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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Anestesiologi Indonesia Jurnal Kedokteran Brawijaya Indonesian Journal of Urology Journal of Biomedicine and Translational Research The Indonesian Biomedical Journal Biosaintifika: Journal of Biology & Biology Education Media Medika Muda Amerta Nutrition Bioscientia Medicina : Journal of Biomedicine and Translational Research Medica Hospitalia Narra J Bioscientia Medicina : Journal of Biomedicine and Translational Research Berkala Penelitian Hayati Indonesian Journal of Cancer Berita Kedokteran Masyarakat
Ignatius Riwanto, Ignatius
Department Of Digestive Surgery, Faculty Of Medicine, Diponegoro University, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Journal : Media Medika Muda

 1 
FACTORS AFFECTING POST-OPERATIVE PAIN AFTER DOPPLER GUIDED HEMORRHOID ARTERY LIGATION AND RECTO-ANAL REPAIR (DGHAL-RAR) OF INTERNAL HEMORRHOID Sigit Adi Prasetyo; Ignatius Riwanto
Media Medika Muda Vol 1, No 3 (2016)
Publisher : Faculty of Medicine Diponegoro University

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Abstract

Background: DGHAL-RAR is new modality for grade II-IV internal hemorrhoid treatment. It is developed to reduce post-operative pain that mostly found in traditional hemorrhoidectomy even in Stappler hemorrhoidopexy. However, in clinical practice some patients are complaint of moderate until severe pain. This study is intended to know factors affecting the post-operative pain after DGHAL-RAR of internal hemorrhoid.Methods: A series of 61 grade II-IV internal hemorrhoid patients, underwent DGHAL-RAR in St Elizabeth Hospital, Semarang Indonesia, period of August 2012 – March 2014 were analyzed prospectively. Age, sex, grade, removing of thrombus  either internal or external, anal fissure, removing of hypertrophic anal papilla, removing skin tag, anal laceration due to procedure, were analyzed to know it relation with post operative pain in 24 hours, 48 hours and 7 days post-operatively. VAS for pain (0–10) were used to assess the degree of pain. Mann-Whitney method was used for univariate analysis, while Kruskal-Wallis and Median method were used for multivariate analysis.Results: After multivariate analysis variables that significantly influence post operative pain on 24 hours were removing of internal thrombosis, removing of anal papilla hypertrophy and anal laceration, on 48 hours were removing of external thrombosis, removing of anal papilla hypertrophy and anal laceration and  on 7 days were the same with on 24 hours.Conclusion: Factors that affecting post-operative pain after DGHAL-RAR  for grade II-IV internal hemorrhoid were removing of both internal and external thrombosis, removing of anal papilla hypertrophy and anal laceration due to DGHAL-RAR procedure. Keywords: Internal hemorrhoid, Hemorrhoid artery ligation and recto-anal repair, thrombosis, anal papilla hypertrophy, anal laceration.
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Mughni Agung Aji Prasetyo, Agung Aji Agung Pribadi Agung Putra Anindita Soetadji Ar, Ardiyana Azhar, Abu Bahrudin Bahrudin Banundari Rachmawati Baskoro, Adhi Gunawan Bernadus Parish Budiono Budi Mulyono Bulandari, Beatrice LA. Catharina Suharti Christyana, To Lidwina Prillya Indra Czeresna Heriawan Soejono Dody Novrial, Dody Dwi Pudjonarko Edi Dharmana Edwin Basyar Eriawan Agung Nugroho Eriawan Agung Nugroho, Eriawan Agung Ernestia, Henrita Fuadi, Ahmad F. Gasem, Muhammad Hussein Hardhono Susanto Henry Setyawan Susanto Henry Setyawan Susanto Heri Nugroho Hermawan Istiadi Ibrahim, Sugeng Indra Wijaya Irawan, Andry Iwan Vanca Saragih Kosnayani, Ai Sri Kristanti, Alberta Widya Kurniawati, Yovie Lisyani Budipardigdo Suromo Mario Sadar Bernitho Hutagalung Meita Hendrianingtyas Muniroh, Muflihatul Mupangati, Yudo Murti Neni Susilaningsih Nugrahadi, Dimas Erlangga Nugroho, Trilaksana Nur Anna Chalimah Sadyah Pambudi Utomo, Gede Parish Budiono Prabowo, Erik Prawara, Ananta Sidhi Purnomo, Hery D. Radityo Prakoso Rampengan, Derren DCH. Renata, Bella Reno Rudiman Respati, Danendra RK. Satrio Adi Wicaksono Satyagraha, Muhammad Thifan Sebong, Perigrinus H Sefri Noventi Sofia Selamat Budijitno Sigit Adi Prasetyo Sigit Adi Prasetyo, Sigit Adi Suhartono, Suhartono Suharyo Hadisaputro Sutanto, Eviana Budiartanti Sutiman B Sumitro Sutiman B. Sumitro Tjandra, Kevin C. Tjitradinata, Cynthia Tjokorda Gde Dalem Pemayun Tri Indah Winarni Trilaksana Nugroho Wardhani, Avriana Pety Wibisono, Agoes Yan Wisnu Prajoko