WEEKLY REPORT OF OBSTETRIC ROOM

EMERGENCY UNIT AND CEMPAKA WARD

CEMPAKA
EMERGENCY UNIT
OBSTETRI
NO CASES DECSRIPTION
NEW NEW
OLD CASE OLD CASE
CASE CASE
PRETERM PREGNANCY
1 - - 1 1
Subtotal
1.1. Preterm Premature Rupture of the membrane - - -
1.2. Preterm Antepartum Hemorrhage - - - -
1.3. Preterm Preeclampsia - - 1
1.4. Threatened Preterm Delivery - - - -
1.5. Medical Disorder - - - 1
1.6. Others - - -

1
 EMERGENCY UNIT CEMPAKA OBSTETRIC
NO CASES DESCRIPTION
NEW NEW
OLD CASE OLD CASE
CASE CASE
MODE OF DELIVERY
2 - - - -
Subtotal
2.1. Perabdominal
2.1.1 Caesarean Section - - - -
2.1.1 Laparatomy - - - -
2.2. Pervaginam
2.2.1 Normal Labor - - - -
2.2.2 Vacuum Extraction - - - -
2.2.3 Forcep Extraction - - - -
2.2.4 Bracht - - - -
2.2.5 Manual Aid - -
2.2.5.1 Total Extraction - - - -
2.2.5.2 Louvset Mauriceau - - - -
2.2.6 Cunam Mouzeaux - - - -
COMPLICATION
3 - - - -
Subtotal
3.1. Primary Postpartum Hemorrhage - - - -
3.2. Secondary Postpartum Hemorrhage - - - -
3.3. Puerperal Infection - - - -
3.4. Others - - - -
2
 WEEKLY REPORT OF GYNECOLOGY
EMERGENCY ROOM AND CEMPAKA WARD

IRD CEMPAKA GYN/OBS

NO CASES DESCRIPTION ICD X
NEW PREVIOUS NEW PREVIOUS

1 GYNECOLOGY INFECTION Subtotal - - - -

1.1. Upper Genital

1.1.1 PID Grade I N70.9 - - - -
1.1.2 PID Grade II/ATO N71.9 - - - -
1.1.3 PID Grade III N72 - - - -
1.1.4 Others - - - -
1.2. Lower Genital
1.2.1 Vulvitis N76.2 - - - -
1.2.2 Vaginitis N76.0 - - - -
1.2.3 Bartholinitis N75.8 - - - -
1.2.4 Bartholin Abcess N75.1 - - - -
1.2.5 Others - - - -

3
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS
GYNECOLOGY TUMORS
2 - - 7 4
Subtotal
2.1. Benign
2.1.1 Bartholin Cyst N75.0 - - - -
2.1.2 Cervical Polyp N84.1 - - - -
2.1.3 Uterine Myoma M889 - - 2 -
2.1.4 Solid Ovarian Tumor D27 - - 1 -
-
2.1.5 Ovarian Cyst N83.20 - - -
2.1.6 Hydatidiform Mole D39.1 - - - -
2.1.7 Adenomyosis D25.9 - - - -
2.2. Precancer Lesion - - 2 -
2.2.1 Cervical precancer lesion D06 - - 1 -
2.3. Malignant - - - -
2.3.1 Vulvar Carcinoma C51.9 - - - -
2.3.2 Vaginal Carcinoma C52 - - - -
2.3.3 Cervical Carcinoma C53.9 - - 1 3
2.3.4 Endometrial Carcinoma C54.1 - - - -
2.3.5 Fallopian Tube Carcinoma C57.0 - - - -
2.3.6 Ovarian Carcinoma C56 - - - 1
2.3.7 Trophoblastic M90 - - - -
2.4 Others - - -

