Hubungan Jumlah Kadar Limfosit dan Neutrofil Segmen Pada Apendisitis Akut

Appendicitis is one of the most common cases in the field of abdominal surgery which causes acute abdominal pain and requires immediate surgery to prevent complications that are generally dangerous, such as gangrenous, perforation, and even generalized peritonitis. Appendicitis can be found in both men and women with a risk of suffering from appendicitis in their lifetime reaching 7-8%. The highest incidence is reported in the age range of 20 to 30 years. Methodology: The type of research used in this study is an observational analytic study with a cross-sectional study design using medical records as data. The population in this study were all patients with appendicitis recorded in medical records. The data were analyzed using the Spearman test. Results: In this study, 26 people with a percentage of 65% had abnormal lymphocyte counts. as many as 31 people with a percentage of 77.5% who had abnormal neutrophils. For the neutrophil variable with the incidence of appendicitis using the Spearman test, the p-value = 0.005 (p <0.05). In the lymphocyte variable with the incidence of appendicitis using the Spearman test, the p-value = 0.058 (p <0.05) was obtained. Conclusion: There is a significant relationship between neutrophil and appendicitis. Meanwhile, the lymphocyte variable with the incidence of appendicitis had no significant relationship.Appendisitis merupakan salah satu kasus tersering dalam bidang bedah abdomen yang menyebabkan nyeri abdomen akut dan memerlukan tindakan bedah segera untuk mencegah komplikasi yang umumnya berbahaya seperti gangrenosa, perforasi bahkan dapat terjadi peritonitis generalisata. Apendisitis dapat ditemukan pada laki-laki maupun perempuan dengan risiko menderita apendisitis selama hidupnya mencapai 7-8%. Insiden tertinggi dilaporkan pada rentang usia 20-30 tahun. Metodologi: Jenis penelitian yang digunakan dalam penelitian ini adalah analitik observasional dengan desain studi cross sectional menggunakan rekam medik sebagai data Populasi pada penelitian ini adalah seluruh penderita Apendisitis yang tercatat dalam rekam medis. Data analisis menggunakan uji spearman. Hasil: Pada penelitian ini didapatkan sebanyak 26 orang dengan presentase 65% yang memiliki angka limfosit yang abnormal. sebanyak 31 orang dengan presentase 77,5% yang memiliki angka netrofil yang abnormal. Pada variabel netrofil dengan kejadian appendisitis dengan mengunakan uji Spearman diperoleh nilai p value = 0,005 (p < 0,05). Pada variabel limfosit dengan kejadian appendisitis dengan menggunakan uji spearman diperoleh nilai p value = 0,058 (p < 0,05). Kesimpulan: Pada variabel netrofil dengan appendisitis terdapat hubungan yang signifikan. Sedangkan pada variabel limfosit dengan kejadian apppendisitis tidak terdapat hubungan yang signifikan

