EFEKTIVITAS PENATALAKSANAAN HEMOROID DENGAN PARAN INJECTION LIGATION FOR AMBEIEN (PILA) DAN HEMOROIDEKTOMI
Abstract
Hemorrhoids are a disease that arises due to the dilation of blood vessels in the hemorrhoidal plexus so it becomes a dangerous disease and can interfere with daily activities. Hemorrhoidectomy is a procedure for treating hemorrhoids by excising as little as possible only the tissue that is dilated so that it does not interfere with the work function of the anal sphincter. Paran Injection Ligation for Hemorrhoids (PILA) is another procedure to treat hemorrhoidal patients using a combination method of sclerotherapy and rubber band ligation. This study aims to compare the effectiveness of the management of hemorrhoids with PILA and hemorrhoidectomy in Tk. II. Prof. Dr. J. A. Latumeten Ambon hospital for the period October 2021- October 2022. This study was an observational analytic study using a total sampling technique with a total sample of 67 subjects, including 32 hemorrhoidal patients who received PILA treatment and 35 hemorrhoidal patients who received hemorrhoidectomy. The data used in this study were medical records of hemorrhoids at the Tk. II Prof. Dr. J. A. Latumeten Ambon hospital for the period October 2021 – October 2022. This study used bivariate analysis using the Chi-Square test to assess the effectiveness of treatment by comparing several components of management effectiveness, namely pain, bleeding, mobilization, length of stay, and postoperative visits with complications to hemorrhoidectomy and PILA. Analysis with the Fisher Exact test is used if the data does not meet the requirements for the Chi-Square Test. The results of the study showed that there were significant differences between the management of hemorrhoids and hemorrhoidectomy and PILA which were obtained from the comparison of the effectiveness components, namely; pain (p = 0.000), bleeding (p = 0.000), mobilization (p = 0.000), length of stay (p = 0.000), and postoperative visits with complications (p = 0.002) with hemoroid management (PILA and hemorrhoidectomy).
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References
Dunn KMB, Rothenberger DA. Colon, Rectum, and Anus. In: Brunicardi FC, et al. Schwartz’s Principles of Surgery. 10th ed. New York: McGraw Hill Education; 2015. 1222-1225
Moylan JA. Hemoroidektomi. Dalam: Oswari J, editor. Sabiston Buku Ajar Bedah. Jakarta: EGC; 1992.513-51
Kemenkes RI. Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Jakarta : Kementerian Kesehatan Republik Indonesia; 2018.1126
Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Thieme Medical Publishers. 2016;29:22–29.
Mott T, Latimer K, Edwards C. Hemorrhoids: Diagnosis and Treatment Options. Am Fam Physician. 2018;97(3):172-179.
Yamana T. Japanese practice guidelines for anal disorders I. hemorrhoids. Journal of the anus, rectum and colon. 2017;1(3): 89-99.
Annisa BW, Yulianayah LFA. Tinjauan Pustaka: Diagnosis dan Tagalaksana Hemoroid. Jurnal Kedokteran Unram. 2022; 11(3): 1085-1086
Nasir MA, Masroor R, Arafat Y, Butt Q, Sarwar S. Injection sclerotherapy versus ligasi rubber band for second degree hemorrhoids. Pakistan Armed Forces Medical Journal. 2017;67(6): 996-997.
Amsriza FR, Fakhriani R. Laporan Kasus : Metode Kombinasi Modifikasi Ligasi Rubber Band dan Injeksi Sklerotik pada Hemoroid Derajat 1 dengan Menggunakan Paran Injection Ligation for Ambeien Pack (PILA Pack). Medica Arteriana. 2021; 3(1): 1-8.
Ahmad MM, Nadeem R, Husain M, Nazir I, Ahmad M. Stapled Haemmorhoidopexy Versus Open Haemmorhoidectomy: Our Initian Experience. International Surgery Journal. 2017;4(5):1672-1677.
Amsriza FR. Fakhriani R. Penggunaan PILA-Pack: Perbedaan Lama Rawat Inap bagi Pasien Hemoroid. Jurnal Kedokteran Brawijaya. 2021;32(2):34-37.
Morgan GE. Pain Management. Dalam: Butterworth JF, Mackey DC, Wasnick JD. Clinical Anesthesiology. Edisi 2. Stanford: Appleton and Lange; 2019. 315-316p
Hamill RJ. The Assessment of Pain. Dalam: Hamil RJ, Rowlingson JC. Handbook of Critical Care Pain Management. New York: McGraw-Hill Inc; 1994. 13-25p
Demeke S, Balamurugan J, Alemie, Abebe E. In-Hospital Mobility and Associated Factors. British Journal of Medicine and Medical Research. 2015;5(6): 7-9p
Ansari AH, Khan RM, Itrat M, Zulkiflie M. A Comprehensive review of haemorrhoids with Unani (Greeco-Arabic) and moderm decription. International Journal of Basic Medicine and Clinical Research. 2019;1(3): 52-65.
Sudarsono DF. Diagnosis Dan Penanganan Hemoroid. J Majority. 2019; 4(6):7p.
Loese JD. Peripheral Pain Mechanism and Nociceptic Plasticity. Dalam: Fishman SM, Ballantyne JC, Rathmell JP. Bonica’s Management of Pain. Edisi 4. Philadelphia: Lippincott William and Wilkins; 2019. 65p
Holzheimer RG. Hemorrhoidectomy: Indications and Risks. European Journal of Medical Research. 2018;9:18-36
Berkanis AT, Nubatonis D, Lastari AA. Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Pada Pasien Post Operasi di RSUD S.K. Lerik Kupang Tahun 2018. CHM-K Applied Scientifics Journal. 2020; 3(1):32p
Amiman RC, Tumboimbela MJ, Kembuan MAHN. Gambaran length of stay pada pasien hemoroid rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016. E-CliniC. 2016;4(2);5p
Lalisang TJM. Hemorrhoid: Pathophysiology and Surgical Management A Literature reviews. The New Ropanasuri Journal of Surgery. 2016;1(1):32p
Ojeniweh ON, Ezema CI, Okoye GC. Efficacy of infrared radiation therapy on chronic back pain: a case study of national orthopaedic hospital, enugu, south east, nigeria. Ijbair. 2018;Vol 7(4): 107-14p
Usman Z, Maharaj SS, Kaka B. Effects of combination therapy and infrared radiation on pain, physical function, and quality of life in subjects with knee osteoarthritis: A randomized controlled study. Hong kong physiotherapy jurnal. 2019; Vol 39(2): 1- 102
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