Diabetes mellitus (DM) is a significant risk factor for peripheral arterial disease (PAD). PAD affects 20% of DM patients over 40 and has increased by 29% in the last 50 years. The gut microbiota produces short-chain fatty acids (SCFAs) that affect atherosclerosis. SCFA inhibits inflammation, which contributes to This study tried link feces levels atherosclerosis people with diabetes included 53 PAD: gas chromatography-mass spectrometry measured acetate, butyrate, propionate samples (GC-MS)....

Introduction Diabetic foot ulcer disease, affecting 6.3% of the global population, necessitates crucial decisions regarding debridement and amputation, with substantial cost, morbidity, mortality implications. This study's primary goal is to determine effective vascular examination modalities, including systolic blood pressure, waveforms, volume flow guide optimal treatments for diabetic patients. Method cross-sectional study at Cipto Mangunkusumo General Hospital aimed identify such as...

BACKGROUND: The Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ-20) is a questionnaire that has been used to assess the quality life CVI patients. This study aims evaluate use CIVIQ-20 for patients in Jakarta, Indonesia.METHODS: Patients aged 18-65 years who had CVI. Diagnosis was made by vascular surgery resident doctors according symptoms and visual examination extremities. QOL assessed with questionnaire. feasibility, reliability, validity test IBM SPSS Statistics 25...

Percutaneous nephrostomy (PCN) is a routine procedure in urology with up to 99% success rate and less than 6% of total complications dominated by minor cases. This was case report 59-year-old male patient an unusual major bleeding complication after PCN that mimicked ruptured abdominal aortic aneurysm. The laparotomy exploration identified the source from right lobar artery, thus renorrhaphy performed. Proper visualization anatomic layout, color Doppler imaging, selecting guiding method...

Latar Belakang: Dalam lima tahun terakhir, pengunaan kateter pada pasien penyakit ginjal kronis (PGK) di RSCM kerap diikuti stenosis vena sentral (SVS, 60-70%). Sejak 2013 SVS ditangani melalui prosedur venoplasti, namun belum ada evaluasi keberhasilan. Penelitian ini ditujukan melakukan keberhasilan venoplasti dan faktor risiko terjadinya stenosis. Metode: Dilakukan studi deskriptif analitik dengan desain potong lintang melibatkan PGK stadium 4-5 yang terdiagnosis simptomatik SVS, secara...

Tunneled CVC is being increasingly used worldwide as a mean of vascular access for hemodialysis. Among these, one the emerging complications that "embedded" or stuck catheter. There have been registered cases vasomotor collapse, non-ST-elevation myocardial infarction (NSTEMI), avulsion vena cava, damage to tricuspid valve having fatal consequences, and breakage (Lodi et al., 2016). A 63-year-old female with mature AV fistula came clinic removal tunnelled 15 fr double lumen dialysis catheter...

Introduction: Arteriovenous fistula (AVF) is the gold standard for vascular access hemodialysis in end-stage renal disease (ESRD) patients. There a high rate of AVF maturation failure, especially DM patients, and it takes longer diabetes mellitus (DM) This study aimed to obtain recommendations minimum diameter brachial artery cephalic vein as predictor brachiocephalic ESRD patients with type 2 after six weeks eight creation. Methods: retrospective cohort using secondary data from...

Sejawat sekalian, tahun 2020 adalah yang berat bagi kita bersama. Bukan hanya dibidang kesehatan, tetapi juga mengenai seluruh bidang kehidupan dan bukan di Indonesia dunia. Tantangan itu diakibatkan kemunculan virus COVID-19 mewabah dunia.
 Wabah ini kesehatan berpengaruh besar. Terjadi peningkatan kasus diseluruh dunia termasuk Indonesia. Di sendiri ada kesan awalnya pemerintah khususnya Kementerian Kesehatan sedikit gagap terkesan lambat dalam bertindak. Bahkan untuk proses...

Background : One of the greatest challenges hemodialysis is limited durability vascular access. Immature AVF defined as that never develops adequately to support dialysis. One causes makes very often immature stenosis besides creation fistula itself. The EFS a treatment modality for preemptive repair surgical revision. The purpose this study evaluate effectiveness in and its influencing factors there was no study Indonesia with specific characteristics. Methods:  A retrospective cohort...

Introduction: Patients with chronic kidney failure whose life depends on routine hemodialysis, need good hemodialysis access. Arteriovenous fistula (AVF) is the best access, but this access prone to stenosis. The treatment for problem of AVF stenosis by percutaneous transluminal angioplasty (venography /venoplasty). This action has developed in Cipto Mangunkusmo National Hospital since 2013, there no data and evaluation its success. study was conducted evaluate success venoplasty Method:...

Background: Arteriovenous fistula (AVF) is the best access for hemodialysis. The failure of arteriovenous maturation currently a major problem faced today. This study aims to assess whether an intraoperative bloodflow rate measured with Doppler ultrasound can be predictor maturity radiocephalic AVF. Subjects and Methods: were patients made AVF USG mapping according standard. Shortly after, anastomosis was linear probe ultrasound. used cross sectional analytic design obtain relationship rate....

