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ABSTRAKObjectives: to find correlation between risk factors and classification of SSI, the distribution of SSI, and cost in Soetomo Hospital. Materials and Methods: descriptive retrospective observational with correlation analysis between risk factors and SSI classification according to Centers for Disease Control (CDC) definition with univariate analysis. Sub-group descriptive analysis on microbiology result, length of stay (LOS) and cost was also performed. All patients was diagnosed SSI between January 2015 until June 2017. Results: age, referral cases, Body Mass Index, Hemoglobin and Albumin results, types of surgery, types of case are the risk factors we included. Analysis result shows no strong and significance correlation in all risk factors (r 0.053 -0.447; p 0.072 -0.971). According to SSI types, the distribution are: superficial (7; 13.2%), deep (26; 49.1%), organ/space (20; 37.7%). Extended-Spectrum Beta-Lactamase (ESBL) was obtained in 19 (14 Obstetrics; 5 Gynecology) from 28 patients with microbiology results. Five deaths occured in ESBL patients (1 Obstetrics; 4 Gynecology; ratio 1 : 11.2). Mean length of stay in Obstetrics and Gynecology was 41.7 and 19.2 days, respectively. Mean cost per day in Obstetrics and Gynecology was 1.2 amd 2.6 million rupiah, respectively. Conclusions: no strong and significant results in all risk factors. Death rate in SSI and malignancy with positive ESBL result are high. Less cost needed for SSI patients, but with longer LOS. Comprehensive approaches are needed to patients at risk of SSI, further study with larger sample are needed.Tujuan: mengetahui hubungan antara faktor resiko dengan derajat keparahan SSI, distribusi SSI, dan biaya yang diperlukan. Bahan dan Metode: deskriptif retrospektif observasional dengan analisis faktor resiko dan hubungan dengan jenis SSI. Dilakukan analisis sub grup terhadap hasil biakan kuman, lama masa inap dan biaya yang diperlukan. Hasil: usia, rujukan, indeks massa tubuh, kadar Hb, Albumin, setting operasi, dan jenis kasus merupakan faktor resiko yang kami pilih. Hasil analisis menunjukkan tidak ada korelasi yang kuat dan kemaknaan pada semua faktor resiko (r 0,053 -0,447; p 0,072 -0,971). Distribusi SSI menurut jenisnya: superficial (7; 13,2%), deep (26; 49,1%), organ/space (20; 37,7%). Kuman dengan Extended-Spectrum Beta-Lactamase (ESBL) didapatkan pada 19 (14 Obstetri; 5 Ginekologi) dari 28 pasien dengan biakan kuman. Lima kematian pada SSI dengan ESBL (1 Obstetri; 4 Ginekologi). Rerata masa inap pada Obstetri dan Ginekologi 41,7 dan 19,2 hari. Rerata biaya per hari untuk Obstetri dan Ginekologi berurutan 1,2 dan 2,6 juta rupiah. Kesimpulan: tidak ada faktor resiko yang bermakna dengan korelasi yang kuat. Kematian pada pasien SSI dan keganasan dengan hasil biakan kuman ESBL (+) sangat tinggi. Biaya yang diperlukan untuk merawat pasien dengan SSI lebih sedikit namun dengan masa rawat inap yang jauh lebih lama. Diperlukan penanganan yang lebih komprehensif terhadap pasien dengan resiko SSI dan studi lebih lanjut dengan sampel yang lebi...

Objectives: the aim of this study is to report the outcome of Manchester operation in cervical elongation patients with pelvic organ prolapse at Dr. Soetomo Hospital, Surabaya from January 2015 to June 2017.Case Report: During January 2015 until June 2017 there were seven patients already performed Manchester operation, however only four patients routine control. In all four cases, three cases were obtained with cervical elongation with a pelvic organ prolap (POP) and one case with cervical elongation. Perform evaluation before and after operation by using questionnaire and inspection of POP-Q system. During the evaluation there was one case with repeated lump complaints diagnosed with a uterine prolap, while one of it was with a posterior compartment prolap, but the patient did not complain during the evaluation. Both of these patients refused to reoperate after evaluation.Conclusion: After Manchester operation in cervical elongation with POP had two cases with repeated prolapse. Questionnaires and POP-Q systems were used to diagnose and evaluate preoperative and postoperative Manchester.

HIGHLIGHT 1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors. ABSTRACTWomen's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.