No. MR

Name : Mrs. Ema Juniati Sex : Female Age: 26 thn Operator : dr. Maruarar Panjaitan, SpOG Asistern 1 : dr. Aryo

Asistern 2 : Yaclin NataliaObserver : Intan Permata S

Anasthesiologist : dr. Veronica, Sp.An

Presurgery Diagnostic :G2P1A0 37 weeks pregnant inpartu first stage of the latent phase, fetal life, the presentation of the head, history SC 1 time + CPD

Date :3 Maret 2015

Postsurgery Diagnostic :G2P1A0 37 weeks pregnant Post CPD + previous SC 1 times

Operation duration :120 Menit

Surgery Prosedure:1. Sectio Caesarea Deep Transperitoneal

Operation type :Emergency Minor Poliklinik Medium

Elektif Mayor

OPERATION REPORTOperation Procedures:

I. Patient slept in supine position with spinal anesthesia on operation table,

applied inside the dower catether.

II. Aseptic and antiseptic on abdomen adjacent regio until 1/3 distal upper leg

and the operation field was limited with steril doek.

III. Pfannenstiel incision was made around fibritio tissue and the skin fold in

down abdomen regio was thrown, the incision was made deeper slice by slice

from cutis, subcutis, fascia with sharp technique. Then musculus rectus

abdominis separated to lateral section with dull technique, bleeding was taken

care off.

IV. Peritoneum parietale was opened upside and downside so we can see uterine

gravidarum.

V. Opened plicavesico uterine and continued incision to left and right lateral and

put aside to lower.

VI. Transversal incision was made on lower segment of uterus, extend to right

and left until we can saw liquor Amnii membran and then the operator brook

the liquor amnii membran, liquor amnii was clear.

VII. Then the baby’s breech was pulled out by manual and with mild pressure on

the fundus uterine by assistance. Then deliver step by step from head, front

BAG./ SMF OBSTETRI GINEKOLOGIFAKULTAS KEDOKTERAN / RUMAH SAKIT UMUMFAKULTAS KEDOKTERAN UNIVERSITAS KRISTEN INDONESIAJL. Mayjen Sutoyo No. 2 Cawang, Jakarta Timur 13630

87 39 06 00

sholder, back shoulder, anterior tochanter, posterior trochanter,inferior

extremity.

VIII. The baby was crying, umbilical cord was clamped on 2 place ± 5 cm and 7

cm from the umbilical cord, then it was cut between 2 clamp and the baby

was delivered to baby room.

IX. The new born baby was delivered at 11.00 WIB, with male gender, body

weight birth 3000 gr, length birth 50 cm, Apgar Score 8/9, anal (+) and didn’t

saw major congenital disorder.

X. Placenta was completely born in manual, with complete cotyledons, and the

size 24 cm x 20 cm x 2 cm, umbilical cord length 40 cm, centralis insertion.

XI. Cavum uterine was cleaned from the residual placenta tissue. Bleeding was

controlled.

XII. Suture was done on lower segmen of uterine at two pole with “Vicryl” No. 1

and then the myometrium tissue was suture by interlocking and then the

plicavesico uterine and myometrium by continue with “Vicryl” No. 1.

XIII. The abdomen cavity was cleaned and 2 curavors was pulled out from the

abdomen cavity. And before the abdomen cavity sewed, it was giving

cortisone asetat 25 mg/10ml into peritoneal cavity.

XIV. After sure it’s no bleeding, abdomen cavity was objed slice by slice:

- Peritoneum parietale was sutured with “Chromic gut” No. 1 by continue

- M. Rectus abdominis was sutured with “Chromic gut” No. 1 by simple

suture

- Fascia was sutured with “Vicryl” No. 1 by continue

- Subcutis was sutured with “Plain” No. 0 by simple suture

- Cutis was sutured with “Chromic gut” No. 3.0 by subcuticuler

XV. Bleeding approximately ±600 cc.

XVI. The operation wound was cleaned by cleaning stole cell from the vagina, the

operation wound was cleaned with NaCl and then it was given kemicetine

zalf and then was closed by sufratulle, sterill cassa and tegaderm.

XVII. The operation finished.

The condition of patient post operation:

General condition : Look moderate sick

Blood pressure : 110/80mmHg

Pulse rate : 75 x/minute

Temperature : 36o C

Respiration : 20 x/minute

Tissue to Pathology of Anatomy :

□ Yes

No

Operator,

(dr. Maruarar Panjaitan, SpOG)