Name : Ny. Yustina Magdalena Sex : F Age: 37 Tahun

No. MR : 00 07 18 34

Operator : dr. Maruarar Panjaitan, SpOG

Asistant 1 : dr. Benhur / Natali

Anestetic: dr. Veronika Manurung, Sp. An

Asistant 2 : Arianny Eunike Coass : Anastasia Djaro / Sandana Sares

Instrumentator : Br.Firdaus

Pre-surgery diagnose : G4P2A1 36 weeks + Plasenta previa totally Surgery Date: 8 Januari 2016

Post Surgery diagnose : P3A1 Post sectio hysterectomy Duration time of surgery: 5 Jam 23 menit

Technique of operation:1. Sectio Caesaria 2. Hysterecttomy

Type of surgery :

Emergency Minor Policlinic Medium Elektive Mayor

Operation Procedures:

1.Patient was administered with general analgesia in supine position

2. Do asepsis and antisepsis, an incision pfanenstiel

3. After the peritoneum is opened, it appears uterus gravidarus with adhesions, freed,

look lower uterine segment

4. Installed Gaas sterile, plica vesico uterine slashed down semilunar and set aside.

5. The lower uterine segment semilunar slashed, slashed visible placenta, and

amniotic membranes are found, unbreakable, colored clear amniotic fluid,

6. By way meluksir head, a baby boy born with a birth weight of 2800 grams, length

46 cm, Apgar score of 7/9

7. The placenta implants in the lower uterine segment, covering the entire cervix

internum, was born with partial incision is attached to the lower uterine segment.

Bleeding a lot, sewn and tampon.

8. Uterine contractions are less good, given the additional methergin injection,

contraction is not good, there is bleeding from the placenta insersio then sewn and

ditampon.

BAG./ SMF OBSTETRI GINEKOLOGIFAKULTAS KEDOKTERAN / RUMAH SAKIT UMUMUNIVERSITAS KRISTEN INDONESIAJL. Mayjen Sutoyo No. 2 Cawang, Jakarta Timur 13630Telp.8099217 ext. 108 / 205

9. lower uterine segment is sutured two layers using vicryl.

10. It is believed there was no bleeding, uterine vesico done reperiotonisasi cords,

sterile Gaas released.

11. The anterior and posterior uterine walls sewn , ligament right fallopian tube is

sewn into the uterine stump

12. cleaned abdominal cavity , the abdominal wall is closed layer by layer , with

vicryl fascia , skin with chromic catgut 3.0 subkutikuler .

Doctors Operator ,

Tissue to Pathology of Anatomy :

Yes No

(dr.Maruarar Panjaitan, SpOG)