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Comparison of Incident of Chronic Pain Post Operations of Preperitoneal Transabdominal Herniorafi Laparoscopy (TAPP) and Totally Extraperitoneal (TEP) in General Hospital Dr. M. Djamil Padang Ramata, Yudi Ichsan; M. Iqbal Rivai; Avit Suchitra
Biomedical Journal of Indonesia Vol. 7 No. 1 (2021): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i1.278

Abstract

A B S T R A C TIntroduction : Inguinal herniation is a protrusion of peritoneal component throughabdominal wall caused by the weakness of aponeurotica tissue of abdomen. Inguinalherniation is the most common herniation cases in which 291.145 patient registeredin Indonesia at 2012 and 87 patients in General Government Hospital of M. DjamilPadang at 2017-2018. Herniation treatment is consisted of herniorrhapylaparoscopy using the TEP or TAPP techniques and both of them are related to theincidence of chronical post-operative pain that was defined by IASP as anuncomfortable sensation lasting for more than 3 months. Method: This researchwas using retrospective study design. The research was conducted at RSUP Dr. M.Djamil Padang in August – October 2020 with 54 samples. Result: The study foundthere was 54 cases of inguinal herniation fit to the inclusion criteria with peak ageof 82 years old and average of 59.1 years old. Most patients were male (79.62 %).There were 2 patients having chronic pain (7.41%) after herniorrhapy using the TAPPtechnique and 1 more (3.71%) having chronic pain with TEP technique. Bivariateanalysis was done by Fisher Exact Test and the study concluded there was nostatistical significance in relationship of chronic post-operative pain incidence withthe particular technique chosen at herniorrhapy laparoscopy (p=1.000). Conclusion:There was no significant relationship between the incidence of postoperative chronicpain in patients undergoing laparascopic hernioraphy and TEP or TAPP procedure.
Pengaruh Mobilisasi Dini Terhadap Penurunan Skala Nyeri Pada Pasien Post Operasi Laparatomi di Ruangan Intensive Care Unit Darmawidyawati Darmawidyawati; Avit Suchitra; Emil Huriani; Susmiati Susmiati; Dally Rahman; Elvi Oktarina
Jurnal Ilmiah Universitas Batanghari Jambi Vol 22, No 2 (2022): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v22i2.2300

Abstract

Post Laparatomy pain can be minimized by giving pharmacological and non-pharmacological therapy. Nurses has a role to reduce the pain scale of patients with independent nursing care. One of them is early mobilization therapy. This study aims to determine the effect of early mobilization of decrease in pain scale in patients post operations laparatomy. True-experimental research design and use the pretest-posttest with a control group approach. The sampling technique uses Consecutive Sampling The number of samples was 30 people using the Slovin formula. Collection of pain scale data uses C.P.O.T and pain scale collected pre and post mobilization action, then analyzed univariate and bivariate with a Mann-Whiteney U . The results of the study were obtained by p-value <0.005 there was an effect of early mobilization of the reduction in pain scale. This research suggested that early mobilization actions can be used as one of the independent nursing interventions in dealing with pain problems in post laratomy patients at Intensive Care Unit