MR Number

00

26

53

RUMAH SAKIT IBU DAN ANAK BUDHI JAYA

Jl. DR. Saharjo No. 120 Jakarta Selatan 12960
Telpon : (021) 829 2672 - 831 1722 - 831 2378 - 831 9179
Faximile : (021) 830 1901
Email : it@budhijaya.com

OPERATION REPORT
Name : Mrs. Sumarni

Sex : Female

Operator

Anesthetic

Prof. dr. H.I.O Marsis, SpOG

Age : 38 Years
dr. Widodo, SpAn

Assistance dr. Benhur Sibuea

Instrumentator Zr. Dwi

Asisstern

Observer

Miana Margaretta Sagala

Pre-operation Diagnose :

Corianty Dewi Monica Marpaung

Date of operation : December 20th
2011

Post-operation Diagnose :

Duration of operation : 1 hour 15

minutes

Tehnique of operation :
1. Sectio caesarea transperitoneal profunda
2. Tubectomy

Type of surgery :
Emergency
Policlinic
Elective

Minor
Medium
Major

Operation procedures :

I.

Patient slept in supine position with spinal analgesia.

II.

Aseptic and antiseptic on lower segmen abdomen regio until 1/3 proximal upper leg and
the operation field was limited with steril doek

III.

Planenstiel 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 musculus rectus abdominis, and then it separated to lateral section with dull
technique, bleeding was taken care off.

IV.

Peritoneum parietal was opened topside and downside. When peritoneum was opened,
cairan peritoneum keluar and after liquor was clear, we could see the uterine

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gravidarum, and the 2 curavors were put inside the right and left abdomen cavity for
separating the uterine and the other organs.
V.

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 and babys head was seen.

VI.

The babys head was pulled-out with the help of mild pressure on the fundus uterine by
the assistance. Then delivered step by step head, front shoulder, back shoulder,
backward, trochanter anterior, trochanter posterior, breech and extremitas inferior.

VII.

The baby wasnt 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 handed over to
the pediatrician.

VIII.

The new born baby was delivered at P.M, with female gender, body weight birth 2200
gr, length birth 38 cm, Apgar Score 0/1, anal (+) and multiple congenital anomalies was
found.

IX.

Plasenta yang rapuh was completely born in manual, cavum uterine was cleaned from
the residual plasenta tissue with curattage. Bleeding was controlled. After that the
uterine tissue was sewed and over hecting with Vicryl cat gut no 1.

X.

Suture was done on lower segmen of uterine at two pole with Chromic cat gut no. 1
and then the miometrium tissue was suture by continue and overhecting.

XI.

Reperitonialization plica vesica uterine with Chromic cat gut no. 2.0 with continuous
suture.

XII.

Dilakukan tubektomi pada tuba kiri dan kanan.

XIII.

Then the curavor was pulled out from the abdomen cavity.

XIV. Before the abdomen cavity was sewed, it was been given cortisone into peritoneal
cavity.
XV.

After sure its no bleeding, abdomen cavity was closed layer per layer :
a. Peritoneum parietal was sewed basted with Plain cat gut no. 2.0 by continue.
b. M. Rectus abdominis was sewed simple with Chromic cat gut no. 2.0.
c. Fascia was sewed using continuous with Vicryl no. 1 by simple suture.
d. Subcutis was sewed with Plain cat gut no. 2.0 by simple suture.
e. Cutis was sewed with Monosyn no. 3.0 by subkuticuler.

XVI. Bleeding approximately 200 cc.

XVII. Cavum uterine was cleaned pervaginam.

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XVIII. The operation wound was cleaned with Nacl 0,9 % and then it was closed by sufratulle,
sterill cassa and hypafix.
XIX. The operation was finished.

The condition of patient post operation:

General Condition

: Mild Illness

Blood Pressure

: 120/0 mmHg

Pulse Rate

: 64 x/minute

Respiration

: 22 x/minute

Temperature

: 36 oC

Was it delivered to Department of Patology Anatomy :

Yes : Type of tissue ..........................................
No

Operator,

(Prof. dr. H.I.O Marsis, SpOG)

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