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All Journal BALI MEDICAL JOURNAL (BMJ) Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Paediatrica Indonesiana JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Jurnal Neuroanestesi Indonesia
Nyoman Golden
Departemen/ SMF Ilmu Bedah Universitas Udayana, RSUP Sanglah, Denpasar
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Clinical predictors of intra-abdominal lesions in blunt abdominal trauma patients with the conservative treatment I Gede Parwata; Ketut Wiargitha; Nyoman Golden; Desy Permatasari
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.292 KB)

Abstract

Background: Blunt abdominal trauma has a high rate of morbidity and mortality. Assessment of specific clinical symptoms such as abdominal traces, abdominal pain, gross hematuria, pelvic fracture, systolic blood pressure and pulse rate in blunt abdominal trauma patients can predict the presence of intra-abdominal injury, so the use of CT Scan in diagnostics may be selective. The purpose of this study was to determine the predictors of intra-abdominal lesions in patients with blunt abdominal trauma who were treated conservatively. Material and Method: This study used a cross-sectional design. Samples were taken from the medical records, from January 2015 to December 2016. The total sample was 124 patients, were analyzed using Chi-square and logistic regression. This study has passed ethical clearance from the institutional review board of our University Result: The results showed the mean age of patients was 33 years, the majority of patients were male (74.2%), and a negative CT scan was 39.5%. The clinical predictors of intra-abdominal lesions in CT scan of blunt abdominal trauma patients were: abdominal traces (OR: 11.252; 95% CI: 3.257-38.867; p <0.001), abdominal pain with VAS≥5 (OR : 92.968; 95% CI: 14.604-591,837; p <0.001); and gross hematuria (OR: 9.377; 95% CI: 1.539-57.115; p = 0.015). Pelvic fracture, systolic blood pressure, and pulse rate were not statistically proven. Conclusion: Abdominal traces, abdominal pain, and gross hematuria are clinical predictors of intra-abdominal lesions. Predictors should be taken into consideration in decision making to perform an abdominal CT scan in blunt abdominal trauma patients treated conservatively.
SKULL-BASE MENINGOENCEPHALOCELE PRESENTING AS A LABIOGNATOPALATOSCHIZIS AND BILATERAL MACROSTOMIA ON IMPENDING PARTIAL AIRWAY OBSTRUCTION IN A NEONATE Nyoman Golden
Neurologico Spinale Medico Chirurgico Vol 1 No 2 (2018)
Publisher : Indoscholar

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Abstract

A unique skull-base meningoencephalocele presenting as a labiognatopalatoschizis and bilateral macrostomia in a neonate is reported, with impending partial airway obstruction. Surgical management requires neurosurgical intervention and plastic reconstruction. This case report presented a term neonate was noted to have a soft, fxed, 5-cm mass fulled of his mouth with the impending partial airway obstruction. The patient had several episodes of apnea related to partial airway obstruction by the mass. Computed tomography (CT) scan showed a large complex cystic and solid mass on lamina cribrosa of ethmoidal bone. Focal calcifcation was seen within the mass. The mass extended resulting in the complete cleft of lip and palate, and bilaterally macrostomia. The brain on CT scan was normal with no dysmorphic structures. A transcranial approach by the neurosurgeon was performed to excise the cephalocele and close the dura mater. The bone defect on lamina cribrosa of ethmoidal bone was closed using periosteum tissue. The procedure was followed by total excision of the prolapsed brain tissue and osteotomy on the left palate and then nasal airway reconstruction continued with gradual reconstruction with external compression for close loopholes of the palate. Three months after the initial surgery, a defect of the palate was narrowing and without cranial nerve defcits. Skull-base transethmoidal meningoencephalocele with labiognatopalatoschizis and bilateral macrostomia is a rare congenital abnormality. Neurosurgical procedures through transcranial approach are safe and provide excellent results. Moreover, gradual reconstruction will improve a patient’s quality of life and activity of daily living
PENYULUHAN KESEHATAN PENTINGNYA PENGGUNAAN SEAT BELT PADA PEMOBIL UNTUK MENCEGAH TERJADINYA CEDERA TULANG BELAKANG T.G.B Mahadewa; S. Maliawan; N. Golden; I.W. Niryana; D.P.W. Wardhana; S. Awyono; K.K. Putra
Buletin Udayana Mengabdi Vol 21 No 2 (2022): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.655 KB) | DOI: 10.24843/BUM.2022.v21.i02.p14