Introduction: In 2010, the American Venous Forum developed a Clinical Severity Score (VCSS) scoring system to assess severity of Chronic Insufficiency (CVI), where this was said be more comprehensive than CEAP system. However, VCSS validation still lacking. The purpose study examine for reflux and leg vein diameter based on ultrasonography. Method: This cross-sectional diagnostic test women workers with standing work positions 114 people (228 limbs). assessment ultrasound examinations were...

Introduction. Critical limb ischemia (CLI) is a vascular disease that has significant amputation and mortality risk with diabetes mellitus; the most factor in CLI prevalent among Indonesian. Endovascular intervention (EVI) preferred treating because it non-invasive effective. Balloon angioplasty stent are common method of EVI Indonesia. This study aims to compare effectiveness balloon on wound healing CLI.

Latar Belakang. Sindroma Marfan merupakan penyakit jaringan ikat yang diturunkan secara autosom dominan dengan penyebab utama morbiditas dan mortalitas akibat kelainan aorta. Bedah terbuka tata laksana untuk aorta pada pasien sindrom Marfan, namun tidak semua dapat dilakukan bedah terbuka, misalkan kondisi hemodinamik stabil usia tua. Intervensi endovaskular salah satu pendekatan minimal invasif masih kontroversial karena adanya risiko kegagalan primer berupa kebocoran aneurisma.
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Background. Foot ulcer is one of the most common complications in diabetes mellitus patients. This condition prolongs hospital length stay (LOS) and increases hospitalization cost. study aims to assess factors that affect LOS patients with mentioned condition.
 Methods. a retrospective cohort foot who were hospitalized Cipto Mangunkusumo General Hospital from January 2015 April 2016. There 120 recruited then divided into two groups according their duration, which was short long....

Sejawat sekalian, memasuki tahun 2020 sangat banyak kejadian yang terjadi di dunia kesehatan. Masalah kenaikan tarif BPJS Kesehatan masih dtentang oleh pihak tentu saja mempengaruhi kerja para spesialis bedah secara keseluruhan. Pengaruh ini langsung karena sebagian besar pembiayaan pasien saat menggunakan dana Jaminan Nasional diselenggarakan Kesehatan.
 Berdasarkan pasal 34 Perpres nomor 75 2019 maka akan iuran pada 1 januari 2020. Kenaikan itu rinci adalah sebagai berikut:
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Introduction. Increasing incidence of trauma all over the world will increase risk vascular trauma, so prevalence pseudoaneurysm. Post traumatic pseudoaneurysm occurs within days or months and commonly diagnosed as hematoma in its early presentation. An effective, less invasive, low-cost treatment with high rate survival is needed by patients post Endovascular surgery one invasive techniques. This case report was made to find out effectivity endovascular

Assalamualaikum WW
 Sejawat sekalian, memasuki tahun 2019 akan banyak peristiwa yang menentukan perjalanan profesi kita kedepannya. Salah satunya adalah pemilihan presiden dan anggota legislatif. Mau tidak mau, suka atau suka, hasil ini mempengaruhi selanjutnya. 
 satu hal perlu cermati bagaimana selanjutnya dari sistem pembiayaan jaminan kesehatan selama dilaksanakan oleh BPJS Kesehatan. Sebagaimana ketahui bahwa Kesehatan dalam RAPBN hanya sebanyak Rp 26,7 T meningkat Rp1,7...

Latar Belakang: Kaki diabetik terinfeksi masih menjadi permasalahan serius bagi penderitanya dan kerapkali berujung pada amputasi ekstremitas bawah. Penentuan agresifitas tindakan diperlukan untuk mencegah perburukan kondisi pasien. Prokalsitonin sebagai salah satu penanda infeksi sensitif diharapkan dapat membantu mendiagnosis lebih awal sehingga manajemen yang diterapkan tepat. Penelitian ini bertujuan mengetahui hubungan prokalsitonin terhadap risiko terjadinya bawah.
 Metode:...

Profesionalitas dokter menurut Epsten dan Hundert adalah kemampuan berkomunikasi, ketrampilan teknis, penalaran klinis, emosi nilai refleksi dalam praktek sehari hari yang digunakan untuk kepentingan individu masyarakat kita layani. Jika disederhanakan maka profesionalitas dapat diartikan memberikan pelayanan sebaik baiknya dengan kualitas tertinggi bagi anggota dilayaninya. Bagi seorang bedah sering melakukan pembedahan intervensi ini hal harus diperhatikan dikedepankan.
 ditegakkan...

Introduction: In 2012, the annual incidence rate of diabetic foot ulcers and gangrene are estimated to be around 2-5% general population. About 15% patients with can have an amputation in lower limb. Diabetic is a health problem that very difficult cure. This further exacerbated by severe conditions infection disrupt process tissue regeneration, so must done prevent spread infection. Infection not well controlled inhibit all phases wound healing. study aimed know relationship between...

Introduction: In patients with diabetic foot ulcers, atherosclerosis, and endothelial dysfunction can worsen the patient’s vascular condition. Atherosclerosis is one of which assessed by ankle-brachial index (ABI). The occurrence be identified indirectly from examination flow-mediated dilatation (FMD) via doppler ultrasound. This study was conducted to determine whether there a correlation between ultrasound examinations dorsalis pedis artery posterior tibial arteries in sufferers. Method:...