4
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS
ENDOCRINOLOGY AND INFERTILITY
3 - - - -
Subtotal
3.1 Primary Amenorrhea N91.0 - - - -
3.2 Secondary Amenorrhea N91.1 - - - -
3.3 Primary Infertility N97.0 - - - -
3.4 Secondary Infertility N97.0 - - - -
3.5 AUB N93.9 - - - -
3.6 Others - - - -
EARLY PREGNANCY COMPLICATION
4 - - - -
Subtotal
4.1 Threatened Abortion O20.0 - - - -
4.2 Inevitable Abortion O07.9 - - - -
4.3 Incomplete Abortion O06.3 - - - -
4.4 Infectious Abortion O07.5 - - - -
4.5 Septic Abortion O07.5 - - - -
4.6 Ectopic Pregnancy O00.1 - - - -
4.7 Hyperemesis Gravidarum O21.1 - - - -
4.8 Dead Conceptus O02.1 - - - -
4.9 Blighted Ovum O02.0 - - - -
4.10 Others - - - -

5
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD IX NEW PREVIOUS NEW PREVIOUS
MINOR OPERATION GYNECOLOGY
5 - - - -
Subtotal
5.1 Biopsy O35.7 - - - -
5.2 Incision 70.1 - - - -
5.3 Excision 70.4 - - - -
5.4 Extirpation 70.29 - - - -
5.5 Uterine Evacuation 69.02 - - - -
5.6 Colposcopy 70.21 - - - -
5.7 IUD Extraction 97.71 - - - -
5.8 IUD Insertion 69.7 - - - -
OTHERS
6 - - - 2
Subtotal
6.1 Uterine Prolaps N81.2 - - - -
6.2 Unplanned Pregnancy O35 - - - -
6.3 IUD Translocation Z35 - - - -
6.4 Invertio Uteri O71.2 - - - -
6.5 Elongatio Colli N88.4 - - - -
6.6 Vagina Septa Q52.1 - - - -
6.7 Visum et Repertum Z03 - - - -
6.8 Other - - - 2

6
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N WAR PRE OP PLANNING OP DURA OPERA
AGE DATE DURING OPERATIVE FOUND OPERATIVE OR
O D DIAGNOSIS PROCEDURE PROCEDURE TION TOR
(PARITY) DIAGNOSIS
1. RAT, 46 16/3/ CGin Adenomyosis Total Abdominal Durante operation : Total Adenomyosis + 140 dr..BD IX
yo 21 + Myoma Hysterectomy – Ascites (-) Abdominal Myoma Minute A
(P2 – 20 Intraligament Bilateral Hysterectomy Intraligamentary s
yo) ary + Salpingo- Internal Genitalia Organ – Bilateral Post Total
Controlled oophorectomy evaluation : Salpingo Abdominal
19026286 Hypertension Uterus size/consistency ~14-16 Oophorectom Hysterectomy –
weeks y– Bilateral
Seen myoma intraligamentary, Adhesiolysis Salpingo
size 10x10 cm Oophorectomy –
Seen fallopian tube and ovary ~ Adhesiolysis
normal, adhered to myoma + Controlled
Hypertension
Internal Abdominal Organ
Evaluation:
Liver: sharp edge, smooth
surface, nodule (-)
Omentum : nodule (-)
Intestine : nodule (-)
Peritoneum : nodule (-)

Decided to perform Total

Abdominal Hysterectomy –
Bilateral Salpingo
Oophorectomy- Adhesiolysis 
PA

Bleeding ±200 cc
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
2. IND, 56 yo 16/3/21 Cgin Cervical Radical During operation found: Laparotomy Cervical 195 dr.STW IX
(P2-33 yo) Carcinoma Hysterectomy Ascites (-) Radical Carcinoma Minutes
Stage IB2 + – Bilateral Internal Genitalia Hysterectomy Stage IB2 Post
20027306 Post Salpingo- evaluation : – Bilateral Laparotomy
Chemotherap Oophorectomy Uterus size and Salpingo- Radical
y NAC Paxus – Bilateral consistency ~ normal Oophorectomy Hysterectomy
Carboplatin Pelvic Lymph Right and left tubes and – Bilateral – Bilateral
III Series Node ovaries ~ normal Pelvic Lymph Salpingo-
(18/09/20) Dissection Node Oophorectomy
Decided to do Radical Dissection – Bilateral
Hysterectomy – Bilateral Pelvic Lymph
Salpingo-Oophorectomy – Node
Bilateral Pelvic Lymph Dissection +
Node Dissection Post
Chemotherapy
Internal abdominal organ NAC Paxus
evaluation: Carboplatin III
Liver: smooth surface, Series
sharp edge, nodule (-) (18/09/2020)
Intestine: nodule (-)
Peritoneum: nodule (-)
Omentum: nodule (-)

