{"id":3661,"date":"2015-02-11T08:30:25","date_gmt":"2015-02-11T01:30:25","guid":{"rendered":"http:\/\/akreditasi.web.id\/2012\/?p=3661"},"modified":"2015-02-11T08:36:47","modified_gmt":"2015-02-11T01:36:47","slug":"ppk-bedah-apendisitis-akut","status":"publish","type":"post","link":"http:\/\/snars.web.id\/rs\/ppk-bedah-apendisitis-akut\/","title":{"rendered":"PPK BEDAH : Apendisitis Akut"},"content":{"rendered":"<p><span style=\"color: #000000;\">Panduan Praktek Klinis\u00a0 &#8211; APENDISITIS AKUT<\/span><\/p>\n<p><span style=\"color: #000000;\">Sumber : Bahan Akreditasi rs 2012<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Definisi :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Proses keradangan akut pada usus buntu.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Patofisiologi :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Ada 2 hepotesa yang diajukan :<\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Adanya kotoran (tinja-fekolit), biji-bijian lain yang terperangkap dalam lumen dan kemudian menimbulkan keradangan. (obstruksi apendikuler).<\/span><\/li>\n<li><span style=\"color: #000000;\">Hematogen dari proses infeksi di luar usu buntu (tampak serosa lebih merah dari pada mukosa).<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\"><br \/>\n<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Gejala Klinis :<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Sering dimulai dengan nyeri di daerah epigastrium. Setelah beberapa jam, nyeri berpindah dan menetap di fosa iliaka kanan.<\/span><\/li>\n<li><span style=\"color: #000000;\">Gejala ini disusul dengan anoreksia, mual dan muntah \u2013 muntah.<\/span><\/li>\n<li><span style=\"color: #000000;\">Suhu badan sub febril 37.5 \u2013 38.5?C, sampai terjadi penyulit dimana suhu badan akan meningkat sampai 40?C.<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<strong>Diagnosis:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Diagnosis ditegakkan berdsarkan klinis, rasa tidak nyaman seluruh perut terutama di epigastrum yang kemudian menjadi nyeri menetap di titik Mc Burney, panas badan meningkat kadang disertai muntah (+).<\/span><\/p>\n<p><span style=\"color: #000000;\">Colok dubur nyeri jam 9-11.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<strong>Indikasi Operasi :<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">Apendisitis akut<\/span><\/li>\n<li><span style=\"color: #000000;\">Periapendikuler infiltrat<\/span><\/li>\n<li><span style=\"color: #000000;\">Apendisitis perforate<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">\u00a0<strong>Diagnosis Banding :<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">Batu ureter kanan.<\/span><\/li>\n<li><span style=\"color: #000000;\">Kelainan ginekologik.<\/span><\/li>\n<li><span style=\"color: #000000;\">Tumor sekum.<\/span><\/li>\n<li><span style=\"color: #000000;\">Crohn\u2019s disease.<\/span><\/li>\n<li><span style=\"color: #000000;\">Kehamilan ektopik terganggu.<\/span><\/li>\n<li><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">\u00a0<strong><br \/>\n<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>PEMERIKSAAN PENUNJANG :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Laboratorium rutin dan urine lengkap (untuk wanita ditambahkan PPT)<\/span><\/p>\n<p><span style=\"color: #000000;\">USG abdomen (tidak rutin)<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><center><span style=\"color: #000000;\"><script src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\" async=\"\"><\/script><!-- Responsive ads --> <ins class=\"adsbygoogle\" style=\"display: inline-block; width: 300px; height: 250px;\" data-ad-client=\"ca-pub-8125416953923865\" data-ad-slot=\"1885546577\"><\/ins><script>\/\/ <![CDATA[\n(adsbygoogle = window.adsbygoogle || []).push({});\n\/\/ ]]><\/script><\/span><\/center><br \/>\n<span style=\"color: #000000;\"> <strong>Algoritma :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"http:\/\/akreditasi.web.id\/2012\/wp-content\/uploads\/2015\/02\/ppk-bedah-appendisitis-akut.