Laporan Ok Agustus 2021

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WEEKLY OK BEDAH SARAF AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR OBSERVER BIMBINGAN
DOC DT MODERATE COMMUNICATING
HYDROCEPHALUS+POST BURRHOLE
VENTRICULOSTOMY + INSERSI EVD KOCHER D +
23/08/2021 AN. ABRYAN P 8 BLN 11515863 KULTUR ANALISA LCS (17/8/2021)+RESPIRATORY VP SHUNT KOCHER D FAR FAR
FAILURE DT PNEUMONIA + MODERATE
ARDS+MILD HIPONATREMIA + MILD
HIPOALBUMINEMIA
INTRAAVENTRICULAR MULTILOCULATED
ENDOSCOPIC CYST FENESTRATIONS,
ARACHNOID CYST + HYDROCEPHALUS +
ETV, VP SHUNT KOCHER DEXTRA LOW
25/08/2021 AN. MUH ILHAM L 1 TH 11494163 MALFUNGSI SHUNT + ASD SEKUNDUM SEDANG TAL FAR
PRESS, DAN AFF VP SHUNT KEEN
L-R SHUNT + VSD PMO SEDANG, L-R SHUNT +
DEXTRA
HIPERTENSI PARU SEDANG
NY.THERESIA CVA ICH CAPSULA EXTERNA (S) 6,6CC +
24/08/2021 P 69 TH 11390994 VP SHUNT KOCHER D TAL TAL
ENDANG TRI HYDROCEPHALUS + HT ST II
WEEKLY OK BEDAH ANAK AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
TEF TIPE C WATERSTONE B +
NEONATAL PNEUMONIA +
19/08/2021 BY.NY.ZUNI FATMAWATI L 5HR 11515746 ESOFAGOSTOMY WID GIR YAR BIMBINGAN
RESPIRATORY FAILURE + POST
GASTROSTOMY

LOW LEVEL BOWEL OBSTRUCTION


19/08/2021 BY NY DHIKA L 38HR 11514784 EC SUSP HIRSCHSPRUNG'S DISEASE SIGMOIDOSTOMY WID GIR YAR
+ACHALASIA 1/3 DISTAL GEJ

LOW LEVEL BOWEL


OBSTRUCTION EC SUSP
20/08/2021 BY NY DHIKA L 38 HARI 11514784 HIRSCHSPRUNG'S DISEASE SIGMOIDOSTOMY (Z48.815) WID GIR YAR
+ACHALASIA 1/3 DISTAL
GEJ
UDT S+PHIMOSIS KIKIROS
24/08/2021 AN. SYAFIF ARDIANSYAH L 2 TH 11502358 GRADE III+HIL D POST SIRKUMSISI LIK GIR YAR
HERNIOTOMY
LOW LEVEL BOWEL
OBSTRUCTION OK SUSP
HIRSCHPHRUNG'S
DISEASE+NEONATAL
BY. NY. TRYA WAHYUNING
25/08/2021 P 7 HARI 11512376 PNEUMONIA (PERBAIKAN) RECTAL SUCTION BIOPSY (48.24) LIK GIR YAR
LESTARI
+COMPLETE
AVSD+PDA+MALPOSISI
ARTERI BESAR+HT
PULMONAL DT
LAPAROTOMI SEDANG
HERNIA
INCARCERATA+PNEUMONIA
(PERBAIKAN)
+HIPONATREMIA DEBRIDEMENT (86.22)+ RE-
25/08/2021 AN. MOH. ULUL AZMI L 22 BLN 11513862 WID GIR YAR
(TERKOREKSI)+ACUTE MODIFIED BOGOTTA BAG (54.3)
LIVER INJURY+GIZI BURUK
MARASMUS+SEPTIC
CONDITION (PERBAIKAN)
TEF TYPE C WATERSTONE
TYPE B+PREMATUR /
BBLR+DEXTROCARDIA+LAT
BY. FARHAN ABQORY E ONSET
26/08/2021 L 19 HARI 11515893 ESOFAGOSTOMY (42.23) LIK GIR YAR
ZHAFAR SEPSIS+NEONATAL
PNEUMONIA+HIPERBILIRUBI
NEMIA INDIREK+POST
GASTROSTOMY (18/8/2021)
BURST ABDOMEN POST
EXPLORASI LAPAROTOMY +
ILEOSTOMY+POST
DEBRIDEMENT + MODIFIED
26/08/2021 AN. MOHAMMAD RIZKY L 10 TH 11516059 MODIFIED BOGOTTA BAG LIK GIR YAR
BOGOTTA BAG
(20/08/2021)+NON HODGKIN
LYMPHOMA
INTRAABDOMEN
WEEKLY OK BEDAH UROLOGI AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
LEFT MULTIPLE MEDIAL-
DISTAL URETERAL STONE +
RIGHT DISTAL URETERAL
TN. SONY CYSTOSCOPY (57.32) +
20/08/2021 L 57 TH 11515733 STONE + HT ST II ON PNT HAM GAB BIMB
PRIBADI BILATERAL URS (56.0)
TREATMENT + BILATERAL
MILD HYDRONEPHROSIS +
CKD ST V ON HD + ANEMIA

