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No. MR

SURGERY REPORT

Nama : Mrs, Vonny Asima Sex : Female Age : 38 YearsOperator Prof. Dr. .!.O Marsis, SpO" Anest#eti$ %r. &i%o%o, SpAnAsisten %r. 'e(a !nstr)mentator

O*ser+er o*y a%inataDanisa &i-ayanti

Pre s)rgi$al Diagnose : Pro /D/O e.$ a%enomyosis 0 rig#t o+arian $yst

Post s)rgi$al Diagnose : S)rgery Date : Mar$ 12 t# 1 24D)ration time of s)rgery :4 #o)rs5 26. 7 1 .

e#ni9)e of operation : ype of s)rgery2. /aparos$opy Diagnosti$ an% Operati+e ;mergen$y Minor

1.A%#esiotomy Polias a%ministrate% >it# general anest#esia in lit#otomy position

!!. Do>er $at#eter >as inserte% into external )ret#ral orifi$i)m

!!!. Asepti$ an% antisepti$ >ere %one on a*%ominal regio an% its s)rro)n%ing %on to 2?3 proximal )pper leg

an% t#e operation fiel% >as limite% >it# sterile %oe<

!V. Operation pro$e%)res of laparos$opy %iagnosti$ follo>e% :

a. Patient ma%e in tre%elen*erg position or t#e #ea% lo>er t#an pel+i$ area

*. Sere $lampe% )sing t>o %oe< tiss)e $lampe%

$. Ma%e in$ision @ 2 $m *elo> t#e )m*ili$)s )sing s$alpel

%. A*%ominal >all >as lifte% an% t#e Verees nee%le inserte% into )m*ili$al area to intraperitoneal

spa$e

e. Pne)moperitone)m pro$e%)re or t#e a*%ominal $a+ity is fille% >it# =O1 gas #elp mo+e

a*%ominal >all an% any organs o)t >ay, $reating a larger spa$e to >or< in

f. !n$ision @ , $m >as ma%e on t#e rig#t ilioing)inal region )sing s$alpel, an% t#en t#e tro$ar

>as inserte% into t#e in$iion

g. !n$ision @ , $m >as ma%e on t#e left ilioing)inal region )sing s$alpel, an% t#en t#e tro$ar >as

inserte% into t#e in$ision

#. /aparos$ope >as inserte% into t#e in$ision

i. Bter)s >all, pel+i$ $a+ity, o+aries, fallopian t)*es an% t#e a*%ominal $a+ity >ere inspe$te%5explore% :

OCS ; '!= AND "!N;=O/O"Y D;PA' ;M;NCBD ! AYA MO ;' AND = !/D OSP! A/

/. Dr. Sa#ar%-o No. 21 a

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2. Fallopian t)*e on left si%e an% rig#t si%e looit# t#e a*%ominal >all,

*o>el, an% pel+i$.

1. Bter)s is lo$ate%anteflexion an% looall, *o>el, an% pel+i$.

-. 'es)lt :A%#esion of t#e left an% rig#t o+arianCro>n =yst of t#e rig#to+arian

Pse)%o$yst of t#e left o+ariane% :

a. !n$ision of t#e left o+arian :

2. /eft o+arian >as $a)teri(e%

1. 'ese$tion )sing laparos$opi$ s$issors to t#e left o+ary an% >as taas $a)teri(e% to stop *lee%ing

*. Ciopsy of $yst of t#e rig#t o+arian :2. 'ig#t o+arian $yst >as $a)teri(e% an% separate% of t#e $yst

1. 'ese$tion )sing laparos$opi$ s$issors to t#e o+ary rig#t an% t#e $yst >as taas $a)teri(e% to stop *lee%ing

V!!. a*%ominal $a+ity >as#e% *y '/ sol)tion still in tre%elen*nerg position an% s)$tioning.

V!!!.in-e$te% 2 $$ of $ortison

!G. after $lean, patient in s)pine position, remo+e% all t#e tro$ar an% t#en laparos$ope

G. Patient in s)pine position an% t#ree #oles in $)tis >as se>e% *y simple >it# HProleneI no.3.

G!. #e operationn >o)n% >as $leane% >it# Na=/l ,EJ an% t#en it >as $lose% *y s)frat)lle sterill $assa #ipafix

G!! Asepti$ an% antisepti$ at external genital region

G!! #e +agina >as $leane%

G!V #e sanple sen% to pat#ologist anatomy for t#e f)rt#er %iagnosti$

GV. #e operation finis#e%

#e $on%ition of patient post operation:

"eneral $on%ition : /oo< mil% si$<

=ons$io)ness : =ompos Mentis

Cloo% press)re : 22 ?8 mm g

P)lse rate : 84 x?min)te

'espiration : 16 x?min)te

emperat)re : 3 ,2 o=

iss)e to Pat#ology of Anatomy :

Yes : Date, Mar$# 12 t# 1 24

ype of tiss)e :

=yst of t#e rig#t o+arian No

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Operator,

5Prof. %r. .!.O Marsis, SpO"