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3664 size-full\" src=\"http:\/\/akreditasi.web.id\/2012\/wp-content\/uploads\/2015\/02\/ppk-bedah-appendisitis-akut.png\" alt=\"ppk bedah - appendisitis akut\" width=\"605\" height=\"430\" srcset=\"http:\/\/snars.web.id\/rs\/wp-content\/uploads\/2015\/02\/ppk-bedah-appendisitis-akut.png 605w, http:\/\/snars.web.id\/rs\/wp-content\/uploads\/2015\/02\/ppk-bedah-appendisitis-akut-300x213.png 300w\" sizes=\"auto, (max-width: 605px) 100vw, 605px\" \/><\/a><\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Tehnik Operasi :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>\u00a0Apendektomi :<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Penderita dalam posisi terlentang, ahli bedah dalam general anestesi. Dilakukan tindakan aseptik dan antiseptik pada seluruh abdomen dan dada bagian bawah, kemudian lapangan operasi dipersempit dengan doek steril.<\/span><\/li>\n<li><span style=\"color: #000000;\">Dilakukan insisi dengan darah oblik melalui titik Mc.Burney tegak lurus antara SIAS dan umbilikus (irisan Gridiron), irisan lain yang dapat dilakukan adalah insisi traversal dan paramedian.<\/span><\/li>\n<li><span style=\"color: #000000;\">Irisan diperdalam dengmemotong lemak mencapai aponeurosis muskulus oblikus abdominis Ekternus (MOE)<\/span><\/li>\n<li><span style=\"color: #000000;\">MOE dibuka sedikit dengan skalpel searah dengan seratnya, kemudian diperlebar kelateral dan ke medial dengan pertolongan pinset anatomi. Pengait luka tumpul dipasang dibawah MOE, tampak di bawah MOE muskulus Oblikus Internus (MOI)<\/span><\/li>\n<li><span style=\"color: #000000;\">MOI, kemudian dibuka secara tumpul dengan gunting atau klem arteri searah dengan seratnya sampai tampak lemak peritoneum, dengan haak LangenBack otot dipisahkan. Pengait dipasang di bawah muskulus tranversus abdominis.<\/span><\/li>\n<li><span style=\"color: #000000;\">Peritoneum yang berwarna putih dipegang dengan menggunakan 2 pinset bedah dan dibuka dengan gunting, perhatikan apa yang keluar pus, udara atau cairan lain (darah, feses dll) periksa kultur dan tes kepekaan kuman dari cairan yang keluar tsb. Kemudian pengait luka diletakkan di bawah peritonium.<\/span><\/li>\n<li><span style=\"color: #000000;\">Kemudian sekum (yang berwarna putih, memilikitanca koli dan haustra) dicari dan diluksir. Apendiks yang basisnya terletak pada pertemuan tiga taenia mempunyai bermacam \u2013 macam posisi antara lain antesekal, retrosekal, anteileal dan pelvinal.<\/span><\/li>\n<li><span style=\"color: #000000;\">Setelah ditemukan sekum dipegang dengan darm pinset dan ditarik keluar, dengan kassa basah sekum dikeluarkan kearah mediokaudal, sekum yang telah keluar dipegang oleh asisten dengan ibu jari berada di atas.<\/span><\/li>\n<li><span style=\"color: #000000;\">Mesenterium dengan ujung spendiks di pegang dengan klem Kocher kemudian mesoapendiks di klem potong dan diligasi berturut \u2013 turut sampai pada basis apendiks dengan menggunakan benang suter 3\/0.<\/span><\/li>\n<li><span style=\"color: #000000;\">Pangkal apendiks di crush dengan apendiks klem kocher dan pada bekas crush tersebut diikat dengan sutera No. 00 \u2013 2 ikatan<\/span><\/li>\n<li><span style=\"color: #000000;\">Dibagian distal dari ikatan diklem dengan kocher dan diantara klem kocher dan ikatan tersebut apendiks dipotong dengan pisau yang telah diolesi betadine, ujung sisa apendiks digosok betadine.<\/span><\/li>\n<li><span style=\"color: #000000;\">Sekum dimasukkan ke dalam rongga perut.<\/span><\/li>\n<li><span style=\"color: #000000;\">Dinding abdomen ditutup lapis demi lapis. Pada kasus perforasi dapat dipasang drain sub facial.