(jurnal reading) insiden hernia inguinalis metachronus kontralateral pada anak dengan perbaikan...

8/18/2019 (Jurnal reading) Insiden Hernia Inguinalis Metachronus Kontralateral Pada Anak Dengan Perbaikan Unilateral

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GV_BNH _FNDKBC

Kbikdfbif al `ftnimrabaus iabtrnhntfrnh kbcukbnh mfrbkns kb imkhdrfb

lahhawkbc ubkhntfrnh rfpnkr—N `ftn-nbnhsks al praspfitk!f studkfs

Dksusub ahfm "

dr# $ndhk _a%% N`srk&n

'f`%k`%kbc "

dr# (uhkus )nbdrn Ndkpurwndk* +p# ,N

,NCKNB KHV ,FDN.

$N/VH:N+ /FD>/:F_NB VBK?F_+K:N+ CNGN. NDN

_+V' Dr# +N_DGK:> (>C(N/N_:N

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HF,N_ 'FBCF+N.NB

GV_BNH _FNDKBC

Kbikdfbif al `ftnimrabaus iabtrnhntfrnh kbcukbnh mfrbkns kb imkhdrfb

lahhawkbc ubkhntfrnh rfpnkr—N `ftn-nbnhsks al praspfitk!f studkfs

[nbc dksusub ahfm

dr# $ndhk _a%% N`srk&n

Dksf`kbnrenb pndn Lforunrk ?:><

Dnb dkbyntnenb tfhnm `f`fbumk synrnt

ZF@OK@OK!

dr" [uhkus #nbdrn $dkpur%ndk& 'p" O$



Kbskdfb .frbkn Kbcukbnhks ftnimrabus /abtrnhntfrnh pndn Nbn3 dfbcnb 'fr%nk3nb

Vbkhntfrnh

+f%unm +tudk 'raspf3tkl ftn Nbnhksks

(ntmrkb )fbe n & Ofntf 'k*e o & +a` 'nssf * & ,fhk @afmrhfb d & @nrtkb @fuhk d & -npmnfh "

.ukhhf/dkt/Okhhf d& ⁂

n F`frcfb*y Dfpnrt`fbt& aspktnh Ondfb& Ondfb& '%ktfrhnbd o Fpkdf`kahacy& Okastntkstk*s&

nbd Zrffbtkab Kbstktutf 9FOZK4 nt tmf ,bkfrskty a6 urk*m& 3rk*m& '%ktfrhnbd * ,bkfrskty a6

urk*m& 3rk*m& '%ktfrhnbd d Zfdkntrk* 'urcfry& ,bkfrskty #mkhdrfb=s aspktnh a6 urk*m&

3rk*m& '%ktfrhnbd

+u;unb7 +u;unb dnrk uhnsnb kbk ndnhnm ubtue `fbcfnhunsk sf*nrn skstf`ntks kbskdfb dnrk mfrbkn

kbcukbnh `ftn*mrabaus eabtrnhntfrnh 9@#K4 pndn nbne/nbne dfbcnb mfrbkn kbcukbnh ubkhntfrnhdnb `fbyutu;uk ntnu `fbahne fespharnsk pnbcenh pnmn eabtrnhntfrnh rutkb"

@ftadf7 pfb*nrknb fhfetrabke dkontnsk ubtue studk praspfetk6 dfbcnb `kbk`nh tkbdne hnb;ut

sfhn`n > tnmub tfr`nsue@FD5KF& F@O$'F dnb #a*mrnbf #fbtrnh -fckstfr a6 +rknhs

#abtrahhfd"

nskh7 Fbn` studk ynbc `fhkontenb >"<<8 nbne/nbne" @#K sf*nrn efsfhurumnb ndnhnm <0 9820

#K dnrk 10 sn`pnk J04" Ndds ubtue pfrefònbcnb @#K hfokm ofsnr sf*nrn skcbk6kenb pndn

nbne dfbcnb mfrbkn n%nh pndn sksk ekrk 9N- ?&<< dfbcnb 820 #K>&2</1&24 dnb pndn nbne/nbne

dfbcnb prasfsus nckbnhks eabtrnhntfrnh tfrouen 9#Z.4 9N- 1&>I dfbcnb 820 #K7 >&?2/>&84"

(fsk`puhnb7 Kbskdfb efsfhurumnb @#K ofrkeut mfrbkn kbcukbnhks ubkhntfrnh pndn nbne ndnhnm

<0" frbkn n%nh pndn sksk ekrk 9J&204 dnb #Z. tfrouen 9>&J04 `frupnenb 6netar rkskea ubtue

pfrefònbcnb @#K" fbks efhn`kb pfrf`punb 9J&?04 dnbuskn ùdn 9> tnmub4 9<&804 tkdne

`fbkbcentenb rkskea @#K sf*nrn skcbk6kenb"



frbkn kbcukbnh ndnhnm snhnm sntu apfrnsk ynbc pnhkbc uù` dkhneuenb dk ofdnm nbne >C"

n`pkr sfùn mfrbkn kbcukbnhks nbne ofrnsnh dnrk prasfsus nckbnhks pntfb 9ZZ.4 dnb enrfbn

ktudkehnsk6kenskenb mfrbkn kbcukbnhks sfoncnk tkdne hnbcsubc ?C" (fonbynenb nbne pndn n%nhbyn

dntnbc dfbcnb ubkhntfrnh mfrbkn kbcukbnh C& tnpk sftfhnm pfronkenb ofdnm dnpnt ofrefònbc`ftn*mrabaus eabtrnhntfrnh mfrbkn kbcukbnh 9@#K4 &1C" -kskea ubtue @#K tn`pnebyn hfokm

tkbcck pndn nbne/nbne ùdn dnb sftfhnm n%nh mfrbkn ynbc n%nhbyn pndn sksk ekrk 1/<C" nh kbk