Pola Penderita Karsinoma Pankreas

Pancreatic carcinomas are the cells that develop into abnormal cells, which is why it is not that it is not controlled and develops in the pancreas. Pancreatic carcinoma is one of the deadliest cancers in the world, there are 330,000 deaths due to pancreatic carcinoma in 2012, and because of its very high mortality rate, pancreatic carcinoma is the leading cause of the seventh most common cancer death in the world, with a 5-year survival rate of 5%. This study aims to determine the pattern in patients with pancreatic carcinoma in the hospital Dr. H. Abdul Moeloek Bandar Lampung period January-December year 2019. The type of research used in this study is descriptive retrospective using a total sampling method and obtained a sample of 38 people. Patient data is obtained with secondary data of medical records. Based on the results of the study obtained the highest frequency distribution based on the age group of 51-60 years with a percentage of  36.8%, based on the gender of the male with a percentage of 76.3%, based on the procedure of operatives with a percentage of 68.4%, based on jaundice or non- jaundice, which is jaundice with the percentage of 71.1% And based on the predilection of the pancreas caput with a percentage of 71.1%. The conclusion is a pattern in patients with pancreatic carcinoma based on age, gender, procedure, jaundice, or non-jaundice and predilection.Karsinoma pankreas merupakan sel yang mengalami perkembangan menjadi abnormal sehingga tidak terkontrol dan berkembang di bagian pankreas. Karsinoma pankreas adalah salah satu kanker yang mematikan di dunia, ada 330.000 kematian akibat karsinoma pankreas pada tahun 2012, dan karena angka kematiannya yang sangat tinggi, karsinoma pankreas merupakan penyebab kematian ketujuh kanker yang paling umum di dunia, dengan tingkat kelangsungan hidup 5 tahun sebesar 5%. Penelitian ini bertujuan untuk mengetahui pola pada penderita karsinoma pankreas di RSUD Dr. H. Abdul Moeloek Bandar Lampung Periode Januari-Desember Tahun 2019. Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah deskriptif retrospektif dengan menggunakan metode total sampling dan didapatkan sampel sebanyak 38 orang. Data pasien didapat dengan data sekunder rekam medis. Hasil penelitian didapatkan distribusi frekuensi tertinggi berdasarkan usia yaitu kelompok usia 51-60 tahun dengan presentase 36,8%, berdasarkan jenis kelamin yaitu laki-laki dengan presentase 76,3%, berdasarkan tata laksana yaitu operatif dengan presentase 68,4%, berdasarkan ikterus atau non ikterus yaitu ikterus dengan presentase 71,1% dan berdasarkan predileksi yaitu caput pankreas dengan presentase 71,1%. Kesimpulannya, didapatkan pola penderita karsinoma pankreas berdasarkan umur, jenis kelamin, tata laksana, ikterus atau non ikterus dan predileksi pada penderita karsinoma pankrea

Perforasi pada Penderita Apendisitis Di RSUD DR.H.Abdul Moeloek Lampung

Background: Perforation appendicitis is the most common cause of appendix pain and requires immediate major surgery to prevent complications that are generally dangerous. this disease can affect all ages, but which often strikes ages between 20-30 years. Furthermore, the condition of acute appendicitis increases the risk of perforation and formation of the periapendicular period. Perforations with inflammatory fluid and bacteria enter the abdominal cavity and then respond to the peritoneal surface inflammation or peritonitis. The incidence of appendicitis in Indonesia in 2014 showed the number of appendicitis treated at the hospital as many as 4,351 cases. Objective: To find out the description of appendicitis perforation sufferers in adults with acute appendicitis at the Regional General Hospital Dr. H. Abdul Moeloek Lampung Province in 2017. Methods: Type of quantitative research, descriptive design. The entire population of all patients with adult acute appendicitis was 151 people. A sample of 110 people with random sampling techniques.Retrieval of data using observation sheet medical record data.Data analysis techniques using Univariate statistical tests.Results: The frequency distribution of the age of appendicitis perforated patients, most of them were aged 20-30 years as many as 48 patients (43.63%). The frequency distribution of the sex of patients with appendicitis perforation, most of them were male as many as 92 patients (83.63%). The frequency distribution of body temperature of patients with appendicitis perforation, mostly with body temperature> 37.5 ° C as many as 103 patients (93.63%). The frequency distribution of leukocyte levels of appendicitis perforated patients, mostly with leukocyte levels> 18,000 / mm as many as 84 patients (76.36%).Latar Belakang: Apendisitis Perforasi Apendisitis perforasi adalah pecahnya apendiks yang sudah gangren yang menyebabkan pus masuk ke dalam rongga perut sehingga terjadi peritonitis umum. penyakit ini dapat mengenai semua umur,tetapi yang sering menyerang usia antara 20-30 tahun. Angka kejadian apendisitis di Indonesia tahun 2014 menunjukan jumlah pasien  yang dirawat di rumah Sakit sebanyak 4.351 kasus. Tujuan Penelitian :Diketahui gambaran penderita perforasi apendisitis pada penderita apendisitis akut dewasa di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2017.Metode Penelitian :Jenis penelitian kuantitatif, rancangan deskriptif. Populasi seluruh pasien penderita apendisitis akut dewasa sebanyak 151 orang. Sampel sebanyak 110 orang dengan teknik random sampling. Pengambilan data menggunakan lembar Observasi data rekam medik. Teknik analisis data menggunakan uji statistik Univariat.Hasil penelitian : Distribusi frekuensi usia pasien perforasi apendisitis, sebagian besar adalah usia 20-30 tahun sebanyak 48 pasien (43,63%). Distribusi frekuensi jenis kelamin pasien perforasi apendisitis, sebagian besar adalah laki-laki sebanyak 92 pasien (83,63%). Distribusi frekuensi suhu tubuh pasien perforasi apendisitis, sebagian besar dengan suhu tubuh >37,5°C sebanyak 103 pasien (93,63%). Distribusi frekuensi kadar leukosit pasien perforasi apendisitis, sebagian besar dengan kadar leukosit >18.000/mm sebanyak 84 pasien (76,36%). &nbsp

