Kanker payudara berdampak pada 2,1 juta wanita setiap tahun dan menjadi penyebab kematian terbesar kanker pada wanita di dunia. Terapi untuk kanker payudara salah satunya dengan kemoterapi. Dibutuhkan kepatuhan dalam menjalani pengobatan untuk menghindari progresivitas dan kekambuhan penyakit. Jenis penelitian ini adalah deskriptif observasional dengan teknik consecutive sampling. Sampel penelitian ini adalah pasien kanker payudara yang menjalani kemoterapi di RSUP Dr. Mohammad Hoesin pada bulan September 2019 yang memenuhi kriteria inklusi dan ekslusi. Instrumen pada penelitian ini adalah Kuesioner Kepatuhan Pasien Dalam Menjalani Kemoterapi dan kuesionerCenter for Epidemiologic Studies Depression Scale (CES-D). Pada penelitian ini terdapat 49 pasien kanker payudara yang menjadi subjek penelitian. Hasil penelitian pada kelompok terbanyak usia adalah 50-54 tahun dengan persentase 22,4% (n=11), tingkat pendidikan adalah sekolah menengah 42,9% (n=21), dan pendapatan keluarga dibawah UMP 57,1% (n=28). Seluruh subjek (n=49) memiliki asuransi dan efek samping kemoterapi. Menurut penilaian, terdapat 24,5% (n=12) subjek mengalami depresi, 91,8% (n=45) patuh dan tidak patuh berobat sebesar 8,2% (n=4). Alasan patuh berobat adalah keinginan sembuh dan keluarga. Alasan tidak patuh karena jarak rumah yang jauh dan efek samping. Terdapat lima faktor yang mempengaruhi kepatuhan berobat pasien kanker payudara yang menjalani kemoterapi di RSUP Dr.Mohammad Hoesin Palembang, yaitu social and economic, health care team and system, condition, therapy, dan patient-related factors

Background: In 2018, breast cancer was the most common malignancies in women. Which mainmodality for the management is surgery. The most frequently-used incision design is Stewartincision. Its disadvantages were difficult to access axillary, surgical scar, lateral ear dog and theloss of anterior axillary fold. Another design used is Songket design which consists of crescentincision, rule of half buried mixed mattress suture technique and axillary anker suture. This studyaims were to compare the total drain volume of post-MRM breast cancer patients between Songketand Stewart incision design.Method: Clinical randomized control trial (cRCT) research is the most robust design forevaluating the interventions used. Samples were all post-Modified Radical Mastectomy CaMammae patients with Songket and Stewart incision design who were hospitalized in theDepartment of Surgery at Dr. Mohammad Hoesin Hospital Palembang in the time of June -November 2019. The inclusion criteria were Ca Mammae patients who underwent the procedureand agreed to participate for this study. The patients who had post-operative wound dehiscence,under-documented drains, or the history of axillary lymph node surgery were excluded from this study.Results: Total drain volume for post-MRM using Stewart incision was 613.85 ± 215.93 ml, whileSongket Incision stood was 116.15 ± 139.95 ml. The mean age of the study subjects was 48.69 ±9.57. BMI was 23.65 ± 3.51 on average. Total drain volume of Stewart incision design was 497.7± 75.98 higher than Songket incision design.Conclusion: There was found significant difference in total drain volume between the two groupswith p value of <0.001.

Abstract Introduction. Lateral ear dogs and loss of anterior axillary fold are side effects of modified radical mastectomy (MRM) operations and are cosmetically unpleasant. Songket technique is expected to reduce the side effects of MRM surgery. This study compared the Modified Radical Mastectomy surgery scar using Songket and standard techniques. Methods. This research is a clinical randomized trial. With anterior chest thoracic data of postoperative patients and assessed by the patient's family and medical professionals using a likert scale on wound length, wound width, wound angle and armpit folding. This study was performed in the Department of  Surgery Mohammad Hoesin Hospital Palembang from January 2020 to April 2020. Result. A total of 32 research subjects participated with the average Likert scale score on medical and family assessments between the Songket and standard technique groups with p values ​​of 0.605 and 0.984, respectively. Conclusion. There was no difference in comparison of scar Modified Radical Mastectomy operations using Songket techniques and standard techniques at Mohammad Hoesin Hospital in Palembang.

