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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