Hubungan Antara Indeks Massa Tubuh Dengan Jenis Hernia Inguinalis

ABSTRACT: RELATIONSHIP BETWEEN BODY MASS INDEX AND TYPES OF INGUINAL HERNIA Background: One of the risk factors that can influence or increase the incidence of inguinal hernia is overweight and obesity. Body mass index (BMI) is a simple way to see the nutritional status of adults, especially with regard to underweight and overweight.Objective: To determine the relationship between Body Mass Index and the type of inguinal herniaResearch Methods: The design in this study used a cross sectional design. The population in this study were all inguinal hernia patients at Pertamina Bintang Amin Hospital Bandar Lampung in 2019-2020. The sample in this study amounted to 98 people using purposive sampling technique. Where patients with congenital hernia, chronic cough, and comorbid disease, were excluded from the study. The data obtained were analyzed using the chi square statistical test.Result: 18 respondents (20.45%) patients diagnosed with lateral inguinal hernia had normal weight and 70 respondents (79.55%) other respondents diagnosed with lateral inguinal hernia. Meanwhile, 6 respondents (60%) who were diagnosed with medial inguinal hernia were overweight-obese, while the other 4 respondents (40%) who were diagnosed with medial inguinal hernia were overweight-obese. The results of the bivariate statistical test using chi square obtained a p-value of 0.013.Conclusion: There is a significant relationship between body mass index and the type of inguinal hernia. Keywords: Body Mass Index, Lateral Inguinal Hernia, Medial Inguinal Hernia  INTISARI: HUBUNGAN ANTARA INDEKS MASSA TUBUHDENGAN JENISHERNIA INGUINALIS  Latar Belakang:Salah satu faktor resiko yang dapat mempengaruhi atau meningkatkan angka kejadian dari hernia inguinal adalah overweight dan obesitas. Indeks massa tubuh (IMT) merupakan cara sederhana untuk melihat status gizi orang dewasa, khususnya yang berkaitan dengan kekurangan dan kelebihan berat badan.Tujuan: Untuk mengetahui hubungan antara Indeks Massa Tubuh dengan jenis hernia inguinalisMetode Penelitian:Rancangan dalam penelitian ini menggunakan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien hernia inguinalis sebanyak di RS Pertamina Bintang Amin Bandar Lampung tahun 2019-2020.Sampel pada penelitian ini berjumlah 98 orang dengan menggunakan tekhnikpurposive sampling. Dimana pasien dengan hernia kongenital, batuk kronis, dan penyakit komorbid, diekslusi dari penelitian. Data yang diperoleh dianalisa menggunakan uji statistic chi square.Hasil penelitian:Didapatkan 18 responden (20,45%) pasien yang didiagnosa hernia inguinalis lateralis memiliki berat badan normal dan 70 responden (79,55%) responden lainnya yang didiagnosa hernia inguinalis lateralis. Sementara itu, 6 responden (60%) responden yang didiagnosa hernia inguinalis medialis memiliki berat badan overweight-obesitas sedangkan 4 responden lainnya (40%) yang didiagnosa hernia inguinalis medialis memiliki berat badan overweight-obesitas.Hasil uji statistik bivariat menggunakan chi square diperoleh nilai p-value 0,013.Kesimpulan:Terdapat hubungan yang bermakna antara indeks massa tubuh dengan jenis hernia inguinalis. Kata kunci: Indeks Massa Tubuh, Hernia Ingunalis Lateralis, Hernia Inguinalis          Mediali

Faktor-Faktor Yang Berhubungan Dengan Hemoroid Eksterna Dan Hemoroid Interna Pada Pasien Hemoroid Di Rumah Sakit Pertamina Bintang Amin Tahun 2017-2019

