Hernia is a condition where part of the intestines comes out of the abdominal cavity to form a bulge that can be seen and felt from the outside. In general, people who have reached old age, hernia is a disease that often occurs at that age, because the smooth muscle wall of the abdomen weakens in old age, so it is very risky for hernias to occur. This disease is characterized by the protrusion of abdominal contents through a weak part of the abdominal wall, this disorder is mainly found in the groin area. Increasing a person's age has an impact on decreasing system function in the body so that they are more susceptible to various diseases. Increasing age is also closely related to the prognosis of a disease and life expectancy. This study aimed to determine the relationship between age and the type of inguinal hernia at Pertamina Bintang Amin Hospital Bandar Lampung in 2019-2020. This type of research was cross -sectional. Sampling was done by total sampling. Bivariate data analysis withtest Spearman's. Statistical analysis using thetest Spearman showed the p-value for the analysis of the relationship between age and the type of inguinal hernia was 0.033 (p-value <  0.05). There was a relationship between age and type of inguinal hernia at Pertamina Bintang Amin Hospital Lampung in 2019-2020. Health institutions should be able to provide counseling related to the relationship between old age and inguinal hernia and conduct early inguinal hernia screening to the public.

Latar Belakang: Apendisitis Perforasi Apendisitis perforasi adalah pecahnya apendiks yang sudah gangren yang menyebabkan pus masuk ke dalam rongga perut sehingga terjadi peritonitis umum. penyakit ini dapat mengenai semua umur,tetapi yang sering menyerang usia antara 20-30 tahun. Angka kejadian apendisitis di Indonesia tahun 2014 menunjukan jumlah pasien  yang dirawat di rumah Sakit sebanyak 4.351 kasus. Tujuan Penelitian :Diketahui gambaran penderita perforasi apendisitis pada penderita apendisitis akut dewasa di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2017.Metode Penelitian :Jenis penelitian kuantitatif, rancangan deskriptif. Populasi seluruh pasien penderita apendisitis akut dewasa sebanyak 151 orang. Sampel sebanyak 110 orang dengan teknik random sampling. Pengambilan data menggunakan lembar Observasi data rekam medik. Teknik analisis data menggunakan uji statistik Univariat.Hasil penelitian : Distribusi frekuensi usia pasien perforasi apendisitis, sebagian besar adalah usia 20-30 tahun sebanyak 48 pasien (43,63%). Distribusi frekuensi jenis kelamin pasien perforasi apendisitis, sebagian besar adalah laki-laki sebanyak 92 pasien (83,63%). Distribusi frekuensi suhu tubuh pasien perforasi apendisitis, sebagian besar dengan suhu tubuh >37,5°C sebanyak 103 pasien (93,63%). Distribusi frekuensi kadar leukosit pasien perforasi apendisitis, sebagian besar dengan kadar leukosit >18.000/mm sebanyak 84 pasien (76,36%).

<p><em>Appendicitis is a condition where inflammation of the appendix vermiformis occurs, in social life commonly known as appendicitis. The appendix has a length of about 6 to 9 cm, the tip is attached to the cecum and has several positions that depend on the retrosecal, pelvic, antesecal, preileal, retroileal, or right pericolic. Appendicitis is one of the causes of emergency tumors in developing countries. Appendicitis is more common in men than women compared to 1: 4, and is triggered at an average age of 10 to 30 years.To determine whether there is an influence between age, surgical site infection, and complications in post-appendectomy patients in Dr. H. Abdul Moeloek Bandar Lampung City in 2018.This type of research is Analytical Descriptive by using a cross sectional study to look at the factors that affect the length of stay of post-appendectomy patients using the Chi-Square test.The results of the analysis of the factors that influence the length of stay in post-appendectomy patients in RSUD H. Abdul Moeloek Bandar Lampung City in 2018. Age Factor From the statistical results of the Fisher Feasibility Test obtained p value = 0.002 which means less than α = 0.05, this can help a significant relationship between patients with post appendectomy, surgical wound infection factor From the statistical results of the Fisher Exact Test, the value of p = 0.017, which means it is smaller than α = 0.05, can provide a significant relationship between surgical wound infections in post-appendectomy patients and the length of stay for post-appendectomy patients. Complications Factor From the results of the Fisher exact test statistic obtained p = 0.007 which means less than α = 0.05, with this it can be agreed that there is a significant relationship between complications of post appendectomy patients with the length of stay of post appendectomy patients. Influencing age, surgical site infection, and complications of the length of stay of post-appendectomy patients in Dr. H. Abdul Moeloek Bandar Lampung City in 2018.</em></p>

