| dc.description.abstract | Background: Uterine fibroid is the most common benign neoplasm in the female genitourinary system, more than 50% occur in women aged 40 years. Uterine fibroid are generally asymptomatic, but the symptoms that can occur are a palpable lump in the abdomen and heavy and duration menstruation. In addition to treatment with drugs, operative can also be performed. Hysterectomy and myomectomy are among the most routine gynecological procedures performed in the world. Several conditions require transfusion for surgery both during and after the procedure, it depends on one of the preoperative factors. The aims of this study was to determine the relationship between preoperative factors and blood transfusions in uterine fibroid surgery.
Methodology: This study was conducted through a retrospective analytic approach with a cross-sectional design. The study population was the population of cases of uterine fibroid patients who were treated and performed surgery at the RSUP. H. Adam Malik. The number of samples was 185 people taken by consecutive sampling. Sample characteristic data were obtained from medical records from 2015-2020. Data were analyzed by univariate and bivariate analysis, including the prevalence ratio.
Results: It was found that 68.7% of subjects were subjected to transfusion, with several variables having a p value <0.05, including age p value = 0.007, hb content p = 0.001, ht p = 0.002, type of surgery p <0.001, amount of bleeding p < 0.001, and the mass size is p <0.001. And other variables BMI p = 0.27, length of menstruation p = 0.31, history of PUA p = 0.41, blood group p = 0.24, duration of surgery p = 0.054, amount mass p = 1.00, and location mass p = 1.00
Conclusion: There was a significant relationship between age, hb, ht, type of surgery, amount of bleeding, and size of mass (p-value <0.05). | en_US |
| dc.description.abstract | Latar Belakang: Mioma uteri merupakan neoplasma jinak paling sering pada sistem genitourinaria perempuan, lebih dari 50% terjadi pada perempuan usia 40 tahun. Mioma uteri umumnya tidak bergejala, namun gejala yang dapat terjadi adalah teraba benjolan diperut dan haid banyak dan lama. Selain tatalaksana dengan obat-obatan dapat juga dilakukan tindakan operatif. Histerektomi dan miomektemi merupakan salah satu prosedur ginekologis yang paling rutin dilakukan didunia. Beberapa kondisi diperlukan transfusi untuk tindakan pembedahan baik selama maupun sesudah tindakan, hal tersebut tergantung salah satunya faktor preoperatif. Tujuan penelitian ini adalah mengetahui hubungan faktor preoperatif dengan transfusi darah pada tindakan pembedahan mioma uteri.
Metodologi: Penelitian ini dilakukan melalui pendekatan analitik retrospektif dengan desain cross sectional . Populasi penelitian adalah populasi kasus pasien mioma uteri yang dirawat dan dilakukan tindakan pembedahan di RSUP. H. Adam Malik. Jumlah sampel 185 orang diambil secara consecutive sampling. Data karakteristik sampel diperoleh dari rekam medis tahun 2015-2020. Data dianalisis dengan analisa univariat dan bivariat termasuk prevalence ratio.
Hasil: Ditemukan sebanyak 68,7% subjek dilakukan transfusi, dengan beberapa variabel memiliki nilai p < 0.05, diantaranya usia nilai p=0,007, kadar hb p=0,001, kadar ht p=0,002, tipe pembedahan p<0,001, jumlah perdarahan p <0,001, dan ukuran massa p<0,001. Dan variabel lainnya IMT p=0,27, lama menstruasi p=0,31, riwayat PUA p=0,41, golongan darah p=0,24, lama pembedahan p=0,054, jumlah massa p=1,00, dan letak massa p=1,00
Kesimpulan: Terdapat hubungan yang signifikan pada usia,hb,ht, tipe pembedahan, jumlah perdarahan, dan ukuran massa (nilai p < 0. 05). | en_US |