ABSTRACT Hemorrhoids, or people who are better known as hemorrhoids, are a common disease and have been around since time immemorial. The incidence of hemorrhoids tends to increase where the peak age is 45-65 years. Hemorrhoids can affect both men and women (Sunarto, 2016). This study aims to determine the factors associated with external hemorrhoids and internal hemorrhoids in PertaminaBintang Amin Hospital, Bandar Lampung in 2017-2019. The type of research used is quantitative research with observational analytic methods using a cross-sectional design. The sample in this study is all medical record data in 2017-2019 at Bintang Amin Hospital, Bandar Lampung, as many as 65 samples with total sampling technique. Data obtained through medical records. The data analysis technique to test the hypothesis was the chi-square statistical test. Results of analysis of factors associated with external hemorrhoids and internal hemorrhoids in hemorrhoid patients at Pertamina Bintang Amin Hospital 2017-2019. The age factor from the statistical results shows that there is a p-value = 0.101 which means it is greater than (p-value <0.05), with this it can be said that there is no relationship between age and the incidence of external and internal hemorrhoids. p-value = 0.469 which means greater than (p-value <0.05), with this it can be said that there is no relationship between sex factors in the incidence of external and internal hemorrhoids, the work factor of the statistical results shows that there is a p-value = 0.036, which means smaller than (p-value <0.05), it can be said that there is a relationship between work and the incidence of external and internal hemorrhoids. Genetic factors from statistical results have a p-value = 0.265 which means greater than (p-value <0.05), it can be said that there is no relationship between genetics and the incidence of external and internal hemorrhoids. There is a relationship between occupational factors and the incidence of external and internal hemorrhoids in hemorrhoid patients at Pertamina Bintang Amin Hospital, Bandar Lampung, 2017-2019.  Keywords: Age, Gender, Occupation, Genetics, Haemorrhoids ABSTRAK Hemoroid, atau masyarakat lebih mengenal dengan sebutan ambeien merupakan penyakit yang sering dijumpai dan telah ada sejak jaman dahulu. Kejadian hemoroid cenderung meningkat dimana usia puncaknya adalah 45-65 tahun. Hemoroid bisa diderita baik pria maupun wanita (Sunarto, 2016). Penelitian ini ditujukan untuk mengetahui Faktor-faktor Yang Berhubungan Dengan Hemoroid Eksterna Dan Hemoroid Interna Di Rumah Sakit Pertamina Bintang Amin Bandar Lampung Tahun 2017-2019. Jenis penelitian yang digunakan adalah penelitian kuantitatif metode analitik observasional dengan menggunakan desain Cross Sectional. Sampel dalam penelitian ini yaitu seluruh data rekam medik pada tahun 2017-2019 di Rumah Sakit Bintang Amin Bandar Lampung sebanyak 63 sampel dengan teknik total sampling. Data diperoleh melalui rekam medik. Teknik analisis data untuk menguji hipotesis yaitu uji statistic chi square. Hasil analisis Faktor-faktor yang berhubungan dengan hemoroid eksterna dan hemoroid interna pada pasien hemoroid di Rumah Sakit Pertamina Bintang Amin Tahun 2017-2019.Faktor Usia dari hasil statistic menunjukkanterdapatp-value = 0,101 yang berarti lebih besar dari (p-value <0,05) dengan ini dapat dikatakan bahwa tidak terdapat hubungan antara Usia dengan kejadian hemoroid eksterna dan interna , Faktor jenis kelamin dari hasil statistic terdapatp-value = 0,469 yang berarti lebih besar dari (p-value <0,05) dengan ini dapat dikatakan bahwa tidak terdapat hubungan antara antarafaktor jenis kelamin padakejadianhemoroid eksterna dan interna, Faktor pekerjaan dari hasil statistic menunjukkan terdapat p-value = 0,036 yang berarti lebih kecil dari (p-value <0,05) dengan ini dapat dikatakan bahwa terdapat hubungan antara pekerjaan dengan kejadian hemoroid eskterna dan interna, Faktor genetik dari hasil statistic terdapat p-value = 0,265 yang berarti lebih besar dari (p-value <0,05) dengan ini dapat dikatakan bahwa tidak terdapat hubungan antara genetik dengan kejadian hemoroid eksterna dan interna Di Rumah Sakit Pertamina Bintang Amin Bandar Lampung tahun 2017-2019. Tidak terdapat hubungan antara Usia, jenis kelamin, genetik dengan hemoroid eksterna dan interna dan ada hubungan yaitu antara faktor Pekerjaan dengan kejadian hemoroid eksterna dan hemoroid interna di rumah sakit pertamina bintang amin bandar lampung tahun 2017-2019. Kata kunci :Usia, Jenis kelamin, Pekerjaan, Genetik, Hemoroi

