LAPORAN IRD TANGGAL 24 - 30 JULI 2020

BEDAH PLASTIK
OPERASI NON-OPERASI
NO NO OPERA RABER
TRAUMA REG OPERATOR RABER TRAUMA REG TOR
SUPERFICIAL MID DERMAL BURN INJURY 28% REGIO
THORACOABDOMINAL, EXTREMITAS SUPERIOR D DAN EXTREMITAS CKS 345 + EDH FRONTAL D VOL 70 CC + EDH FRONTAL S VOL 15 CC + EDEMA CEREBRI +
1 INFERIOR D/S DT API ά CITO DEBRIDEMENT KP ESCHARECTOMY (. M. IPD 1 DIASTASIS SUTURA CORONALIS + VULNUS ABRATIO REGIO FASCIALIS ά RAWAT LUKA BS
NABIEL/L/9THN/11488816/25072020) DENGAN HYDROCOLLOID (DWI/L/18TH/11488803/24072020)

COB 1X2 ON VENTILATOR + MULTIPLE CH FRONTAL D SUSP DAI +

SUBDURAL HYGROME BIFRONTAL + IVH + STICHED WOUND REGIO
SUPRA ORBITA S + MULTIPLE VULNUS ABRASIO REGIO FRONTAL + SUSP.
TRAUMA OCCULI S + OF MIDDLE SHAFT L ULNA GR IIIA + OF 1ST, 2ND, MID-FULL THICKNESS BURN INJURY 7% REGIO EXTREMITAS INFERIOR S DT CONTACT
2 3ST L METATARSAL + OF DISTAL PHALANX L GREAT TOE + OF PROXIMAL BS, BR 2 TERMAL POST DEBRIDEMENT + DM TYPE II + CKD ST IV ά RAWAT LUKA MOIST DRESSING +
URGENT DEBRIDEMENT (IGNP SUDARTONO/L/56THN/11392212/25072020)
PHALAX L 5TH TOE + CF PROXIMAL PHALANX L 4TH TOE ά PRO
DEBRIDEMENT PRIMARY HECTING GA + RAWAT LUKA MOIST DRESSING
DENGAN HYDROCOLOID (SATTUR/L/61TH/11488848/25072020)

MILD ARDS + CONTUSION PULMONUM BILATERAL + COB 114 + BURST

LOBE FRONTOPARIETAL S + FRAKTUR DEPRESSED OS FRONTAL S +
FRAKTUR OS TEMPOROPARIETAL S + FRAKTUR OS FRONTAL D + BS, BT, CKR 456 TANPA LESI INTRACRANIAL + VULNUS ABERASI REGIO FACIALIS + OPEN WOUND
3 FRAKTUR MAXILLA S NON LEFORT + FRAKTUR RIMA ORBITA PARU, IPD 3 LABIALIS SUPERIOR ά DEBRIDEMENT + PRIMARY HECTING LA (MENOLAK) + RAWAT LUKA BS
SUPEROINFERIOR S + PNEUMONIA CAP IMMUNOCOMPROMISED ά CITO DENGAN HYDROCOLLOID (FAIDA/P/38TH/11488818/25072020)
ARCHBARR + URGENT REKONSTRUKSI TULANG WAJAH
(SAMADI/L/42TH/11488874/26072020)

CKS 345 + EDH TEMPORO BASAL S VOL 3 CC + EDH FRONTAL S VOL 4.5
CC + FR. LINIER FRONTAL D + FR. LINIER TEMPORAL D + FR RIMA ORBITA
SUPERIOR D + FR. RIMA ORBITA INFERIOR D + FR MAXILLA D/S NON CKR 356 TANPA LESI INTRAKRANIAL + MULTIPLE ABRASIO REGIO WAJAH + OBS NECK
4 LEFORT + OPEN WOUND REGIO SUPRAORBITA S + CF METAPHYSEAL L BS, BR 4 BS, BR
DISTAL RADIUS + CF L STYLOID ULNA ά DEBRIDMENT + PRIMARY INJURY ά RAWAT DENGAN HYDROCOLLOID (YITNO/L/42TH/11489073/28072020)
SUTURE + URGENT REKONSTRUKSI TULANG WAJAH (AHMAD
HASYIM/L/15TH/11488851/26072020)

