No.

MR

M6D .AL FA.;L5Y OF .H< S5 AN ;N 96<S 5Y OF NDON6S A "6N6<AL HOSP 5AL D6PA<5M6N5 OF O(S565<Y AND " N6.OLO"Y =L. May7e# S)toyo No. , .a-a#g! =a3arta 5im)r '3>30 5elp.?022,'@ ext. '0? 8 ,0A

SURGERY REPORT Nama : Mrs. Lesty Novita Sex : Female Operator Prof. Dr. H. .O Marsis! SpO" A#est$eti% Asiste# ' &r. (e#$)r Si*)ea #str)me#tator Asiste# , Ay) Saras-ati O*server Pre0s)rgi%al Diag#ose : .esarea# Se%tio# *y re1)est at 32 -ee3s gestatio# i# ",P'A0 Post0s)rgi%al Diag#ose : So%ial %a)se 5e$#i1)e of operatio# : '. Se%tio %aesarea tra#s perito#eal prof)#&a ,. 3. Age : 30 Years &r. "a#&a! SpA# +r. Natal Piolitta .yre#ia /i#&yastari

S)rgery Date : Mar%$ ''t$ ,0'4 D)ratio# time of s)rgery : ' $o)r 5ype of s)rgery 6merge#%y Mi#or Poli%li#i% Me&i)m 6le3tive Mayor

Operatio# Pro%e&)res:
. . . 9. Patie#t slept i# s)pi#e positio# -it$ spi#al a#astesia Applie& i#si&e t$e &o-er %atet$er Asepti% a#& a#tisepti% o# a*&ome# a&7a%e#t regio )#til '83 proximal )pper leg a#& t$e operatio# fiel& -as limite& -it$ steril &oe3 Ma3i#g &ire%t i#%isio#! t$e i#%isio# -as ma&e &eeper slie%e *y slie%e from %)tis! s)*%)tis! fas%ia m)s%)l)s re%t)s a*&omi#is! a#& t$e# it separate& to lateral se%tio# -it$ &)ll te%$#i1)e! *lee&i#g -as ta3e# %are off. 9. Perito#e)m parietal -as ope#e& tipsi&e a#& &o-#si&e so -e %a# see )teri#e gravi&ar)m! a#& t$e , %)ravor -ere p)t i#si&e t$e rig$t a#& left a*&ome# %avity for seperati#g t$e )teri#e a#& t$e ot$er orga# 9. 5ra#sversal i#%isio# -as ma&e o# lo-er segme#t of )ter)s! exte#& to rig$t a#& left )#til -e %a# sa- li1)or Am#ii mem*ra# a#& t$e# t$e operator *roo3 t$e li1)or am#ii mem*ra#! li1)or am#ii -as %lear. 5$e *a*y:s $ea& $as #ot e#tere& t$e pelvi% i#let yet 9 . (a*y:s $ea& -as p)lle& o)t -it$ )si#g for%eps a#& -it$ mil& press)re o# t$e f)#&)s )teri#e *y assista#%e. 5$e# &elivere& step *y step $ea&! fro#t s$o)l&er! *a%3 s$o)l&er! *a%3-ar&

tro%$a#ter a#terior! tro%$a#ter posterior! *ree%$ a#& extremitas i#ferior -as &elivere& -it$ a sort )m*ili%al %or& %oil atta%$e& to t$e *a*y:s #e%3 9 . C. C. 5$e *a*y -as %ryi#g! )m*ili%al %or& -as %lompe& o# , pla%e B A %m a#& @ %m from t$e )m*ili%al %or&! t$e# it -as %)t *et-ee# , %lamp a#& t$e *a*y -as &elivere& to peri#atologi 5$e #e- *or# *a*y -as &elivere& at '0.,3 / (! -it$ male ge#&er! *o&y -eig$t *irt$ 3?00 gr! le#g$t *irt$ A3 %m! Apgar S%ore >8@! a#al DEF a#& &i&:t sa- ma7or %o#ge#ital &isor&er Plase#ta -as %ompletely *or# i# ma#)al! %av)m )teri#e -as %lea#e& from t$e resi&)al plase#ta tiss)e -it$ s$arp %)rretase post part)m )#til s)rely %lea#. (lee&i#g -as %o#trolle&. After t$at t$e )teri#e tiss)e -as se-e& a#& over $e%ti#g -it$ Gvi%ryl %at g)t #o 'H C. S)t)re -as &o#e o# lo-er segme# of )teri#e at t-o pole -it$ G.$romi% %at g)tH #o. ' a#& t$e# t$e miometri)m tiss)e -as s)t)re *y %o#ti#)e a#& over$e%ti#g 0 0 C . C . C 9. First sli%e of miometri)m tiss)e -it$ G.$romi% %at g)tH #o. , *y %o#ti#)e Se%o#& sli%e of miometri)m tiss)e a#& seros)m -as s)t)re *y %o#ti#)e -it$ G.$romi% %at g)tH #o. , 5$e a*&ome# %avity -as %lea#e& a#& , %)ravor -as p)lle& o)t from t$e a*&ome# %avity (efore t$e a*&ome# %avity -as se-e&! it -as givi#g %ortiso#e i#to perito#eal %avity After s)re it:s #o *lee&i#g! a*&ome# %avity -as o*7e& sli%e *y sli%e a. Perito#e)m parietal -as s)t)re& -it$ GPlai# %at g)tH #o. ,.0 *y %o#ti#)e *. M. <e%t)s a*&omi#is -as s)t)re& -it$ GPlai# %at g)t H #o. ,.0 %. Fas%ia -as s)t)re& -it$ Gvi%rylH #o. ' *y simple s)t)re &. S)*%)tis -as s)t)re& -it$ G.$romi% %at g)tH #o. ,.0 *y simple s)t)re e. .)tis -as s)t)re& -it$ GProle#eH #o. 3.0 *y s)*3)ti%)ler C9. C9 . (lee&i#g approximately ,00 %% .av)m )teri#e -as %lea#e& pervagi#am -as %lea#e& -it$ Na%l 0!2 I a#& t$e# it -as give# a#ti*ioti% Jalf a#& t$e# -as %lose& *y s)frat)lle! sterill %assa a#& tega&erm C9 . 5$e operatio# fi#is$e& 5$e %o#&itio# of patie#t post operatio#: "e#eral %o#&itio# .o#s%io)#ess (loo& press)re P)lse rate <espiratio# 5emperat)re : Loo3 mil& si%3 : .ompos Me#tis : '408?0 mmHg : : : >? x8mi#)te ,0 x8mi#)te 3>!3 o.

C9 . 5$e operatio# -o)#& -as %lea#e& *y %lea#i#g stole %ell from t$e vagi#a! t$e operatio# -o)#&

5iss)e to Pat$ology of A#atomy :

Yes : No

5ype of tiss)e : .................................

Operator!

DProf. &r. H. .O Marsis! SpO"F