Abstract

The increased population is followed by an increase quantity of vehicles, therefore increased number of vehicles accidents could happen. Other than mortality rate, other issue that might occur was due to spinal cord injury. Spinal cord injury was not only causing health and medical problem, but socio-economic and psychology morbidity for the patients and family. The general concept of neurosurgery is to applied the principles of science with holistic approach and comprehensively. The comprehensive principle means that the sciences do not only emphasize the curative side, but also on the promotive, preventive and rehabilitative aspects. One of the promotive and preventive aspect that can be done is to provide education to the public about healthy lifestyles so that people can avoid a condition that might cause health morbidity. Bedah Saraf Bersama Masyarakat held by Neurosurgery Residency Programme FK UNUD/Sanglah Hospital is one of the community service activities. In an effort to prevent spinal cord injuries for drivers, the Neurosurgery Residency Programme, FK UNUD/Sanglah Hospital decided to held an interactive talkshow as public health promotion, for the importance of using seatbelts for drivers. The general purpose of this program is to provide information and education, especially in prevention of diseases in the field of neurosurgery to the community. Keywords: Spine, spinal cord injury, public health promotion, seatbelt.
Validitas nilai CA 19-9 praoperatif dalam memprediksi resektabilitas pada kejadian karsinoma pankreas Kadek Adi Wiguna; Ketut Sudartana; Nyoman Golden
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.929 KB) | DOI: 10.15562/ism.v10i1.340

Abstract

Latar Belakang: Karsinoma pancreas adalah penyakit dengan median survival rate yang rendah dengan angka resectabilitas yang juga rendah. pasien dengan stadium lanjut hanya kurang dari 10 % dapat di reseksi dengan kriteria margin nol setelah sebelumnya dinyatakan dapat di reseksi dari pemeriksaan CT scan. Tujuan dari penelitian ini untuk mengetahui validitas dari CA 19-9 sebagai prediktor derajat invasive karsinoma pancreas. Metode: rancangan penelitian ini adalah kasus kontrol dengan retrospektif, menelusuri kebelakang data data pasien di rekam medik di RSUP Sanglah Denpasar mulai agustus 2015 sampai agustus 2017. Didapatkan 18 pasien yang memenuhi kriteria inklusi. Hasil: rata rata responden dengan karsinoma pancreas berumur 52 tahun, Kanker pancreas di nyatakan unresectable berdasarkan analisis curva Receiver Operating Characteristic (ROC) AUC (Area Under Curve) sebesar 83,8% (CI 95%: 54,4% - 100, %) Titik potong dari kurva AUC kadar CA 19-9 yaitu 126,76 dengan sensitifitas sebesar 76, 9 % dan spesifitas 80 %. Secara statistic didapatkan CA 19-9 valid sebagai penentu unresektabilitas dengan sensitivitas sebesar 76,9%. Kesimpulan: CA 19-9 merupakan tumor marker yang dapat memprediksi derajat invasi suatu kanker pancreas sehingga diharapkan tindakan lebih tepat dapat segera diambil bila kita mengetahui nilai dari tumor marker ini
The oxidative-stress level determine patient’s outcomes with a severe head injury at Sanglah General Hospital, Denpasar, Indonesia I Made Bagus Wirawan; I Nyoman Golden; I Wayan Niryana
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.308 KB) | DOI: 10.15562/ism.v10i1.352

Abstract

Background: In secondary brain injury, oxidative stress will occur due to a balance disorder between pro-oxidants with antioxidants. The antioxidant activity that is often used to assess oxidative stress, such as malondialdehyde (MDA), is superoxide dismutase (SOD) and glutathione peroxidase (GPx). This study aims to evaluate the level of oxidative stress, reflected by the MDA serum level and SOD level to determine the outcomes of patients with severe head injury.Method: A cross-sectional analytic study was conducted among 40 patients with severe head injury within 24 hours post-trauma at Emergency Ward, Surgery Department, Sanglah General Hospital Denpasar from January - June 2017. MDA and SOD levels were assessed using ELISA at Clinical Pathology Laboratory, Sanglah General Hospital. Data were analyzed using SPSS ver. 16 software. Results: This study found significant differences on elevated MDA levels (p-value < 0.05) in patients who died or had a persistent vegetative state, patients with severe disability and those with a good recovery/moderate disability. The statistical analysis also found a significant difference in MDA serum levels among patient with severe disability and patients with a good recovery/moderate disability (P=0,028). Meanwhile, there was no significant correlation between SOD serum levels and patients outcome (P>0.05).Conclusion: Increased MDA serum levels is a significant factor in predicting outcomes of patients with severe head injury.
Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post appendectomy di RSUP Sanglah Denpasar Danny Zefanya Mooy; I Gede Suwedagatha; Nyoman Golden
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.851 KB) | DOI: 10.15562/ism.v11i2.714

