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    Jurnal Bedah 11

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    Andhyka Brillian Kharisma
    This journal article summarizes a study comparing Ligasure hemorrhoidectomy to closed hemorrhoidectomy. 47 patients with grade 3 or 4 hemorrhoids were randomly assigned to either Ligasure hemorrhoidectomy (24 patients) or closed hemorrhoidectomy (23 patients). The operative time, postoperative pain, analgesia requirement, bleeding, and wound dehiscence were compared between the two groups. The results showed that Ligasure hemorrhoidectomy took less operative time but had no differences in complication rates compared to closed hemorrhoidectomy. The conclusion is that Ligasure hemorrhoidectomy is an easy technique that can reduce operative time without increasing complications.

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    Jurnal Bedah 11

    Uploaded by

    Andhyka Brillian Kharisma
    98 views20 pages
    This journal article summarizes a study comparing Ligasure hemorrhoidectomy to closed hemorrhoidectomy. 47 patients with grade 3 or 4 hemorrhoids were randomly assigned to either Ligasure hemorrhoidectomy (24 patients) or closed hemorrhoidectomy (23 patients). The operative time, postoperative pain, analgesia requirement, bleeding, and wound dehiscence were compared between the two groups. The results showed that Ligasure hemorrhoidectomy took less operative time but had no differences in complication rates compared to closed hemorrhoidectomy. The conclusion is that Ligasure hemorrhoidectomy is an easy technique that can reduce operative time without increasing complications.

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    jurnal bedahh

    Original Title

    JURNAL BEDAH 11

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    This journal article summarizes a study comparing Ligasure hemorrhoidectomy to closed hemorrhoidectomy. 47 patients with grade 3 or 4 hemorrhoids were randomly assigned to either Ligasure hemorrhoidectomy (24 patients) or closed hemorrhoidectomy (23 patients). The operative time, postoperative pain, analgesia requirement, bleeding, and wound dehiscence were compared between the two groups. The results showed that Ligasure hemorrhoidectomy took less operative time but had no differences in complication rates compared to closed hemorrhoidectomy. The conclusion is that Ligasure hemorrhoidectomy is an easy technique that can reduce operative time without increasing complications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    98 views20 pages

    Jurnal Bedah 11

    Uploaded by

    Andhyka Brillian Kharisma
    This journal article summarizes a study comparing Ligasure hemorrhoidectomy to closed hemorrhoidectomy. 47 patients with grade 3 or 4 hemorrhoids were randomly assigned to either Ligasure hemorrhoidectomy (24 patients) or closed hemorrhoidectomy (23 patients). The operative time, postoperative pain, analgesia requirement, bleeding, and wound dehiscence were compared between the two groups. The results showed that Ligasure hemorrhoidectomy took less operative time but had no differences in complication rates compared to closed hemorrhoidectomy. The conclusion is that Ligasure hemorrhoidectomy is an easy technique that can reduce operative time without increasing complications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 20

    Journal Reading

    Assalamualaikum.

    IDENTITAS JURNAL
    Point 1 Point 2 Point 3 Point 4

    PENDAHULUAN
    Hemorrhoids are one of the most common colorectal diseases. Hemorrhoidectomy is still the treatment of choice for patients with symptomatic grade 3, 4 and combined hemorrhoids. Unfortunately, it may be accompanied by significant postoperative complications including pain or bleeding. Many studies have compared closed with open hemorrhoidectomy, the results show no differences between postoperative pain and complications. In the present study, hemorrhoidectomy using Ligasure was compared with closed hemorrhoidectomy (Fanslers technique)

    Material & Method


    Study was conducted in a prospectively randomized controlled fashion. 47 patients with grade 3 or 4 hemorrhoids plus external component or skin tag were operated on by either hemorrhoidectomy with Ligasure (24 patients) or closed hemorrhoidectomy (23 patients).

    The operative time, postoperative verbal numeric pain score, analgesi crequirement, bleeding, and wound dehiscence between the two groups were compared

    Unpaired t-tests,Mann-Whitney U tests, or Fishers Exact tests were used where appropriate.

    Result

    Conclusion
    Ligasure hemorrhoidectomy is an easy-to learn technique that takes less operative time than the closed technique, with no different in the complication rate (urinary retention, bleeding and wound dehiscence).

    Critical Appraisal

    Judul

    Closed vs Ligasure Hemorrhoidectomy: A Prospective,Randomized Clinical Trial

    Sudah sesuai dengan isi penelitian

    Penulisan judul < 12 kata Tidak mencantumkan variabel bebas maupun terikatnya secara jelas.

    Abstrak
    Abstrak ditulis tidak dalam satu paragraph tetapi secara terstruktur

    Komponen: Objective, material & methode, Result, conclusion

    Kurang dari 250 kata

    Analisa PICO
    Populasi

    47 patients with symptomatic grade 3 or 4 hemorrhoids with external component were recruitedto the trial from March to December 2004 in King Chulalongkorn MemorialHospital.

    Ligasure hemorroidektomy and close hemorroidektomy


    Interfens

    Comparasion

    To compare the operative time, postoperative complications, and analgesic requirement between closed hemorrhoidectomy and Ligasure hemorrhoidectomy. Ligasure hemorrhoidectomy takes less operative time than the closed technique, with no different in the complication rate (urinary retention, bleeding and wound dehiscence).

    Outcome

    Analisa VIA..

    Valid

    Important

    Acceptable

    Bukti Valid..
    Pertanyaan Apakah alokasi pasien pada penelitian Ya ini dilakukan secara acak? Apakah pengamatan pasien dilakukan secara cukup panjang dan lengkap? Apakah semua pasien dalam kelompok yang diacak, dianalisis? Apakah pasien dan dokter tetap blind dalam melakukan terapi, selain dari terapi yang diuji? Apakah kelompok terapi dan kontrol sama? Ya

    Ya

    Ya

    Ya, kelompok terapi dan kontrol memiliki karakteristik yang sama.

    Number needed to Harm (NNH)


    Urinary Retension
    + Ligasi hemoroidectomy
    Close hemoroidektomy

    _ 22

    20

    EER=1/23=0.04 CER=2/22=0.09 ARR=0,09-0,04=0,05 NNT=1/0.05=20

    Wound Dehiscence
    + Ligasi hemoroidectomy Close hemoroidectomy 5 4 18 18 _

    EER = 5/23=0,22 CER = 4/22=0,18 ARR= 0,18-0,22 = -0,04 NNT = 1/0.,04=-25

    Bukti Penting dan Bisa Diterapkan


    Penting Seberapa besarkah pengaruh terapi tersebut terhadap komplikasi ? (berdasarkan NNT) Dapat Diterapkan Apakah pada pasien kita terdapat perbedaan bila dibandingkan dengan yang terdapat pada penelitian sblmnya sehingga hasil tsb tdk dpt diterapkan pada pasien kita? Apakah terapi tersebut mungin dapat diterapkan pada pasien kita? Apakah pasien memiliki potensi yang menguntungan atau merugikan bila terapi tsb diterapkan? Tidak terdapat perbedaan Urine retension (NNT=20) dan , wound dehiscence (NNT=25)

    Tidak Tidak

    Wassalamualaikum

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