Nurwidiasih, Yovita Dwi Setiyowati

PENERAPAN INTERVENSI RENDAM PERMANGANAS KALIUS (PK) TERHADAP PENURUNAN NYERI PADA PASIEN POST OP HEMOROIDEKTOMY

Introduction

Penerapan intervensi rendam permanganas kalius (pk) terhadap penurunan nyeri pada pasien post op hemoroidektomy. Rendam kalium permanganat (PK) efektif menurunkan nyeri pasca-hemoroidektomi. Studi kasus ini menunjukkan penurunan nyeri signifikan, meningkatkan kenyamanan & percepat pemulihan.

Abstract

Post-hemorrhoidectomy pain is a common complication that may impede the recovery process. Non-pharmacological interventions such as potassium permanganate (KMnO₄) sitz baths have shown potential in pain management and wound healing. This case study aims to evaluate the effectiveness of KMnO₄ sitz bath therapy in reducing post-hemorrhoidectomy pain. A 45-year-old male patient (Mr. A) experienced severe postoperative pain (7/10 on the Numerical Rating Scale). Sitz baths with a 0.1–0.2% KMnO₄ solution were administered twice daily. Pain intensity was measured before and after each intervention using the NRS. Within 2–3 days, the patient’s pain level decreased significantly to 3/10, accompanied by improved comfort, enhanced mobility, and positive behavioral responses. The analgesic effects are associated with the antiseptic and astringent properties of KMnO₄, as well as the muscle-relaxing effects of warm water, which together reduce inflammation, prevent infection, and alleviate anal sphincter spasms. These findings support the use of potassium permanganate sitz baths as an effective non-pharmacological intervention in managing post-hemorrhoidectomy pain and promoting recovery.

Review

The abstract presents a compelling case study on the application of potassium permanganate (KMnO₄) sitz baths as a non-pharmacological intervention for post-hemorrhoidectomy pain. The reported outcome for a 45-year-old male patient demonstrates a substantial reduction in pain levels from severe (7/10) to moderate (3/10) within a short timeframe of 2-3 days. This initial finding, if broadly applicable, suggests a potentially valuable and accessible adjunctive therapy for a common and often debilitating postoperative complication. The study's focus on a practical, non-pharmacological approach addresses a critical need in pain management following surgical procedures. The proposed mechanisms of action for the observed benefits are well-articulated, attributing the analgesic effects to the antiseptic and astringent properties of KMnO₄, which reduce inflammation and prevent infection, complemented by the muscle-relaxing effects of warm water that alleviate anal sphincter spasms. The positive outcomes extended beyond pain reduction to include improved comfort, enhanced mobility, and positive behavioral responses, indicating a holistic improvement in the patient's recovery experience. This case study, therefore, contributes preliminary evidence supporting the utility of a readily available intervention in promoting patient well-being during a challenging postoperative period. While the results are encouraging and highlight a promising intervention, the primary limitation lies in its design as a single case study. This restricts the generalizability of the findings and necessitates cautious interpretation. To conclusively establish the efficacy and safety of KMnO₄ sitz baths, future research should transition to larger-scale studies, ideally randomized controlled trials comparing this intervention against standard care or placebo. Such studies would provide more robust statistical evidence and allow for a comprehensive assessment of its role in diverse patient populations. Despite this limitation, the abstract serves as a valuable preliminary report, laying the groundwork for further rigorous investigation into this potentially beneficial treatment strategy.

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