No.

MR

87

39

06

00

BAG./ SMF OBSTETRI GINEKOLOGI

FAKULTAS KEDOKTERAN / RUMAH SAKIT UMUM
FAKULTAS KEDOKTERAN UNIVERSITAS KRISTEN INDONESIA
JL. Mayjen Sutoyo No. 2 Cawang, Jakarta Timur 13630
Name : Mrs. Ema Juniati
Operator : dr. Maruarar Panjaitan, SpOG

Sex : Female
Asistern 1 : dr. Aryo
Asistern 2 : Yaclin Natalia
Observer : Intan Permata S

Age: 26 thn
Anasthesiologist : dr. Veronic

Presurgery Diagnostic :
G2P1A0 37 weeks pregnant inpartu first stage of the latent phase, fetal life, the presentation
of the head, history SC 1 time + CPD
Postsurgery Diagnostic :
G2P1A0 37 weeks pregnant Post CPD + previous SC 1 times

Date :
3 Maret 2015

Surgery Prosedure:
1 Sectio Caesarea Deep Transperitoneal

Operation type :
Emergency Minor
Poliklinik
Medium
Elektif
Mayor

Operation duration
120 Menit

OPERATION REPORT
Operation Procedures:
I.

Patient slept in supine position with spinal anesthesia on operation table,

applied inside the dower catether.

II.

Aseptic and antiseptic on abdomen adjacent regio until 1/3 distal upper leg
and the operation field was limited with steril doek.

III.

Pfannenstiel incision was made around fibritio tissue and the skin fold in
down abdomen regio was thrown, the incision was made deeper slice by slice
from cutis, subcutis, fascia with sharp technique. Then musculus rectus
abdominis separated to lateral section with dull technique, bleeding was taken
care off.

IV.

Peritoneum parietale was opened upside and downside so we can see uterine
gravidarum.

V.

Opened plicavesico uterine and continued incision to left and right lateral and
put aside to lower.

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.

VII.

Then the babys breech was pulled out by manual and with mild pressure on
the fundus uterine by assistance. Then deliver step by step from head, front

sholder, back shoulder, anterior tochanter, posterior trochanter,inferior

extremity.
VIII.

The baby was crying, umbilical cord was clamped 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 baby room.

IX.

The new born baby was delivered at 11.00 WIB, with male gender, body
weight birth 3000 gr, length birth 50 cm, Apgar Score 8/9, anal (+) and didnt
saw major congenital disorder.

X.

Placenta was completely born in manual, with complete cotyledons, and the
size 24 cm x 20 cm x 2 cm, umbilical cord length 40 cm, centralis insertion.

XI.

Cavum uterine was cleaned from the residual placenta tissue. Bleeding was
controlled.

XII.

Suture was done on lower segmen of uterine at two pole with Vicryl No. 1
and then the myometrium tissue was suture by interlocking and then the
plicavesico uterine and myometrium by continue with Vicryl No. 1.

XIII.

The abdomen cavity was cleaned and 2 curavors was pulled out from the
abdomen cavity. And before the abdomen cavity sewed, it was giving
cortisone asetat 25 mg/10ml into peritoneal cavity.

XIV.

After sure its no bleeding, abdomen cavity was objed slice by slice:
-

Peritoneum parietale was sutured with Chromic gut No. 1 by continue

M. Rectus abdominis was sutured with Chromic gut No. 1 by simple

suture

Fascia was sutured with Vicryl No. 1 by continue

Subcutis was sutured with Plain No. 0 by simple suture

Cutis was sutured with Chromic gut No. 3.0 by subcuticuler

XV.

Bleeding approximately 600 cc.

XVI.

The operation wound was cleaned by cleaning stole cell from the vagina, the
operation wound was cleaned with NaCl and then it was given kemicetine
zalf and then was closed by sufratulle, sterill cassa and tegaderm.

XVII. The operation finished.

The condition of patient post operation:
General condition

: Look moderate sick

Blood pressure

: 110/80mmHg

Pulse rate

: 75 x/minute

Temperature

: 36o C

Respiration

: 20 x/minute

Tissue to Pathology of Anatomy :

Yes
No
Operator,

(dr. Maruarar Panjaitan, SpOG)