7/29/2019 Laporan Operasi Prof Marsis (SC) 23 Juli 2013

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No. MR

SURGERY REPORT

Nama : Mrs. Dwi Budiana Sex : Female Age : 30 Years

Operator Prof. Dr. H.I.O Marsis, SpOG Anesthetic dr. Widodo, SpAn

Asisten dr. Sugianto Instrumentator Zr. Dwi

Asisten Rony Parlindungan Sinaga Observer Sarita Sharchis

Pre-surgical Diagnose : previous sectio caecarea + rupture of membrane

at 38 weeks of gestation with gravide 2 Para 1 Abortus 0 impartu +

Cephalo-Pelvic Disproportion

Post-surgical Diagnose : P2A0 and history of sectio caesarean Surgery Date : July 23st

2013

Duration time of surgery : 1 hours 37

minute ( 06.3308.10 )

Tehnique of operation : Type of surgery

1. Sectio caecarea transperitoneal profunda Emergency Minor2.- Poliklinik Medium

3.- Elektif MayorOperation Procedures:

I. Patient slept in supine position with spinal anastesia

II. Aplied inside the dower catether

III. Aseptic and antiseptic on abdomen adjacent regio until 1/3 proximal upper leg and the operation field

was limited with steril doek

IV. Pfanenstiel incision was made around fibritio tissue and the skin fold in down abdomen regio was

thrown, the incision was made deeper sliece by sliece from cutis, subcutis, fascia, musculus rectus

abdominis, and then it separated to lateral section with dull technique, bleeding was taken care off.

V. Peritoneum parietal was opened tipside and downside so we can see uterine gravidarum, and the 2

curavor were put inside the right and left abdomen cavity for sperating the uterine and the other organ

VI. Transversal incision was made on lower segment of uterus, extend to right and left until we can saw

liquor Amnii membran and then the operator brook the liquor amnii membran, liquor amnii was clear, we

could saw babys head upper to the pelvis cavity.

VII. Babys head was pulled out using manual hand and with mild pressure on the fundus uterine by

assistance. Then delivered step by step head, front shoulder, back shoulder, backward trochanter anterior,

trochanter posterior, breech and extremitas inferior.

VIII. The baby was crying, umbilical cord was clomped on 2 place 5 cm and 7 cm from the umbilical cord,

then it was cut between 2 clamp and the baby was delivered.

IX. The new born baby was delivered at 07.10 WIB, with female gender, body weight birth 4100 gr, length

birth 51 cm, Apgar Score 8/9, anal (+) and didt saw major congenital disorder

X. Plasenta was completely born in manual, cavum uterine was cleaned from the residual plasenta tissue

until surely clean. Bleeding was controlled.

03 76 78

OBSTETRIC AND GINECOLOGY DEPARTEMENT

BUDHI JAYA MOTHER AND CHILD HOSPITAL

JL. Dr. Sahardjo No. 120 Jakarta Selatan 12960

Telp. (021) 8292672, 8311722, 8312378

Fax. 8301901

7/29/2019 Laporan Operasi Prof Marsis (SC) 23 Juli 2013

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XI. Suture was done on lower segmen of uterine at two pole with Chromic cat gut no. 1 and then the

miometrium tissue was suture by continue and overhecting

- First slice of miometrium tissue with Chromic cat gut no. 2 by continue

- Second slice of miometrium tissue and serosum was suture by continue with Chromiccat gut no. 2

XII. The abdomen cavity was cleaned and 2 curavor was pulled out from the abdomen cavity

XIII. Before the abdomen cavity was sewed, it was giving cortisone acetate 2,5 mg into peritoneal cavity

XIV.

After sure its no bleeding, abdomen cavity was objed slice by slicea. Peritoneum parietal was sutured with Chromic acromatic no. 2.0 by continue

b. M. Rectus abdominis was sutured with Chromic acromatic no. 2.0

c. Fascia was sutured with vicryl no. 1 by jelujur suture

d. Subcutis was sutured with plain cat gut no. 0 by simple suture

e. Cutis was sutured with Monosin no. 3.0 by subkuticuler

XV. Bleeding approximately 200 cc

XVI. Cavum uterine was cleaned pervaginam

XVII. The operation wound was cleaned by cleaning stole cell from the vagina, the operation wound was

cleaned with Nacl 0,9 % and then it was given antibiotic zalf and then was closed by sufratulle, sterile

cassa and tegaderm

XVIII. The operation finished

The condition of patient post operation:

General condition : Look mild sick

Consciouness : Compos Mentis

Blood pressure : 130/70 mmHg

Pulse rate : 80 x/minute

Respiration : 18 x/minute

Temperature : 36,5oC

Tissue to Pathology of Anatomy :

Yes : Type of tissue ..........................................

No

Operator,

(Prof. dr. H.I. Oetama Marsis, SpOG)