Background: One of the goals of colorectal cancer surgery is to facilitate the digestive tract to function properly. Surgery performed can lead new problems such as infection, sepsis, postoperative pain, and nausea vomiting. Modulation of perioperative nutrition of intestinal microbiota such as probiotics is more and more applied as a strategy to reduce complications of elective surgical infection and accelerate the improvement of gastrointestinal symptoms such as flatus and defecation. The purpose of this study was to analyze the effect of giving probiotics on digestive function in patients after colorectal cancer surgery. Subjects and Methods:The subjects of this study were postoperative patients with colorectal cancer, with a total sample of 20. The sampling technique used non-random sampling. This type of the study is quasi experimental design with Post-test Only Control Design method. In this design, the sample is divided into two groups namely, group I was given probiotics and group II was not given probiotics then the follow up treatmen was conducted to assess the effect on the digestive function of patients after colorectal cancer surgery. Results: The majority of post-operative colorectal cancer patients were> 50 years (85%). The sex of post operative patients with colorectal cancer balanced between men and women, which was equally 50%. There was a significant difference between intestinal bowel surgery after colorectal cancer surgery which was given probiotics with no probiotics given (p <0.05). Similarly, post operative flatus colorectal cancer patients also had significant differences with the values (p <0.05). As for the defecation patients of post-surgery colorectal cancer , there was also a significant difference between the defecation patients of post-surgery of colorectal cancer surgery given probiotics and those not given probiotics with values (p <0.05). Conclusion: statistically, there was an effect of giving probiotics to digestive function including bowel sound, flatus, and defecation of post-surgery patient of colorectal cancer.
ABSTRAKApendisitis menjadi salah satu kasus bedah abdomen yang paling sering terjadi di dunia.Apendisitis perforasi berhubungan dengan tingkat mortalitas yang tinggi. Peradangan akut pada apendiks perforasi memerlukan tindakan pembedahan segera untuk mencegah terjadinya komplikasi berbahaya. Tindakan pascabedah sangat diperlukan untuk mencegah komplikasi lanjutan. Pemasangan drain diharapkan mampu menurunkan risiko komplikasi abses intra-abdominal, meskipun demikian, drain intraabdomen setelah operasi apendisitis dalam kasus apendisitis perforasi masih kontroversi. Ada beberapa ahli bedah yang memilih untuk tidak memasang drain pasca bedah. Penelitian ini untuk mengetahui ada perbedaan penggunaan drain dan tanpa penggunaan drain intra abdomen terhadap lama perawatan pascaoperasi laparotomi apendisitis perforasi. Subjek penelitian ini adalah pasien apendisitis perforasi yang pasca-apendiktomi, dengan total sampel 20. Teknik sampling menggunakan random sampling. Jenis penelitian ini desain eksperimen semu (quasi experiment) dengan metode Posstest-Only Control Design. Dalam rancangan ini sampel dibagi menjadi dua kelompok yaitu, kelompok I dilakukan pemasangan drain intra abdomen dan kelompok II tidak dilakukan pemasangan drain kemudian dilakukan follow up untuk menilai lamanya perawatan pascaoperasi pada apendisitis perforasi. Mayoritas pasien pascaoperasi apendisitis perforasi berumur antara 40-60 tahun (45%). Penyembuhan luka dan terjadinya komplikasi pasien pascaoperasi apendisitis perforasi baik yang dipasang drain maupun yang tidak dipasang drain semuanya mengalami proses penyembuhan luka dengan baik (100%) dan tidak ada yang mengalami komplikasi (100%). Lama perawatan pasien tanpa dipasang drain tercepat perawatan 4 hari dan paling lama 6 hari, sedangkan yang dipasang drain cenderung lebih lama, yaitu tercepat 5 hari dan terlama 8 hari. Ada perbedaan yang signifikan antara lama perawatan pasien pasca operasi apendisitis perforasi dengan yang dipasang drain dengan yang tidak dipasang drain dengan nilai p=0,001. Secara statistik terdapat hubungan yang sangat signifikan antara lama perawatan pasien pascaoperasi apendisitis perforasi dengan yang dipasang drain dengan yang tidak dipasang drain. Kata Kunci: Drain Apendisitis Perforasi, Lama Perawatan
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