`fbdarabc onbyne nmhk ofdnm ubtue `fhneuenb fespharnsk ofdnm pra6khnesks dnrk sksk

eabtrnhntfrnh ubtue ofofrnpn tnmub& tfrutn`n pndn bfabntus IC" (f*fbdfrubcnb `f`khkek sfounm

eabtrnhntfrnh ZZ. 9#ZZ.4 ndnhnm sfektnr :0 dnb tfrcnbtubc pndn uskn pnskfb ?&J&8C" nùb&

`fsekpub prfnhfbsk ynbc rfhntk6 tkbcck #ZZ. dnhn` ensus `nsn mfrbkn kbcukbnh ubkhntfrnh&

ef;ndknb ùthne @#K pndn nbne bab/apfrntk6 tftnp rfbdnm& `fbub;ueenb onm%n rkskea

`nbn;f`fb ofdnm dnrk sksk eabtrnhntfrnh C tkdne pfbtkbc pndn efonbynenb ensus 1&2C"

,btue pfbcftnmunb pfbuhks ndn ofofrnpn `ftn/nbnhksks ynbc dktfroktenb`fbkb;nu

ef;ndknb @#K 1/<&8/>?C& dfbcnb efsfhurumnb kbskdfb @#K`fb;ndk 2&J0 <C& I&:0 >?C&I&:0 2C& I&?0 1C& I&10 8C& >:&>0>:C dnb >2&J0 >>C" 'kstf`ntks rfkf% ahfm +udurk dnb

rfenb efr;n>?C dktuhks dnhn` onmnsn 'pnbyah dnb enrfbn ktu mnbyn nostrne dnb rf6frfbsk dn6tnr

ynbc dkon*n ubtue pfbuhks" ,hnsnb hnkbbyn1/<&8/>>C ofrofdn dnhn` strntfck pfb*nrknb& dnb tkdne

tfrontns pndn `kbk`nh tkbdne hnb;ut %netu" 'fùn `ftn/nbnhksks kbk `fb*neup da`kbnb studk

rftraspfetk6" Kbskdfb @#K sfoncnk`nbn ynbc dksn`pnkenb ahfm `ftnnbnhysfs kbk ubcekb

enrfbn ktu `fb;ndk pnhsu rfbdnm"+u;unb dnrk studk `ftn/nbnhksks kbk ndnhnm ubtue `fbkhnk sf*nrn

skstf`ntks ef;ndknb `nsn mfrbkn `ftn*mrabaus kbcukbnh eabtrnhntfrnh ynbc `fbyfrtnk kbcukbnh

mfrbkn ubkhntfrnh ynbc dk rfpnkr `fbccubnenb dntn dnrk studk praspfetk6 dkrnb*nbc dfbcnb onke"

6# ftadf dnb ,nmnb

>">" Zfb*nrknb 5ktfrntur

+mf #a*mrnbf #fbtrnh -fckstfr a6 #abtrahhfd +rknhs 9+mf #a*mrnbf hkornry Kssuf I a6 >?&

uhy ?:>14& @FD5KF 9nbunry >8<< ta $ucust ?:>14 nbd F@O$'F 9>81I ta $ucust ?:>14

dk*nrk 9$ppfbdkM > 6ar dftnkhfd sfnr*m strntfcy4" Zfb*nrknb dkontnsk ubtue nrtkef onmnsn Kbccrks

dnb fr`nb" Zfbuhks studk dkmuoubck ubtue kb6ar`nsk tnònmnb" 'fhnb;utbyn& dn6tnr rf6frfbsk dnrk

sfùn uhnsnb skstf`ntks ynbc `fbkhnk ef;ndknb @#K 1/<&8/>?C dktkb;nu"

>"?" (rktfrkn Kbehusk dnb Fesehusk

(rktfrkn kbehusk tfr nsue studk aosfrnskabnh praspfetk6 9n4& dfbcnb `kbk`nh %netu

6ahha% up sntu tnmub 9o4& `fbkhnk onyk onru hnmkr& onyk& nbne& rf`n;n& df%nsn ùdn& uskn :/>8

tnmub 9*4& tnbpn fespharnsk pnbcenh pnmn eabtrnhntfrnh ntnu pfbutupnb hnpnraseapk #ZZ. 9d4"

(rktfrkn fesehusk ndnhnm studk rftraspfetk6& studk dfbcnb 6ahha% up pfbdfe& studk tnbpn 6uhh

tfMt ynbc tfrsfdkn& dnb studk ynbc dk tuhks tkdne dfbcnb onmnsn kbccrks ntnu fr`nb"

>"" (fhunrnb



(fhunrnb prk`fr ndnhnm efsfhurumnb kbskdfb @#K pndn nbne dfbcnb mfrbkn kbcukbnh

ubkhntfrnh 9k4" (fhunrnb sfeubdfr tfr`nsue kbskdfbsk @#K pndn nbne hnek/hnek dkonbdkbc nbne

pfrf`punb 9kk4& pndn nbne ynbc hfokm ùdn dnrk > tnmub dkonbdkbc nbne ynbc hfokm tun 9kkk4& pndn

nbne dfbcnb mfrbkn kbcukbnh pndn sksk enbnb dkonbdkbc sksk ekrk 9k4& dnb pndn nbne dfbcnb *fhnm

#ZZ. tfrouen dkonbdkbc tfrtutup 94"

>"1" Zfb*nrknb Dntn

Dntn dnrk studk tfrpkhkm dk ahnm ahfm ? pfbuhks 9-. dnb ()4" Zfbcahnmnb dntn

`fbccubnenb FM*fh"

