Main Article Content
Abstract
Latar Belakang: Manajemen nyeri sangat penting dalam melakukan tindakan sirkumsisi maupun setelah tindakan sirkumsisi. Salah satu metode untuk mengurangi nyeri adalah dengan pemberian krim lidokain-prilokain. Penelitian ini dilakukan untuk mengetahui perbandingan nilai Visual Analog Scale (VAS) pasien dengan pemberian krim lidokain-prilokain dan pasien yang tidak diberikan krim lidokain-prilokain pasca sirkumsisi. Metode: Penelitian quasi eksperimental dengan 12 subjek penelitian yang menjalani sirkumsisi dengan rentang usia 5-12 tahun. Subjek penelitian dibagi menjadi 2 kelompok, yaitu kelompok perlakuan (diberikan krim lidokain-prilokain) dan kelompok kontrol (tidak diberikan krim lidokain-prilokain). Pasien kelompok perlakuan akan diberikan krim lidokain-prilokain oleh dokter diruang operasi pada daerah sekitar luka bekas insisi, sedangkan pasien kelompok kontrol tidak diberikan krim lidokain-prilokain. Pengukuran nilai VAS dilakukan pada menit ke-45 dan menit 90 setelah penambahan krim lidokain-prilokain. Hasil: Hasil uji t menunjukkan bahwa terdapat perbedaan yang signifikan (p =0,004) terhadap nilai VAS pasien yang diberikan krim lidokain-prilokain pada menit 45 dan 90 dibandingkan dengan yang tidak diberikan krim lidokain-prilokain disekitar luka setelah operasi.Kesimpulan: Penelitian ini menununjukkan bahwa pasien yang diberikan krim lidokain-prilokain dapat menurunkan nilai VAS dibandingkan dengan nilai VAS pasien yang tidak diberikan krim lidokain-prilokain pada pasien paska sirkumsisi.
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References
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- Baral BK, Bhattarai BK, Rahman TR, Singh SN, Regmi R. Perioperative intravenous lidocaine infusion on postoperative pain relief in patients undergoing upper abdominal surgery. Nepal Med Coll J. 2010 Dec;12(4):215–20.
- Lillieborg S, Aanderud L. Original Article EMLA anaesthetic cream for debridement of burns : a study of plasma concentrations of lidocaine and prilocaine and a review of the literature. 2017;7(6):88–97.
- Lanitis S, Mimigianni C, Raptis D, Sourtse G, Sgourakis G, Karaliotas C. The Impact of Educational Status on the Postoperative Perception of Pain. 2015;28(4):265–74.
- Blanco-hungría A, Rodríguez-torronteras A, Blanco-aguilera A, Biedma- L. Influence of sociodemographic factors upon pain intensity in patients with temporomandibular joint disorders seen in the primary care setting. 2012;17(6):1034–41.
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- Juzwiszyn J, Milan M. Adaptation to illness in relation to pain perceived by patients after surgery. 2017;1447–52
References
Weiss H, Polonsky J. Male circumcision Male circumcision: global trends and determinants of. World Health Organ. 2007
Morris BJ, Kennedy SE, Wodak AD, Mindel A, Golovsky D, Schrieber L, et al. Early infant male circumcision: Systematic review, risk-benefit analysis, and progress in policy. World J Clin Pediatr. 2017;6(1):89.
Weiss HA, Dickson KE, Agot K, Hankins CA. Male circumcision for HIV prevention : Current research and programmatic issues. Aids. 2014;24(0 4):1–17.
Moses S, Bailey RC, Ronald AR. Male circumcision: assessment of health benefits and risks. Sex Transm Infect. 1998;74(5):368–73.
American Academy of Pediatrics. Male Circumcision. Pediatrics. 2012;130(3):e756–85.
Morris BJ. Commentary: Do the Benefits of Male Circumcision Outweigh the Risks? A Critique of the Proposed CDC Guidelines. Front Pediatr. 2015;3(March):1–6.
World Health Organization. Neonatal and child male circumcision: a global review. Unaids. 2010;1–108.
Iqbal M, Ramadhino B, Rambe Y, Situngkir B. Male neonatal circumcision: Indications, controversies and complications. Urol Clin North Am. 2004;31(3):461–7.
Gorgulu T, Olgun A, Torun M, Kargi E. A fast, easy circumcision procedure combining a CO2 laser and cyanoacrylate adhesive: A non-randomized comparative trial. Int Braz J Urol. 2016;42(1):113–7.
Hancerliogullari G, Hancerliogullari KO, Koksalmis E. The use of multi-criteria decision making models in evaluating anesthesia method options in circumcision surgery. BMC Med Inform Decis Mak. 2017;17(1):1–13.
Gyftopoulos KI. The efficacy and safety of topical EMLA cream application for minor surgery of the adult penis. Urol Ann. 2012;4(3):145–9.
Cassuto J, Sinclair R, Bonderovic M. Anti-inflammatory properties of local anesthetics and their present and potential clinical implications. Acta Anaesthesiol Scand. 2006 Mar;50(3):265–82.
Neumann MA, Weiskopf RB, Gong DH, Eger EI 2nd, Ionescu P. Changing from isoflurane to desflurane toward the end of anesthesia does not accelerate recovery in humans. Anesthesiology. 1998 Apr;88(4):914–21.
Eichenfield LF, Funk A, Fallon-Friedlander S, Cunningham BB. A clinical study to evaluate the efficacy of ELA-Max (4% liposomal lidocaine) as compared with eutectic mixture of local anesthetics cream for pain reduction of venipuncture in children. Pediatrics. 2002 Jun;109(6):1093–9.
Kumar M, Chawla R, Goyal M. Topical anesthesia. J Anaesthesiol Clin Pharmacol. 2015;31(4):450–6.
Noh DH, Cho MC, Park HK, Lee HW, Lee KS. The effects of combination perianal-intrarectal lidocaine-prilocaine cream and periprostatic nerve block for pain control during transrectal ultrasound guided biopsy of the prostate: A randomized, controlled trial. Korean J Urol. 2010;51(7):463–6.
Baral BK, Bhattarai BK, Rahman TR, Singh SN, Regmi R. Perioperative intravenous lidocaine infusion on postoperative pain relief in patients undergoing upper abdominal surgery. Nepal Med Coll J. 2010 Dec;12(4):215–20.
Lillieborg S, Aanderud L. Original Article EMLA anaesthetic cream for debridement of burns : a study of plasma concentrations of lidocaine and prilocaine and a review of the literature. 2017;7(6):88–97.
Lanitis S, Mimigianni C, Raptis D, Sourtse G, Sgourakis G, Karaliotas C. The Impact of Educational Status on the Postoperative Perception of Pain. 2015;28(4):265–74.
Blanco-hungría A, Rodríguez-torronteras A, Blanco-aguilera A, Biedma- L. Influence of sociodemographic factors upon pain intensity in patients with temporomandibular joint disorders seen in the primary care setting. 2012;17(6):1034–41.
Rantala M, Kankkunen P, Kvist T, Hartikainen S. Post-Operative Pain Management Practices in Patients with Dementia - The Current Situation in Finland. 2012;71–81.
Juzwiszyn J, Milan M. Adaptation to illness in relation to pain perceived by patients after surgery. 2017;1447–52