Abstract

Background: Surgical wound infection (SWI) is one of the three most common hospital-acquired infections, with an average of 14-16% and which is the most common infection in postoperative patients. This study aims to look for factors associated with post-operative wound infection in the appendectomy procedure at Sanglah General Hospital Denpasar.Methods: This study used a retrospective cohort design, which was carried out at the Medical Record Installation Sanglah General Hospital Denpasar, Bali-Indonesia during the January 2017 to September 2018. Data analysis used chi-square tests, relative risk calculations, and logistic regression.Results: This study used 108 respondents, and there were 17 people who experienced SWI, the final analysis using logistic regression showed a diagnosis of perforated appendicitis (RR: 9.57; 95% CI: 2.09-43.64; p = 0.004) and operator guidance resident (RR: 1.75; 95% CI: 1.49-22.3; p = 0.011) is a risk factor for the occurrence of the SWI.Conclusion: The diagnosis of perforated appendicitis is the most important factor in the occurrence of surgical wound infection after appendectomy. Latar Belakang: Infeksi luka operasi (ILO) merupakan salah satu dari tiga infeksi tersering yang didapat di rumah sakit, dengan rata-rata mencapai 14-16% dan yang merupakan infeksi yang paling sering terjadi pada pasien pasca operasi. Penelitian ini bertujuan untuk mencari faktor-faktor yang berhubungan dengan infeksi luka operasi pasca prosedur appendectomy di RSUP Sanglah Denpasar.Metode: Penelitian ini menggunakan rancangan kohort retrospektif, yang dilakukan di Instalasi Rekam Medis RSUP Sanglah Denpasar, Bali-Indonesia selama periode Januari 2017 hingga September 2018. Analisis data menggunakan uji chi-square, perhitungan risiko relatif, dan regresi logistik.Hasil: Penelitian ini menggunakan 108 responden, dan terdapat 17 orang yang mengalami ILO, analisis akhir menggunakan regresi logistik menunjukkan diagnosis appendisitis perforasi (RR: 9,57; IK 95%: 2,09-43,64; p=0,004) dan operator residen bimbingan (RR: 1,75; IK 95%: 1,49-22,3; p=0,011) merupakan faktor risiko terjadinya ILO.Simpulan: Diagnosis appendisitis perforasi merupakan faktor yang paling berperan terhadap terjadinya infeksi luka operasi pasca appendectomy.
Faktor-faktor yang berhubungan dengan terjadinya hipertensi intraabdominal pada pasien dengan peritonitis di RSUP Sanglah Denpasar dari bulan Januari 2017 - Desember 2018 Krishna Kurnia Pratama; Ketut Sudiasa; Nyoman Golden
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.595 KB) | DOI: 10.15562/ism.v11i2.723