>"2" $bnhksks 'tntkstke dnb !rn6ke

(n`k `fbccubnenb `ftadf `ftn nbnhksks dfserkptk6 dnb kb6frfbtknh ubtue

`fònbdkbcenb nbcen ef;ndknb dnb adds rntka dnrk ef;ndknb @#K dnrk ofofrnpn studk dnb

efha`pae" (n`k `fbckbfstkcnsk muoubcnb nbtnrn ueurnb studk dnb mnskh studk pndn 6ubbfh phat&

dfbcnb `f`phat 5ackt +rnbs6ar fd Zrapartkab pndn nMks markabtnh tfrmndnp stnbdnr frar dnrkstudk pndn nMks frtken" Dnhn` ensus okns puohkensk ynbc ndn& en`k dnpnt `fbcmnrnpenb pahn

nsk`ftrks pndn 6ubbfh phat" F6fe dkpfrekrnenb sfpnb;nbc kbtfrnh efpfr*nynnb 9#K4 dnrk sfùn

studk dk phat dnhn` pat mutnb" (n`k `f`frkesn mftfracfbktns nbtnrn studk dfbcnb tfs *mk/sunrf

stnbdnr dnb `fbcmktubck/sunrf stntkstk*& ynbc `fbcueur praparsk dnrk nrknsk dnhn` pfrekrnnb

f6fe tfrnpk nbtnrn studk mftfracfbktns" +frcnbtubc pndn mnskh tfs mftfracfbktns& tftnp ntnu àdfh

f6fe n*ne dkcubnenb ubtue `fbccnoubcenb mnskhh dnrk ofofrnpn studk ynbc ofrofdn" ken

maàcfbktns dnpnt dknsu skenb `nskbc/`nskbc studk `fbdnpntenb ofrnt ondnb ynbc dkofrkenb

ahfm tkònh onhke dnrk stnbdnr frar eundrnt" ken mftfracfbktns `fòutumenb pfrmktubcnb& aoat

dksfsunkenb dnb dkofrkenb tkònh onhke dnrk ;u`hnm stnbdnr frar eundrnt dnb tneskrnb nrknb

mftfracfbktns"9# .nskh

?">" nskh Zfb*nrknb

Zfb*nrknb n%nh @FD5KF `fbcmnskhenb rf6frfbsk ?I1I" Zfb*nrknb onsks dntn

#F+-$5 dnb F@O$'F efònhk :1 dnb 11 rf6frfbsk& tkdne ndn tnònmnb pfb*nrknb

sfofhhu`byn" Zfb*nrknb dntn rf6frfbsk dnrk I hnkbbyn dkefbnh `ftn nbnhksks 1&<&8/>?C tkdne

`fbcm1nskhenb tnònmnb studk ynbc `f`fbumk erktfrkn kbehusk" +kcn ofhns studk praspfetk6 ynbc

tkdne tfr`nsue enrfbn pfbdfe ntnu tkdne tfrdf6kbksk tkbdne hnb;ut ></?1C& okhntfrnh fespharnsk

dnhn` suoefha`pae pnskfb ?2&?<C& dnb pfrmktubcnb @#K ynbc snhnm ?IC 95n`pkrnb ?" +nofh

$> dnb 5n`pkrnb " !nònr $>4"

Fbn` studk `f`fbumk erktfrkn kbehusk I&?J/?C" 'ntu studk dkontnsk ubtue nbne hnek/hnek

ofruskn :&2/? tnmub ?JC" 'f*nrn tatnh tfrdnpnt >"<<8 nbne/nbne" Dnrk ;u`hnm kbk >1:2 9J104

ndnhnm hnek/hnek dnb ?<1 9><04 ndnhnm pfrf`punb" sfòkhnb rntus f`pnt puhum hk`n 92I04 nbne/

nbne `f`khkek mfrbkn sksk enbnb dnb 212 904 nbne dfbcnb sksk mfrbkn ekrk pndn prfsfbtnsk

pfrtn`n" 5ntfrnhktns pndn prfsfbtnsk n%nh tkdne dkofrkenb dk >I8 9>>04 pnskfb 9+nofh >4"

?"?" (fsfhurumnb Kbskdfbsk @#K



'founm phat mutnb dkcubnenb ubtue `frkbcens dnb `f`ksunhksnskenb mnskh `ftn nbnhksks

9!or" >4" (nrfbn tfs ubtue mftfracfbktns skcbk6kenb 9Z/nhuf p :&::>4& mnskh dnrk àdfh f6fe n*ne

dkcubnenb" 'f*nrn efsfhurumnb @#K ndnhnm <0" 820 *ab6kdfb*f kbtfrnh ubtue praparsk

efsfhurumnb ofreksnr nbtnrn 10 sn`pnk J0"

'f*nrn efsfhurunb& sfounm phat *arabc 96ubbfh phat4 95n`pkrnb 1" !nònr $?4 tkdne

`fbub;ueenb ouetk ubtue okns puohkensk" nùb& ktu ndnhnm hunr oknsn& onm%n studk tfrtun ahfm

+fMns dnb eahnoarntar ?JC dfbcnb ;u`hnm ef;ndknb ef*kh 9?G>I84 hnparnb sf;num tkbcent kbskdfb

tfref*kh 9>04"

?"" @#K pndn hnek/hnek dkonbdkbc pfrf`punb



(nrfbn studk ahfm (nhnbtnrk ft nh" :C tkdne `fhnparenb @#K sff*nrn tfrpksnm

ofrdnsnrenb ;fbks efhn`kb& ktu dkefhunrenb dnrk nbnhksks" Zfòfhn;nrnb ahfm +fpns dnb rfenb efr;n

