ABSTRAK
Latar Belakang: Terdapat dua teknik dalam reparasi robekan perineum derajat IIIb-IV yaitu teknik jahitan ujung ke ujung end-to-end dan tumpang tindih overlapping . Beberapa penelitian berbeda menunjukkan keterbatasan data untuk membandingkan teknik ujung ke ujung dengan tumpang tindih terhadap kejadian inkontinesia fekal.Tujuan: Mencari perbedaan antara kedua teknik reparasi robekan perineum derajat IIIb-IV secara Fungsional Berdasarkan Skoring Inkontinensia FekalMetode: Penelitian potong lintang ini dilakukan dengan mengulas data rekam medis RSCM periode 1 Januari 2011 ndash; 31 Desember 2015. Empat puluh delapan rekam medis dengan 39 subjek mendapatkan teknik tumpang tindih dan 9 subjek mendapatkan teknik ujung ke ujung. Dilakukan penilaian skoring inkontinensia dengan SIKC Skoring Inkontinesia Klinik Cleveland dan SSKF Skala Skoring Kontinensia Fekal dan dilakukan analisa Chi-Square dengan alternatif Fischer.Hasil: Tidak terdapat perbedaan antara teknik ujung ke ujung dengan tumpang tindih berdasarkan skoring SSKF p = 0,627 dan SIKC p = 0,627 . Berdasarkan SSKF terdapat 2,1 Inkontinensia Komplit dan 79,2 Kontinensia Komplit pada teknik tumpang tindih dan 18,8 Kontinensia Komplit pada teknik ujung ke ujung. Berdasarkan SIKC terdapat 2,1 Inkontinensia Komplit, 6,2 Kontinensia Baik, 72,9 Kontinensia Sempurna pada Teknik Tumpang Tindih dan 18,8 Kontinensia Sempurna pada teknik lainnyaKesimpulan: Didapatkan bahwa 2,1 menderita inkontinensia fekal pada teknik tumpang tindih, sementara tidak didapatkan inkontinensia fekal pada teknik ujung ke ujung

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ABSTRACT
Background There are two technique in repairing perineal ruptured grade IIIb IV which is End to End Technique and Overlapping Technique. Some studies showned differents outcome and also limited data that compare these two technique based on fecal incontinence.Purpose To show that there is a different between both technique on perineal reparation by functional based on Fecal Incontinence ScoringMethods This cross sectional was done by reviewing medical record in RSCM from January 1st 2011 until 31st December 2015. Forty nine medical record taken as sample and found that 39 with overlapping technique and 9 with end to end technique. Performed by incontinencia fecal scoring using CCIS Cleveland Clinic Incontinence Scoring and FCSS Fecal Continence Scoring Scale and analyzed by Chi Square witn Fischer as alternative.Results There is no different between overlapping technique and end to end technique by FCSS p value 0,627 and CCIS p value 0,627 . Based on FCSS there are 2,1 compkete incontinence and 79,2 complete continence in Overlapping technique and 18,8 complete continence I End to End technique. Based on CCIS there are 2,1 complete incontinence, 6,2 good continence, 72,9 perfect continence in Overlapping technique and 18,8 perfect continence in other technique.Conclusion There are 2,1 found fecal incontinence in Overlapping technique, while no fecal incontinence in End to End technique.