FAKTOR-FAKTOR PROGNOSIS KEBERHASILAN PENANGANAN PASIEN GASTROSISIS DI RSUP DR. SARDJITO JANUARI 2004 S/D AGUSTUS 2010

• Main Authors: , WIDYATMOKO KURNIAWAN, , dr. Akhmad Makhmudi, SpB, SpBA.
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2011
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/90211/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=52593
• Institution: Universitas Gadjah Mada

Background: Gastroschisis are congenital abnormalities birth weight babies, a protrusion (herniation) of abdominal contents through a fusion defect of the abdominal wall, almost always to the right of the umbilical cord. Gastroschisis etiology is unknown, but hypotheses explaining the result of vascular disruption at the time of involution right umbilical vein or superior mesenteric artery developmental disorders. Gastroschisis incidents increased and associated with young maternal age, low gravidity, premature and low birth weight. Objective: To determine treatment success rate gastroschisis patients who performed surgery at Sardjito Hospital and find out prognostic factors of success in handling gastroschisis patients who performed surgery on Sardjito Hospital. Materials and methods: Subjects were gastroschisis patients who had performed surgery in Sardjito Hospital from January 2004 to August 2010. Chi-square test between the patient characteristic factors including type of defect closure surgery, duration of contamination of the gut (the time from birth to surgery), gestational age and birth weight. Result: From result of research conducted, the number of gastroschisis patients from January 2004 until August 2010 as many as 52 patients. Of the 52 gastroschisis patients who performed the surgery defect closure by 31 people. Gastroschisis baby with primary defect closure surgery who died 1.71 times greater than babies who performed surgery gastroschisis gradual closure defect. Gastroschisis baby with primary defect closure surgery who died there were 16 (94.1%) and gastroschisis infants with defect closure operation gradually died 1 (5.9%). Gastroschisis baby with defect closure operation for less than 24 hours of death 1.5 times greater than gastroschisis babies who do defect closure operation for more than 24 hours. Gastroschisis baby with defect closure operation for less than 24 hours who died there are 6 (37.5%) and gastroschisis infants with defect closure operation more than 24 hours of death 10 (62.5%). Gastroschisis Infants with birth weight <2500 grams who died 2.61 times greater than gastroschisis infants with birth weight> 2500 grams. Gastroschisis babies the primary lid operation with birth weight <2500 grams who died there were 15 (88,2%) and gastroschisis infants the primary lid operation with birth weight> 2500 g who died 2 (11.8%). Gastroschisis infants with gestational age <37 weeks who died 1.62 times greater than gastroschisis infants with gestational age > 37 weeks. Gastroschisis Infants with gestational age <37 weeks who died there were 8 (47.1%) and gastroschisis infants with gestational age> 37 weeks who died 9 (52.9%).