Program Studi Ilmu Bedah Fakultas Kedokteran UGM, Yogyakarta
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The Prognoses Factors That Influenced The Occurrence of Post-Endorectal Surgery Constipation of Pull Through

The Prognoses Factors That Influenced The Occurrence of Post-Endorectal Surgery Constipation of Pull Through at Dr. Sardjito Hospital

 

Ardean, Rochadi

 

Residence of General Surgery

Faculty of Medicine of UGM/Dr. Sardjito Hospital Yogyakarta

Division of Surgery Faculty of Medecine of UGM/Dr. Sardjito Hospital

Sub-Division of Pediatric Surgey Faculty of Medecine of UGM/Dr. Sardjito Hospital

 

Abstract

Background

The Hirschsprung disease is an disorder of clinical manifestation caused by the absence of Aurbach and Meisner ganglions.  The genetical factor was a main factor caused this disorder due to the neurochristopathical disturbance. The mortality rate of Hirschsprung disease on the untreated neonatus was so high, it reached to 80%, whereas the post-surgerical complicating constipation of ERPT was 42.2%.

 

Purpose

To get some informations related to the influencing factors of the occurrence of post-surgerical constipation of ERPT at the hospital of Dr. Sardjito Yogyakarta.

 

Method

This study was designed by retrospective observation.  Data was gathered using medical records and control data of poly.  Data was categorized by age, sex, birth weight, weight at surgery, albumen content, Hb and the occurrence of post-surgerical constipation of ERPT.

Data was collected from 2005-2010.

 

Results

This study used 66 samples and found post-surgerical constipations of ERPT in 6 patients (9.09%).  It did not find any significant correlation from the results between the occurrence of post-surgical constipation of ERPT and sex (p = 0.102), age (p = 0.660), birth weight (p = 0.135), weight at surgery (p = 0.667), Hb (p = 0.532), albumin content (p = 0.205).  There were 2 patients (3.03%) who died.

 

Conclusion

It was occurred post-surgerical constipations of ERPT in 6 patients (9,09%).  There were 2 patients (3.03%) who died.  It did not find any prognoses factor that influenced the post-surgerical constipation of ERPT, but there was a significant correlation between post-surgery constipation of ERPT and living resistence (p = 0.000).

 

Keywords: Hirschsprung Disease, ERPT, Constipation, Living Resistance

 


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