Hubungan Faktor Usia Lansia Pada Kejadian Hemoroid Di Rumah Sakit Pertamina Bintang Amin Tahun 2017-2019

ABSTRACT Hemorrhoids, or people who are better known as hemorrhoids, are a common disease and have been around since time immemorial. The incidence of hemorrhoids tends to increase where the peak age is 45-65 years. Hemorrhoids can affect both men and women. This study aims to determine the relationship between the factors of the elderly in the incidence of hemorrhoids at Pertamina Bintang Amin Hospital, Bandar Lampung, 2017-2019. The type of research used is quantitative research with observational analytic methods using a cross-sectional design. The sample in this study is all medical record data in 2017-2019 at Bintang Amin Hospital, Bandar Lampung, as many as 50 samples with total sampling technique. Data obtained through medical records. The data analysis technique to test the hypothesis was the chi-square statistical test. The results showed that there was a significant relationship p-value = 0.000 (p-value <0.05) between the age factor of the elderly in the incidence of hemorrhoids at Pertamina Bintang Amin Hospital in Bandar Lampung in 2017-2019. There is a relationship between the age factor of the elderly in the incidence of hemorrhoids at Pertamina Bintang Amin Hospital, Bandar Lampung, 2017-2019.  Keywords: Elderly, Haemorrhoids ABSTRAK Hemoroid, atau masyarakat lebih mengenal dengan sebutan ambeien merupakan penyakit yang sering dijumpai dan telah ada sejak jaman dahulu. Kejadian hemoroid cenderung meningkat dimana usia puncaknya adalah 45-65 tahun. Hemoroid bisa diderita baik pria maupun wanita (Sunarto, 2016). Penelitian ini ditujukan untuk untuk mengetahui Hubungan Faktor Usia Lansia Pada Kejadian Hemoroid Di Rumah Sakit Pertamina Bintang Amin Bandar Lampung Tahun 2017-2019. Jenis penelitian yang digunakan adalah penelitian kuantitatif metode analitik observasional dengan menggunakan desain Cross Sectional. Sampel dalam penelitian ini yaitu seluruh data rekam medik pada tahun 2017-2019 di Rumah Sakit Bintang Amin Bandar Lampung sebanyak 50 sampel dengan teknik total sampling. Data diperoleh melalui rekam medik. Teknik analisis data untuk menguji hipotesis yaitu uji statistic chi square. Dari hasil penelitian menunjukkan terdapat hubungan yang bermakna p-value = 0,000 (p-value <0,05) antara faktor usia lansia pada kejadian hemoroid di Rumah Sakit Pertamina Bintang Amin Bandar Lampung tahun 2017-2019. Terdapat hubungan antara faktor usia lansia pada kejadian hemoroid di Rumah Sakit Pertamina Bintang Amin Bandar Lampung tahun 2017-2019. Kata kunci : Lansia, Hemoroi

Hubungan Status Gizi dengan Proses Penyembuhan Luka pada Pasien Post Apendektomi

Appendicitis is part of the emergency cases that often occur in the abdominal area. Appendicitis is a prototype disease that takes place through inflammation due to obstruction and ischemia with the main symptoms which is pain that reflects the state of the disease. Appendicitis requires surgical appendectomy to reduce the risk of perforation. Apendectomy surgery is one type of wound that is an incision wound. The time of wound healing can be determined by the distinguishing between types of acute or chronic wounds. Appendectomy that does not have a post-surgical infection is categorized as an acute wound, physiologically the acute wound will heal ± 0-21 days. However, if the provision of nutrition is not fulfilled properly it will be almost the wound healing process. One factor that can influence the wound healing process is nutritional status. This study aim to determine the correlation of nutritional status with the wound healing process of post-appendectomy patients in RSUD Dr. H. Abdoel Moeloek, Bandar Lampung. This study used observational analytic with cross sectional approach. The sampling technique used was accidental sampling. The data were analyzed by using Chi-square test. From the Chi-square test found a relationship of nutritional status with a significant wound healing process (p &lt;0.05) which is obtained p = 0.004, and the value obtained (OR = 10.5) can be said that adequate nutritional status is 10.5 times more likely to experience good wound healing when compared to undernourished nutritional status. There is a correlation between nutritional status and wound healing process in post-appendectomy patients

