Tesis

Perbandingan Hasil Reparasi Robekan Perineum Derajat IIIb-IV Antara Teknik Tumpang Tindih Dengan Teknik Ujung Ke Ujung Secara Fungsional Berdasarkan Skoring Inkontinensia Fekal di Rumah Sakit Umum Pusat Cipto Mangunkusumo = Comparasion Reparation Result on Perineal Rupture Grade III B – IV between Overlapping Technique and End to End Techique by functional based on Fecal Incontinence Scoring in Ciptomangunkusmo Hospital.

Latar Belakang: Terdapat dua teknik dalam reparasi robekan perineum derajat IIIb-IV yaitu teknik jahitan ujung ke ujung (end-to-end) dan tumpang tindih (overlapping). Beberapa penelitian berbeda menunjukkan keterbatasan data untuk membandingkan teknik ujung ke ujung dengan tumpang tindih terhadap kejadian inkontinesia fekal. Tujuan: Mencari perbedaan antara kedua teknik reparasi robekan perineum derajat IIIb-IV secara Fungsional Berdasarkan Skoring Inkontinensia Fekal Metode: Penelitian potong lintang ini dilakukan dengan mengulas data rekam medis RSCM periode 1 Januari 2011 – 31 Desember 2015. Empat puluh delapan rekam medis dengan 39 subjek mendapatkan teknik tumpang tindih dan 9 subjek mendapatkan teknik ujung ke ujung. Dilakukan penilaian skoring inkontinensia dengan SIKC (Skoring Inkontinesia Klinik Cleveland) dan SSKF (Skala Skoring Kontinensia Fekal) dan dilakukan analisa Chi-Square dengan alternatif Fischer. Hasil: Tidak terdapat perbedaan antara teknik ujung ke ujung dengan tumpang tindih berdasarkan skoring SSKF (p = 0,627) dan SIKC (p = 0,627). Berdasarkan SSKF terdapat 2,1% Inkontinensia Komplit dan 79,2% Kontinensia Komplit pada teknik tumpang tindih dan 18,8% Kontinensia Komplit pada teknik ujung ke ujung. Berdasarkan SIKC terdapat 2,1% Inkontinensia Komplit, 6,2% Kontinensia Baik, 72,9% Kontinensia Sempurna pada Teknik Tumpang Tindih dan 18,8% Kontinensia Sempurna pada teknik lainnya .Kesimpulan: Didapatkan bahwa 2,1% menderita inkontinensia fekal pada teknik tumpang tindih, sementara tidak didapatkan inkontinensia fekal pada teknik ujung ke ujung
Kata Kunci: Robekan Perineum, Ujung ke Ujung, Tumpang Tindih, Inkontinensia Fecal



Background: There are two technique in repairing perineal ruptured grade IIIb-IV which is End to End Technique and Overlapping Technique. Some studies showned differents outcome and also limited data that compare these two technique based on fecal incontinence. Purpose: To show that there is a different between both technique on perineal reparation by functional based on Fecal Incontinence Scoring Methods: This cross sectional was done by reviewing medical record in RSCM from January 1 st 2011 until 31 st December 2015. Forty nine medical record taken as sample and found that 39 with overlapping technique and 9 with end to end technique. Performed by incontinencia fecal scoring using CCIS (Cleveland Clinic Incontinence Scoring) and FCSS (Fecal Continence Scoring Scale) and analyzed by Chi-Square witn Fischer as alternative. Results: There is no different between overlapping technique and end to end technique by FCSS (p value 0,627) and CCIS (p value 0,627). Based on FCSS there are 2,1% compkete incontinence and 79,2% complete continence in Overlapping technique and 18,8% complete continence I End to End technique. Based on CCIS there are 2,1% complete incontinence, 6,2% good continence, 72,9% perfect continence in Overlapping technique and 18,8% perfect continence in other technique. Conclusion: There are 2,1% found fecal incontinence in Overlapping technique, while no fecal incontinence in End to End technique.
Keywords: Perineal Ruptur, End to End, Overlapping, Fecal Incontinence