Kadar Laktat Darah sebagai Prediktor Kontaminasi Bakteri pada Hernia Inguinalis Lateralis Strangulata

Abstract

Strangulated groin hernia is one of the acute abdomen and have to be treated immediately. Strangulated hernia will cause damage of cell integrity and barrier of intestinal mucous, which make bacterial contamination occur. Strangulated intestinal cells will have anaerobic metabolism which make the blood lactate level increased. Therefore study was conducted to know the correlation between blood lactate level and bacterial contamination in strangulated groin hernia. The study method was cross-sectional with prospective data, patients with strangulated groin hernia who came to Dr. Hasan Sadikin Hospital Bandung during May 2011–April 2012. Blood lactate level was measured when the patient came to hospital and the peritoneal fluid which came from the hernial sac was taken intraoperatively. The data were analyzed with regression logistic test. There were 30 subjects in this study, 28 males and 2 females. The average age was 58.5±12.86 years old. The average blood lactate level was 1.76±0.36 mmol/L. The most found bacterial culture was Escherichia coli. There was strong and very significance correlation between blood lactate level and bacterial contamination, r=0.817 and p=0.007 (p<0.01). In conclusion, blood lactate level can be a predictor for bacterial contamination occurrence in patient with strangulated groin hernia.

Keywords

• Bacterial contamination
• blood lactate level
• strangulated groin hernia