FOURNIER GANGRENE POST


23/08/2021 TN.YUNUS L 53 TH 11515273 DEBRIDEMENT NECROTOMY + DELAYED PRIMARY CLOSURE PAS WAL
DM TYPE II + SEPSIS

BILATERAL DJ STENT INSITU


(Z96.0) + HT ST I (I10) + MIXED
NY. SITI OVARIAL TUMOR (C56.9) + BILATERAL DJ STENT
24/08/2021 P 61 TH 11495577 PNT HAQ
MUZAYANAH MYOMA UTERI POST SVH REMOVAL (97.62)
(D25.9) + BSO (Z90.722) +
ADHESIOLISIS (K66.0)

PHIMOSIS KIKIROS GR II
AN. ALFARIZI DWI
25/08/2021 L 10 TH 11361331 (N47.1) + HEMOPHILIA A CIRCUMCISION WITH GA (64.0) DAN BUM
SAPUTRA
(D68.311)
GR V (S37.9) + LEFT
PERIRENAL HEMATOME
(S35.019A) + LEFT RENAL LEFT PERIRENAL
PSEUDOANEURISMA PERCUTANEOUS DRAINAGE
AN. ACHMAD
25/08/2021 L 15 TH 11361331 INFERIOR SEGMENTAL (55.92) I.N. NEPHRECTOMY PAS WAL
NOVAL RIZAL
ARTERY POST (55.4)
SUPERSELECTIVE
EMBOLIZATION (I72.2) +
HEMATURIA (R31.9) +
PHIMOSIS KIKIROS GR II
AN. ALFARIZI DWI BUM
26/08/2021 L 10 TH 11361331 (N47.1) + HEMOPHILIA A CIRCUMCISION WITH GA (64.0) DAN
SAPUTRA
(D68.311)
WEEKLY OK BEDAH ONKOLOGI AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
SUSP SPINDLE CELL MESENCHYMAL
OPEN BIOPSY (01.15)
23/8/2021 NY. TIAJAH P 70 TH 11509285 TUMOR REGIO PARIETOOCCIPIAL D MBB AFO ATA
GXT3N0M0 (C49.9)
TUMOR MAMMA S SUSP GANAS
23/8/2021 NY. SRI MALICHAH P 48 TH 11512199 OPEN BIOPSY(85.11) WB AFO ATA
T4CN3M1 (LIVER)(C50.9)

CA MAMMA D T4BN1M0 TNBC + POST


24/8/2021 NY.RUMIATIN P 67 TH 11497798
CAF 6X PARTIAL RESPONSE (C50.9)
MRM D K/P SKIN GRAFT (85.25) (86.6) MBB ATA AFO ATA

PHYLLOIDES BORDERLINE
25/6/2021 NY. HANA P 38 TH 11497798 MASTECTOMY S + STSG (85.41) (86.6) MBB AFO ANA
MALIGNANCY MAMMA S T3N0M0(D24.2)

TUMOR MAMMA D SUSP GANAS


26/8/2021 NY. DARTI P 53 TH 11512866
T4BN1M0 (C50.9)
OPEN BIOPSY (85.11) WB LIA AFO LIA
TUMOR COLLI D DT SUSP NHL DD
26/8/2021 TN. ENGGAR EKO L 36 TH 11510762 OPEN BIOPSY (40.11) WB ATA LIA
HL(C81.91)
WEEKLY OK BEDAH ORTHOPEDI AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
SDR. WISNU ARI L 19 TH 11515726
CF MIDDLE SHAFT R HUMERUS P-S HUMERUS (78.05) YDI DRA DIR BIMB
(S72.14)
20/8/2021 SDR. WISNU ARI L 19 TH 11515726 CF MIDDLE SHAFT R HUMERUS (S72.14) P-S HUMERUS (78.05) YDI DRA DIR
CF L TIBIAL PLATEAU SCH V (S72.8) + ORIF P-S TIBIA PLATEAU + ILLIAC
23/8/2021 TN.ROBERT ARTHUR L 52 TH 11515866
CF L HEAD FIBULA (S82.4) BONE GRAFT (79.30)
PST GIN
WIDE EXCISION R DISTAL RADIUS
24/8/2021 TN.STEPHAN L 23 TH 11514528 GCT R DISTAL RADIUS(C41.8) +WRIST RECONSTRUCTION WITH PER-TMS SUB LEY
FIBULAR GRAFT (84.51)

