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Theddeus Prasetyono

Theddeus Prasetyono
Universitas Indonesia and Cipto Mangunkusumo Hospital

Doctor of Medicine; PhD

About

67
Publications
18,204
Reads
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376
Citations
Introduction
Theddeus Prasetyono currently works at the Department of Surgery, Universitas Indonesia, which affiliates with the Cipto Mangunkusumo Hospital. Theddeus does research in Plastic Surgery and Hand Surgery. Their most recent subject is hand surgery without tourniquet.

Publications

Publications (67)
Article
Full-text available
Background:. Most hand flaps are local intrinsic flaps because hand perforators are small and fragile. The purpose of this review was to gather anatomical data on cutaneous perforators of the hand and their implications on intrinsic hand flaps. Methods:. An electronic search was performed through PubMed, Scopus, ScienceDirect, ProQuest, and CINAHL...
Article
The use of angiography combined with cone-beam computed tomography (CBCT) in interventional radiology and endovascular surgery is beneficial. The combination of CBCT with digital subtraction angiography (DSA) resulted in a detailed vascular map and its surrounding structures. This paper presents cases of vascular anomalies outside the skull, includ...
Article
Background : To date, various surgical techniques were developed for gynecomastia and pseudogynecomastia surgery, providing surgeons vast range of options. These variations of techniques, however, may have different efficacy and results depending on the severity of patients’ conditions. Objectives : The aim of this review is to delineate comprehen...
Article
Full-text available
Background Transferring critically ill patients with COVID-19 is a challenging task; therefore, well-trained medical team is needed. This study aimed to determine the role of in situ simulation training during pandemic by using high-fidelity manikin to improve interprofessional communication, skills and teamwork in transferring critically ill patie...
Article
Background This study aims to compare the use of one-per-mil tumescent solution (a mixture of epinephrine and 0.2% lidocaine in a ratio of 1:1,000,000 in normal saline solution) and tourniquet to create clear operative fields and to evaluate the functional outcomes after post burn hand contracture surgery. Methods The subjects of this randomized c...
Article
Introduction: Keloids are pathological wound healing responses to dermal injuries. These scars may lead to considerable morbidity, but treatments remain challenging for physicians. Interleukin 10 (IL-10), a potent anti-inflammatory cytokine, plays a prominent role in fetal scarless regenerative healing; therefore, it may become a more targeted and...
Article
Introduction: Adipose-derived stem cells (ASCs) have recently gained researchers' interest as a solution to various diseases and conditions, including hypertrophic scar. This literature review aims to elucidate ASCs as a potential solution to alleviate hypertrophic scar in human subjects. Methods: Literature search was done in databases which in...
Article
Background: This study aims to analyse the quality of studies and revisit the liposuction assisted gynecomastia surgery performed through minimal incision. Methods: A systematic review, based on the literature in the PubMed, Scopus, Science Direct, and Cochrane, to the treatment of Simon's grade I and II gynecomastia was conducted using keywords...
Article
One-per-mil epinephrine solution (1:1,000,000) injected as a tumescent has been used in several hand and upper-limb surgery cases as a substitute for tourniquet. However, reviews of its effectiveness are still lacking. A comprehensive review was conducted based on PubMed, Scopus, Science Direct, Cochrane Library, and Semantic Scholar database searc...
Conference Paper
Full-text available
Burns, which generate hypertrophic scar formation, may decrease functional and aesthetical aspects of patients’ quality of life. To date, grafting treatments were not only proceeded solitarily. The technological development of burn treatments emerged with approaches, such as negative pressure wound therapy (NPWT) and tissue-engineered skin (TES). B...
Article
Full-text available
Background: This study aims to report how the practice of plastic surgeons and their attitude was during the first measure period of coronavirus disease 2019 (COVID-19) pandemic. Methods: A survey study was held among members of the Indonesian Association of Plastic Reconstructive and Aesthetic Surgeons during week 5 after the first report of CO...
Article
Full-text available
Introduction. Standard procedural skills training methods include tutorial, workshop, and feedback. Written manuals might add value to those standard methods; nevertheless, depends on how well they are composed. This research is aimed to evaluate the efficiency of well-written manuals of hand knotting skills in order to improve students’ procedural...
Article
Full-text available
The COID-19 pandemic has forced people into a new way of adaptation with virtual meetings using videoconferencing apps.This study aims to report experiences of using a multiscreen to screen platform for sharing experiences in the form of Live Lecture and beyond. An observational study on distant CME events using multiscreen to screen webinar model...