Faktor-Faktor Keterlambatan Penatalaksanaan Pada Pasien Kanker Kepala Dan Leher Di RSUD Dr.H.Abdul Moeloek Provinsi Lampung

ABSTRACT The prevalence of head and neck cancer (KKL) in Indonesia is quite high with a prevalence of 4.7 per 100,000 population. Delays in the management of head and neck cancer patients still occur and there are many factors that cause patient delay and professional delay. delay factors associated with tumors. This study aims to determine the factors of delay in the management of head and neck cancer patients at dr. H. Abdul Moeloek Hospital, Lampung province in 2020. This study used a descriptive-analytic research method with a cross-sectional approach. The sample population used was all head and neck cancer patients in dr. H. Abdul Moeloek Hospital, Lampung Province. The results of this study obtained 50 samples who were interviewed. The average age according to the Indonesian Ministry of Health (2009) was categorized as late adulthood 36-45 years, early elderly 46-55 years, late elderly 56-65 years, and the elderly> 65 years. Of the respondent group of respondents, the largest age group is> 40 years 45 (90.0%). The highest education level is SD 17 (34.0%), SMP 17 (34.0%), SMA 16 (32.0%), the highest income is 65 tahun. Dari kelompok responden responden tersebut kelompok umur terbanyak >40 tahun 45 (90.0%). tingkat pendidikan terbanyak SD 17 (34.0%), SMP 17 (34.0%), SMA 16 (32.0%), Penghasilan terbanyak <Rp.2.432.000,- sebesar 41(82.0%), Lokasi Anatomi terbanyak Nasofaring sebesar 32 (64.0%), Lokasi Anatomi terbanyak di Superoposterior sebesar 39 (78.0%). Tingkat pengetahuan Kanker 47 (94.0%) Pasien tidak kanker, gejala, faktor resiko,kanker nasofaring dan penyebab kanker nasofaring. Kondisi psikologis merasa cemas 45 (90.0%), takut 44 (88.0%), marah 40 (80.0%). Pasien  yang menggunakan  obat alternatif/obat herbal sebesar 41 (82.0%) dan sebesar 38 (76.0%) pasien tidak sering berkunjung ke fasilitas kesehatan/dokter. Dapat disimpulkan bahwa faktor keterlambatan yang paling banyak adalah tingkat pengetahuan kanker yang rendah yaitu sebanyak 47 (94.0%) pasien. Kata Kunci : faktor keterlambatan, kanker kepala dan leher, penetalaksanaa

Relationship Between Lymphocyte Levels and Segment Neutrophils in Acute Appendicitis

Appendicitis is one of the most common cases in the field of abdominal surgery which causes acute abdominal pain and requires immediate surgery to prevent complications that are generally dangerous, such as gangrenous, perforation, and even generalized peritonitis. Appendicitis can be found in both men and women with a risk of suffering from appendicitis in their lifetime reaching 7-8%. The highest incidence is reported in the age range of 20 to 30 years. Methodology: The type of research used in this study is an observational analytic study with a cross-sectional study design using medical records as data. The population in this study were all patients with appendicitis recorded in medical records. The data were analyzed using the Spearman test. Results: In this study, 26 people with a percentage of 65% had abnormal lymphocyte counts. as many as 31 people with a percentage of 77.5% who had abnormal neutrophils. For the neutrophil variable with the incidence of appendicitis using the Spearman test, the p-value = 0.005 (p &lt;0.05). In the lymphocyte variable with the incidence of appendicitis using the Spearman test, the p-value = 0.058 (p &lt;0.05) was obtained. Conclusion: There is a significant relationship between neutrophil and appendicitis. Meanwhile, the lymphocyte variable with the incidence of appendicitis had no significant relationship

