DAFTAR ISI

DAFTAR ISI ............................................................................................ i

DAFTAR TABEL ..................................................................................... iii
DAFTAR GAMBAR ................................................................................. iv
BAB 1 PENDAHULUAN ......................................................................... 1
1.1. Latar Belakang ................................................................................ 1
1.2. Rumusan Masalah........................................................................... 5
1.3. Tujuan Penelitian ............................................................................. 5
1.3.1. Tujuan Umum ....................................................................... 5
1.3.2. Tujuan Khusus ...................................................................... 6
1.4. Manfaat Penelitian ........................................................................... 6
1.4.1. Manfaat Teoritis .................................................................... 6
1.4.2. Manfaat aplikatif .................................................................... 6
1.4.3. Manfaat Metodologi .............................................................. 6
BAB 2 TINJAUAN PUSTAKA ................................................................. 7
2.1. Sterilisasi Tuba ................................................................................ 7
2.2. Waktu dilakukan Sterilisasi .............................................................. 8
2.3. Indikasi dan Kontraindikasi Sterilisasi.............................................. 8
2.4. Efek dari Reseksi Tuba ................................................................... 10
2.5. Metode Sterilisasi Wanita ................................................................ 11
2.6. Laparotomi dan Minilaparotomi ....................................................... 13
2.7. Minilaparotomi untuk Ligasi Tuba ................................................ 14
2.7.1. Teknik Pomeroy .................................................................... 16
2.7.2. Teknik Parkland .................................................................... 18
2.7.3. Teknik Irving.......................................................................... 19
2.7.4. Teknik Uchida ....................................................................... 21
2.7.5. Metode Aldridge .................................................................... 22
2.7.6. Fimbriektomi Kroener............................................................ 23
2.8. Sterilisasi Laparoskopi..................................................................... 23
2.8.1. Elektrosurgikal ...................................................................... 26

i
 2.8.2. Klip ........................................................................................ 28
2.8.2.1. Hulka-Clemens Clip.................................................. 28
2.8.2.2. Filshie Clip ................................................................ 30
2.8.3. Falope Ring (Silastic Band) .................................................. 32
2.9. Histeroskopi Sterilisasi .................................................................... 33
2.10. Efek Sterilisasi Tuba terhadap Fungsi Ovarium .............................. 34
2.11. Kerangka Teori ................................................................................ 45
2.12. Kerangka Konsep ............................................................................ 45
BAB 3 METODE PENELITIAN................................................................ 46
3.1. Rancangan Penelitian ..................................................................... 46
3.2. Tempat Dan Waktu Penelitian ......................................................... 46
3.3. Populasi Dan Sampel Penelitian ..................................................... 46
3.3.1. Populasi Penelitian ............................................................... 46
3.3.2. Sampel Penelitian ................................................................. 46
3.4. Kriteria Penelitian .............................................................................. 47
3.4.1. Kriteria Inklusi ...................................................................... 47
3.4.2. Kriteria Eksklusi .................................................................... 47
3.5. Besar Sampel .................................................................................. 47
3.6. Definisi Operasional ........................................................................ 48
3.7. Alat dan Cara Kerja ......................................................................... 53
3.7.1. Alat........................................................................................ 53
3.7.2. Cara Kerja ............................................................................. 53
3.8. Analisa Data .................................................................................... 54
3.9. Etika Penelitian ................................................................................ 54
3.10. Alur Penelitian ................................................................................. 55
BAB 4 HASIL DAN PEMBAHASAN ....................................................... 56
4.1. Hasil ................................................................................................ 56
4.2. Pembahasan ................................................................................... 59
DAFTAR PUSTAKA ................................................................................ 60

ii
 DAFTAR TABEL

Tabel 2.1. Metode Sterilisasi Wanita ..................................................... 13

Tabel 2.2. Siklus menstruasi, gejala pramenstruasi, dan
karakteristik psikoseksual diantara pasien yang
menjalani ligasi tuba dengan insersi Yoon Silastic
ring (n=50) dan elektrokoagulasi bipolar (n=80).................... 40
Tabel 2.3. Siklus menstruasi, gejala pramenstruasi, dan
karakteristik psikoseksual diantara pasien yang menjalani
ligasi tuba (n=130), dikaitkan dengan usia saat
dilakukan operasi. ................................................................. 41
Tabel 2.4. Perubahan Fungsi Menstruasi Pascasterilisasi..................... 43
Tabel 4.1. Distribusi Karakteristik .......................................................... 56
Tabel 4.2. Perbedaan efek sebelum dan sesudah Sterilisasi
Pomeroy ............................................................................... 57
Tabel 4.3. Perbedaan efek sebelum dan sesudah Sterilisasi
Laparoskopi .......................................................................... 57
Tabel 4.4. Perbedaan efek setelah dilakukan Sterilisasi Pomeroy
dan Laparoskopi ................................................................... 58

iii
 DAFTAR GAMBAR

Gambar 2.1. Teknik Pomeroy ................................................................ 16

Gambar 2.2. Teknik Parkland ................................................................ 19
Gambar 2.3. Teknik Irving ..................................................................... 21
Gambar 2.4. Teknik Uchida ................................................................... 22
Gambar 2.5. Koagulasi elektrosurgikal bipolar ...................................... 28
Gambar 2.6. Aplikasi Hulka-Clemens clip ............................................. 29
Gambar 2.7. Posisi Aplikator Hulka-Clemens Clip ................................. 30
Gambar 2.8. Filshie clip yang diaplikasikan ke Tuba Fallopi ................. 31
Gambar 2.9. (A) Peletakan applicator Falope ring. (B) Tuba ditarik ke
inner sheath ...................................................................... 32
Gambar 2.10. (A) Outer sheath menarik Falope ring lepas dari inner
sheath dan ke tuba Fallopi. (B) Falope ring pada
tempatnya ......................................................................... 33
Gambar 2.11. Essure .............................................................................. 33
Gambar 2.12. Metode Esssure ................................................................ 34

iv