Abstract

Background and aim: Peritonitis is an emergency condition in the field of surgery due to its several complications. The most challenging is intraabdominal hypertension which can develop into abdominal compartment syndrome. There are several factors that cause intraabdominal hypertension in patients with peritonitis. This study aims to found factors that are associated with the occurrence of intraabdominal hypertension in peritonitis patients at Sanglah General Hospital in January 2017-December 2018.Method: This research used cross sectional analitic with total sampling technique with 136 peritonitis patients in Sanglah Hospital from Januari 2017 until December 2018 as respondents. Data source obtained from medical report. Bivariat analysis done to find factors related with intraabdominal hypertension in peritonitis patients with chi square method and multivariate analysis with logistic regression.Result: The majority of respondents are male, aged 15-64 years, organs involved in peritonitis in the form of solid organs, peritonitis that occurs through trauma mechanisms, experiencing sepsis, leukocytosis, and not hypoalbumin. Three variables were found to be significantly related they are, peritonitis caused by hollow organ perforation, sepsis condition, and hypoalbumin conditions. Only the sepsis condition has significant relationship with the occurrence of intraabdominal hypertension. Sepsis is 0.262 times more likely to cause intraabdominal hypertension in patients with peritonitis compared to patients without sepsis.Suggestion: Closely monitoring intraabdominal pressure should be carried out, especially in patients with sepsis, hypoalbumin, and those suspected of having perforations in hollow organs and further research is needed with a larger number of samples and more superior research methods. Latar belakang dan tujuan: Peritonitis merupakan kondisi kegawatdaruratan di bidang bedah karena dapat menyebabkan terjadinya beberapa komplikasi salah satu yang terberat adalah hipertensi intraabdominal yang dapat berkembang menjadi sindrom kompartemen abdomen. Terdapat beberapa faktor yang menyebabkan hipertensi intraabdominal pada pasien peritonitis. Penelitian ini bertujuan untuk melihat faktor-faktor yang berhubungan dengan terjadinya hipertensi intraabdominal pada pasien peritonitis di RSUP Sanglah bulan Januari 2017-Desember 2018.Metode: Penelitian analitik cross sectional dilakukan menggunakan teknik total sampling dengan melibatkan 136 responden yang merupakan pasien peritonitis yang dirawat di RSUP Sanglah bulan Januari 2017-Desember 2018. Sumber data berupa rekam medis pasien. Analisis dilakukan untuk melihat faktor yang berhubungan dengan hipertensi intraabdominal pada pasien peritonitis secara bivariat dengan metode chi square dan multivariat dengan regresi logistik.Hasil: Mayoritas responden berjenis kelamin laki-laki, berusia 15-64 tahun, organ terlibat dalam peritonitis berupa organ padat, peritonitis yang terjadi melalui mekanisme trauma, mengalami sepsis, leukositosis, dan tidak hipoalbumin. Tiga variabel ditemukan signifikan berhubungan yakni peritonitis diakibatkan oleh perforasi organ berongga, kondisi sepsis, dan kondisi hipoalbumin. Hanya kondisi sepsis yang memiliki hubungan murni dengan terjadinya hipertensi intraabdominal. Kondisi sepsis berisiko 0,262 kali lebih besar menyebabkan terjadinya hipertensi intraabdominal pada pasien peritonitis dibandingkan dengan pasien yang tidak mengalami sepsis.Saran: Sebaiknya dilakukan pemantauan tekanan intraabdominal secara ketat, terutama pada pasien dengan sepsis, hipoalbumin, dan yang dicurigai mengalami perforasi pada organ berongga serta diperlukan penelitian lanjutan dengan jumlah sampel yang lebih besar serta metode penelitian yang lebih superior. 
Factors associated with unfavourable outcome after Burr Hole drainage in Subdural Hematoma (SDH) at Sanglah General Hospital, Bali, Indonesia I Gusti Ngurah Purnomo; I Wayan Niryana; Nyoman Golden
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.215 KB) | DOI: 10.15562/ism.v11i2.731

Abstract

Background: Subdural hematoma is a neurosurgical disorder that often occurs in the elderly with simple, relatively fast and minimally invasive surgical therapy, but has a high postoperative mortality rate due to unfavourable outcome. This study aims to evaluate factors associated with unfavourable outcome after burr hole drainage in a subdural hematoma (SDH) at Sanglah General Hospital, Bali, Indonesia.Method: A prospective cohort study was conducted among 60 respondents to determine factors influencing the outcome of patients with subdural hematoma after burr hole drainage.  The independent variables in this study included age, comorbid factors, trauma onset, GCS, hematoma thickness, and midline shift.  Dependent variables include the Glasgow Outcome Scale (GOS), which is divided into 2 groups, favourable outcome, and unfavourable outcome. Data were analyzed using SPSS version 17 for Windows.Results: There were 19 respondents (31.7%) had unfavourable outcomes and 41 respondents (68.3%) had favourable outcomes.  From the bivariate analysis, significant associated risk factors were found in the onset of trauma (p=0.048), GCS (p=0.000), hematoma thickness (p = 0.000), and midline shift (p=0.000).  From the multivariate analysis, it was found that low GCS was the most dominant risk factor for the unfavourable outcome following burr hole drainage (OR=22.30; 95% CI= 2.22-223.80; p=0.008) Conclusion: This study concludes that low GCS was the most dominant risk factor for unfavourable outcome in patients with subdural hematoma after burr hole drainage
Risk factors and novel prognostic score for predicting the 14-day mortality of severe traumatic brain injury patients Nyoman Golden; Putu Eka Mardhika; Wayan Niryana; I Made Sukarya; I Putu Yuda Prabawa
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.992 KB) | DOI: 10.15562/ism.v11i3.831

