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ULFANI OCTRIANI2009730053

PEMBIMBING : dr. H. BAHARUDDIN HAFIED, Sp.OG

LAPORAN KASUSLAPAROSKOPI

FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH JAKARTASTASE OBSTETRI DAN GINEKOLOGI-RSIJ SUKAPURA

2013

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PENDAHULUAN

Teknik !"!#!$k%"i &'!i (i"%"'e#k!n %e) A**'k!$i&!n+!#! +!)'n ,12 (!n 1013 SM

T!)'n 1./ T'e% !e$!#e A#!ni (i Venie &en44'n!k!n$'&*e# !)!5! 'n+'k *e(!) !"!#!$k%"i

Ke&'(i!n +eknik !"!#!$k%"i (ike&*!n4k!n %e) B%e$)61,3789 P!&e# 61,:/89 Se&& 61,..89 (!n B!#ne$ 61,./8

T!)'n 1,/0 *e(!) !"!#!$k%"i &en44'n!k!n k!'+e#i$!$i !+!'!$e# 'n+'k "en4%*!+!n en(%&e+#i%$i$ $+!(i'& !n;'+ &'!i(i4'n!k!n

Be(!) !"!#%$k%"i (i"e#ken!k!n (i In(%ne$i! +!)'n 1,,0(en4!n (i$een44!#!k!nn5! +eek%n!$+!

N!&'n9 $ei#in4 (en4!n "%"'e#n5! "en44'n!!n !"!#!$k%"i(i+e&'k!n *e#*!4!i k%&"ik!$i $e"e#+i k%&"ik!$i !ki*!+"en44'n!!n ;!#'& =e##e$ !+!' +#%k!#

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DEFINISI

L!"!#%$k%"i *e#!$! (!#i k!+! ?!"!#%@ 5!n4 *e#!#+i!*(%&en !+!' #%n44! "e#'+9 (!n ?%$k%"i@ 5!n4 *e#!#+i&ei)!+ &e!'i $%"e 6en$!8

L!"!#%$k%"i !(!!) +in(!k!n *e(!) 5!n4 (i!k'k!n "!(!

#%n44! "e#'+ 6!*(%&en8 5!n4 &e&e#'k!n 'k! $!5!+5!n4 $!n4!+ &ini&9 $eki+!# 09. )in44! 1 & (i (in(in4"e#'+

L!"!#%$k%"i !(!!) +eknik *e(!) in=!$i< &ini&! 5!n4&en44'n!k!n !!+-!!+ *e#(i!&e+e# kei 6.

)in44!12&&8 'n+'k &en44!n+ik!n +!n4!n (%k+e# *e(!)&e!k'k!n "#%$e('# *e(!) (i (!!& #%n44! "e#'+K!&e#! &ini (i4'n!k!n (en4!n +e#e*i) (!)''(i&!$'kk!n 4!$ 'n+'k &e&*'!+ ;!#!k "e&i$!) !n+!#!#%n44! $e)in44! (!"!+ +e#i)!+ (en4!n ;e!$

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INDIASI

DIAGNOSTI

Men4e=!'!$i n5e#i"e=i$ !k'+ !+!'k#%ni$- Ke)!&i!n ek+%"ik

- PID (PelvicInfammatoryDisease)

- En(%&e+#i%$i$- T%#$i !(nek$!

Men4e=!'!$iinOPERATIF

S!n4ek+%&i "!(!ke)!&i!n ek+%"ik

Ki$+ek+%&i Mi%&ek+%&i A()e$i%i$i$ Hi$+e#ek+%&i Li&

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ONTRAINDIASI

ABSOLUT

O*$+#'k$i '$'$ Pe#i+%ni+i$ '&'&

RELATIF

Pen5!ki+ ;!n+'n4

!+!' "!#' 5!n4 *e#!+ He#ni! (i!

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EUNTUNGAN DANERUGIAN

EUNTUNGAN

Ke#'$!k!n ;!#in4!ne*i) #in4!n

N5e#i "!$! %"e#!$ie*i) #in4!n

L!&! "e#!>!+!n e*i)$in4k!+

Re$ik% in

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PERLENGAPANOPERASI

1 L!"!#%$k%"2 J!#'&

"ne'&%"e#i+%ne!3 T#%k!#: G!$ in$'!+%#. S'&*e# !)!5!

7 K!&e#!

In$+#'&en !in C1 P#%*e2 F%#$e"$

3 G'n+in4 (!n "i$!': A$"i#!+%# (!n

i##i4!+%#. M%#$e!+%#

7 Eek+#%k%!4'!$i T)e#&%k%!4'!$i/ L!$e#

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%!r&' p()&'"p)r*+"()!

J!#'& T'%)5 (i#!n!n4 'n+'k !ne$+e$i e"i('#!9&'(!) "en4!(!!nn5! (!n +i(!k &!)!

J!#'& Ve##e$ (i#!n!n4 'n+'k &en4'#!n4i

kee!k!!n "!(! $!!+ "en'$'k!n9 ;!#'& ini&e&iiki "e# 5!n4 !k!n &en4!!&i #e+#!k$i*!4i!n +'&"' ;!#'& $!!+ &ee>!+i (in(in4!*(%&en9 $e+e!) i+' *!4i!n +'&"' ;!#'&

ke'!# !4i 'n+'k &ein('n4i $+#'k+'# !+!'%#4!n in+#!!*(%&en

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Tr"$!r

T#%k!# !k!n &ene&*'$(in(in4 !*(%&en $e+e!)(i!k'k!n in$'!$i

F!""e# =!=e &e&'n4kink!n&e&!$'kk!n (!n&en4e'!#k!n !"!#%$k%"$e#+! in$+#'&en+ !in +!n"!ke)i!n4!n 4!$ U;'n4 +#%k!#

*e#*en+'k "i#!&i( !+!'ke#''+ Mek!ni$&e&e&!$'kk!n +#%k!# ke(!!&!*(%&en $e"e#+i &e!k'k!nin$e#$i ;!#'& Ve##e$

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I(#&-!+"r !#

In$'!+%# 4!$ (i4'n!k!n 'n+'k&e&*'!+ "ne'&%"e#i+%ne'& 5!n4+e#k%n+#%

Tin(!k!n !"!#!$k%"i )!n5!&'n4kin (i!k'k!n *i!

"ne'&%"e#i+%ne'& +e#"ei)!#!$!!+ *e#*!4!i !!+ (i&!$'kk!n

P#%$e('# !"!#!$k%"i %"e#!+i