The thyroid is a butterfly-shaped gland located at the base of the neck, consisting of two lobes that sit on either side of the trachea. It releases hormones necessary for many of the body’s vital functions, including metabolism, heart rate, body temperature, and growth and development. The term thyroid nodule refers to an abnormal growth of thyroid cells that forms a lump within the thyroid gland. More than 95% of all thyroid nodules are benign. Some thyroid nodules are actually cysts, which are filled with fluid rather than thyroid tissue.Thyroid nodules are three times more common in women than in men. Most women will develop a thyroid nodule by the time they are 50 years old. The incidence of thyroid nodules increases with age. 50% of 50-year-old women will have at least one thyroid nodule. 60% of 60-year-old women will have at least one thyroid nodule. 70% of 70-year-old women will have at least one thyroid nodule.Requisite to adopting any new surgical technique is scrutiny and analysis to confirm that the procedure is feasible and safe with the ultimate comparison to the gold standard of open transcervical thyroidectomy. However, this approach leaves an unavoidably visible neck scar. Many modified techniques have been developed to reduce the size of the neck scar, including minimally-invasive open thyroid surgery and video-assisted thyroidectomy (MIVAT). Many of the alternative approaches for pure endoscopic thyroidectomy move the wounds to other parts of the body Such an approach is unparalleled compared to other remote-access approaches such as the axilla, breast, or post-auricular area, but cutaneous scars are still apparent and these approaches require a large amount of flap dissection.Natural Orifice Transluminal Endoscopic Surgery (NOTES) for thyroidectomy was developed. This surgical technique completely avoids visible cutaneous scarring with an approach through the oral cavity. Two techniques have been described, including 1) a sublingual approach, which causes severe tissue damage with a high complication rate and 2) an transoral endoscopic thyroidectomy vestibular approach (TOETVA).A major advantage of TOETVA is the midline approach to the central neck, which allows access for a total thyroidectomy and central neck dissection.

Kanker payudara merupakan salah satu penyebab utama kematian wanita di seluruh dunia.Terdapat beberapa faktor risiko yang memengaruhi terjadinya kanker payudara, salah satunya penggunaan kontrasepsi hormonal jangka panjang.Penelitian ini bertujuan untuk mengetahui hubungan lama penggunaan kontrasepsi hormonal dengan kejadian kanker payudara pada pasien di Poliklinik Bedah Onkologi RSUP Dr. Mohammad Hoesin Palembang pada September–Oktober 2016.Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional. Sampel penelitian adalah pasien di Poliklinik Bedah Onkologi RSUP Dr. Mohammad Hoesin Palembang pada September-Oktober 2016 dengan sampel minimal sebanyak 146 sampel. Data diolah dengan SPSS dan dianalisis menggunakan uji Chi-square.Pada penelitian ini ditemukan 50,7% kasus kanker payudara. Pengguna kontrasepsi oral 23,9%, injeksi 1 bulan 28,3%, injeksi 3 bulan 28,7%, dan implan 19,1%. Dari hasil analisis bivariat uji Chi-squareditemukan hubungan penggunaan kontrasepsi hormonal(p=0,000), oral(p=0,026), injeksi 3 bulan(p=0,035), implan(p=0,035) lebih dari lima tahun dengan kejadian kanker payudara. Tidak ada hubungan penggunaan kontrasepsi injeksi 1 bulan lebih dari lima tahun dengan kejadian kanker payudara(p=0,465). Terdapat hubungan penggunaan kontrasepsi hormonal, oral, injeksi 3 bulan, dan implan lebih dari lima tahun dan tidak terdapat hubungan penggunaan kontrasepsi injeksi 1 bulan lebih dari lima tahun dengan kejadian kanker payudara.