?JC mnbyn dk`nsueenb nbne hnek/hnek" Dfbcnb df`keknb& sf*nrn tatnh& 82< hnek/hnek dnb ? nbne

pfrf`punb dknbnhksks" +fs ubtue mftfracfbktns tkdne skcbk6kenb 9p/nhuf :&I>4" Nhfm enrfbn ktu&

mnskh dnrk àdfh f6fe tftnp ynbc dkcubnenb" $bne/nbne pfrf`punb `f`khkek ef*fbdfrubcnb

dfent/skcbk6kenb ubtue `f`khkek @#K hfokm tkbcck 9J&?0E 820 kbtfrnh efpfr*nynnb 2&:0`fb;ndk >?&104 dkonbdkbcenb nbne hnek/hnek 91&>0E kbtfrnh efpfr*nynnb &:0 `fb;ndk 2&104

dfbcnb pfrekrnnb Ndds -ntka >&J: 9820 *ab6kdfb*f kbtfrnh :&88/&4 9!nònr" ?4"

?"1" @#K fbckeutk mfrbkn n%nh pndn sksk enbnb dkonbdkbc sksk ekrk pndn nbne

'tudk ahfm +fpns ft nh" ?JC dnb ahfm (nhnbtnrk :C tkdne `fhnparenb @#K sf*nrn

tfrpksnm ubtue dun suoefha`pae dnb dkefhunrenb" +atnh >">J8 pnskfb dkhkontenb ubtue nbnhksks

suoefha`pae 9I?n%nh sksk enbnb dnb 12I sksk ekrk n%nh mfrbkn4" (nrfbn tfs ubtue mftfracfbktns

tkdne skcbk6kenb 9p/nhuf :&I?4 mnskh àdfh f6fe tftnp dkcubnenb" -nska adds dnrk @#K hfokm

ofsnr ubtuenbne dfbcnb sksk ekrk mfrbkn n%nh 9J&20E kbtfrnh efpfr*nynnb <&>0 >>&204

dkonbdkbcenb dfbcnb n%nh mfrbkn sksk enbnb 9&0E kbtfrnh efpfr*nynnb?&> ef 1&J04 dfbcnb pfrekrnnb rnska adds ?&<< 9820 *ab6kdfb*f kbtfrnh>&2</1&24 9!nònr" 4"

?"2" @#K pndn nbne hfokm ùdn 9>tnmub4 tfrmndnp ynbc hfokm tun 9H> tnmub4

nbyn studk ?8&>&?C `fhnparenb ;u`hnm ef;ndknb @#K sf*nrn tfrpksnm ubtue nbne/

nbne dnrk ofroncnk uskn dnb dk`nsueenb ubtue nbnhksks suoefha`pae" +fs ubtue mftfracfbktns

tkdne skcbk6kenb 9p/nhuf :&1:84 dnb mnskh dnrk àdfh 6kMfd f66f*t ynbc dkcubnenb ubtue nbnhksks"

Ndds rnska ubtue nbne/nbne dfbcnb uskn > tnmub 9<&80E kbtfrnh efpfr*nynnb &J0 ef >>&?04

ubtue `fbdnpntenb @#K *fbdfrubc hfokm ofsnr dnrkpndn ynbc dkn`ntk pndn nbne ynbc hfokm

tun 91&20E kbtfrnh efpfr*nynnb &>0 `fb;ndk <&?04 9!nònr 1"4" Fstk`nsk -nska adds ndnhnm

>&JI 9820 *ab6kdfb*f kbtfrnh :&8I/&<?4"

?"<" $bne dfbcnb #Z. tfrouen dkonbdkbc #Z. tfrtutup

Zrasfsus nckbnhks eabtrnhntfrnh 9#Z.4 mnbyn dkbkhnk dnhn` ? studk I&>C" @adfh f6fe

tftnp dkcubnenb& enrfbn tfs ubtue mftfracfbktns tkdne skcbk6kenb 9p/nhuf :&>8JJ4" Zraonokhktns

ubtue nbne/nbne dfbcnb #Z. tfrouen 9>&J0E kbtfrnh efpfr*nynnb <&20 ef ?1&I04 ubtue

`fbdnpntenb @#K ndnhnmhfokm ofsnr sf*nrn skcbk6kenb dkonbdkbcenb ubtue nbne/nbne dfbcnb

#Z. tfrtutup 90E *ab6kdfb*f Kbtfrnh :&J0 `fb;ndk I&<04 9!nònr" 24" Dkpfrekrnenb rnska

adds sfofsnr 1&>I 9Kbtfrnh (fpfr*nynnb 820 >&?2/>&84



?"I" Kbskdfb efsfhurumnb dnrk @#K tfrcnbtubc pndn pnb;nbcbyn tkbdne hnb;ut

@#K dfbcnb tkbdne hnb;ut ? tnmub ntnu hfokm dkmktubc tfr`nsue1 studk aosfrnskabnh

praspfetk6 I&>I&>8&?:C dfbcnb >">J8 pnskfb9!nònr" <n4" @#K dfbcnb `nsn tkbdne hnb;ut

`kbk`nh tnmub dkmktubctfr`nsue ? studk >I&?:C dfbcnb JIJ pnskfb9!o" <o4" Dnhn` efdun

ensus& tfs ubtue mftfracfbktns tkdne skcbk6kenb 9bkhnk p :&>I<I dnb :&:28J4 dnb 6kMfd f66f*t àdfh

ynbc `fbcnekontenb pfrekrnnb ubtue @#K `nskbc/`nskbc sfofsnr <0 9820 #K ùhnk dnrk 10

sn`pnk I04 dnb 20 9820 #K ùhnkdnrk 10 sn`pnk I04"

=# Dks3usk

">" -kbcensnb nskh ,tn`n

Fbn` pfbfhktknb eamart praspfetk6 tfr`nsue >"<<8 pnskfb sf*nrn tatnh ynbc `f`fbumk

erktfrkn kbehusk ubtue tkb;nunb skstf`ntks kbk `fbcmnskhenb sfounm tkbcent @#K sfofsnr <0

