: PERITONITIS UMUM Keradangan

peritoneum dapat karena kuman ( septic

kimiawi ( kemikal) peritonitis septic
Misalnya pada apendisitis perforata,
perforasi usus akibat tipus abdominalis,
sedang peritonitis kimiawi misalnya
perforasi lambung - pankreatitis. nosis :
Nyeri tekan perut pada seluruh lapangan
perut ( defan muscular) Riwayat trauma,
riwayat infeksi Pengukuran' temperatur
rektal dan temperatur axilar d selisih
lebih 1 derajat C nding : Pankreatitis
Peritonitis septik Peritonitis kimiawi
Bayangan usus berisi udara di hemitoraks bersangkutan, jantung dan mediastinum bergeser
beriawanan dari tempat lesi, paru yang hipoplastik tampak di bagian medial. : Dokter
spesialis yang terkait (bila diperlukan)
rumah : Rawat inap

dah : Penatalaksanaan pra-bedah : a. Stabilisasi dengan kontrol hipertensi pulmonal b.

Pemberian cairan dan elektrolit c. Monitor CVP d. Monitor produksi urin e. Pasang pipa
nasogastrik f. Pemeriksaan echocardiography Pembedahan : Approach trans abdominal
melalui irisan subcostal. Reposisi organ viscra, eksisi kantong hernia, menutup defek. Defek
kecil : Tutup primer, defek besar Tutup dengan prosthetic patch
layanan : Minimal rumah sakit kelas-B dengarffasilitas NICU
surgical science and technology is growing rapidly, every year, new surgical
technique, especially minimally invasive surgery, new instrument, new evidence of
surgical or medical treatment, etc. are reported. Surgeon, as professional, need
to improve their surgical skill and knowledge continuously, to manage surgical
case efficient and safely. Indonesian Surgeon Association (PABI) as professional
organization has mission to maintain and improve the surgical skill and knowledge
of the Indonesian Surgeon. The 17th Continuing Surgical Professional
Development (CSPD) is the effort of PABI to articulate their mission, therefore
the topic of this CSPD is “Improving competence of Indonesian General Surgeon to
improve