STATUS ILMU KEBIDANAN
0086 04 00
No. MR
SURGERY REPORT
Name : Mrs. Melly AngraeniSex : FemaleAge : 20 Years
Operator Prof. Dr. H.I. Oetama Marsis, SpOG Anesthetic dr. Ratna
Hutapea, SpAn
AsistenStanny Maretha LoppiesInstrumentatorZr. Grace
Observer dr. Benhur Sibuea Observer 2Aaron Yonathan
Tehupuring
Pre-surgical Diagnose : Abortus incomplete in 7th weeks of
gestation at G1P0A0
Post-surgical Diagnose : Abortus IncompleteSurgery Date :
September 06th 2013
Duration time of surgery : 30 minute
Tehnique of operation :Type of surgery
1. Currettage Emergency Minor
Poliklinik( Medium
( Elektif Mayor
Operation Procedures :
1. Patient slept supine on operation table with lithotomy
position with general anaesthetic.2. Aseptic and antiseptic at
external genital region and around. Applied steril doek at both of
legs and operation field area.3. Applied sims speculum at posterior
vagina continue with sims speculum at anterior vagina seen a tissue
came out from OUE4. Anterior portio clamped with kohel tang at 12
hour direction. Put off anterior sims speculum.5. Doing sonde
uterus to determine the length to the uterus, uterine length 12 cm.
6. Doing the curettage of the uterine cavity, clockwise direction
starting at 12.00 with curette tang 0 to 3. Then suction canul was
put into the uterine, suction sistematically as the direction of
the clock. 7. Give methergin 0.2 mg IM to the patient8. Found the
recidual of cenception 50cc9. The recidual of conception result was
put into bottle that consist of formalin for Anatomical
Pathological Assessment.10. Checked if there any bleeding or not.
If not, put off the kogel tang and posterior speculum sims.11.
Cleaned the external genitalia with sterile kassa and betadine.12.
Extraction finishedThe condition of patient post operation:
General condition : Look mild sick Consciouness
: Compos Mentis Blood pressure
: 90/50 mmHg
Pulse rate
: 76 x/minute
Respiration
: 20 x/minute
Temperature
: 36,5 oC
Tissue to Pathology of Anatomy :
(Yes
No
Operator,
(Prof. Dr. H. I. Oetama Marsis, SpOG)MEDICAL FACULTY OF
CHRISTIAN UNIVERSITY OF INDONESIA GENERAL HOSPITAL
DEPARTMENT OF OBSTETRY AND GINECOLOGY
JL. Mayjen Sutoyo No. 2 Cawang, Jakarta Timur 13630
Telp.8099217 ext. 108 / 205
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