Perbandingan Wound Dehiscence Pasca Seksio Sesarea Antara Pasien Rujukan dan Non-rujukan di Bandung

Melia Juwita Adha,(1*) Benny Hasan Purwara,(2) Ruswana Anwar,(3)

(1) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia, 40161
(2) Dep. Obstetri dan Ginekologi FK UNpad/RS Hasan Sadikin
(3) Dep. Obstetri dan Ginekologi FK UNpad/RS Hasan Sadikin
(*) Corresponding Author


Tujuan: Penelitian ini bertujuan untuk membandingkan kejadian wound dehiscence pasca seksio sesarea dan bakteri terkait antara pasien rujukan dengan non-rujukan.
Metode: Penelitian ini merupakan  laporan serial kasus observasional secara retrospektif.  Kriteria subjek pada penelitian ini terdiri atas pasien rawat inap yang didiagnosis wound dehiscence pasca seksio sesarea, berusia 16 - 45 tahun, paritas 1 – 8, lama rawat 3 – 14 hari, terdapat pemeriksaan kultur pus, kadar hemoglobin dan albumin selama dirawat. Penelitian dilakukan di Departemen/SMF Obstetri dan Ginekologi RSUP Dr. Hasan Sadikin/Fakultas Kedokteran Universitas Padjadjaran Bandung periode Januari – Desember 2019.
Hasil: Dari seluruh seksio sesarea terdapat 942 kasus rujukan dan 431 kasus non rujukan. Wound dehiscence terjadi pada 20 kasus (1,45%), dengan jumlah kasus 16 (1,7%) dari seluruh kasus rujukan dan 4 (0,92%) kasus dari seluruh pasien non-rujukan. Tidak terdapat perbedaan karakteristik pasien dari kadar hemoglobin dan albumin ataupun luaran lama perawatan  (p>0,05). Kultur pus wound dehiscence menunjukkan bakteri tersering yang ditemukan dua kelompok adalah Staphylococcus spp.
Kesimpulan: wound dehiscence lebih sering terjadi pada kasus rujukan dan tidak terdapat perbedaan karakteristik dan jenis bakteri antar kelompok rujukan dan non-rujukan.

Comparison of the Incidence of Post-Caesarean Wound Dehiscence among Referral and Non-referral Patients in Bandung

Objective: This study aims to compare the incidence of post caesarean wound dehiscence and related bacteria between referred patients and non-referred patients.  
Method: This was a retrospective observational case series. Inclusion criteria consisted of all inpatients who diagnosed as caesarean  section wound dehiscence, aged 16 – 45 years old, parity 1 – 8, length of stay 3 -14 days, as well as the albumin, hemoglobin, and pus culture had been examined. The study was conducted in Obstetric and Gynaecology Department, Hasan Sadikin Hospital, Bandung from January to December 2019.
Result: Among all caesarean section cases, the referred and non-referred cases were 942 and 431, respectively. Wound dehiscence were occurred in 20 cases, consisted of 16 referred cases (1.7%) and 4 (0.09%) non-referred cases. There was no difference in subject characteristics, hemoglobin, albumin, and length of stay (p>0.05). The most common observed bacteria in both group was Staphylococcus spp.
Conclusion: Wound dehiscence is more frequent occurred in referred cases and bacterial characteristics between referred and non-referred group is comparable.

Key words: caesarian section, pus culture, referred case, Staphylococcus


Kata kunci: seksio sesarea, kultur pus, kasus rujukan, Staphylococcus

Full Text:



Gibbons L, Belizán JM, Lauer JA, Betrán AP, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World Heal Rep. 2010;30(1):1–31.

Sihombing NM, Saptarini I, Putri DSK. Determinan persalinan sectio caesarea di Indonesia (analisis lanjut data Riskesdas 2013). J Kesehat Reproduksi. 2017;8(1):63–73.

Chun J, Yoon S, Song WJ, Jeong H, Choi C, Wee S. Causes of surgical wound dehiscence: a multicenter study. J Wound Manag Res. 2018;14:74–9.

World Union of Wound Healing Societies. Surgical wound dehiscence: improving prevention and outcomes. Wounds International. 2018.

Njoku CO, Njoku AN. Microbiological Pattern of Surgical Site Infection Following Caesarean Section at the University of Calabar Teaching Hospital. Open access Maced J Med Sci. 2019;7(9):1430–5.

van Ramshorst GH, Nieuwenhuizen J, Hop WCJ, Arends P, Boom J, Jeekel J, et al. Abdominal wound dehiscence in adults: development and validation of a risk model. World J Surg. 2010;34(1):20.

Akpanekpo E, Akpanekpo J, Theresa U, Nde R. Factors affecting wound dehiscence after caesarean section: a case study of General Hospitals in Akwa Ibom State, Southern Nigeria. Evo J Biomed Clin Public Heal Res. 2016;1(1):1–6.

Wu T-S, Yang C-H, Brown-Elliott BA, Chao A-S, Leu H-S, Wu T-L, et al. Postcesarean section wound infection caused by Mycobacterium massiliense. J Microbiol Immunol Infect. 2016;49(6):955–61.

Ananth-Shenoy P, Vishwanath S, Targain R, Shetty S, Sunil-Rodrigues G, Mukhopadhyay C, et al. Anaerobic infections in surgical wards: a two year study. Iran J Microbiol. 2016;8(3):181–6.

Javeria M, Taj U, Hanif A. Frequency of anemia in patients with wound dehiscence undergoing caesarean section through pfannenstiel incision. Pakistan J Med Heal Sci. 2017;11(2):515–8.

Ningrum TP, Mediani HS, H.P CI. Faktor-Faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi. Padjadjaran Nurs J. 2017;5(2).

Falola RA, Tilt A, Carroll AM, Kim MJ, Bowles-Johnson G, Attinger CE. Management of Abdominal Wound Dehiscence Following Cesarean Section: The Case for Debridement and Immediate Primary Re-Closure. Clin Surg. 2018;3:1881.

Olsen MA, Butler AM, Willers DM, Gross GA, Fraser VJ. Comparison of costs of surgical site infection and endometritis after cesarean delivery using claims and medical record data. Infect Control Hosp Epidemiol. 2010;31(8):872–5.

Wardoyo EH, Tjoa E, Ocviyanti D, Moehario L. Surgical Site Infection in Obstetrics-Gynecology Ward, Cipto Mangunkusumo General Hospital: Case Series August-October 2011. Cermin Dunia Kedokteran. 2014;41:332–5.



  • There are currently no refbacks.


Creative Commons License
Indonesian Journal of Obstetrics & Gynecology Science is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
  Web Analytics
  View My Stat