CKR 456 + EDH REGIO FRONTAL S 3CC +SAH + FR LINEAR OS FRONTAL +

FR MAXILLA LEFORT I DAN II + FR ZMC D + FR RIMA ORBITA SUPERIOR
5 D/S + CF R GALEAZZI + CF BASE R 2ND METACARPAL + VULNUS BS, BR
ABRATION MEDIAL SIDE R KNEE  URGENT REKONSTRUKSI TULANG
WAJAH (SUMINTO/L/45TH/11489132/29072020)

CKR 356 + CONTUSIONAL HAEMORRHAGE REGIO PONS + MULTIPLE

CONTUSIONAL HEMORRHAGE FRONTAL + SAH + FR OS FRONTAL + FR
6 MAXILLA LEFORT II + OPEN WOUND REGIO FRONTAL + OPEN WOUND BS
LABIALIS SUPERIOR  DEBRIDEMENT PRIMARY HECTING LA + URGENT
REKONSTRUKSI TULANG WAJAH (MOCH ALIF
FERDIANSYAH/L/20TH/11489138/29072020)

JUMLAH 6 6 JUMLAH 4 3
OPERA
NO NON-TRAUMA REG OPERATOR RABER NO NON-TRAUMA REG TOR RABER

JUMLAH 0 0 JUMLAH 0 0
 LAPORAN KONDISI RUANGAN TANGGAL 24 - 30 JULI 2020
SEKSI: BEDAH PLASTIK
LAMA
RUANG NO DIAGNOSIS TGL MRS PRE OP SIAP OP POST OP KONSERVATIF RABER RAWAT
14
15

DEEP DERMAL BURN INJURY 32 % (RS 31%) REGIO ABDOMEN DAN

EKSTREMITAS INFERIOR BILATERAL EC AIR GAMPING POST RE
1 DEBRIDEMENT (16/07/20) + REDEBRIDEMENT + TE + DISARTIKULASI 7/5/2020 1
DIGITI 2,34,5 PEDIS D (23/07/20) + REDEBRIDEMENT (28/07/20) -->
RAWAT LUKA BERKALA + DEBRIDEMENT KP MICROGRAFTING (M.
SYAMIL/L/3TH)

SUPERFICIAL MID DERMAL BURN INJURY 45% (RS 19.5%) REGIO

WAJAH, PUNGGUNG, DADA, EXTRIMITAS ATAS DAN BAWAH D/ S EC
2 API POST DEBRIDEMENT (15/07/20) + ESBL POST REDEBRIDEMENT KP 7/10/2020 1
MIKROGRAFTING (23/07/20) --> RAWAT LUKA BERKALA + EVALUASI
LUKA DONOR HARI KE 14 (KAIZHA/P/8TH)

SUPERFICIAL MID DERMAL BURN INJURY 32% (RS 31 %) IN R AND L

LOWER AND UPPER EXTREMITY, BUTTOCKS, AND FLANK DUE TO FIRE
3 POST DEBRIDEMENT (16/07/20) + POST REDEBRIDEMEN (28/07/20) --> 1
16
RAWAT LUKA BERKALA (MANTO/L/30TH)

SUPERFICIAL MID DERMAL BURN INJURY 23% REGIO THORAKAL,

ABDOMEN, PUNGGUNG, EKTREMITAS SUPERIOR, DT API POST RE-
4 DEBRIDEMENT (20/07/20) + DEBRIDEMENT (OK IGD/24/07/20) --> 7/13/2020 1
DEBRIDEMENT + MICROGRAFTING (29/07/20) (VINCENTIUS
YOSEPH/L/7TH)

SUPERFICIAL MID DERMAL BURN INJURY 28% REGIO

5 THORACOABDOMINAL, EXTREMITAS SUPERIOR D DAN EXTREMITAS 7/25/2020 1
INFERIOR D/S DT API POST DEBRIDEMENT (25/07/20) -->
REDEBRIDEMENT (30/07/20) (M. NABIEL/L/9THN)