Article
Full-text available
Embolization or sclerotherapy is considered as the first-line therapy for the management of arteriovenous malformations (AVM) and can be performed directly targeting the nidus. Ethanol is an effective embolic agent; however, some complications may arise. This paper illustrates a case of torrential bleeding following ethanol sclerotherapy in a patie...
Article
With a lot of uncertainty, unclear, and frequently changing management protocols, COVID-19 has significantly impacted the orthopaedic surgical practice during this pandemic crisis. Surgeons around the world needed closed introspection, contemplation, and prospective consensual recommendations for safe surgical practice and prevention of viral conta...
Article
Full-text available
The emergence of the COVID-19 pandemic has severely affected medical treatment protocols throughout the world. While the pandemic does not affect hand surgeons at first glance, they have a role to play. The purpose of this study was to describe the different measures that have been put in place in response to the COVID-19 pandemic by hand surgeons...
Article
Background: One-per-mil tumescent technique could provide local anesthesia in surgical procedures despite using low lidocaine concentration. Tumescence environment within the tissue may play a role in supporting local anesthesia effect. This study aims to delineate whether the tumescence environment, created by one-per-mil solution without a local...
Article
Background: Full-awake hand surgery (FAHS) has been gaining attention in recent years. However, the extent of full-awake approach for longer and more complicated major surgeries for the hand in trauma cases remains unclear. This study aimed to report the clinical nature of major flexor tendon trauma cases with subsequent repair under FAHS. Method...
Article
Full-text available
Background: This study aimed to measure the least initial and maintenance forces of syringe and needle combinations to provide a reference for local anesthetic injection. Methods: An experimental study was conducted in our Physics Laboratory during September 2015. A series of syringes sized 1 mL, 3 mL, 5 mL, 10 mL and 20 mL were paired with the...
Article
Background: This study aimed to find out the optimal time delay of epinephrine in one-per-mil tumescent solution containing 1:1,000,000 epinephrine and 0.2% lidocaine to achieve optimal visualization in hand surgery. Materials and methods: Twelve healthy male subjects who volunteered to join this prospective, randomized, double blind study were...
Article
Full-text available
A 70-year-old man complained imbalance while walking, inability to perform ankle flexion, and could not stand on tip-toe 3 months after injury. The ankle looked swollen with loss of Achilles contour and obvious gait disturbance. Magnetic resonance imaging shows a 5-cm Achilles tendon gap. Subsequently, surgery was performed to solve the neglected A...
Article
Full-text available
Background The aim of this study was to assess the safety of one-per-mil tumescent injections into viable skin flaps that had survived an ischemic insult, in order to assess the potential suitability of one-per-mil tumescent injections in future secondary reconstructive procedures such as flap revision and refinements after replantation. Methods F...
Article
Background: This study is aimed to set a benchmark of skin color and texture index based on digital photographs for living and nonliving skin. Materials and methods: Photography was taken with standardized camera inside a Mini Mobile Medical Photo Studio (MiniMoPS) prototype. A pilot analysis was conducted by comparing color and surface texture...
Article
Background: Diabetes mellitus is a disease whose prevalence rises each year, making it a global health threat. In Indonesia, an estimate of 9,1 million people has diabetes mellitus. There are many herbal treatments that are said to help diabetic patients, such as cinnamon. Cinnamon is thought to be able to improve glucose uptake and insulin signall...
Article
Full-text available
Background: One-per-mil tumescent solution, which contains 0.2% lidocaine with 1:1,000,000 epinephrine, has been reported to be clinically effective for hand surgery under local anesthesia. However, it was lacking in its basic pharmacokinetics profile in regard to the onset of action (OOA) and duration of action (DOA). Methods: A randomized, dou...
Article
Background: To present the efficacy of 1:1,000,000 tumescent solution for resection of vascular malformation in hand and upper extremity without tourniquet application. Methods: Four patients with five slow flow vascular malformations were retrospectively reviewed. Prior to incision, 1:1,000,000 tumescent solution was infiltrated subcutaneously sur...
Article
The objective of this report is to present a case of hand burn linear contracture release performed under local anesthesia. It also introduces the one-per-mil tumescent solution consisted of 0.2% lidocaine and 1:1.000.000 epinephrine as a local anesthesia formula, which has the potential of providing adequate anesthesia as well as hemostatic effect...
Article
Full-text available
