An Evidence-Based Case Report, Hendra Wibowo, Suprayitno Wardoyo, Dhama Shinta

The New Ropanasuri Journal of Surgery

Introduction. Paediatric pulmonary tuberculosis incidence was increasing, with many undetected cases. Antituberculosis regiments are known to be the treatment of choice for tuberculosis. Even though pulmonary resection for pulmonary tuberculosis has reduced in daily practice, it remains continues to play an important role in several advanced conditions and complications. Currently, there are no specific practical guidelines concerning surgical indications and approaches for pulmonary tuberculosis. We report a case with complicated primary paediatric pulmonary tuberculosis underwent resection and looking for the literature of the best evidence.

Method. A case report completed with a discussion based on the best evidence. …