Appendicitis is part of the emergency cases that often occur in the abdominal area. Appendicitis is a prototype disease that takes place through inflammation due to obstruction and ischemia with the main symptoms which is pain that reflects the state of the disease. Appendicitis requires surgical appendectomy to reduce the risk of perforation. Apendectomy surgery is one type of wound that is an incision wound. The time of wound healing can be determined by the distinguishing between types of acute or chronic wounds. Appendectomy that does not have a post-surgical infection is categorized as an acute wound, physiologically the acute wound will heal ± 0-21 days. However, if the provision of nutrition is not fulfilled properly it will be almost the wound healing process. One factor that can influence the wound healing process is nutritional status. This study aim to determine the correlation of nutritional status with the wound healing process of post-appendectomy patients in RSUD Dr. H. Abdoel Moeloek, Bandar Lampung. This study used observational analytic with cross sectional approach. The sampling technique used was accidental sampling. The data were analyzed by using Chi-square test. From the Chi-square test found a relationship of nutritional status with a significant wound healing process (p <0.05) which is obtained p = 0.004, and the value obtained (OR = 10.5) can be said that adequate nutritional status is 10.5 times more likely to experience good wound healing when compared to undernourished nutritional status. There is a correlation between nutritional status and wound healing process in post-appendectomy patients.

RELATIONSHIP BETWEEN BODY MASS INDEX AND TYPES OF INGUINAL HERNIA Background: One of the risk factors that can influence or increase the incidence of inguinal hernia is overweight and obesity. Body mass index (BMI) is a simple way to see the nutritional status of adults, especially with regard to underweight and overweight.Objective: To determine the relationship between Body Mass Index and the type of inguinal herniaResearch Methods: The design in this study used a cross sectional design. The population in this study were all inguinal hernia patients at Pertamina Bintang Amin Hospital Bandar Lampung in 2019-2020. The sample in this study amounted to 98 people using purposive sampling technique. Where patients with congenital hernia, chronic cough, and comorbid disease, were excluded from the study. The data obtained were analyzed using the chi square statistical test.Result: 18 respondents (20.45%) patients diagnosed with lateral inguinal hernia had normal weight and 70 respondents (79.55%) other respondents diagnosed with lateral inguinal hernia. Meanwhile, 6 respondents (60%) who were diagnosed with medial inguinal hernia were overweight-obese, while the other 4 respondents (40%) who were diagnosed with medial inguinal hernia were overweight-obese. The results of the bivariate statistical test using chi square obtained a p-value of 0.013.Conclusion: There is a significant relationship between body mass index and the type of inguinal hernia. Keywords: Body Mass Index, Lateral Inguinal Hernia, Medial Inguinal Hernia  INTISARI: HUBUNGAN ANTARA INDEKS MASSA TUBUHDENGAN JENISHERNIA INGUINALIS  Latar Belakang:Salah satu faktor resiko yang dapat mempengaruhi atau meningkatkan angka kejadian dari hernia inguinal adalah overweight dan obesitas. Indeks massa tubuh (IMT) merupakan cara sederhana untuk melihat status gizi orang dewasa, khususnya yang berkaitan dengan kekurangan dan kelebihan berat badan.Tujuan: Untuk mengetahui hubungan antara Indeks Massa Tubuh dengan jenis hernia inguinalisMetode Penelitian:Rancangan dalam penelitian ini menggunakan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien hernia inguinalis sebanyak di RS Pertamina Bintang Amin Bandar Lampung tahun 2019-2020.Sampel pada penelitian ini berjumlah 98 orang dengan menggunakan tekhnikpurposive sampling. Dimana pasien dengan hernia kongenital, batuk kronis, dan penyakit komorbid, diekslusi dari penelitian. Data yang diperoleh dianalisa menggunakan uji statistic chi square.Hasil penelitian:Didapatkan 18 responden (20,45%) pasien yang didiagnosa hernia inguinalis lateralis memiliki berat badan normal dan 70 responden (79,55%) responden lainnya yang didiagnosa hernia inguinalis lateralis. Sementara itu, 6 responden (60%) responden yang didiagnosa hernia inguinalis medialis memiliki berat badan overweight-obesitas sedangkan 4 responden lainnya (40%) yang didiagnosa hernia inguinalis medialis memiliki berat badan overweight-obesitas.Hasil uji statistik bivariat menggunakan chi square diperoleh nilai p-value 0,013.Kesimpulan:Terdapat hubungan yang bermakna antara indeks massa tubuh dengan jenis hernia inguinalis. Kata kunci: Indeks Massa Tubuh, Hernia Ingunalis Lateralis, Hernia Inguinalis          Medialis