No abstract

Introduction: Wound healing is influenced by various factors, one of which is nutritional status. Nutritional status itself is often detected by one of the important signs of serum albumin. Albumin is a protein in human plasma that is soluble in water and high in concentration in blood plasma. Low albumin levels as an estimate of the causes of malnutrition and also associated with increased complications and postoperative death. Serum albumin less than 3.5g / dL is recognized by the patient as hypoalbuminemia. Methods: This research was conducted with the aim of analyzing the relationship between albumin levels and wound healing in postoperative patients. This study used a cross sectional observational analytic method by taking secondary data from medical records of postoperative patients (disgestif surgery, neurosurgery, orthopedic surgery, oncology surgery) at Sanglah General Hospital. Result: Of the 60 patients involved in this study, patients with abnormal albumin levels were 36.7% and patients with normal albumin levels were 63.3%. The chi-square test results showed that postoperative patients who had the last abnormal albumin level before surgery 5.1 times more with unrecover wound compared to patients with normal albumin levels (PR = 5.182; 95% CI = 2.181-12.310, p = 0.00001). Conclusion: There is a significant relationship between albumin levels and wound healing.

Laparoscopic surgery has several advantages compared to a regular surgical procedures. This technique can reduce the stress of surgery, reduce the need for postoperative analgesia, decreased respiratory and wound complications, lowering long hospitalization, including in the intensive therapy, and the patient can go back to eat quickly. The magnitude of changes in vital signs that occur will be influenced by the patient's age, cardiovascular function, and anesthetic agents are used.Physiological changes in pediatric laparoscopic surgery were similar to adults. Children have a higher vagal tone and sometimes a stimulus to the peritoneum by gas insufflation or laparoscopic penetration and trocar can lead to bradycardia and asystole. Intra-abdominal pressure is an important determinant for maintaining cardiovascular stability during laparoscopy. Adequate relaxation needed during the duration of the surgery.