BambangPrasenoA (2012) Hubungan Volume Pus dan Volume Cairan Pencucian Rongga Perut dengan Peritonitis Tersier Pascaoperasi Apendisitis Perforasi Anak. Magister thesis, Universitas Brawijaya.
Abstract
Latar Belakang : Infeksi pascaoperasi salah satunya peritonitis tersier pada apendisitis perforasi dapat disebabkan banyak faktor mulai dari infeksi yang telah terjadi di rongga perut hingga perawatan pascaoperasi. Oleh karena itu diperlukan penelitian yang menghubungkan infeksi yang telah terjadi di rongga perut yaitu pengotoran di rongga perut dengan kejadian infeksi pascaoperasi peritonitis tersier bila telah dilakukan pencucian rongga perut sampai batas jernihnya cairan pencucian. Tujuan : Mencari hubungan antara volume pus yang telah dilakukan pencucian sampai jernih dan bersih dengan kejadian peritonitis tersier melalui pemeriksaan kadar lekosit, kadar CRP dan keluhan nyeri perut. Metode : Dilakukan penelitian observasional selama 6 bulan dengan masing-masing sampel dievaluasi selama 14 hari, dicatat kadar lekosit, kadar CRP dan keluhan nyeri perut pada sebelum operasi, hari ke 5 pascaoperasi dan hari 14 pascaoperasi, volume pus, volume cairan pencucian, dan kebersihan cairan pencucian melalui kultur dan lekosit perlapangan pandang. Dinyatakan peritonitis tersier apabila pada pemeriksaan hari ke 14 didapatkan kadar lekosit 10.000 μl, kadar CRP 0,5 mg/dl dan masih terdapat keluhan nyeri perut. Hasil: Dari 24 sampel didapatkan satu kejadian peritonitis tersier dengan hasil pencucian semua sampel dinyatakan bersih, berdasarkan kadar CRP didapatkan perbedaan bermakna (P = 0,026) antara volume pus yang infeksi dengan yang tidak infeksi, namun pada volume cairan pencucian secara statistik tidak ada perbedaan yang bermakna. Sedangkan antara volume pus dan volume cairan pencucian tidak berhubungan berdasarkan korelasi pearson (P = 0,366). Kesimpulan: Secara keseluruhan tidak didapatkan hubungan volume pus, volume cairan pencucian, kebersihan cairan pencucian dengan peritonitis tersier, dengan menggunakan kadar CRP sebagai indikator infeksi pascaoperasi ditemukan volume pus mempengaruhi kejadian infeksi pascaoperasi.
English Abstract
Background : Post operative infection including tertiary peritonitis after perforated appendicitis can be triggered by various factors, from abdominal cavity factor until post operative care procedure. refore, re is need for research to correlate between infection occurred in abdominal cavity with tertiary peritonitis due to post operative infection after abdominal washing until clear fluid had been obtained. Objective : To Find Correlation between pus volume which had been truly cleared with tertiary peritonitis prevalence through laboratory examination of leucocytes, CRP, and abdominal pain complaints. Methods : Observational research for 6 months had been done. Each sample evaluated for 14 days, which leucocytes counts, level of CRP and abdominal pain complaint were recorded preoperatively, day 5 post operative and day 14 post operative, compared with pus volume, washing fluid volume and clearance of wash fluid proved by leucocytes count and organism culture. It considered tertiary peritonitis if in 14 days after operation we found ei r leucocytes count 10.000 μl, CRP level 0,5 mg/dl, and re is still abdominal pain complaint. Result : From 24 sample obtained, re is 1 patient considered as tertiary peritonitis. laboratory test from all sample is clear. re is some significant differences found (p=0,026) from CRP level of pus from infected and non infected patients. re is no significant data differences between pus volume and abdominal wash volume, and prove unrelated according to pearson`s correlation (p=0,366). Summary : Overall, re is no correlation between pus volume, abdominal washing fluid volume, and clearance of washing fluid with tertiary peritonitis according to CRP level and pus volume as indicator for post operative infection.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/617.554 5/BAM/h/041301351 |
| Subjects: | 600 Technology (Applied sciences) > 617 Surgery, regional medicine, dentistry, ophthalmology, otology, audiology > 617.5 Regional medicine |
| Divisions: | Profesi Kedokteran > Spesialis Ilmu Bedah, Fakultas Kedokteran |
| Depositing User: | Endro Setyobudi |
| Date Deposited: | 08 Apr 2013 09:22 |
| Last Modified: | 08 Apr 2013 09:22 |
| URI: | http://repository.ub.ac.id/id/eprint/158511 |
Actions (login required)
 |
View Item |