HUBUNGAN JUMLAH LEUKOSIT PRE OPERASI DENGAN KEJADIAN KOMPLIKASI PASCA OPERASI APENDEKTOMI PADA PASIEN APENDISITIS PERFORASI DI RSUP DR. M. DJAMIL PADANG PERIODE TAHUN 2015-2016

Annisa, Amalina (2018) HUBUNGAN JUMLAH LEUKOSIT PRE OPERASI DENGAN KEJADIAN KOMPLIKASI PASCA OPERASI APENDEKTOMI PADA PASIEN APENDISITIS PERFORASI DI RSUP DR. M. DJAMIL PADANG PERIODE TAHUN 2015-2016. Diploma thesis, Universitas Andalas.

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Abstract

Appendicitis is an acute inflammation in the lower right quadrant of the abdominal cavity which causes it is as one of abdominal surgery emergency cases. Treatment of appendicitis called- apendectomy is the most frequent emergency surgery worldwide to prevent its complications. Every delayed action will cause perforation as complication, which will increase the morbidity and mortality rate. Perforation of the appendix is associated with increasing number of leukocytes. Occurrence of perforated appendicitis may increase the risk of complications after appendectomy. This study aims to determine the relation between the number of preoperative leukocytes with the incidence of postoperative apendectomy complications in patients with perforated appendicitis in Dr. M. Djamil Padang hospital in the period of 2015-2016. This study is an analytic research with cross sectional approach. Sampling was done by consecutive sampling of 52 medical records of patients who have undergone appendectomy and performed preoperative leukocytes counting. Data were analyzed by using univariate and bivariate statistical analysis with Spearman correlation test. The result of univariate analysis showed that the average number of leukocytes in perforated appendicitis patients was 18,966 cell/µl. The amount of samples with postoperative complication were 24 people (46,2%), while those without postoperative complication were 28 people (53,8%). Sample of patients with postoperative complication and increasing leukocytes (leukocytosis) were 22 people (66,66%) while those who had postoperative complication without leukocytosis were 11 people (33,34%). Samples with normal leukocyte counts and accompanied by postoperative complications were 2 people (10.52%) while samples with normal leukocyte counts but no postoperative complications were 17 people (89.48%). The result obtained from bivariate analysis was p = 0.000 (p <0.05) with medium strength relation, r = 0,537 which means there is a significant relation between preoperative leukocyte count and incidence of postoperative apendectomy complication in perforation appendicitis patients at Dr M. Djamil Padang hospital in the period of 2015-2016. Keywords : apendicitis, leukocyte, perforated, complications

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