Abstract

Introduction: The mortality of severe traumatic brain injury (TBI) is contributed by the severity of the head injury, associated trauma, and complication during treatment. This study aimed to develop a prognostic scoring system of risk factors that contribute to the 14-day mortality of severe TBI.Methods: This was a prospective cohort study including 105 severe TBI patients recruited consecutively from March to October 2016. Multivariate analysis with logistic regression was performed to determine the most contributing risk factors. The validation of prognostic factor was performed with ROC, sensitivity and specificity analysis.Result: There were five significant risk factors of 14-day mortality, which were age > 60 years old (RR: 15.6, 95% CI: 1.88 – 129.95), hypoxia (RR: 17.78, 95% CI: 2.05 – 154.11), GCS 3 – 5 (RR: 34.71, 95% CI: 6.85 – 175.98), effacement of basal cistern (RR: 12.71, 95% CI: 2.61 – 61.95), and traumatic subarachnoid hemorrhage (tSAH) (RR:7.57, 95% CI: 1.19 – 48.36). The prognostic score ranged from 0 to 6 with the best cut-off point of 1. The best predictive AUC with ROC analysis was 0.817, 81.2% of sensitivity, and 75.0% of specificity.Conclusion: The proposed prognostic score has shown good predictive ability.
Perbandingan kadar C-reactive protein (CRP) berdasarkan jenis herniotomi dan hubungannya dengan keluaran klinis pada hernia inguinalis indirek anak Giovani Fatrio Odo; I Made Darmajaya; Nyoman Golden
Intisari Sains Medis Vol. 13 No. 2 (2022): (In Press : 1 August 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.385 KB) | DOI: 10.15562/ism.v13i2.1430

