Cesarean Section Surgery Report.doc
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8/12/2019 Cesarean Section Surgery Report.doc
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RUMAH SAKIT UMUM FKUKI
SMF OBSTETRI GINEKOLOGIJl. Mayjen Sutoyo no. 2, Caan!, Ja"a#ta T$%u#,
&'(')Tel. )2& * +)2'&- et. &)+ / 2)0
No. MR
OPERATION REPORT
Nama : Mrs. Rizkiyah Sex : Female Age : 25 Years
Operator Prof. r. !.".O Marsis# SpO$ A%estheti& 'r. A%to%# Sp A%
Assista%t ( Ay) Saras*ati "%str)me%tato
r
+r. Ria
Assista%t 2 'r. ,e%h)r Si-)ea O-serer Piolitta /yre%ia 0i%'yastari
Pre1operatio% iag%ose : Prolo%ge' la-o)r at 3th*eeks of
gestatio% i% $2P(A4
Post1operatio% iag%ose : Malpositio% a%' &oili%g of
)m-illi&al &or' aro)%' sho)l'er
ate of operatio% : Fe-r)ary
23th24(
)ratio% of operatio% : ( ho)r
6eh%i7)e of operatio% :
(. Se&tio &aesarea tra%s perito%eal prof)%'a
2.1
. 1
6ype of operatio%
8merge%&y
9 Polikli%ik
98lektif
9 Mi%or
9 Me'i)m
Mayor
Operatio% Pro&e')res:
". Patie%t slept i% s)pi%e positio% *ith spi%al a%astesia o% operatio% ta-le
"". Applie' i%si'e the 'o*er &atether
""". Asepti& a%' a%tisepti& o% a-'ome% a'a&e%t regio )%til (; 'istal )pper leg a%' the
operatio% fiel' *as limite' *ith steril 'oek
"
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"". S)t)re *as 'o%e o% lo*er segme% of )teri%e at t*o pole *ith E/hromi& &at g)t %o. (
a%' the% the miometri)m tiss)e *as s)t)re -y &o%ti%)e a%' oerhe&ti%g
1 First sli&e of miometri)m tiss)e *ith E/hromi& &at g)t %o. 2 -y &o%ti%)e
1 Se&o%' sli&e of miometri)m tiss)e a%' seros)m *as s)t)re -y &o%ti%)e *ith
E/hromi& &at g)t %o. 2
1 Reperito%isatio% -y s)t)re' pli&aesi&a )teri%e *ith E&hromi& &at g)t %o. 2#4 -y
&o%ti%)e.
>""". 6he a-'ome% &aity *as &lea%e' a%' 2 &)raors *as p)lle' o)t from the a-'ome%
&aity.
>"
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>
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FOLLOW UPName : Mrs. Rizkiyah
Age : 25 years ol'
Date Time Follow Up SignatureMar&h (th
24(
PO : 'ay (
Patie%t feel pai% at s&ar of operatio%.
O ;
Stat)s $e%eralis
$e%eral /o%'itio% : Iook mil' si&k
/o%s&io)s%ess : /ompos me%tis
,loo' Press)re :((4;@4 mm!g
P)lse : 34 times ; m%t
6emperat)re :.#@J /
Respiratory Rate : 2( times;m%t8yes : a%emis 1;1# a)%'i&e 1;1
8xtremities :
S)perior : oe'em B1D# /R6 K2
"%ferior :oe'em B1D# /R6 K2
Stat)s P)rp)ralis
Mammae :
,reast milk C;C B&olostr)mD
Retra&tio% 1;1
Mass 1;1
Pai% 1;1
A-'ome% :
"%s : s&ar of operatio% &lose' -y er-a%# -loo'
B1D# p)s B1D
Pal : )teri% f)%'al height fi%gers )pper simpisis
p)-is# press)r pai% BCD
Per : tympa%i# %k B1D
A)s : -o*el so)%' BCD times;m%t
$e%italia :
Io&hia r)-ra BCD
A ;
Post S/6P *ith Malpositio% a%' &oili%g of
)m-illi&al &or' aro)%' sho)l'er
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P ;
iet : soft
"