Even though Silicone injection for breast augmentation has been related to disastrous long-term effects and complications, some patients do not develop significant symptoms at all (asymptomatic). Unfortunately, the management of asymptomatic Silicone-injected breast is still unclear and has never been reported exclusively. We present two cases of a...
Article
The aim of the study is to compare the systematic injection patterned-technique of 1-permil tumescent solution versus the random patterned-technique. Several incidences of perforator flap necrosis have been encountered with tumescent technique. Among the possible causes, the most probable cause is the injury of perforator artery due to the multipas...
Data
Full-text available
The summary of length of follow-up, diagnostic tools, management, complications, and outcomes of the inclusive articles
Data
Digital presentation of Macrodystrophia lipomatosa in upper extremity
Data
The summary of age, gender, and anatomical location of the inclusive articles
Data
Full-text available
Digital presentation of macrodystrophia lipomatosa in lower extremity
Article
Full-text available
Macrodystrophia lipomatosa (MDL) is a rare congenital non-hereditary disorder that has significant impact on patient morbidity. This study provides a comprehensive review of the natural history, diagnosis, management, and outcomes of the disorder. A literature search in PubMed was conducted to identify cases of MDL from January 1950 to 14 February...
Article
Full-text available
In plastic surgery, patient photography is a vital component of clinical, educational, legal, and research documentation. Optimal acquisition of photographic data requires a dedicated photography studio or a three-dimensional anatomic scanner, both of which are financially impractical for most clinicians. Simplified photo standardization is propose...
Data
Full-text available
Summary of categories definition Supplemental data can be found at: http://e-aps.org/src/sm/aps-42-164-s001.pdf
Data
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Operative field distribution based on the thickness and density of scar Supplemental data can be found at: http://e-aps.org/src/sm/aps-42-164-s002.pdf
Article
Full-text available
Skin graft has been known to be prone to failure. This study was aimed to make a simplification of the negative pressure wound therapy (NPWT), which follows EASEPort (effective, affordable, safe, easily handled, and portable) concept to support the take of skin graft. The design of the EASEPort-NPWT was then made and technically verified. Thereafte...
Article
Full-text available
The use of a tourniquet in hand surgery is generally accepted as necessary to create a clear visualization of the operative field. This study aims to determine the effectiveness of one-per-million tumescent solution (1:1,000,000 epinephrine concentration) in creating a bloodless operative field in post-burn hand deformity surgeries performed withou...
Article
The aim of this systematic review was to discuss the comparison of split-thickness skin graft (STSG) and full-thickness skin graft (FTSG) use as the treatment for volar digital and palmar burns in children. We conducted PubMed and Cochrane Library searches using keywords "hand injuries", "contracture" and "skin transplantation". The search was limi...
Article
Gingival hyperplasia is characterized by fibrotic gingival overgrowth. The lesion may bury all the crown of the teeth and lead to impairment in masticatory functions and aesthetic disfigurement. This inherited disease is considered rare. We presented two cases of gingival hyperplasia in two siblings: an 11-year-old girl and an 8-year-old boy, whose...
Article
Full-text available
The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were identified using online search e...
Article
Full-text available
Background A thin perforator flap is one of the best methods for covering defects. This study aimed to revisit and further test the rapidly advancing field of flap thinning techniques. Methods We performed two cadaveric studies to test the known flap thinning methods, and then applied these methods to a clinical series. In the first study, five ca...
Article
Full-text available
Abstract Among many techniques independently reported to manage neuroma formation, manipulation of the nerve stump inside muscle and vein is the most advantageous technique. This study aimed to enrich the basic data of macroscopic appearance and histo-pathology regarding which technique generates less neuroma: nerve stump implantation inside vein o...
Article
Background Nasal appearance is one of the most important factors in determining the success of a cleft repair. This preliminary study aimed to evaluate a simple variant of primary nose repair technique to achieve an optimal nasal esthetic outcome along with the lip repair in the setting of traveling charity programs, where time is an obvious limita...
Article
Full-text available
This study aims to explore the effectiveness of one-per-mil tumescent technique in hand surgery, which involves bone and joint. This is a case series study on 14 patients with 15 operative fields. One-per-mil solution is formulated by mixing 0.05 mL of 1:1,000 epinephrine and 100 mg lidocaine in 50-mL saline solution. The solution was injected subc...