ANEURYSMAL BONE CYST L SCREW TIBIAL PLATEAU + SCREW


25/8/2021 TN.WIBOWO L 26 TH 11508652
PROXIMAL FEMUR (C41.1) INSERTION TIBIAL SPINE (79.30)
PER RYC

CF R TIBIAL PLATEAU SCH I (S72.8)+


SCREW TIBIAL PLATEAU + SCREW
25/8/2021 AN. RAHMAT DANIEL L 15 TH 11516199 AVULSION FRACTURE R TIBIAL SPINE
INSERTION TIBIAL SPINE (79.30)
RIS BIM
MEYER III (S82.11)
PROTECTIVE+CF MIDDLE SHAFT L
CLAVICLE (S02.4)+PELVIC RING
INJURY MIXED TYPE (S32.810A)
+CLOSED DEGLOVING GLUTEUS
(S31.809A)+POST DEBRIDEMENT + DEBRIDEMENT + EVALUASI SKIN
26/8/2021 NN. TASYA P 13 TH 11510940 NPWT (23/07/2021)+POST GRAFT K/P STSG (86.22)+REMOVE RIS-ARV TOS OKA
DEBRIDEMENT + NPWT EXTERNAL FIXASI PELVIS
(29/07/2021)+POST DEBRIDEMENT +
NPWT (03/08/2021)+POST
DEBRIDEMENT + SKIN GRAFT + NPWT
(10/08/2021)+POST DEBRIDEMENT +
PATHOLOGICAL FRACTURE AT LEVEL DEBRIDEMENT (86.22) +
VERTEBRAE THORACAL VIII - LUMBAR DECOMPRESSION (03.09) +
TN. HASAN BISRI P 37 TH 11511580 I FR. D DT SUSP. SPONDYLITIS TB VERTEBRAL OSTEOTOMY (84.8) + SAG RAS
WITH KYPHOTIC DEFORMITY & POSTERIOR INSTRUMENTATION
PARAVERTEBRAL ABCESS (M49.04) (81.00)
WEEKLY OK BEDAH TKV AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
19/08/2021 NY. JUWARAH P 63 TH 11456308 CKD ST V ON HD + HT ON TREATMENT AV SHUNT ARI KEN

21/8/2021 NY. JUWARAH P 63 TH 11456308 CKD ST V ON HD + HT ON TREATMENT AV SHUNT ARI KEN

CKS 345 - ON SEDASI + SDH FTP S + SAH + EDEMA CEREBRI + CONTUSIO


PULMONUM + FR. FRONTOZYGOMA S + OPEN WOUND REGIO FRONTAL + OPEN
21/8/2021 NY. PATUKAH P 79 TH 11515519 TRACHEOSTOMY ARI KEN
WOUND REGIO SUPRAORBITA D POST DEBRIDEMENT PRIMARY HECTING + CF
DISLOCATION R GH JOINT + UREMIC ENCEFALOPATI + PROLONG VENTILATOR

CKD ON STAGE V ON HD (N18.9) + HT ST II ON TREATMENT + DM TYPE II ON


23/8/2021 TN. M. YASIN L 52 TH 11509320 AV SHUNT SUS KEN
TREATMENT

24/8/2021 NY.SUTIANI P 55 TH 1302230 CKD ST V ON HD AV SHUNT EIR KEN

26/8/2021 TN. ADRI INDRA L 39 TH 11484181 CKD ST V ON ROUTINE HD + HT ON TREATMEN + DM ON TREATMENT AV SHUNT (39.42) ARI KEN

26/8/2021 NY. ZULFIKAR L 34 TH 11507095 CKD ST V ON ROUTINE HD + HT ON TREATMEN AV SHUNT (39.42) ARI KEN
WEEKLY OK BEDAH PLASTIK AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER
FULL THICKNESS ELECTRICAL BURN INJURY 10%(RS3%) REGIO
KEPALA, PUNGGUNG DAN EXTREMITAS INFERIOR D/S EC HIGH
19/08/2021 TN. PAIMAN L 35TH 11512175 VOLTAGE ELECTRICAL + CF PROCESSUS SPINOSUS VERT. SKIN FLAP WMA RAF OKA
CERVICAL IV ASIA E + POST DEBRIDEMENT + BONE CHIPPING
(30/7/2021)

