PERBANDINGAN HASIL PENGUKURAN KADAR LAKTAT DAN GLUKOSA PADA PASIEN REKONSTRUKSI FREE FLAP DI RSUP DR. MOHAMMAD HOESIN PALEMBANG PERIODE NOVEMBER 2022¬¬¬-NOVEMBER 2023

ADHANIA, KARNISSA RIZKIA and Muzakkie, Mufida and Rasyid, Riana Sari Puspita (2023) PERBANDINGAN HASIL PENGUKURAN KADAR LAKTAT DAN GLUKOSA PADA PASIEN REKONSTRUKSI FREE FLAP DI RSUP DR. MOHAMMAD HOESIN PALEMBANG PERIODE NOVEMBER 2022¬¬¬-NOVEMBER 2023. Undergraduate thesis, Sriwijaya University.

	Text RAMA_11201_04011282025185.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (53MB) | Request a copy
	Text RAMA_11201_04011282025185_TURNITIN.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (27MB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_01_front_ref.pdf - Accepted Version Available under License Creative Commons Public Domain Dedication. Download (50MB)
	Text RAMA_11201_04011282025185_8878023419_0017098502_02.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (950kB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_03.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (248kB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_04.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (441kB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_05.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (155kB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_06_ref.pdf - Bibliography Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (188kB) | Request a copy
	Text RAMA_11201_04011282025185_8878023419_0017098502_07_lamp.pdf - Accepted Version Restricted to Repository staff only Available under License Creative Commons Public Domain Dedication. Download (2MB) | Request a copy

Abstract

Background: Delayed management of vascular compromise in free flap procedures can escalate the risk of ischemia and necrosis. Previous research has proven that monitoring free flaps through lactate and glucose measurements is accurate in assessing vascular compromise. Therefore, clinical monitoring combined with lactate and glucose measurements is expected to expedite the diagnosis of vascular compromise in free flaps. Method: Patients undergoing free flap reconstruction in the Plastic Reconstructive and Aesthetic Surgery Division at Dr. Mohammad Hoesin Palembang Hospital from November 2022—November 2023. Results: The study involved 19 patients undergoing free flap reconstruction, with the highest distribution in the age group of 19-44 years (47.4%), male gender (63.2%), tumor diagnosis (63.2%), and reconstruction using ALT (57.9%). Viable free flaps showed lower lactate levels and higher glucose levels compared to flaps with vascular compromise. The transition of lactate levels in viable free flaps indicated an increase immediately after anastomosis, gradually decreasing afterward. Lactate levels in flaps with vascular compromise increased above reference value. Viable free flaps showed fluctuating transitions in glucose levels, mostly above reference value. Glucose levels in flaps with vascular compromise decreased below reference value. Viable free flaps were the most frequent outcome at each examination time. Conclusion: Lactate and glucose measurements, combined with clinical monitoring, can expedite the diagnosis of vascular compromise in free flaps, potentially enhancing flap success and yielding better patient outcomes. Keywords: Free flap reconstruction monitoring, lactate, glucose

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Pemantauan rekonstruksi free flap, laktat, glukosa
Subjects:	R Medicine > RD Surgery > RD118-120.5 Plastic surgery. Reparative surgery R Medicine > RD Surgery > RD120.6-129.8 Transplantation of organs, tissues, etc.
Divisions:	04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User:	Karnissa Rizkia Adhania
Date Deposited:	02 Jan 2024 07:57
Last Modified:	02 Jan 2024 07:57
URI:	http://repository.unsri.ac.id/id/eprint/137361

Actions (login required)

View Item