yoko nurul

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No. MR OPERATION REPORT Name : Mrs. Tiomida S Sex : Female Age : 62years Operator Dr. Maruarar Panjaitan, SpOG Anestheti c dr. Ganda, SpAn Asistern I Nurul Soraiya Instrumen tator Zr. Merry Asistern II Yoko Caterine Date of operation : April 20th 2015 Pre-operation Diagnose : Cystocele grade III Post-operation Diagnose : Cystocele grade III Duration of operation : 2 hours Tehnique of operation : 1. Colporaphy Anterior Type of operation □ Emergency □ Minor □ Poliklinik Medium Elektif □ Mayor Operation Procedures: I. Patient lying in lithotomy position in the gynecology table with spinal anesthesia II. Doing aseptic and antiseptic at external, internal genitalia region and area that surrounding it with betadine III. Dower catheter no. 18 was inserted into vesical urinaria through external urethral ostium IV. Operation field was limited with sterile doek Page 1 of 3 RUMAH SAKIT UMUM FKUKI SMF OBSTETRI GINEKOLOGI Jl. Mayjen Sutoyo no. 2, Cawang, Jakarta Timur, 13630 Tel. 021 – 8092317 ext. 108 / 205 69 55 05 00

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No. MROPERATION REPORTName : Mrs. Tiomida S Sex : Female Age:62yearsOperatorDr. Maruarar Panjaitan SpO! Anest"eti#dr. !anda SpAnAsistern $ Nurul Soraiya $nstrumentator %r. MerryAsistern $$ &o'o (aterineDate o) operation : April 2*t" 2*+,Pre-operation Diagnose : (ysto#ele grade $$$Post-operation Diagnose :(ysto#ele grade $$$Duration o) operation : 2 "oursTe"ni.ue o) operation :+. (olporap"y AnteriorType o) operation/ 0mergen#y / Minor/ Poli'lini'MediumElektif/ MayorOperation Pro#edures:$. Patient lying in lit"otomy position in t"e gyne#ology ta1le 2it" spinal anest"esia$$. Doing asepti# and antisepti# at external internal genitalia region and area t"at surrounding it2it" 1etadine$$$. Do2er #at"eter no. +3 2as inserted into 4esi#al urinaria t"roug" external uret"ral ostium$5. Operation )ield 2as limited 2it" sterile doe'5. 5ul4a opened 1y sims spe#ulum 4ul4a and 4agina region 2ided 1y tegle "e#t5$. Protrusiono) t"e1ladderseenont"eanterior 4aginal 2all andalittleout o) t"e4aginalintroitus5$$. $n#isionon t"e )ront2allo)t"e4agina1egin to6 7#m1elo2 t"eexternaluret"ral ostiumproximal to t"e posterior )ornix. Deepened 2ound up 1ladder 2all 4isi1le. Furt"ermore urinary1ladder lin'ed to t"e le)t and to t"e rig"t until t"e 4esi#al )as#ia pu1o seen5$$$. Pu1o 4esi#al )as#ia lin'ed 2it" simple stit#"es using t"e 8 #ut #"romi# gut8 no. 2.*$9. 5aginal 2all sutured1a#'2it"simplestit#"esusingt"e8#ut #"romi#gut8no. 2.*a)terex#essi4e tissue dis#arded9. Su1#utaneous tissue stit#"ed 2it" 8 #ut #"romi# gut8 no.2.* 1y simple "e#t9$. :leeding during surgery 6 2** ##9$$. Operation #ompletedPage 1 of 2RUMAH SAKIT UMUM FKUKISMF OBSTETRI GINEKOLOGIJl. Mayjen Sutoyo no. 2, Caan!, Ja"a#ta T$%u#, &'(')Tel. )2& * +),2'&- e.t. &)+ / 2)06; ,, *, **Post surgery #ondition:!eneral #ondition:moderate illness:lood pressure:+gPulse rate:;2 times per minute?espiration:2* times per minuteTemperature:763 (Tissue to Pat"ology o) Anatomy :/&esNoOperator@dr. Maruarar Panjaitan SpO!APage 2 of 2