Objective: To know the feasibility of uterosacral and rectovaginal
nodule resection in endometriosis patients who
underwent laparoscopy surgery in Fatmawati Hospital.
Methods: Observational study was done by involving trained and
experienced laparoscopist who performed deep infiltrating
endometriosis (DIE) nodule resection laparoscopy on uterosacral
and rectovaginal ligament. We observed on 35 patients which were
histologically proven of DIE. We recorded the total procedure time,
surgical complications occurred intra-operative, postoperative, and
length-of-stay. The data were described descriptively.
Results: Mean (SD) of total laparoscopic procedure time including
nodule resection was 200 (SD 52) minutes. There were two
procedures (5.7%) with intra-operative complications, one (2.9%)
with bowel injury which was converted to laparotomy, and the other
one (29%) with intra-operative bleeding so that the operator
cancelled nodules resection. Mean (SD) on length of stay after the
procedures was 2.5 (2.1) days. On follow up observation, there was
not any postoperative complication.
Conclusion: Laparoscopic uterosacral and rectovaginal nodules
resection in endometriosis patient is feasible to be done by
trained and experienced laparoscopic surgeon.
[Indones J Obstet Gynecol 2017; 5-1: 42-45]
Keywords: endometriosis, laparoscopy, nodule resection
Background: This study aims to show the effect of full immersion virtual reality-based rehabilitation (VR) using commercial gaming software on upper limb motor recovery in chronic ischemic stroke patients with hemiparesis.
Case Presentation: This is a case series study in stroke patients who come for treatment at the Medical Rehabilitation Clinic of Cipto Mangunkusumo General Hospital under University of Indonesia. Patients’ baseline data were examined in the form of Fugl-Meyer Upper Extremity (FM-UE), Chedoke Arm, and Hand Activity Inventory (CAHAI), and Brain Derived Neurotrophic Factor (BDNF) scores. Patients received physical rehabilitation treatment for 3 times a week, 30 minutes per session for 6 weeks using Occulus Quest with Beat Saber and Hand Physics Lab software. Post intervention, FM-UE, CAHAI and BDNF data were collected. The study subjects consisted of 2 men and 3 women with an age range of 45 – 59 years, 4 left hemiparesis and 1 right hemiparesis, Brunnstrom IV – VI. After the intervention was given, there was an increase in all three parameters FM-UE (median difference: 2, min – max: 1 – 19, MCID: 5.25), CAHAI (median difference: 2, min – max: 1-18, MCID: 6 .3), and BDNF (median difference: 16.68, min – max: 9.76 - 46.8).
Conclusion: Full immersion virtual reality-based rehabilitation using commercial gaming software shows a promising positive improvement phenomenon in upper limb motor recovery in chronic ischemic stroke patients after 6 weeks of intervention.
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