Bleeding ± 1000 cc
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
3 PAD, 52 yo 17/3/21 Cgin Uterine Total Durante operation : Total Uterine 100 dr. BDA IX
(P2 – 21 Myoma Abdominal Ascites (-) Abdominal Myoma Post minutes
yo) Hysterectomy Hysterectomy Total
– Bilateral Internal Genitalia Organ – Bilateral Abdominal
00785497 Salpingooopho evaluation : Salpingooopho Hysterectomy
rectomy Uterus size/consistency ~ rectomy – Bilateral
16-18 weeks Salpingooopho
Seen right ovary and rectomy
fallopian tube ~ normal
Seen left ovary and
fallopian tube ~ normal

Decided to do total
abdominal hysterectomy –
bilateral
salpingoophorectomy
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
4 NUR, 38 yo 17/3/21 CGin Adenomyosis Supra Vaginal During operation found : Supra Vaginal Adenomyosis + 200 NAT III
(P1 – 12 + Right Hysterectomy Ascites (-), peritoneal wash Hysterectomy Right Minutes coached
yo) Endometriosi – Right (+)  Cytology PA – Right Endometriosis by
s Cyst Salpingo- Salpingo- Cyst Post dr. APW
20046491 oophorectomy Internal Genitalia Organ oophorectomy Supra Vaginal
– Adhesiolysis evaluation : – Adhesiolysis Hysterectomy
Uterus size and – Right
consistency ~ 14-16 weeks, Salpingo-
diffuse, seen multiple oophorectomy
endometriosis focus at – Adhesiolysis
fundus, posterior uterine
corpus. Seen addhesion gr
III at sacrouterine
ligament, posterior uterus
and rectum
Seen cystic mass size 10 x
10 cm, smooth surfaces,
sharp border, seems from
right adnexa, adhered to
right fallopian tube and
posterior uterine corpus 
release  rupture  seen
browny fluid  FZ
Left fallopian tube and
ovary ~ normal

FZ result:
Right Endometriosis Cyst
Peritoneal wash ~ unseen
malignancy cell
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
4 Internal Abdominal Organ
Evaluation:
Liver: sharp edge, smooth
surface, nodule (-)
Omentum: nodule (-)
Intestine: nodule (-)
Peritoneum: nodule (-)

Internal Abdominal Organ

Evaluation:
Liver: sharp edge, smooth
surface, nodule (-)
Omentum: nodule (-)
Intestine: nodule (-)
Peritoneum: nodule (-)

Decided to do Supra
Vaginal Hysterectomy –
Right
Salpingooophorectomy –
Adhesiolysis

Bleeding ± 200 cc
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
5 ERN, 38 yo 18/3/21 Cgin Cervical Total During Operation found: Total Cervical 170 dr. STW IX
(P3 – 9 yo) Intraepithelia Abdominal Ascites (-) Abdominal Intraepithelial Minutes
l Neoplasia III Hysterectomy- Hysterectomy- Neoplasia III
21006860 Bilateral Internal genitalia organ Bilateral post Total
Salpingectomy evaluation: Salpingectomy Abdominal
Seen Uterus Hysterectomy-
size/consistency ~ normal Bilateral
Seen right and left ovaries Salpingectomy
~ normal
Seen right and left
fallopian tube ~ normal

Decided to do Total
Abdominal Hysterectomy-
Bilateral Salpingectomy

Internal abdominal organ

evaluation:
-Liver : sharp edge,
smooth surface, nodule
(-)
-Omentum : nodule (-)
-Intestine : nodule (-)
-Peritoneum : nodule (-)