<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Komplikasi Operasi :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Durante operasi \u00a0\u00a0 : \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 perdarahan intra peritoneal, dinding perut, robekan sekum atau usus lain.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pasca bedah dini \u00a0 : \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 perdarahan, infeksi, hematom, parlitik ileus, peritonitis, fistel usus, abses intraperitoneal.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pasca bedah lanjut\u00a0 : \u00a0\u00a0\u00a0\u00a0\u00a0 obstruksi usus jeratan, hernia sikatrikalis.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Mortalitas :<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">1 % jika apendiks tidak perforasi.<\/span><\/li>\n<li><span style=\"color: #000000;\">15 % jika telah terjadi perforasi.<\/span><\/li>\n<li><span style=\"color: #000000;\">Kematian tersaring karena sepsis, emboli paru atau aspirasi.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Perawatan Pasca Bedah :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Pada hari operasi penderita diberi infus menurut kebutuhan sehari kurang lebih 2 sampai 3 liter cairan Ringer laktat dan dekstrosa.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pada apendisitis tanpa perforasi : Antibiotika diberikan hanya 1&#215;24 jam.<\/span><\/p>\n<p><span style=\"color: #000000;\">Pada apendisitis dengan perforasi : Antibiotika diberikan hingga jika gejala klinis infeksi reda dan laboratorium normal. (sesuai kultur kuman). Mobilisasi secepatnya setelah penderita sadar dengan menggerakkan kaki, miring kekiri dan kanan bergantian dan duduk. Penderita boleh jalan pada hari pertama pasca bedah. Pemberian makanan peroral dimulai dengan memberi minum sedikit \u2013 sedikit (50cc) tiap jam apabila sudah ada aktivitas usus yaitu adanya flatdan bising usus. Bilamana dengan pemberian minum bebas penderita tidak kembung maka pemberian makanan peroral dimulai. Jahitan diangkat pada hari kelima sampai hari ketujuh paca bedah.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Follow-Up<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Kondisi luka, kondisi abdomen, berta kondisi klinis penderita secara keseluruhan.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00a0<\/span><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_3661\" class=\"pvc_stats all  \" data-element-id=\"3661\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"http:\/\/snars.web.id\/rs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Panduan Praktek Klinis\u00a0 &#8211; APENDISITIS AKUT Sumber : Bahan Akreditasi rs 2012 \u00a0 Definisi : Proses keradangan akut pada usus buntu. \u00a0 Patofisiologi : Ada 2 hepotesa yang diajukan : <a class=\"more-link\" href=\"http:\/\/snars.web.id\/rs\/ppk-bedah-apendisitis-akut\/\">Continue Reading &rarr;<\/a><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_3661\" class=\"pvc_stats all  \" data-element-id=\"3661\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"http:\/\/snars.web.id\/rs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[143,137,168],"tags":[],"class_list":["post-3661","post","type-post","status-publish","format-standard","hentry","category-pelayanan-anestesi-bedah","category-panduan","category-panduan-praktek-klinis"],"a3_pvc":{"activated":true,"total_views":9532,"today_views":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PPK BEDAH : Apendisitis Akut - STARKES 2024- Akreditasi RS Indonesia - SNARS.WEB.ID<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/snars.web.id\/rs\/ppk-bedah-apendisitis-akut\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PPK BEDAH : Apendisitis Akut - STARKES 2024- Akreditasi RS Indonesia - SNARS.WEB.ID\" \/>\n<meta property=\"og:description\" content=\"Panduan Praktek Klinis\u00a0 &#8211; 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