Angka Morbiditas Pascaoperasi Tulang Belakang akibat Posisi Prone di Rumah Sakit Dr. Hasan Sadikin Bandung Periode November 2015–Desember 2016
Abstract
Latar Belakang dan Tujuan: Operasi tulang belakang mengalami peningkatan secara signifikan selama dekade terakhir. Posisi prone dibutuhkan sebagai akses pada operasi tulang belakang melalui pendekatan posterior. Operasi tulang belakang dengan posisi prone memiliki risiko terjadi cedera yang dapat menyebabkan morbiditas serius.Tujuan penelitian ini adalah untuk mengetahui angka morbiditas pascaoperasi tulang belakang dengan posisi prone di Rumah Sakit Dr. Hasan Sadikin Bandung.
Subjek dan Metode: Metode penelitian ini adalah deskriptif observasional dengan rancangan potong lintang pada pasien yang dirawat di Rumah Sakit Dr. Hasan Sadikin Bandung dan menjalani operasi tulang belakang dengan posisi prone dari bulan November 2015 sampai dengan bulan Desember 2016.
Hasil: Hasil penelitian ini dari 99 subjek penelitian diperoleh 8 kasus (8,1%) cedera penekanan, 1 kasus (1%) cedera mata, dan 1 kasus (1%) cedera pada saraf tepi. Perubahan fisiologi dan efek penekanan akibat posisi prone serta keadaan selama operasi memengaruhi terjadinya morbiditas pada pasien yang menjalani operasi tulang belakang.
Simpulan: Kesimpulan dari penelitian ini adalah angka morbiditas pascaoperasi tulang belakang akibat posisi prone di Rumah Sakit Dr. Hasan Sadikin Bandung periode November 2015–Desember 2016 sebanyak 10 kasus (10%).
The Incidence of Patient’s Morbidity After Spinal Surgery with Prone Position in Dr. Hasan Sadikin General Hospital During November 2015–December 2016
Background and Objective: The rate of spine surgeries has increased significantly over the past decade. Prone position is required as an access to spinal surgery through the posterior approach. Spinal surgery with prone surgery poses a risk of injury that can lead to serious morbidity. The purpose of this study was to determine the number of postoperative morbidity of the spine due to prone position in Dr. Hasan Sadikin Hospital Bandung
Subjects and Methods: The methods of this research is descriptive observational with cross sectional design and subjects of this study is patient undergo spine surgery in prone position in Dr. Hasan Sadikin Hospital Bandung period November 2015 ─ December 2016.
Results: Results of this study had shown that among 99 subjects, 8 cases (8.1%) were diagnosed with pressure ulcer, 1 case (1%) with eye injury, and 1 case (1%) with peripheral nerve injury. The physiological changes in a prone position, pressure effect and conditions during surgery might lead to morbidity in patients undergoing spinal surgery.
Conclusion: The conclusion of this study is the rate of postoperative morbidity of the spine due to prone position in Dr. Hasan Sadikin Hospital Bandung period November 2015–December 2016 as many as 10 cases (10%).
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DOI: https://doi.org/10.24244/jni.vol6i3.51
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