Article
We studied the effect of 1:1,000,000 epinephrine concentration (1 per mil) to attain a bloodless operative field in hand and upper extremity surgery and to explore its effectiveness and safety profile. This retrospective observational study enrolled 45 consecutive patients with 63 operative fields consisting of various hand and upper extremity prob...
Article
Full-text available
The aim of this study was to collect important data on the time of oxygen saturation change in relation to skin flap color alteration using non-invasive pulse oximetry to evaluate its ability to provide continuous monitoring of skin flap perfusion. An experimental study on the monitoring of blood perfusion of 20 tube-island groin flaps of 10 male N...
Article
Full-text available
A pneumatic tourniquet is generally used to achieve a bloodless operation field in hand surgery. However, this has changed with tumescent solution-based wide-awake surgery. This study is a preliminary prospective case series study to elaborate the formula and indications of the tumescent technique in hand surgery without a tourniquet. Seven patient...
Article
Full-text available
The use of tumescent technique, which contains epinephrine, in penile surgery has not been reported previously. Two patients with hypospadias had reconstructive operation using tumescent technique with a ”One-per-Mil” tumescent solution containing epinephrine intra-operatively. The results was a clear operation field, almost bloodless during dissec...
Article
Full-text available
In the midst of on-going non-illicit practice of silicone or paraffin injection to enlarge penis, the author reported 3 cases of surgical treatment to resurface the body of the penis after excision of the destructed penile skin using full thickness skin graft. The skin excision was performed technically through penile body degloving procedure. Full...
Article
The purpose of this article was to discuss about the use of corticosteroids in head and neck hemangioma as one of the safest noninvasive therapy, focusing on intralesional steroid injection, including perilesional and infusion, for curing or reducing tumor size. A systematic review was done by means of all English publication in PubMed during the p...
Article
Full-text available
Wound healing is a transition of processes which is also recognized as one of the most complex processes in human physiology. Complex series of reactions and interactions among cells and mediators take place in the healing process of wound involving cellular and molecular events. The inflammatory phase is naturally intended to remove devitalized ti...
Article
Full-text available
Aim The objective of this study is to carry out morphometric measurements of the nose, in order to establish norms for the Indonesian as the representation of Asian, specifically for the Deutero Malay sub race.Method A cross sectional study was performed on 126 subjects, recruited from female students of Medical Faculty, the University of Indonesia...
Article
The purpose of this article is to discuss whether intra-lesional alcohol injection is beneficial in the treatment of vascular malformations. A systematic review through literature search was conducted for English-language studies in PubMed. This search was conducted in April 2007 using EndNote 7.0 with keywords: 'vascular malformation*' and 'sclero...
Article
Full-text available
Aim The objective of this study is to carry out morphometric measurements of the nose, in order to establish norms for the Indonesian as the representation of Asian, specifically for the Deutero Malay sub race.Method A cross sectional study was performed on 126 subjects, recruited from female students of Medical Faculty, the University of Indonesia...
Article
Full-text available
Cleft lip with or without cleft palate is the most occurring craniofacial anomaly in human, resulting from a complex etiology involving multiple genetic and environmental factors. The defect carries lifelong morbidity and economic burden. Children with clefts will require continuous medical interventions for at least the first 18 years of life, aff...
Article
Full-text available
Juvenile hypertrophy of the breast (JHB) is a rare condition leading to gigantomastia unilaterally or bilaterally in peripubertal females. The pathology is limited usually to the breast, with otherwise normal growth and development and without any other deformities. The rapid bilateral or unilateral growth of the breast in adolescent girls leads to...
Article
Two 17- and 11-year-old brothers appeared with mitten pseudosyndactily of both hands. They have been suffering from recessive dystrophic epidermolysis bullosa with recurrent cutaneous blister formation either spontaneously or due to minor trauma. Surgeries were performed to release and widen the first web space. Full thickness skin graft which was...
Article
Full-text available
The purpose of this paper was to discuss an overview of the current clinical practice of microsurgery with a specific use of free anterolateral flap as one of the commonest flaps used in reconstructive surgery. A systematic review was performed through all English publication that goes to Pubmed during the period of 1997 to 2006 using keywords: “an...

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