MID-FULL THICKNESS BURN INJURY 7% REGIO EXTREMITAS INFERIOR S

6 DT CONTACT TERMAL POST DEBRIDEMENT + DM TYPE II + CKD ST IV --> 7/25/2020 1 IPD
RAWAT LUKA MOIST DRESSING + REDEBRIDEMENT (30/07/20) (IGNP
SUDARTONO/L/56THN)

CKR 356- 456 + EDH TEMPOROBASAL D VOL 3 CC + SAH EDEMA

17 1 CEREBRI + FR DEPRESSED OS FRONTOTEMPORAL D + FR MAXILLA D ET 7/19/2020 1 BS
S NON LEFORT + FR ZMC D + FR NOE TYPE I POST ARCHBARR + DIRECT
PLATTING FRONTOZYGOMA D (20/07/20) + POST URGENT FACIAL
BONE REKONSTRUCTION (27/07/20) --> ORAL HYGIENE DENGAN
BETADI KUMUR 6X/HARI + AFF ANSCARE H+3 POST OP + AFF +
TARSORAPHY H+4 POST OP (BRIGITA/P/25TH)
ULKUS DIABETICUM REGIO FEMUR ET CRURIS S (E11.62) + DM TIPE 2 +
ANEMIA + POST REDEBRIDEMENT + NPWT (13/07/20) --> POST
18 1 REDEBRIDEMENT + NPWT (20/07/20) + POST REDEBRIDEMENT 7/27/2020 1
(86.22)+ NPWT (IIN SRI/P/50TH)

DIABETIC FOOT PEDIS D WAGNER II + CKD STAGE V ON HD + CAP + HF

1 ST C FC II + DM TYPE II + EFUSI PLEURA BILLATERAL -> POST 7/21/2020 1 IPD
DEBRIDEMENT + NPWT (24/07/20) --> PRO DISTALLY BASE PERONAEL
PERFORATOR ARTERI FLAP (WILISTIONO/L/56TH)

CKR 356 - 456 + ICH FRONTAL S + EDH FRONTAL S + EDH FRONTAL D +

FR COMMINUTIF DEPRESSED OS FRONTAL + FR LINIER OS PARIETAL S +
FR RIMA ORBITA SUPERIOR COMMINUTIF D + FR RIMA ORBITA
2 INFERIOR D + FR FRONTONASAL + FR MAXILLA D S NON LEFORT + FR 7/20/2020 1 BS,BR
ZMC D + ALCOHOL INGESTION --> URGENT REKONSTRUKSI TULANG
19 WAJAH (WILI/L/31TH)

CKS 345 -356 + SDH FTP S + SDH TENTORIUM + FR LINIER OS

TEMPORAL S + FR PROC CORONOID MANDIBULA + FR ZMC S +
3 MULTIPLE VULNUS ABRATIO REG WAJAH + OBS TTA --> RAWAT ABRASI 7/20/2020 1 BS
DENGAN HIDROCOLLOID + URGENT REKONSTRUKSI TULANG WAJAH
(SULIH EDI/L/51TH)