FULL THICKNESS ELECTRICAL BURN INJURY


10%(RS3%) REGIO KEPALA, PUNGGUNG DAN
EXTREMITAS INFERIOR D/S EC HIGH VOLTAGE
20/08/2021 TN. PAIMAN L 35 TH 11512175 SKIN FLAP WMA RAF OKA
ELECTRICAL + CF PROCESSUS SPINOSUS VERT.
CERVICAL IV ASIA E + POST DEBRIDEMENT +
BONE CHIPPING (30/7/2021)
DM TYPE II (E11.0)+MILD HYPONATREMIA (134)
(E87.1)+HYPOKALEMIA (2,75) (E87.6)+POST
DEBRIDEMENT (24/07/2021) +POST
DEBRIDEMENT + NPWT (26/07/2021)+POST REDEBRIDEMENT (86.22) +
23/08/2021 NY. NUR WAHYUTI P 33 TH 11514281 WMA RAF IFA
DEBRIDEMENT + NPWT (01/08/2021)+POST SKINGRAFT (86.63)
DEBRIDEMENT + NPWT MODIFIKASI
(06/08/2021)+POST DEBRIDEMENT + EVALUASI
NPWT (12/08/2021)
SKIN LOSS R. PALPEBRA INFERIOR S
(S01.109)+OPEN WOUND R. SUPRA ORBITA
S+OPEN WOUND R. MENTAL+MULTIPLE VULNUS
SDR.SANDRA TUTUP DEFEK DENGAN SKIN
24/08/2021 L 16 TH 11515847 ABRATIO AT L SHOULDER, R ELBOW, R & L ARV RAF OKA
KUSDIANTORO FLAP (86.67)
FOREARM, L WRIST, R & L HAND, R & L
KNEE+POST DEBRIDEMENT + PRIMARY HECTING
GA + NEKROTOMI (16/08/2021)
CRUSH INJURY R THIGH POST DEBRIDEMENT,
EXTERNAL FIXATION (28/7/2021) (S77.11XA)+OF R
TIBIAL PLATEAU SCH I GR IIIB (S82.12)+OPEN
SKIN DEGLOVING POST DEBRIDEMENT DEBRIDEMENT (86.22) + SKIN
25/08/2021 TN. SETIA L 35 TH 11514388 WMA RAF OKA
(28/7/2021) (S79.829A)+CF PROXIMAL SHAFT R GRAFT (86.67)
FIBULA POST BACKSLAB (M84.463A)+POST
DEBRIDEMENT + NPWT (04/08/2021)+POST
DEBRIDEMENT (22/08/2021)
SIGMOIDOSTOMY PROTECTIVE+CF MIDDLE
SHAFT L CLAVICLE (S02.4)+PELVIC RING INJURY
MIXED TYPE (S32.810A)+CLOSED DEGLOVING DEBRIDEMENT + EVALUASI
GLUTEUS (S31.809A)+POST DEBRIDEMENT + SKIN GRAFT K/P STSG
26/08/2021 NN. TASYA P 13 TH 11510940 RIS-ARV TOS-OKA
NPWT (23/07/2021)+POST DEBRIDEMENT + NPWT (86.22)+REMOVE EXTERNAL
(29/07/2021)+POST DEBRIDEMENT + NPWT FIXASI PELVIS
(03/08/2021)+POST DEBRIDEMENT + SKIN GRAFT
+ NPWT (10/08/2021)+POST DEBRIDEMENT +
BIMBINGAN

BIMBINGAN
WEEKLY OK DIGESTIVE AGUSTUS 2021

TANGGAL NAMA JK UMUR REGISTER DIAGNOSIS RENCANA TINDAKAN DPJP OPERATOR ASISTEN OBSERVER BIMBINGAN
CKD STAGE 5 + HF ST C FC II + HEPATITIS C
19/08/2021 NY RINI HARIATI P 55TH 11515664 CAPD ARI KEN
INFECTION
CKD STAGE 5 + HF ST C FC II + HEPATITIS C
20/9/2021 NY RINI HARIATI P 55 TH 11515664 CAPD HER AMI/FON/NAY BIMB
INFECTION
23/8/2021 TN.HERMAWAN L 41 TH 11515894 HIL D RESIDIF POST INKARSERATA REPAIR HERNIA WAN EGA/HUD AMI
TN. JOHANES DRAINAGE ABCESS DENGAN
23/8/2021 L 39 TH 11516135 LIVER ABSCESS + MODERATE CHOLANGITIS WAN HUD
SIREGAR GUIDING USG
25/8/2021 NY. TITIT P 50 TH 11510726 POLIP GALLBLADDER (K82.4) OPEN CHOLECYSTECTOMY (51.2) HER EGA/NAY BIMB
TUMOR CAECUM SUSP GANAS T2N0M0 +
26/8/2021 NY.ANIS ERNA P 47 TH 11516128 HEMICOLECTOMY D (45.73) ARS HUD/NAY BIMB
HIPOALBUMINEMIA

TN. ALDI COLOSTOMY STATUS POST LAPAROTOMY


26/8/2021 L 17 TH 11486940 COLONOSCOPY BIOPSY (45.23) ARS
MUGHROBI DT SUSP HIRSCHSPRUNG DISEASE

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