Analisis Faktor Risiko Jenis Operasi Kolorektal dan Kontaminasi Intraabdomen terhadap Kejadian Adhesi Pasca Operasi : Tinjauan Sistematis dan Metaanalisis

Abstract

Colorectal surgery is the highest incidence of adhesion-related problems. The type of surgery might be total coletomy, right hemicolectomy, left hemicolectomy, segmental colectomy, Hartmann procedure, and colostomy. Surgical procedures performed on the colon could be contaminated. The most common contamination is faecal contamination. Various causes of peritoneal irritation result in localized fibrin production, which results in adhesion to the surfaces in contact. Purpose : This study focused on the type of colorectal surgery and intraabdominal contamination on the incidence of postoperative adhesions. Method: Systematic review and meta-analysis. We searched for published journal on types of colorectal surgery and contamination with adhesion events published from 2010-2020 using electronic database : Pubmed, Science Direct and Cochrane. Result: Ten journals (8 cohort and 2 case control) were included in the metaanalysis. In the risk factors for colorectal surgery: APR surgery, total colectomy and rectal resection had a significant risk of postoperative adhesions with a pooled odds ratio of 1.74 (95% CI 1 respectively). ,10-2,78); 2.89 (95% CI 2.44- 3.41) and 9.91 (95% CI 8.66-11.35). Intra-abdominal contamination also had a risk of adhesions with a pooled odds ratio of 863.47 (95% CI 177.73-4194.13). Conclusion: Types of colorectal surgery : APR, total colectomy, and rectal resection and intra-abdominal contamination had a risk of postoperative adhesions.