Operating Theatre Report

October 16-21th, 2015

Reporting
3 Procedures :
2 c-section
1 laparatomy diagnostic

Procedure

Caesarean
Section

No

Case

Triawa

Due to Previous c-section 1x,

thin Lower uterine segment

Outcome

Male , 2900 gram, 48 cm, A/S 8/9

BS 38-40 wga
Clear amniotic fluid
Placenta born completely

Mrs. S, 35 y.o
G3P2 38 WGA, singleton live
head presentation, previuos csection 1x, interdelivery time 3
years, thin LUS, not in labor

FP : tubectomy pomeroy

Now mother and baby are in good

condition, already discharge

Procedure

Caesarean
Section

No

Case

Triawa

Due to HIV on ARV ( 22 days )

Mrs. S, 31 y.o
G3P2 38 wga, singleton live head
presentation, HIN on ARV, not in
labor

Outcome

girl, 2700 gram, 50 cm, A/S 8/9

BS 38-40 wga
Clear amniotic fluid
Placenta born completely
FP : tubectomy pomeroy

CD 4 : 336

Now mother and baby are in good

condition, already discharge

Procedure

N
o

laparatomy
eksplorative

Case

Outcome

Triawa

Mrs. DA, 36 y.o, P0

MR 00045255

Chief Complaint:
Abdominal pain since 4
months ago
Pre-op diagnosis:
Pelvic pain, oligomenorrhae
ec susp endometriosis cyst,
adenomyosis
Post-op diagnosis:
Pseodocyst, adenomyosis,
adhesion internal genitalia

Patient was under spinal anesthesia

A and antiseptic procedure was performed
Mediana incision until 2 finger under navel
After peritonium was opened found enlarged uterine
Enlarged right adnexa size 10x6 cm ~ pseodocyst adhesion
with omentum
Found posterior corpus adhesion with recto sigmoid
adesiolysis
Both ureter identification
Performed adheiolysis at right psedocyst brooke and
came out black fluid ~ susp DOR
Left ovary unvisualize
Not performed adenomyosis resection
Abdominal cavity was rinsed with NaCl 500 cc
Ensure there was no bleeding
The procedure was done
Intra operative bleeding was 400 cc, urine 100 cc clear

Now patient in good condition already discharge

Procedure

N
o

laparatomy
eksplorative
Adhesiolysis
omentectomy

Case

Outcome

Triawa

Mrs. RG, 68 y.o, P0

MR 00057362

Chief Complaint:
Abdominal mass since 4
months ago
Pre-op diagnosis:
Neoplasm ovarian cyst susp.
malignancy
Post-op diagnosis:
Ovarian cancer stadium IIIb
+ adhesion with sigmoid
and metastases to liver

Patient was under spinal epidueal anesthesia

A and antiseptic procedure was performed
Mediana incision until 2 finger above navel
After peritonium was opened found asites take 20 cc sent to
PA, total asites fluid 3500 cc
On eksploration found omental cake omentectomy
Found mass severe adhesion with colon try to performed
adhesiolysis
Did Consultation to digestive division but the operator was
have operation
Decided to performed chemotheraphy
Perform drain insertion
Abdominal wall was closed layer by layer
Ensure there was no bleeding
The procedure was done
Intra operative bleeding was 400 cc, urine 100 cc clear

Now patient in good condition in the ward

Procedure

N
o

Laparatomy
adhesiolysis,
drainage, and
biopsy tuba
ovarial abses

Case

Outcome

Triawa

Mrs. DA, 44 y.o, P0

MR 00035647

Chief Complaint:
Abdominal pain since 4
months ago
Pre-op diagnosis:
Adenomyosis and bilateral
ovarian cyst

Patient was under spinal anesthesia

A and antiseptic procedure was performed
Mediana incision until 2 finger under navel
After peritonium was opened found severe adhesion with
colon performed adhesiolysis
Found left ovary was enlarged performed incision came out
yellowish fluid ~ pus suction 20 cc sent to PA
Performed biopsy on left ovarial tube
Drainage was inserted
Ensure there was no bleeding
Abdominal wall was closed layer by layer
The procedure was done
Intra operative bleeding was 200 cc, urine 100 cc clear

Post-op diagnosis:
Left tuba ovarial abses
Now patient in good condition in the ward