KARAKTERISTIK PASIEN YANG DIPASANG DRAIN PADA APENDEKTOMI DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA TAHUN 2019-2020

  • Sherina Ivanka Satya Program Studi Kedokteran, Fakultas Kedokteran Universitas Mulawarman
  • Fritz Nahusuly Laboratorium Ilmu Bedah, Fakiultas Kedokteran Universitas Mulawarman
  • Sulistiawati Sulistiawati Loboratoirum Ilmu Pendidikan Kedokteran, Fakultas Kedokteran Universitas Mulawarman
Keywords: appendectomy, appendicitis, drain

Abstract

Appendicitis is an abdominal emergency case that requires emergency surgery. The operative treatment was appendectomy. Postoperative complications can be reduced through various means such as intra-abdominal drain installment after surgery, antibiotics, delaying wound closure or laparoscopic surgical techniques. Installation of an intra-abdominal drain is the most familiar method used compared to other methods. This study aims to determine the characteristics of patients who have drain installed after appendectomy at Abdul Wahab Sjahranie Hospital, Samarinda. This research is descriptive research. Research data obtained as secondary data of appendectomy patients recorded in inpatient medical records in 2019-2020. The samples obtained were 36 samples using purposive sampling technique. The results showed that 75% of patients were found, which is more common than women with an average age of 33 years. Most patients diagnosed with drainage after appendectomy were perforated appendicitis, which was 86%. The largest body mass index in pediatric patients is normal weight, which is 64.3%, while in adults is excess weight, which is 45.5%. There are only 3% of patients who experience surgical wound infection as a postoperative complication.

References

Abdulhamid, A. K., & Sarker, S. J. (2018). Is abdominal drainage after open emergency appendectomy for complicated appendicitis beneficial or waste of money? A single centre retrospective cohort study. Annals of Medicine and Surgery, 36, 168-172. https://doi.org/10.1016/j.amsu.2018.10.040
Allemann, P., Probst, H., Demartines, N., & Schäfer, M. (2011). Prevention of infectious complications after laparoscopic appendectomy for complicated acute appendicitis-the role of routine abdominal drainage. Langenbeck’s Archives of Surgery, 396(1), 63-68. https://doi.org/10.1007/s00423-010-0709-z
Angeramo, C. A., Laxague, F., Castagnino, B., Sadava, E. E., & Schlottmann, F. (2021). Impact of obesity on surgical outcomes of laparoscopic appendectomy: lessons learned from 2000 cases in an urban teaching hospital Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 31 (5), 523-527. https://doi.org/10.1097/SLE.0000000000000914
Castro, B. A.., Cano, I., García, A., Yuste, P., Ferrero, E., & Gómez, A. (2018). Abdominal drainage after laparoscopic appendectomy in children: an endless controversy. Scandinavian Journal of Surgery, 107(3), 197-200. https://doi.org/10.1177/1457496918766696
Cheng, Y., Zhou, S., Zhou, R., Lu, J., Wu, S., Xiong, X., Ye, H., Lin, Y., Wu, T., & Cheng, N. (2015). Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD010168.pub2
Dixon, F., & Singh, A. (2020). Acute appendicitis. Surgery (Oxford), 38(6), 310-317. https://doi.org/10.1016/j.mpsur.2020.03.015
Durai, R., Mownah, A., & Ng, P. C. H. (2009). Use of drains in surgery: a review. Journal of perioperative practice, 19(6), 180-186. https://doi.org/10.1177/175045890901900603
Ferris, M., Quan, S., Kaplan, B. S., Molodecky, N., Ball, C. G., Chernoff, G. W., ... & Kaplan, G. G. (2017). The global incidence of appendicitis: a systematic review of population-based studies. Annals of surgery, 266(2), 237-241. https://doi.org/10.1097/SLA.0000000000002188
Indra, R., Bagus B.S.A, I., & Alfianto, U. (2018). Perbedaan Penggunaan Drain dan Tanpa Penggunaan Drain Intra Abdomen Terhadap Lama Perawatan Pascaoperasi Laparotomi Apendisitis Perforasi. Biomedika, 10(1), 35-40. https://doi.org/10.23917/biomedika.v10i1.5852
Institute for Health Metrics and Evaluation (IHME). Causes of Death (COD) Data Visualization. Seattle, WA: IHME, University of Washington, 2020. Available from http://vizhub.healthdata.org/cod. (Accessed 10 March 2021)
Institute for Health Metrics and Evaluation (IHME). GDB 2019 Cause and Risk Summaries. Seattle, WA: IHME, University of Washington, 2020. Available from http://www.healthdata.org/results/gbd_summaries/2019/appendicitis-level-3-cause. (Accessed 10 March 2021)
Martínez-Pérez, A., Payá-Llorente, C., Santarrufina-Martínez, S., Sebastián-Tomás, J. C., Martínez-López, E., & de’Angelis, N. (2020). Predictors for prolonged length of stay after laparoscopic appendectomy for complicated acute appendicitis in adults. Surgical Endoscopy, 1-8. https://doi.org/10.1007/s00464-020-07841-9
Omari, A. H., Khammash, M. R., Qasaimeh, G. R., Shammari, A. K., Yaseen, M. K. B., & Hammori, S. K. (2014). Acute appendicitis in the elderly: risk factors for perforation. World Journal of Emergency Surgery, 9(1), 1-6. https://doi.org/10.1186/1749-7922-9-6
Richmond B. (2016). The Appendix. In C. M. Townsend, R. D. Beauchamp, B. M. Evers & K. L. Mattox (Eds.). Sabiston textbook of surgery. Elsevier, pp. 1296-1303.
Schlottmann, F., Sadava, E. E., Peña, M. E., & Rotholtz, N. A. (2017). Laparoscopic appendectomy: risk factors for postoperative intraabdominal abscess. World journal of surgery, 41 (5), 1254-1258. https://doi.org/10.1007/s00268-017-3869-y
Stewart, B., Khanduri, P., McCord, C., Ohene-Yeboah, M., Uranues, S., Vega Rivera, F., & Mock, C. (2014). Global disease burden of conditions requiring emergency surgery. Journal of British Surgery, 101(1), e9-e22. https://doi.org/10.1002/bjs.9329
Thapa, B., Sutanto, E., & Bhandari, R. (2021). Thickness of subcutaneous fat is a risk factor for incisional surgical site infection in acute appendicitis surgery: a prospective study. BMC surgery, 21(1), 1-6. https://doi.org/10.1186/s12893-020-01029-7
Published
2022-05-18
Section
Articles
Abstract = 16 times
PDF downloaded = 17 times