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No. MR

SURGERY REPORT

Nama : Mrs. Heni Sex : Female Age : 36 Years

Operator Prof. Dr. H.I.O Marsis, SpO Anest!eti" #r. $i#o#o, SpAn

Asisten #r. %atara, SpO Instr&mentator 'r. Nana

Asisten Melati Prati(i O)ser*er Da*i# err+ Simat&pang

S!eillai&sti

Pres&rgi"al Diagnose : Pol+"+sti" o*ar+ - se"on#ar+ infertilit+

Posts&rgi"al Diagnose : Psol+"+sti" o*ar+ )ilateral - &terine m+om -a#!esion

S&rger+ Date : &l+ /3r# 01/0

D&ration time of s&rger+ : 0 !o&rs

2e!ni&e of operation : 2+pe of s&rger+

/. H+steros"op+ 4 5mergen"+ 4 Minor

0. aparos"op+ Diagnosti" 7 aparos"op+ Operati*e 4 Poli8lini8 4 Me#i&m

3. %iops+ Elective Ma+or

Operation Pro"e#&res:

I. Patient (as a#ministrate# (it! general anest!esia in lit!otom+ position

II. Asepti" an# antisepti" (ere #one on a)#ominal regio an# its s&rro&n#ing #o(n to /73 proximal &pper leg

an# t!e operation fiel# (as limite# (it! sterile #oe8

III. 2!e !+steros"op+ #iagnosti" pro"e#&re as follo(e# :

/. Applie# sims spe"&l&m at anterior *agina. Anterior portio (as "lampe# (it! 8o!el tang at /0

!o&rs #ire"tion

0. Son#ation 9 "m anteflexi &terine

3. Dilate# "er*i"al "anal (it! !e#ger )&sion n&m)er 6,9,an# .

;. Insertion of !+stero"op+ to see t!e en#ometrial (all an# osti&m t&)ae intern&m #extra et

sinistra. Do exploration :

a. 2!e m&"osa of "a*&m &teri loo8e# pin8 (it! < /1 papila on its s&rfa"e.

). 2!e osti&m t&)ae intern&m #extra et sinistra: )&))le =->

". Fo&n# a mass in t!e "orp&s &terine, +ello( "olor, an# t!e #iameter is 0 "m.

?. @on"l&sion : Papila 5n#ometri&m an# M+oma terine.

6. Planning : laparos"op+ #iagnosti" an# laparo"op+ operati*e "ontin&e# (it! o*arian )iops+,

m+ome"tom+ an# mi"ro "&rretage.

IB. Operation pro"e#&res of laparos"op+ #iagnosti"7laparos"op+ operati*e follo(e# :

/. Patient ma#e in tre#elen)erg position or t!e !ea# lo(er t!an pel*i" area0. S8in on t!e left an# rig!t of &m)ili"&s (ere "lampe# &sing t(o #oe8 tiss&e "lampe# ma#e

in"ision < / "m )elo( t!e &m)ili"&s &sing s"alpel

03 63 63

O%S252CI@ AND IN5@OOY D5PAC25M5N2

%DHI AYA MO2H5C AND @HID HOSPI2A

. Dr. Sa!ar#o No. /01 a8arta Selatan /0E61

2elp. =10/> 0E0690, 3//900, 3/039Fax. 31/E1/

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3. A)#ominal (all (as lifte# an# t!e Berees nee#le inserte# into &m)ili"al area to intraperitoneal

spa"e

;. Pne&moperitone&m pro"e#&re or t!e a)#ominal "a*it+ is fille# (it! @O0 gas !elp mo*e

a)#ominal (all an# an+ organs o&t (a+, "reating a larger spa"e to (or8. Iin"ision < 1,? "m (as

ma#e on t!e rig!t ilioing&inal region &sing s"alpel, an# t!en t!e tro"ar (as inserte# into t!e

in"ion.

?. aparos"ope (as inserte# into t!e in"ision.6. ter&s (all, pel*i" "a*it+, o*aries, fallopian t&)es an# t!e a)#ominal "a*it+ (ere inspe"te#

=explore#> :

a. @orp&s &teri loo8s )igger t!an &s&al (it! pin8, slipper+ s&rfa"e, as )ig as a*o"a#o.

). Osti&m t&)e intern&m #extra et sinistra loo8s normal.

". O*arian #extra loo8s (!ite (it! sil8+ s&rfa"e, as )ig as egg.

#. O*arian sinistra loo8s (!ite (it! sil8+ s&rfa"e, as )ig as egg (it! a#!esion.

9. Ces&lt :

a. P@O

). M+oma teri

". A#!esion

. Planning :

Drilling an# rese"tion a part of left an# rig!t o*ari&m.

M+ome"tom+ of t!e &ter&s.

B. Operation pro"e#&res of laparos"op+ operati*e follo(e# :

/. 2!e met!+lene )l&e (as ine"te# to *agina into pel*i" "a*it+ to test t!e paten"+ of )ot! t&)e.

Ces&lt : 2!e t&)e is patent.

0. OD an# part of rese"tion of "+st of t!e left o*arian :

a. eft o*arian "+st (as "a&terie# an# separate# of t!e "+st

). Cese"tion &sing laparos"opi" s"issors to t!e o*ar+ left an# t!e "+st (as ta8en for t!e

Pat!ologi"al Anatom+ 5xamination

". 2!e rest of t!e left o*arian (as "a&terie# to stop )lee#ing

3. OD an# part of rese"tion of "+st of t!e rig!t o*arian :

a. Cig!t o*arian "+st (as "a&terie# an# separate# of t!e "+st

). Cese"tion &sing laparos"opi" s"issors to t!e o*ar+ rig!t an# t!e "+st (as ta8en for t!e

Pat!ologi"al Anatom+ 5xamination

". 2!e rest of t!e rig!t o*arian (as "a&terie# to stop )lee#ing

;. M+ome"tom+ of t!e &ter&s :

a. ter&s (as "a&terie# on t!e "orp&s &terine.

). Cese"tion &sing laparos"opi" s"issors to t!e &ter&s

". Fo&n# a !+alin #egenerati*e m+om an# m+om (as ta8en.

#. 2!e rest of t!e left &terine f&n#&s (as "a&terie# to stop )lee#ing

e. 2!e left &terine f&n#&s (as s&t&re# (it! G*+"rilG no.1

BI. A)#ominal "a*it+ (as!e# )+ C sol&tion still in tre#elen)nerg position an# s&"tioning.

BII. After "lean, patient in s&pine position, remo*e# all t!e tro"ar an# t!en laparos"ope.

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Operator,

=Prof. #r. H.I.O Marsis, SpO>