CKR 356 TANPA LESI INTRAKRANIAL + MULTIPLE ABRASIO REGIO

4 WAJAH + OBS NECK INJURY --> RAWAT DENGAN HYDROCOLLOID 7/28/2020 1
(YITNO/L/42TH)
20
21
JUMLAH 0 6 5 1 5
 LAPORAN AKUT BEDAH PLASTIK TANGGAL 24 - 30 JULI 2020
PLASTIK
NO DIAGNOSA/NAMA UMUR/JK TGL MRS
COB 1X2 - 2X2 + MULTIPLE CF FRONTAL D SUSP DAI + SUBDURAL HIGROMA +
IVH + VULNUS ABERASI REGIO FACIALIS + FR NECK CONDYLE S +OF MIDDLE
1 SHAFT L ULNA GR 3A + OF 1,2,3 L METATARSAL + OF DISTAL PHALANX L GREAT L/61TH 26/7/2020
TOE + OF PROXIMAL PHALANX L 4TH,5TH TOE --> URGENT REKONSTRUKSI
CKS 345-325 + EDH FRONTOBASILER S 35CC(SATTUR)
TULANG WAJAH + FR LINIER FRONTAL S + FR LINIER
TEMPORAL S + HEMATOME PERIORBITA D/S + OPEN WOUND SUPRAORBITA S +
2 CF METAPHYSEAL L DISTAL RADIUS SH II + CF L STYLOID ULNA + FR RIMA L/15TH 26/7/2020
ORBITA SUPERIOR D + FR RIMA ORBITA INFERIOR D + FR MAXILLA D/S NON
JML LEFORT --> URGENT FACIAL BONE RECONSTRUKSI
2 (AHMAD HASYIM MUZADI)
LAPORAN ICU BEDAH PLASTIK
MILD ARDS + CONTUSIO PULMONUM BILATERAL + COB 114 + BURST LOBE FTP
NO DIAGNOSA/NAMA
S + FR DEPRESSED OS FRONTAL S + FRAKTUR OS TEMPOROPARIETAL S + UMUR/JK TGL MRS
1 FRAKTUR OS FRONTAL S + FR MAXILLA S NON LEFORT + FR RIMA ORBITA L/42TH 26/7/2020
SUPEROINFERIOR S + PNEUMONIA + IMMUNOCOMPROMISED -> POST CITO
ARCHBARR + PRO URGENT REKONSTRUKSI TULANG WAJAH (SAMADI)
CVA ICH TPO D 55CC + EDEMA CEREBRI + HT ST II + PRESSURE ULCER GRADE IV
2 REGIO SACRUM-> RAWAT LUKA DENGAN HYDROCOLLOID (ERLINDAWATI) P/57TH 18/6/2020

OPEN DEGLOVING REGIO FEMUR D + CF ANTERIOR L RAMI PUBIS + CRUSH

3 INJURY R THIGH,LOWER LEG AND FOOT POST DEBDRIDEMENT + CRUSH INJURY L/5TH 23/7/2020
L LOWER LEG -> RAWAT LUKA BERKALA (JOSEVA)
JML 3
 KONSULAN TANGGAL 24 - 30 JULI 2020

SEKSI TGL NAMA DIAGNOSA JAWABAN JUMLAH

 LAPORAN OK BEDAH PLASTIK TANGGAL 24 - 30 JULI 2020
LAPORAN OK PAVILIUN
BEDAH PLASTIK

No TGL NAMA BILLING RUANG DIAGNOSIS TINDAKAN ANESTESI OPERATOR BIMBINGAN

1
JUMLAH 0 0
LAPORAN OK EKSTIRPASI
TGL NAMA BILLING RUANG DIAGNOSIS TINDAKAN ANESTESI OPERATOR BIMBINGAN

JUMLAH 0 0

LAPORAN OK SENTRAL
BEDAH PLASTIK
No TGL NAMA BILLING RUANG DIAGNOSIS TINDAKAN ANESTESI OPERATOR BIMBINGAN

1 24/07/20 WILISTIONO 10468459 19 DIABETIC FOOT PEDIS D WAGNER II (E11.621) + CKD STAGE IV + CAP + HF DISTALLY BASE PERONEAL PERFORATOR ARTERI FLAP (86.7) GA ARV M
ST C FC II + DM TYPE II + POST DEBRIDEMENT + NPWT (16/07/20)

SUPERFICIAL MID DERMAL BURN INJURY 12% REGIO EKSTREMITAS

2 24/07/20 KIANA 11488276 16 SUPERIOS S, INFERIOR S DAN ABDOMEN DT AIR PANAS (T31) + POST REDEBRIDEMENT (86.22) + TANGENSIAL EKSISI GA WMA M
DEBRIDEMENT