I&?J/?C" frbkn n%nh pndn sksk ekrk dnb dfbcnb pra*fsus nckbnhs pntfbt eabtrnhntfrnh

tfrouen`fbcnekontenb pfbkbcentnb ef;ndknb @#K"

"?" -kskea Okns Dnhn` 'tudk



"?">" Okns 'n`phkbc

(urnbcbyn efsfrncn`nb dnhn` ontnsnb uùr dnb nrknsk dnhn` erktfrkn kbehusk dnb

fesehusk 9`ks pfbcf*unhknb pnskfb dfbcnb ns*ktfs4 ynbc dktfrnpenbdnhn` nbnhksks ynbc ofrofdn

ùbcekb ;ucn ofrdn`pne pndn mnskh ?J/>C 9+nofh >4"

"?"?" nskh Dntn 5fbcenp

u`hnm drapautsnbcnt ofrofdn nbtnrn studk" @ftadf tkbdne hnb;ut ;ucn ofrofdn tfr`nsue

pfbyfhkdkenb ehkbks tnmubnb?8C& pnbcckhnb tfhfpab dnb eub;ubcnb ehkbks I&:&>C eub;ubcnbehkbks&pnbcckhnb tfhfpab& surnt& ntnu f/`nkh ?C dnb dnhn` sntu ensus ktu tkdne dktfbtuenb?JC"

Znb;nbc `kbk`nh tkbdne hnb;ut dnrk studk ofreksnr dnrk>? ouhnb :C sn`pnk 1 tnmub ?8C" nbyn

2:0 @#K ntnu eurnbc ynbc dktn`pkhenbtfr;ndk dnhn` %netu sntu tnmub 2&>&C" @#K tkdne

`fbkbcent eftken pnb;nbcdnrk tkbdne hnb;ut dkontnsk ubtue ? ntnu tnmub" +fùnb kbkdnpnt

dk;fhnsenb dfbcnb `fbkbcentenb ;u hnm drap/aut dnrk %netu ef %netu" $emkrbyn& ;u hnm



ef;ndknb @#K pndn ofofrnpn suoefha`pae tkdne dkhnparenb ahfm sfùn studk" 'foncnk

eabsfeufbsk& nbnhksks suoefha`pae dnhn` `nenhnm kbktfrdkrk mnbyn sfoncknb dnrk sfùn pnskfb"

"?"" Zfhnparnb 'fhfetk6

'foncknb ofsnr puohkensk dnhn` >:/>2 tnmub sf*nrn ;fhns `fbyntnenb dfsnkb pfbfhktknb

9ynktu rftraspfetk6 s praspfetk6& pnb;nbc tkbdne hnb;ut&dhh4& studk sfofhu`byn sfrkbc tkdne ;fhns`fbyn;kenb prataeah studk `frfen dnb enrfbn ktu dkefhunrenb ahfm pfbuhks kbk" 'fhnb;utbyn

snhkbnb mn`pkr sfùn pfbfhktknb dktfroktenb sftfhnm tnmub ?::: ynbc tfrsfdknubtue pfbuhks kbk&

sfdnbcenb dnhn` studk sfofhu`byn mnbynnostrne 9studk sfofhu` >88:4 ntnu ;uduh 9studk sfofhu`

tnmub >8J:4 ynbctfrhkmnt& ynbc ùbcekb tfhnm `fbcnekontenb pfhnparnb sfhfetk6" ,btue

`fbcfnhunsk sf*nrn erktks kstkhnm pfb*nrknb ynbc dkcubnenb dnhn` rfkf% kbk& en k

`f`frkesnnpnenm studk ynbc dkpkhkm ahfm I dkefbnh 9sf`k/4 tkb;nunb skstf`ntke `fbkhnk ef;ndknb

@#K pndn nbne/nbne 1/<&8/>?C ;ucn tfrdftfesk`fbccubnenb kstkhnm pfb*nrknb en`k 9dntn tkdne

dktn`pkhenb4" @fbnrkebyn& sfùn studk ynbc dktfroktenb pndn tnmub >881 ntnu sftfhnmbyn

tfrdftfesk ahfm sftkdnebyn sntu dnrk pfbfhusurnb en`k9(fonbynenb ahfm pfb*nrknb @FD5KF4"

5k`ndnrk >J studk >:&><&1&2C dktfroktenbnbtnrn >8<1 dnb >88 tkdne tfrdftfesk dnb mn`pkr tkdne ndn pfbfhktknbdktfroktenb sfofhu` >8<1 dkbkhnk ahfm snhnm sntu kstkhnm pfb*nrknb en`k"

"" (fsfpnentnb dnb (ftkdnesfpnentnb dfbcnb ,hnsnb 5nkb

'f*nrn efsfhurumnb ef;ndknb @#K 9<04 ynbc dkbkhnk ahfm rfkf% ofrearfspabdfbsk kbk

dktfùenb hnkb ofreksnr 2&J0 sn`pnk I&101/<&8&>?C" 'fonhkebyn& uhnsnb sfofhu`byn ynbc

dktfroktenb pndn tnmub >8<:`fbub;ueenb kbskdfb @#K sfofsnr >:0 sn`pnk ><0 >:&>>C4"

Zfbfhktknb kbkofrofdn dnrk `ftn/nbnhksks hnkbbyn dfbcnb mnbyn `f`nsueenb studk

praspfetk6dfbcnb `kbkù` tkbdne hnb;ut dnrk > tnmub"

(abskstfb dfbcnb nbnhksks hnkbbyn& pfhunbc ubtue pfrefònbcnb @#Khfokm tkbcck

sftfhnm mfrbkn n%nh pndn sksk ekrk 1/<&8C" (f*fbdfrubcnb ubtue kbskdfb ynbc hfokm tkbcckdnrk