Tajam Penglihatan Pra Dan Pasca Operasi Pars Plana Vitrektomi Pada Pasien Ablasio Retina Di Rumah Sakit Pertamina Bintang Amin Bandar Lampung

ABSTRACT: PRE AND POST OPERATION OF VITRECTOMIC PARS PLANE FOR ABLASIO RETINA PATIENTS AT PERTAMINA HOSPITAL BINTANG AMIN BANDAR LAMPUNG Background :Retinal detachment is a condition in which the sensory parts of the retina (photoreceptors and deep tissue layers) and the retinal pigment epithelium (RPE) are separated (Budhiastra, 2016). the world, which is 1 in 10,000 population. And the average age of 40-70 years is the most susceptible to retinal detachment. This prevalence can increase if the patient with retinal detachment has several other conditions such as aphaxia / pseudophakia, high myopia and trauma. in young people they are more likely to experience retinal detachment caused by trauma, and in people aged 25-45 years, retinal detachment is more common due to high myopia. Purpose: The purpose of this study was to determine the sharp vision of pre and post pars plana vitrectomy patients with retinal detachment at Pertamina Bintang Amin Hospital in Bandar Lampung in 2020. Result : The results of 60 respondents with visual acuity from retinal detachment patients who successfully increased were 47 respondents with a percentage (78.3%) and 13 respondents with retinal detachment who did not improve were 13 respondents with a percentage (21.7%) and retinal detachment patients with retinal detachments were found. As many as 49 respondents managed to attach with a percentage (81.7%) for retinal detachment patients whose retina failed to adhere, 11 respondents (18.3%) were found. Conclusion : There is a significant difference between pre and post-operative Pars Plana Vitrectomy in patients with retinal detachment Keywords: Retinal Detachment, Pars Plana Vitrectomy, Sharp Eyesight  INTISARI  : TAJAM PENGLIHATAN PRA DAN PASCA OPERASI PARS PLANA VITREKTOMI PADA PASIEN ABLASIO RETINA DI RUMAH SAKIT PERTAMINA BINTANG AMIN BANDAR LAMPUNG TAHUN 2020 Pendahuluan: Ablasio retina adalah keadaan dimana bagian sensoris retina (fotoreseptor dan lapisan jaringan dalam) dan retinal pigment epithelium (RPE) menjadi terpisah (Budhiastra, 2016) Ablasi retina bisa diartikan juga  terpisahnya sel kerucut dan batang retina dari sel epitel pigmen retina, Prevalensi ablasio retina di dunia yaitu sebanyak 1 berbanding 10.000 populasi. Dan rata-rata usia 40-70 tahun adalah yang paling rentan terkena ablasio retina. Prevalensi tersebut bisa meningkat jika penderita ablasio retina tersebut memiliki beberapa keadaan lain  seperti afaksia/pseudofakia, myopi tinggi dan trauma. pada orang muda  mereka lebih sering mengalami ablasio retina yang disebabkan oleh trauma, serta pada orang berusia usia 25-45 tahun ablasio retina lebih sering terjadi dikarenakan myopia tinggi.Tujuan : Tujuan dari penelitian ini adalah untuk mengetahui Tajam Penglihatan pasien ablasio retina pra dan pasca operasi pars plana vitrektomi di Rumah sakit Pertamina Bintang Amin Bandar Lampung tahun 2020.Hasil : Hasil dari 60 responden tajam penglihatan dari pasien ablasio retina yang berhasil meningkat didapatkan responden sebanyak 47 orang dengan persentase (78.3%) dan tajam penglihatan pasien ablasio retina yang tidak meningkat didapatkan sebanyak 13 reponden dengan persentase (21.7%) dan didapatkan pasien ablasio retina yang retina berhasil menempel sebanyak 49 responden dengan persentase (81.7%) untuk pasien ablasio retina yang retina gagal menempel didapatkan responden sebanyak 11 dengan persentase (18.3%). Kesimpulan : Terdapat perbedaan yang cukup signifikan dari tajam penglihatan pra dan pasca Operasi Pars Plana Vitrektomi pada pasien Ablasio Retina Kata kunci    :  Ablasio Retina, Pars Plana Vitrektomi, Tajam Penglihatan