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No. MR

SURGERY REPORT

Nama : Mrs. Lesty Novita Sex : Female Age : 30 Years

Operator Prof. Dr. H..O Marsis! SpO" A#est$eti% &r. "a#&a! SpA#Asiste# ' &r. (e#$)r Si*)ea #str)me#tator +r. Natal

Asiste# , Ay) Saras-ati O*server Piolitta yre#ia /i#&yastari

Pres)rgi%al Diag#ose : esarea# Se%tio# *y re1)est at 32 -ees

gestatio# i# ",P'A0

Posts)rgi%al Diag#ose : So%ial %a)se S)rgery Date : Mar%$ ''t$ ,0'4

D)ratio# time of s)rgery : ' $o)r

5e$#i1)e of operatio# : 5ype of s)rgery

'. Se%tio %aesarea tra#s perito#eal prof)#&a 6merge#%y Mi#or

,. Poli%li#i% Me&i)m

3. 6letive Mayor

Operatio# Pro%e&)res:

. Patie#t slept i# s)pi#e positio# -it$ spi#al a#astesia

. Applie& i#si&e t$e &o-er %atet$er

. Asepti% a#& a#tisepti% o# a*&ome# a&7a%e#t regio )#til '83 proximal )pper leg a#& t$e

operatio# fiel& -as limite& -it$ steril &oe

9. Mai#g &ire%t i#%isio#! t$e i#%isio# -as ma&e &eeper slie%e *y slie%e from %)tis! s)*%)tis!

fas%ia m)s%)l)s re%t)s a*&omi#is! a#& t$e# it separate& to lateral se%tio# -it$ &)ll te%$#i1)e!

*lee&i#g -as tae# %are off.

9. Perito#e)m parietal -as ope#e& tipsi&e a#& &o-#si&e so -e %a# see )teri#e gravi&ar)m! a#& t$e

, %)ravor -ere p)t i#si&e t$e rig$t a#& left a*&ome# %avity for seperati#g t$e )teri#e a#& t$e

ot$er orga#

9. 5ra#sversal i#%isio# -as ma&e o# lo-er segme#t of )ter)s! exte#& to rig$t a#& left )#til -e %a#

sa- li1)or Am#ii mem*ra# a#& t$e# t$e operator *roo t$e li1)or am#ii mem*ra#! li1)or am#ii

-as %lear. 5$e *a*ys $ea& $as #ot e#tere& t$e pelvi% i#let yet9. (a*ys $ea& -as p)lle& o)t -it$ )si#g for%eps a#& -it$ mil& press)re o# t$e f)#&)s )teri#e *y

assista#%e. 5$e# &elivere& step *y step $ea&! fro#t s$o)l&er! *a% s$o)l&er! *a%-ar&

M6DAL FA;L5Y OF H

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tro%$a#ter a#terior! tro%$a#ter posterior! *ree%$ a#& extremitas i#ferior -as &elivere& -it$ a

sort )m*ili%al %or& %oil atta%$e& to t$e *a*ys #e%

9. 5$e *a*y -as %ryi#g! )m*ili%al %or& -as %lompe& o# , pla%e B %m a#& @ %m from t$e

)m*ili%al %or&! t$e# it -as %)t *et-ee# , %lamp a#& t$e *a*y -as &elivere& to peri#atologi

C. 5$e #e- *or# *a*y -as &elivere& at '0.,3 /(! -it$ male ge#&er! *o&y -eig$t *irt$ 3?00 gr!

le#g$t *irt$ 3 %m! Apgar S%ore >8@! a#al E a#& &i&t sa- ma7or %o#ge#ital &isor&er

C. Plase#ta -as %ompletely *or# i# ma#)al! %av)m )teri#e -as %lea#e& from t$e resi&)al plase#ta

tiss)e -it$ s$arp %)rretase post part)m )#til s)rely %lea#. (lee&i#g -as %o#trolle&. After t$at

t$e )teri#e tiss)e -as se-e& a#& over $e%ti#g -it$ Gvi%ryl %at g)t #o '

C. S)t)re -as &o#e o# lo-er segme# of )teri#e at t-o pole -it$ G$romi% %at g)t #o. ' a#& t$e#

t$e miometri)m tiss)e -as s)t)re *y %o#ti#)e a#& over$e%ti#g

First sli%e of miometri)m tiss)e -it$ G$romi% %at g)t #o. , *y %o#ti#)e

Se%o#& sli%e of miometri)m tiss)e a#& seros)m -as s)t)re *y %o#ti#)e -it$ G$romi% %at

g)t #o. ,

C. 5$e a*&ome# %avity -as %lea#e& a#& , %)ravor -as p)lle& o)t from t$e a*&ome# %avity

C. (efore t$e a*&ome# %avity -as se-e&! it -as givi#g %ortiso#e i#to perito#eal %avity

C9. After s)re its #o *lee&i#g! a*&ome# %avity -as o*7e& sli%e *y sli%e

a. Perito#e)m parietal -as s)t)re& -it$ GPlai# %at g)t #o. ,.0 *y %o#ti#)e

*. M. ? x8mi#)te

!3 o

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5iss)e to Pat$ology of A#atomy :

Yes : 5ype of tiss)e : .................................

No

Operator!

Prof. &r. H..O Marsis! SpO"