@#K pndn pnskfb %nbktn dnhn` rfkf% en`k ndnhnm sfsunk dfbcnb-ab dnb rfenb efr;n 1C sfrtn

dfbcnb ntnrn;n ft nh" <C& tnpk tkdne dfbcnbrfkf% ahfm @khtfbofrc dnb eahnoarntar 2C dnb

(aeara%sek ft nh"8C" Zfbkbcentnb rkskea pfbcfònbcnb mfrbkn pndn pnskfb ynbc hfokm ùdn

;ucndktfùenb ahfm ntnrn;n ft nh" <C dnb dksnrnbenb ;ucn ahfm -ab ft nh" 1C&sfdnbcenb

@khtfbofrc dnb eahnoarntar `fbcn`ntk pfbkbcentnb rkskea sf*nrn tkdne skcbk6kenb 2C" #Z.

tfrtutup `fburubenb rkskea @#K& tftnpk uhnsnb skstf`ntks ahfm mabc dnb )nbc& fnhunsk

bfcntk6 dnrk eabtrnhntfrnhprasfsus nckbnhks tkdne `fbcf*unhkenb efùbcekbnb ef;ndknb mfrbkn

eabtrnhntfrnh pndn `nsn dfpnb<C"



"1" (fsk`puhnb dnb k`phkensk ubtue prnetfe sfmnrk/mnrk

@ftn/nbnhksks `fbub;ueenb onm%n rkskea efsfhurumnb @#K dknbne/nbne 9uskn :/>8

tnmub4 ndnhnm <0" -kskea pfrefònbcnb @#K sf*nrn skcbk6kenbhfokm ofsnr pndn nbne/nbne

dfbcnb n%nh mfrbkn sksk ekrk 9J&20 s&04 dnb pndn nbne/nbne dfbcnb #Z. tfrouen 9>&J0 s

04" Lnetar rkskea hfokm hnb;ut;ucn ùbcekb tfr`nsue ;fbks efhn`kb pfrf`punb 9J&? s 1&>04

dnb uskn ùdn 9> tnmub49<&80 s 1&204" Lnetar rkskea tfrducn hnkbbyn sfpfrtk prf`nturktns&

pfbkbcentnb tfenbnb kbtrnnoda`kbnh 9ns*ktfs& smubt fbtrk*uhapfrktabfnh&dknhksks pfrktabfnh4 dnb

cnbccunb ;nrkbcnb kent tkdne dkbkhnkdnhn` nbnhksks kbk"

Fespharnsk eabtrnhntfrnh rutkb pndn pnbcenh pnmn `fb*fcnm apfrnsk sfeubdfrdnb

enrfbnbyn `fbcurnbck oknyn& rkskea nbfstfsk sfeubdfr& dkstrfssnbne dnb arnbc tun dnb

efùbcekbnb `ftn*mrabaus eabtrnhntfrnh mfrbkn kbenrsfrntn" -kskea kbk mnrus dktkònbctfrmndnp

rkskea apfrnsk sfhn`n pfronkenb mfrbkn eabtrnhntfrnh" -kskea mfrbkn kbenrsfrntn `fbkbcent ahfm

enrfbn %netu tubccu dnrk dkncbasks dnb sfektnr >?0dnhn` %netu : mnrk dnrk dkncbasks" Lnetar

rkskea mfrbkn kbenrsfrntn ndnhnm uskn eurnbc dnrk > tnmub dnb ;fbks efhn`kb pfrf`punb IC"

(a`phkensk ofrkeut fespharnsk eabtrnhntfrnh 9sfpfrtk sfhn`n n%nhpfronkenb mfrbkn4 tkdne

dkbkhnk ahfm `ftn/nbnhksks kbk dnbofreksnr dnrk ?0 sn`pnk ><0 JC" @frfen tfr`nsue kb6fesk

huen& mf`nta n&*fdfrn snrn6& dkpfrahfm tfstks ynbc tkdne turub& mydra*fhfs& huen pndnns

df6frfbs& dnb ntrapmkfs tfstks 9dfbcnb f`pnt ea`phkensk ynbc tfrnemkrmnbyn tfr;ndk pndn onyk



hnek/hnek tfbtu sn;n4" #fdfrn fpkcnstrk*/ ntnupfòuhum 6fàrnhks& sfrtn arcnb/arcnb

kbtrnpfrktabfnh 9usus& anrku`&dhh4 ;ucn dnpnt tfr;ndk 8C"

@ftn/nbnhksks `fbub;ueenb onm%n mn`pkr >I 9efsfhurumnb @#K <0E >::G< ><&I4

fespharnsk eabtrnhntfrnh 9;u`hnm ynbc dkpfrhuenb ubtue pfrhneunbG buòfr bffdfd ta trfnt4

dkpfrhuenb ubtue `fb*fcnm sntu ef;ndknb mfrbkn kbcukbnh `ftn*mrabaus" 'f*nrn efsfhurumnbtkbcent @#K rfbdnm 9<04 ofrsn`n/sn`n dfbcnb rkskea ea`phkensksfhn`n fespharnsk

eabtrnhntfrnh 9dnrk ?0 /><0 sfsunk dfbcnb hktfrntur4 mnrus tfrtkònbc tfrmndnp rkskea strnbcuhnsk

dnb kbenrsfrntn dnrk @#K" Ktu / dk pfbdnpnt en`k / tkdne `fòfbnrenb rutkb

eabtrnhntfrnhfespharnsk pndn pnbcenh pnmn pndn nbne/nbne tnbpn 6netar rkskea ubtue

pfrefònbcnb @#K& sfpfrtk nbne/nbne hnek/hnek& ofruskn hfokm dnrk > tnmub& dfbcnb #Z.