CKR 356-456 + EDH TEMPOROBASAL D VOL 3 CC + SAH EDEMA CEREBRI

+ FR DEPRESSED OS FRONTOTEMPORAL D + FR MAXILLA D ET S NON
3 27/07/20 BRIGITA 11488342 17 FACIAL BONE RECONSTRUCTION (76.46) GA ARV M
LEFORT (S02.41) + FR ZMC D (S02.41) + FR NOE TYPE I POST ARCHBARR +
DIRECT PLATTING FRONTOZYGOMA D (20/07/20)

COMBUSTION 30% (RAW SUFACE 26.5%) REGIO FACIAL, EXTREMITAS

4 27/07/20 EKO APRIANTO 11325898 16 SUPERIOR DT API POST (T31) DEBRIDEMENT (15/07/20) POST DEBRIDEMENT (86.22) GA BP M
DEBRIDEMENT (21/07/20)

DEEP DERMAN BURN INJURY 32% (RS 31%) REGIO ABDOMEN DAN
EKSTREMITAS INFERIOR BILATERAL (T31) EC AIR GAMPING POST RE
5 28/07/20 M SYAMIL 11487264 16 BRIDEMENT (86.22) GA WMA M
DEBRIDEMENT (16/07/20) + REDEBRIDEMENT + TE + DISARTIKULASI
DIGITI 2,3,4,5 PEDIS D (23/07/20)

6 28/07/20 IIN SRI 11487230 ULKUS DIABETIKUM REGIO FEMUR ET CRURIS S (E11.62) + DM TYPE II + REDEBRIDEMENT (86.22) + NPWT GA HRM M
ANEMIA + POST REDEBRIDEMENT + NPWT (13/07/20 & 20/07/20)

SUPERFICIAL MID DERMAL BURN INJURY 32% (RS31%) IN R AND L

7 28/07/20 MANTO 11488211 16 LOWER AND UPPER EXTREMITY, BUTTOCKS,AND FLANK (T31) DUE TO REDEBRIDEMENT (86.22) GA DIO M
FIRE POST DEBRIDEMENT (16/07/20) + REDEBRIDEMENT (2207/20)

SUPERFICIAL MID DERMAL BURN INJURY 23% REGIO THORACAL,

8 29/07/20 VINCENTIUS YOSEPH 10468459 16 ABDOMEN, PUNGGUNG, EKSTREMITAS SUPERIOR, DT API (T31.0) POST DEBRIDEMENT (86.22) + K/P SKIN GRAFT (86.6) GA BP M
RE-DEBRIDEMENT (20/07/20) + DEBRIDEMENT (OK IGD 24/07/20)

DIABETIC FOOT PEDIS D WAGNER II (E11.62) + CKD STAGE V ON HD

9 29/07/20 WILISTIONO 10468459 19 (N18.9) + CAP + HF ST C FC II + DM TYPE II + EFUSI PLEURA BILATERAL DEBRIDEMENT (86.22) GA ARV M
POST DEBRIDEMENT + NPWT (24/07/20)

SUPERFICIAL MID DERMAL BURN INJURY 28 * REGIO

10 30/07/20 M.NABIEL 11392212 16 THORACOABDOMINAL, EXT SUPERIOR D DAN EXTREMITAS INFERIOR D/S DEBRIDEMENT + TE GA ARV M
API POST DEBRIDEMENT

FR COMMINUTIF DEPRESSED OS FRONTAL + FR LIIER OS PARIETAL S + CF

R PROXIMAL HUMERUS NEER TYPE II (S42.23) + CF DISTAL SHAFT L REKONSTRUKSI OS FRONTAL + SCREW INSERTION + HUMERUS +
11 30/07/20 WILI 11488351 19 FEMUR COMMINUTIVE (S72.8) + FR RIMA ORBITA SUPERIOR INTERLOCKING NAIL FEMUR (79.36) + REKONSTRUKSI TULANG GA BP BIMBINGAN
COMMINUTIF D + FR RIMA ORBITA INFERIOR D + FR FRONTONASAL + FR WAJAH
MAXILLA D S NON LEFORT + FR ZMC D

JUMLAH 11 14
 BIMBINGAN TANGGAL 24 - 30 JULI 2020
NO BIMBINGAN PPDS DPJP
1
2