PERBAIKAN ROBEKAN PERINEUM - Universitas...
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PERBAIKAN ROBEKAN PERINEUM
Dr. Budi Iman Santoso, SpOG(K)
Divisi Uroginekologi RekonstruksiDepartemen Obstetri dan Ginekologi
Fakultas Kedokteran Universitas IndonesiaRS. Dr. Cipto Mangunkusumo,Jakarta
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ANATOMI PERINEUM
Gambar 1. Muscles of perineal body.Used with permission from Ciné-Med, Inc., 127 Main St. N, Woodbury, CT 06798-2915. Copyright© Ciné-Med, Inc.
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Gambar 2. Anal sphincter complex (cadaver dissection).
ANATOMI KOMPLEK SPINGTER ANI
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Gambar 3. Second-degree perineal laceration.Used with permission from Ciné-Med, Inc., 127 Main St. N, Woodbury,CT 06798-2915. Copyright© Ciné-Med, Inc.
ROBEKAN PERINEUM DERAJAT II
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Gambar 4. Vaginal mucosa and underlying rectovaginal fascia.Used with permission from Ciné-Med, Inc., 127 Main St. N, Woodbury,CT 06798-2915. Copyright© Ciné-Med, Inc.
JAHITAN PADA FASCIA REKTO VAGINA
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Gambar 5. Second-degree perineal laceration with underlying muscles exposed.
IDENTIFIKASI OTOT BADAN PERINEAL
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Gambar 6. Repair of transverse perineal muscles with single interrupted suture.
APROKSIMASI OTOT TRANVERSAL PERINEAL
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Gambar 7. Repair of bulbocavernosus muscle with single interrupted suture.
JAHITAN OTOT BULBOKAVERNOSUS
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Gambar 8. Reattachment of rectovaginal septum to muscles of perineal body.
FASCIA DIHUBUNGKAN DENGAN BADAN PERINEAL
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ROBEKAN PERINEUM DERAJAT IV
Gambar 9. Fourth-degree perineal laceration.Used with permission from Ciné-Med, Inc., 127 Main St. N, Woodbury, CT 06798-2915. Copyright© Ciné-Med, Inc.
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Gambar 10. Repair of rectal mucosa.Used with permission from Rogers RG, Kammerer-Doak DN. Obstetricanal sphincter lacerations, part 2. Female Patient 2002;27(5):31-6.
APROKSIMASI MUKOSA REKTUM
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Gambar 11. Internal anal sphincter and external anal sphincter.
IDENTIFIKASI OTOT SPINGTER ANI INTERNA DAN EKSTERNA
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JAHITAN END TO END
Gambar 12. End-to-end technique for repairing external anal sphincter.
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JAHITAN OVERLAPPING
Gambar 13. Overlapping technique for repairing external anal sphincter.
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Terima Kasih