tfrtutup& dnb dfbcnb n%nh mfrbkn kbcukbnh enbnb sksk" $pnenm 9eaòkbnskdnrk4 ofofrnpn 6netar

rkskea ubtue pfbcfònbcnb @#K ùbcekb `fòfbnrenb fespharnsk eabtrnhntfrnh tkdne dnpnt

dk;n%no ahfm `ftnnbnhksks kbk dnb mnrus dkpfrtkònbcenb ubtue sftknp ensus kbdkkdunh"

/ablhk3 /fpfbtkbcnb

+kdne ndn eab6hke efpfbtkbcnb

Vinpnb :frk`n /nskm

(n`k ofrtfrk`n enskm efpndn @nre LaM& cfhnr @"D"& Dfpnrtf`fb !nstrafbtfrahack dnb

fpntahack& ,bkfrskty a6 urk*m& ubtue ouetk/`fòn*n bnsenm"

Hn`pkrnb 6# Kstkhnm pfbfhusurnb nbc dkcubn3nb

,btue @FD5KF `fb*nrk kstkhnm pfb*nrknb ofrkeut dkcubnenb7 B9onyk N-$bne N-

-f`n;n4 D$ 9Akbcukbnhks frbknA N- Aprasfsus nckbnhksA4D$ 9Kbskdfb N- A+rfnt`fbt

nskhA N- Zfruhnbcnb N- 5npnras*apyN- eabtrnhntfrnh $+$, Ofdnm N- Zf`frkesnnb4 D$

9OnmnsnC KbccrksN- fr nb OnmnsnC4 B" Zfb*nrknb @FD5KF `fbcmnskhenb ?"I1I ;uduh

dnbofrnemkr tnbccnh ?: $custus tnmub ?:>1"

Kstkhnm pfb*nrknb ofrkeut dkcubnenb ubtue F@O$'F pfb*nrknb7 B9B onyk BGfMp N- BnbneB G

fMp N- Brf`n;nB G fMp4 D$ 9Bmfrbkn kbcukbnhksB G fMp N-BZntfb prasfsus nckbnhksB G fMp4 D$

9BkbskdfbB G fMp N- Bpfbcaontnbmnskh BG fMp N-B efenòumnb BG fMp N-B hnpnraseapk BG fMp N-

eabtrnhntfrnhN- BapfrnskB G fMp N- Bpf`frkesnnbB G fMp4 D$ 9KbccrksC G hk` N-fr`nbC G hk`4

D$ `nbusknC G hk` D$ F@O$'FC G hk` B" +mf F@O$'Fpfb*nrknb `fbcmnskhenb 11 mkts

dnb ofrnemkr tnbccnh ?: $custus tnmub ?:>1"

Zfb*nrknb +F!$ dkhneuenb dfbcnb `fbccubnenb7 B9onyk N- nbne N- -f`n;n4D$

9Akbcukbnhks frbknA N- Aprasfsus nckbnhksA4 D$ 9Kbskdfb$+$, A+rfnt`fbt nskhA N- (fenòumnb $+$, 5npnras*apy N-eabtrnhntfrnh N- Ofdnm N- Zf`frkesnnb4 Bsfoncnk kstkhnm

pfb*nrknb `fbcmnskhenb>J mkts" Dnrkpndnbyn :1 mkt ynbc u;k ehkbks" Zfb*nrknb

+F!$ofrnemkr tnbccnh ?: $custus tnmub ?:>1"



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>C +au 6kuf Fmsnb @& c $+& #mubc Z& ft nh" 5npnras*apk* mfrbkaphnstkfs kb *mkhdrfb7 tmf

k`phk*ntkab ab *abtrnhntfrnh crakb fMpharntkab 6ar ubkhntfrnh kbcukbnh mfrbkns" Zfdkntr 'urc Kbt

?::8E?29847I28 <?"

?C #hnref '" Zfdkntrk* kbcukbnh mfrbkn nbd mydra*fhf7 nb fkdfb*f/onsfd rfkf% kb tmf frn a6 `kbk`nh n**fss surcfry" 5npnrafbdas* $d 'urc +f*m $ ?:>:E?:947:2 8"

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)arhd Zfdkntr ?:>:E<9?47>>8 ?1"

1C -ab N& Fntab '& Zkfrra $" 'ystf`ntk* rfkf% a6 tmf rkse a6 dffhapkbc n `ftn*mrabaus

*abtrnhntfrnh kbcukbnh mfrbkn kb *mkhdrfb" Or 'urc ?::IE819I47J:1 >>"

2C @khtfbourc D@& u*mtfrb !& nesk* +& ft nh" @ftn/nbnhysks a6 tmf rkse a6 `ftn*mrabaus

mfrbkn kb kb6nbts nbd *mkhdrfb" $` 'urc >88IE>I19<47I1> 1"

<C ntnrn;n -@& @nma`fd $$" 'ystf`ntk* rfkf% 6ar pnfdkntrk* `ftn*mrabaus *abtrnhntfrnh

kbcukbnh mfrbkn7 n df*rfnskbc *ab*frb" Zfdkntr 'urc Kbt ?:>>E?I984782<>"

IC @nddaM @@& '`ktm DZ" $ habc/tfr` praspf*tkf nbnhysks a6 pfdkntrk* ubkhntfrnh kbcukbnh

mfrbkns7 smauhd hnpnras*apy ar nbytmkbc fhsf kb6hufb*f tmf `nbncf`fbt a6 tmf *abtrnhntfrnh skdf^

Zfdkntr ,rah ?::JE19?47>1> 2"

JC @khtfbourc D@& u*mtfrb !& nesk* +& ft nh" 5npnras*apk* fnhuntkab a6 tmf pfdkntrk*

kbcukbnh mfrbkn _n `ftn/nbnhysks" Zfdkntr 'urc >88JE9<47JI1 8"