Abstract

Background: Hernia is a protrusion or protrusion of the contents of a cavity through a defect or weak part of the abdominal cavity wall. The standard procedure in the form of herniotomy for indirect inguinal hernias in children can be performed open surgically or laparoscopically. Because there is still a lot of debate about the inflammatory response and outcomes that arise in patients undergoing laparoscopy and open herniotomy, this study was conducted with the aim of evaluating differences in CRP levels in pediatric patients after open herniotomy and laparoscopic herniotomy and their impact on surgical outcomes in the form of wound healing time, length of hospitalization and postoperative pain. Methods: This study is a prospective cohort study using primary data carried out at Sanglah Central General Hospital (RSUP) Sanglah from January to December 2020. Data in the form of gender, the side of the hernia, age, CRP levels, duration of hospitalization, duration of wound healing , postoperative pain scale, duration of surgery, hemoglobin, and BMI were taken from the patient's medical record. After the data was collected, univariate and bivariate analysis was carried out using SPSS 20. Result: A total of 38 patients who were the subjects of this study in the open surgical and laparoscopic groups were 19 subjects each. The mean CRP level in the open surgical group was higher (4.58 ± 1.82 mg/L) than the laparoscopic group (3.53 ± 1.53 mg/L). The duration of hospitalization and wound healing in the open surgical group was found to be longer (1.11 ± 0.32 days; 6.58 ± 0.51 days) when compared to the laparoscopic group (1.05 ± 0.23 days; 4.42 ± 0.51 days). The mean postoperative pain scale measurement results were higher in the open surgical group (2.84 ± 0.77) compared to the laparoscopic group (1.53 ± 0.51). The results showed that there was a statistically significant correlation (p<0.05; p<0.05) with a weak correlation coefficient (r = 0.468; r = 0.457). Conclusion: The laparoscopic technique was found to be superior in terms of the resulting inflammatory response, duration of wound healing, postoperative pain scale, and duration of hospitalization when compared to the open surgery technique. While the duration of hospitalization between the two groups was the same.   Latar belakang: Hernia merupakan protrusi atau penonjolan isi suatu rongga melalui defek atau bagian lemah dari dinding rongga abdomen. Prosedur standar berupa herniotomi pada hernia inguinal indirek anak dapat dilakukan secara open surgical ataupun laparoskopi. Oleh karena masih banyaknya perdebatan mengenai respon inflamasi dan luaran yang timbul pada pasien yang menjalani laparoskopi dan open herniotomy, penilitian ini dilakukan dengan tujuan untuk mengevaluasi perbedaan kadar CRP pada pasien anak pasca open herniotomy dan laparoskopi herniotomi serta dampaknya terhadap luaran operasi berupa lama penyembuhan luka, lama rawat inap serta nyeri paska operasi. Metode: Studi ini merupakan studi kohort prospektif dengan menggunakan data primer yang dilaksanakan di Rumah Sakit Umum Pusat Sanglah (RSUP) Sanglah sejak Januari hingga Desember 2020. Data berupa jenis kelamin, sisi yang mengalami hernia, usia, kadar CRP, durasi rawat inap, lama penyembuhan luka, skala nyeri pasca operasi, durasi operasi, hemoglobin, dan IMT diambil dari rekam medis pasien. Setelah data terkumpul, dilakukan analisis univariat dan bivariat dengan menggunakan SPSS 20. Hasil: Sebanyak 38 pasien yang menjadi subjek penelitian ini dengan kelompok open surgical dan laparoskopi terdapat masing-masing 19 subjek. Rerata kadar CRP pada kelompok open surgical lebih tinggi (4.58 ± 1.82 mg/L) dibandingkan dengan kelompok laparoskopi (3.53 ± 1.53 mg/L). Durasi rawat inap dan penyembuhan luka pada kelompok open surgical didapatkan lebih lama (1.11 ± 0.32 hari; 6.58 ± 0.51 hari) jika dibandingkan dengan kelompok laparoskopi (1.05 ± 0.23 hari; 4.42 ± 0.51 hari). Rerata hasil pengukuran skala nyeri pasca operasi didapatkan lebih tinggi pada kelompok open surgical (2.84 ± 0.77) dibandingkan dengan kelompok laparoskopi (1.53 ± 0.51). Hasil menunjukkan antara kadar CRP dengan variabel durasi penyembuhan luka dan dengan durasi operasi didapatkan korelasi yang bermakna secara statistika (p<0.05; p<0.05) dengan koefisien korelasi yang lemah (r = 0.468; r = 0.457). Simpulan: Teknik laparoskopi ditemukan lebih unggul dalam hal respon inflamasi yang dihasilkan, durasi penyembuhan luka, skala nyeri pasca operasi, dan durasi rawat inap jika dibandingkan dengan teknik open surgery. Sedangkan durasi rawat inap diantara kedua kelompok adalah sama. Kata Kunci: C-reactive protein, open herniotomy, herniotomi laparoskopi, hernia inguinalis indirek, luaran operasi
Co-Authors Ade-Chandra - Agus Kusumajaya D.P.W. Wardhana Danny Zefanya Mooy Desy Permatasari Dewi Prima Christian Gede Wirya Kusuma Duarsa Giovani Fatrio Odo I G. N. Pustaka I Gede Parwata I Gede Suwedagatha I Gusti Ngurah Purnomo I Ketut Mulyadi I Ketut Wiargitha I Made Bagus Wirawan I Made Darmajaya I Made Stepanus Biondi Pramantara I Made Sukarya I Putu Wijana I Putu Yuda Prabawa I W. Sudarsa I Wayan Niryana I.G. Darma-Kusuma Ida Bagus Mudita Ida Bagus Yudha Prasista J Sasongko K.K. Putra Kadek Adi Wiguna Ketut Sudartana Ketut Sudiasa Krishna Kurnia Pratama M.A. Keswara Made Agus Dwianthara Sueta Mira Dewi Prawira Nyoman Agus Bagiada Putu Eka Mardhika Putu Pramana Suarjaya S. Awyono Sajid Darmadipura Sista Satyarsa, Agung Bagus Sista Sri Maliawan Tjokorda Gde Bagus Mahadewa