54 No.

MR

65

01

RUMAH SAKIT UMUM FKUKI SMF OBSTETRI GINEKOLOGI

Jl. Mayjen Sutoyo no. 2, Cawang, Jakarta Timur, 13630 Tel. 021 8092317 ext. 108 / 205

OPERATION REPORT
Nama : Mrs. Derita L Tobing Sex : Female Operator Prof. Dr. H.I.O Marsis, SpOG Anesthetic Asisten dr. Benhur Instrumentator Asistern I Nyoman Dharma Suyasa Koass Pre-operation Diagnose : G1P0A0 pregnant 40 weeks with Cephalopelvic Disproportion + early liquor amnii membrane rupture Post-operation Diagnose : P1A0 pregnant SCTP et Cephalopelvic Disproportion + early liquor amnii membrane rupture Tehnique of operation : 1. Sectio caesarea trans peritoneal 2. 3. Age : 31 Years dr. Machir, SpAn Zr. Lina 1. Johannes 4. Katarina 2. Wilda 5. 3. Arniwati 6. Date of operation : April 4th 2008 Duration of operation : 1 hours 10 minute Type of operation Emergency Minor Poliklinik Medium Elektif Mayor

Operation Procedures:
I. II. III. IV. Patient slept in supine position with spinal anastesia Aplied inside the dower catether Aseptic and antiseptic on abdomen adjacent regio until 1/3 proximal upper leg and the operation field was limited with steril doek 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 and we could saw babys head VII. Babys head was pulled out wiht 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 was delivered with a sort umbilical cord coil attached to the baby. VIII. IX. X. 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 to perinatologi The new born baby was delivered at 10.05 WIB, with male gender, body weight birt 3800 gr, leht birth 50 cm, Apgar Score 8/9, anal (+) and didt saw major congenital disorder Plasenta was completely born in manual, cavum uterine was cleaned from the residual plasenta tissue with sharp curretase post partum until surely clean. Bleeding was controlled. After that the uterine tissue was sewed and over hecting with vicryl cat gut no 1 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
Laporan Operasi/Obgyn RSU FK UKI/05.07 Page 1 of 2

XII. XIII. XIV.

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 Chromic cat gut no. 2

The abdomen cavity was cleaned and 2 curavor was pulled out from the abdomen cavity Before the abdomen cavity was sewed, it was giving cortisone into peritoneal cavity After sure its no bleeding, abdomen cavity was objed slice by slice a. Peritoneum parietal was sutured with Plain cat gut no. 2.0 by continue b. M. Rectus abdominis was sutured with Chromic cat gut no. 2.0 c. Fascia was sutured with vicryl no. 1 by simpl suture d. Subcutis was sutured with Plain cat gut no. 0 by simple suture e. Cutis was sutured with Chromic cat gut no. 3.0 by subkuticuler

XV. XVI.

Bleeding approximately 500 cc Cavum uterine was cleaned pervaginam cleaned with Nacl 0,9 % and then it was given antibiotic zalf and then was closed by sufratulle, sterill cassa and tegaderm

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

XVIII. The operation finished The condition of patient post operation: General condition Blood pressure Pulse rate Respiration Temperature : Look mild sick : 110/80 mmHg : 90 x/minute : 24 x/minute : 37,5 oC

Tissue to Pathology of Anatomy : Yes : Type of tissue .......................................... No

Operator,

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

Laporan Operasi/Obgyn RSU FK UKI/05.07

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