8C (aeara%sek Z& )nbc & -autm #& ft nh" Fnhuntkab a6 tmf *abtrnhntfrnh kbcukbnh rkbc kb

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?:>1E>J947>>?1"

>:C @as*nrfhhn $$& 'tnbhfy/Ora%b F!" Kbcukbnh mfrbkn kb kb6nbts nbd *mkhdrfb" $` 'urc

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npprnksnh" 'urcfry >8<?E2>78 1:<"

>?C +udurk 5k`auskb K& @ayn k`fbf @& @ar*khha $*nrntf & ft nh" Kb*kdfb*f a6 `ftn*mrabk*

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>2C Lhfkss 5" +mf stntkstk*nh onsks a6 `ftn/nbnhysks" 'tnt @ftmads @fd -fs >88E?9?47 >?> 12"



><C nsnb " @nbncf`fbt a6 kbcukbnh mfrbkn a6 *mkhdmaad nsprn*tk*fd kb (nrn*mk& Znekstnb"

Zfdkntr 'urc Kbt >88EJ71<? "

>IC +n*eftt 5D& Orfufr #(& 5ues LK& ft nh" Kb*kdfb*f a6 *abtrnhntfrnh kbcukbnh mfrbkn7 n

praspf*tkf nbnhysks" Zfdkntr 'urc >888E19247<J1I dks*usskab <JI<JJC"

>JC #mnb (5& uk )#& +n` Z(" Zraspf*tkf rnbda`kfd skbchf/*fbtfr& skbchf/ohkbd *a`pnrksaba6 hnpnras*apk* s apfb rfpnkr a6 pfdkntrk* kbcukbnh mfrbkn" 'urc Fbdas* ?::2E>89I478?I ?"

>8C @nruhnknm @& $tekbsab & (ueendy $& ft nh" Ks *abtrnhntfrnh fMpharntkab bf*fssnry kb prftfr`

kb6nbts %ktm ubkhntfrnh kbcukbnh mfrbkn^ Zfdkntr 'urc ?::<E1>9>?47 ?::1 I"

?:C 5ua ##& #mna #" Zrffbtkab a6 ubbf*fssnry *abtrnhntfrnh fMpharntkab uskbc tmf skhe chaf

skcb 9'!'4 kb pfdkntrk* pntkfbts %ktm ubkhntfrnh kbcukbnh mfrbkn" Fur Zfdkntr ?::IE><<9I47<<I

8"

?>C 'tfkbnu !& Oam` !& .nnssfb Z& ft nh" #abtrnhntfrnh kbcukbnh mfrbkn kb *mkhdmaad nbd yautm7

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??C +snk [#& )u ##& [nbc ''" Npfb frsus `kbkhnpnras*apk* mfrbkarrmnpmy 6ar *mkhdrfb7 n

praspf*tkf *a`pnrntkf trknh %ktm `kdtfr` 6ahha%/up fnhuntkab" 'urc Fbdas* ?:>:E?19>47?> 1"

?C 'uuek @& ntnbnen @& Lu;kba & ft nh" 'n6fty nbd f66k*n*y a6 sfhf*tkf sn* fMtrn*tkab

`ftmad a6 kbcukbnh mfrbkn rfpnkr kb *mkhdrfb7 rfsuhts a6 n praspf*tkf study" Zfdkntr 'urc Kbt

?:>1E:9247188 2:?"

?1C ah*a`o KKK !)& @khhfr ($& #mnkcbnud OF& ft nh" +mf pnrfbtnh pfrspf*tkf rfcnrdkbc tmf

*abtrnhntfrnh kbcukbnh rfckab kb n *mkhd %ktm n eba%b ubkhntfrnh kbcukbnh mfrbkn" Zfdkntr 'urc

?::1E89471J: ? dks*usskab 1J: 1J?C"

?2C Dnkfs O)& Lrnsfr & n;`nhdkb $'& ft nh" $ praspf*tkf study a6 bfabntnh kbcukbnh

mfrbkata`y7 tmf praohf` a6 tmf pastapfrntkf mydra*fhf" Zfdkntr 'urc Kbt ?::E >89>/?47<J I:"

?<C .acfhs D& Oruk;bfb #& Ofnshfy ')& ft nh" +mf dfcrff ta %mk*m tmf skf nbd skdf a6 nb

kbcukbnh mfrbkn ks prfdk*tkf a6 n mfrbkn ab tmf atmfr skdf" Zfdkntr 'urc Kbt ?::8E ?2947??8 "

?IC @nbamnrnb '& 'n`nrneeady ,& (uhenrbk @& ft nh" Fkdfb*f/onsfd *mnbcf a6 prn*tk*f kb tmf

`nbncf`fbt a6 ubkhntfrnh kbcukbnh mfrbkn" Zfdkntr 'urc ?::2E1:9I47>>< <"

?JC +fpns KKK & 'tn66ard Z)" +k`kbc a6 nuta`ntk* *abtrnhntfrnh crakb fMpharntkab kb `nhf

kb6nbts %ktm ubkhntfrnh mfrbkns" $` 'urc >8J<E2?9?47I: >"

?8C nsskrk '" #abtrnhntfrnh fMpharntkab ks bat `nbdntary kb ubkhntfrnh kbcukbnh mfrbkn kb

*mkhdrfb7 n praspf*tkf </yfnr study" Zfdkntr 'urc Kbt ?::?E>J92/<471I: >"

:C (nhnbtnrk @& 'mkrckr '& $m`ndk & ft nh" Kbcukbnh mfrbkn nbd a**urrfb*f ab tmf atmfr skdf7 n

praspf*tkf nbnhysks kb Krnb" frbkn ?::8E>9>471> "

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(jurnal reading) insiden hernia inguinalis metachronus kontralateral pada anak dengan perbaikan...

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