Gambaran Pola dan Derajat Luka pada Kasus Kekerasan Mekanik di RSUD Tipe B Provinsi Sulawesi Utara
DOI:
https://doi.org/10.35790/msj.v8i2.67142Keywords:
pola luka; derajat luka; kekerasan mekanikAbstract
Abstract: Mechanical violence is a common cause of injuries found in criminal cases in Indonesia. This study aimed to describe the wound patterns and degrees of injury in mechanical violence cases at a Type B Regional General Hospital in North Sulawesi Province during the period of July 2023 to June 2025. This was a retrospective and descriptive study. The results obtained 32 patients with a total of 54 injuries analyzed based on medical records and Visum et Repertum. Blunt-force trauma was the most frequent type (75%), followed by sharp-force injuries (18.8%). The majority of patients sustained single injuries (62.5%) with mild to moderate severity. Lacerations, contusions, and abrasions were the most common wound types, predominantly measuring 1–5 cm, with the head as the most frequent location. In conclusion, mechanical violence is dominated by blunt trauma, producing single injuries of mild to moderate severity. Variations in wound patterns are influenced by impact energy, force direction, and the interaction between perpetrator and victim. Therefore, wound pattern analysis holds significant importance for event reconstruction, legal enforcement, and violence prevention strategies.
Keywords: wound pattern; injury severity; mechanical violence
Abstrak: Kekerasan mekanik merupakan penyebab luka yang sering ditemukan pada kasus kriminal di Indonesia. Penelitian ini bertujuan untuk mendapatkan pola dan derajat luka pada kasus kekerasan mekanik di RSUD Tipe B Provinsi Sulawesi Utara periode Juli 2023–Juni 2025. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan 32 pasien dengan 54 luka berdasarkan rekam medis dan Visum et Repertum. Kekerasan tumpul paling banyak ditemukan (75%), disusul kekerasan tajam (18,8%). Mayoritas pasien mengalami luka tunggal (62,5%) dengan derajat ringan hingga sedang. Robek, memar, dan lecet merupakan bentuk luka tersering, terutama berukuran 1–5 cm dengan kepala sebagai lokasi paling sering. Simpulan penelitian ini ialah kekerasan mekanik didominasi trauma tumpul yang menghasilkan luka tunggal berderajat ringan hingga sedang dengan variasi pola luka dipengaruhi energi benturan, arah gaya, serta interaksi pelaku dan korban. Analisis pola luka memiliki nilai penting dalam rekonstruksi kejadian, penegakan hukum, dan strategi pencegahan kekerasan.
Kata kunci: pola luka; derajat luka; kekerasan mekanik
References
1. Shepherd R, Simpson K. Simpson’s Forensic Medicine (14th ed). London: Arnold; 2020. pp. 60–105.
2. Reddy KN, Murty O. The Essentials of Forensic Medicine and Toxicology (35th ed). New Delhi: Jaypee Brothers Medical Publishers; 2022. pp. 125–160..
3. Social Determinants of Health (SDH). WHO Violence Prevention Unit: Approach, Objectives, and Activities 2022-2026. 2022. Available from: https://www.who.int/publications/m/item/who-violence-prevention-unit--approach--objectives-and-activities--2022-2026
4. Kusumawati E. Statistik Pariwisata Provinsi Sulawesi Utara 2024 [Internet]. Badan Pusat Statistik; 2025. Available from: https://sulut.bps.go.id/id/publication/2025/05/23/157a44b67da4c233b989e315/monitoringbps.com/ silastik.bps.go.id
5. Kementerian Pemberdayaan Perempuan dan Perlindungan Anak. Kekerasan Kemenpppa [Internet]. Kemenpppa.go.id. [cited 2025 Aug 13]. Available from:https://kekerasan.kemenpppa.go.id/ringkasan
6. Karwur HP, Kristanto EG, Tomuka D. Gambaran pola dan derajat luka pada kasus kekerasan dengan permintaan visum et repertum di RSUP Prof. Dr. R. D. Kandou tahun 2020-2021. e-CliniC. 2023;11(2):192–7. Doi: https://doi.org/10.35790/ecl.v11i2.44758
7. Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2014 tentang Upaya Kesehatan Anak. Juni 18, 2014.
8. Juliana, Pangastuti R, Dillon D, Manikam NR, Fatmah. Pedoman Pelayanan Gizi Lanjut Usia. Jakarta: Kementerian Kesehatan RI; 2023.
9. Saukko P, Knight B. Knight’s Forensic Pathology (4th ed). Boca Raton: CRC Press; 2015. Doi: https://doi.org/10.1201/b13642
10. Janto S. Gambaran derajat luka pada kasus forensik klinik dI RS Bhayangkara Tingkat III Manado pada tahun 2020-2021 [Skripsi]. Manado: Universitas Sam Ratulangi; 2022.
11. Saputra S, Pangkah T, Teresa A, Zaluchu RB. Variasi pola trauma pada kasus kematian akibat tindak kekerasan berdasarkan data autopsi di Instalasi Forensik RSUD Dr. Doris Sylvanus Tahun 2016 – 2020. Indones J Leg Forensic Sci. 2022;12(2):84. Doi: https://doi.org/10.24843/IJLFS.2022.v12.i02.p04
12. Di Maio VJM, Di Maio DJ. Forensic Pathology (3rd ed). Boca Raton: CRC Press; 2016. (Practical aspects of criminal and forensic investigations series).
13.Caise O, Siwu JF, Mallo NTS. Gambaran Pola luka pada kasus kematian akibat kekerasan tajam di RS Bhayangkara Tingkat III Manado tahun 2023. e-CliniC. 2025;13(2):268–74. Doi: https://doi.org/10.35790/ecl.v13i2.61264
14. Kelwulan JE, Siwu JF, Mallo JF. Penentuan derajat luka pada kekerasan mekanik di RSUP Prof. Dr. RD Kandou Manado periode Januari-Juli 2019. e-CliniC. 2020;8(1). Doi: https://doi.org/10.35790/ecl.v8i1.28604
15. Iswara R, Dewi R, Maulia S, Bagiastara IN. Pengantar Ilmu Kedokteran Forensik dan Medikolegal (1st ed). Purbalingga: Eureka Media Aksara; 2023.
16. Wijaya A, Umar D, Nugroho H. Gambaran visum et repertum (VeR) perlukaan di Instalasi Kedokteran Forensik dan Medikolegal RSUD Abdul Wahab Sjahranie Samarinda tahun 2015-2019. J Sains dan Kesehat. 2021;3(4):420–1. Doi: https://doi.org/10.25026/jsk.v3i4.322
17. Laluyan MA, Tomuka D, Kristanto EG. Pola luka kekerasan tajam pada korban hidup di Rumah Sakit Bhayangkara Tingkat III Manado Periode Juli 2019-Juni 2022. Med Scope J. 2023;5(1):105–11. Doi: https://doi.org/10.35790/msj.v5i1.45285
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nadia Damayanti, James F. Siwu, Erwin G. Kristanto

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).