Bleeding ± 200 cc
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021
NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
6 MAR, 40 yo 18/3/21 Cgin Uterine Total Durante operation : Total Uterine 170 WIT IX
(P2 – 12 yo) Myoma and Abdominal Ascites (-) Abdominal Myoma+ Right Minute coached
Right Ovarian Hysterectomy Internal Genitalia Organ Hysterectomy Ovarian Cyst s by
01080764 Cyst + History – Right Evaluation : – Right Post Total dr. BYM
of Salpingectomy -Uterus size/consistency Salpingectomy Abdominal
Laparotomy ~14-16 weeks Hysterectomy
(Adenomyosi -Seen right fallopian tube – Right
s Resection + and ovary adhered to right Salpingectomy
Left posterior side of uterus  – Adhesiolysis
Salpingectom released  ruptured cyst +
y+  seen yellowish fluid History of
Adhesiolysis) -Seen anterior uterus Laparotomy
ec adhered to bladder and (Adenomyosis
Adenomyosis posterior uterus adhered Resection +
(08/07/19) + to ascending colon  Left
History of released  succeed Salpingectomy
Laparoscopy -Seen remnant of left + Adhesiolysis)
(Left fallopian tube ec
Oophorecto Internal Abdominal Organ Adenomyosis
my) ec Left Evaluation: (08/07/19)
Endometriosi -Liver : sharp edge, History of
s Cyst (2017) smooth surface, nodule (-) Laparoscopy
+ Controlled -Omentum: nodule (-) (Left
Hypertensive -Intestine : nodule (-) Oophorectomy
Heart Disease -Peritoneum : nodule (-) ) ec Left
(Stage I Endometriosis
Hypertension Cyst (2017)
) Controlled
Hypertensive
Heart Disease
(Stage I
Hypertension)
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021
NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
6 Decided to do Total
Abdominal Hysterectomy –
Right Salpingectomy –
Adhesiolysis
 WEEKLY REPORT CENTRAL OPERATING
ROOM
March 15 2021 – March 19th 2021
th

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERAT
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION OR
(PARITY) DIAGNOSIS
7 NUR, 38 yo 19/3/21 Cempa Solid Ovarian Unilateral During Operation found: Total Ca Ovarium std 200 GIW IX
(P0- ka Tumor dd Salphyngo- Ascites (-)  peritoneal Abdominal II post Total Minutes coached
married) Intra Oophorectomy smear (+)  PA Hysterectomy - Abdominal by
Abdomen – Frozen Bilateral Histerectomy - dr. STW
20025887 Mass Sectiom + Join Internal genitalia organ Salphyngooop Bilateral
+ Post Op Urologi URS evaluation: horectomy - Salphyngoooph
laparotomy DJ Stent -Seen mass size 25x25 cm, Omentectomy orectomy -
(2010 & clear border, smooth - Adhesiolysis Omentectomy -
2012) surface, attached to Adhesiolysis
+ Right uterine, left and right + Post URS DJ
moderate adnexa, colon descendent stent D et S ec
and left mild and rectosigmoid colon bilateral
hydronephro (grade III adhesion)  Hydronephrosis
sis adhesiolisys  succeeded + Post Repair
-Uterine can not be Ureter
evaluated + Post repair
-Ovary, left and right can anastomose
not be evaluated colon
-Decided to do mass descendent
resection  FZ with stapper ec
-FZ result : rupture colon
-Histopathology showed + Post
carcinoma Laparotomy
-Peritoneal swab : (2010 & 2012)
malignant cell (-)
- Decided to do TAH- BSO-
Omentectomy
 WEEKLY REPORT CENTRAL OPERATING ROOM
March 15th 2021 – March 19th 2021

NAME, POST
N PRE OP PLANNING DURING OPERATIVE OP DURA OPERATO
AGE DATE WARD OPERATIVE OR
O DIAGNOSIS PROCEDURE FOUND PROCEDURE TION R
(PARITY) DIAGNOSIS
7
Intra abdominal organ
evaluation :
-Hepar : sharp edge,
smooth
-surface, nodule (-)
-Lien : nodule (-)
-Omentum : nodule (-)
-Intestine : seen
perforation at colon
descendent, nodule (-)
-Ureter : seen DJ stent at
left and right ureter .

Internal abdominal organ

evaluation:
-Liver : sharp edge,
smooth
surface, nodule (-)
-Omentum : nodule (-),
decided to do
omentectomy
-Intestine : nodule (-)
-Peritoneum : nodule (-)

Bleeding ± 1300 cc