PENGARUH JENIS IRISAN PFANNENSTIEL DAN LINEA MEDIANA TERHADAP KONDISI LUKA OPERASI GINEKOLOGI HARI KETIGA

• Main Authors: , NITA TRI KURNIATI, , Prof. dr. H.M. Sulchan Soefoewan, Ph.D. SpOG(K)
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2011
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/89729/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=52045
• Institution: Universitas Gadjah Mada

Background: Many factors influence the surgeon�s choice when making an abdominal incision such as extensibility, speed, adhesions, complications of infection, hernia and dehiscence, cosmetic aspects, and wound healing. Midline incision (linea mediana) makes exposure of the abdomen is excellent so that operations can performed more quickly, while a transverse incision (pfannenstiel) is gaining popularity with the occurrence of infection, hernia and less wound dehiscence because this technique follow Langer�s Lines resulting in reduced traction at the skin edges and making better wound closure and approximation. Objective: To determine condition on the third day of wound healing post gynecological surgery with pfannenstiel and midline incision technique. Design: This study used Prospective Cohort design, there are two groups, linea mediana (midline) incision as the control group and pfannenstiel incision as treatment group. Methods: Subjects were all patients who underwent gynecological surgery in Sardjito Hospital and several affiliated hospitals that have been determined and has fulfilled the inclusion criteria. Results: A total of 60 people underwent this research. Baseline characteristics of patients who underwent this research is similar. Based on chi-square analysis showed no significant difference between pfannenstiel and midline incision on the third day condition of wound healing (p = 0.21). The risk of oozing wound on the third day 2,5 times in linea mediana compare to pfannenstiel incision (CI: 0,525 � 11,894). Conclusion: Statistically there is no significant difference effect of pfannenstiel and midline incision on the third day of wound healing.