WEEKLY REPORT OF OBSTETRIC ROOM

EMERGENCY UNIT AND CEMPAKA WARD

CEMPAKA
EMERGENCY UNIT OBSTETRI
NO CASES DECSRIPTION
NEW OLD CASE NEW OLD CASE
CASE CASE
PRETERM PREGNANCY
1 - - 2
Subtotal
1.1. Preterm Premature Rupture of the Membrane - - - -
1.2. Preterm Antepartum Hemorrhage - - 1
1.3. Preterm Preeclampsia - - - -
1.4. Threatened Preterm Delivery - - - -
1.5. Medical Disorder - - 1 -
1.6. Others - - - -

1
 EMERGENCY UNIT CEMPAKA OBSTETRIC
NO CASES DESCRIPTION
NEW OLD CASE NEW OLD CASE
CASE CASE

MODE OF DELIVERY
2 Subtotal - - 2

2.1. Perabdominal
2.1.1 Caesarean Section - 2 -
2.1.1 Laparatomy - - - -
2.2. Pervaginam -
2.2.1 Normal Labor - - -
2.2.2 Vacuum Extraction - - - -
2.2.3 Forcep Extraction - - - -
2.2.4 Bracht - - - -
2.2.5 Manual Aid -
2.2.5.1 Total Extraction - - -
2.2.5.2 Louvset Mauriceau - - - -
2.2.6 Cunam Mouzeaux - - - -
-

3 COMPLICATION - - - -
Subtotal

3.1. Primary Postpartum Hemorrhage - - - -

3.2. Secondary Postpartum Hemorrhage - - - -
3.3. Puerperal Infection - - - -
3.4. Others - - - -
2
 WEEKLY REPORT OF GYNECOLOGY
EMERGENCY ROOM AND CEMPAKA WARD

IRD CEMPAKA GYN/OBS

NO CASES DESCRIPTION ICD X
NEW PREVIOUS NEW PREVIOUS

1 GYNECOLOGY INFECTION Subtotal - - - -

1.1. Upper Genital

1.1.1 PID Grade I N70.9 - - - -
1.1.2 PID Grade II/ATO N71.9 - - - -
1.1.3 PID Grade III N72 - - - -
1.1.4 Others - - - -
1.2. Lower Genital
1.2.1 Vulvitis N76.2 - - - -
1.2.2 Vaginitis N76.0 - - - -
1.2.3 Bartholinitis N75.8 - - - -
1.2.4 Bartholin Abcess N75.1 - - - -
1.2.5 Others - - - -

3
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS

2 GYNECOLOGY TUMORS - - 3 -
Subtotal
2.1. Benign
2.1.1 Bartholin Cyst N75.0 - - - -
2.1.2 Cervical Polyp N84.1 - - - -
2.1.3 Uterine Myoma M889 - - - -
2.1.4 Ovarian Cyst D27 - - - -
2.1.5 Solid Ovarian Tumor D27 - - - -
2.1.6 Hydatidiform Mole D39.1 - - - -
2.1.7 Leiomyoma D25.9 - - - -
2.2. Precancer Lesion - - - -
2.2.1 Cervical precancer lesion D06 - - - -
2.3. Malignant - - - -
2.3.1 Vulvar Carcinoma C51.9 - - -
2.3.2 Vaginal Carcinoma C52 - - - -
2.3.3 Cervical Carcinoma C53.9 - - 1 -
2.3.4 Endometrial Carcinoma C54.1 - - - -
2.3.5 Fallopian Tube Carcinoma C57.0 - - - -
2.3.6 Ovarian Carcinoma C56 - - 1 -
2.3.7 Trophoblastic M90 - - - -
2.4 Others - - 1 -

4
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS

3 ENDOCRINOLOGY AND INFERTILITY - - - -

Subtotal
3.1 Primary Amenorrhea N91.0 - - - -
3.2 Secondary Amenorrhea N91.1 - - - -
3.3 Primary Infertility N97.0 - - - -
3.4 Secondary Infertility N97.0 - - - -
3.5 AUB N93.9 - - - -
3.6 Others - - - -

4 EARLY PREGNANCY COMPLICATION - - - -

Subtotal
4.1 Threatened Abortion O20.0 - - - -
4.2 Inevitable Abortion O07.9 - - - -
4.3 Incomplete Abortion O06.3 - - - -
4.4 Infectious Abortion O07.5 - - - -
4.5 Septic Abortion O07.5 - - - -
4.6 Ectopic Pregnancy O00.1 - - - -
4.7 Hyperemesis Gravidarum O21.1 - - - -
4.8 Dead Conceptus O02.1 - - - -
4.9 Blighted Ovum O02.0 - - - -
4.10 Others - - - -

5
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
ICD IX NEW PREVIOUS NEW PREVIOUS

5 MINOR OPERATION GYNECOLOGY - - - -

Subtotal
5.1 Biopsy O35.7 - - - -
5.2 Incision 70.1 - - - -
5.3 Excision 70.4 - - - -
5.4 Extirpation 70.29 - - - -
5.5 Uterine Evacuation 69.02 - - - -
5.6 Colposcopy 70.21 - - - -
5.7 IUD Extraction 97.71 - - - -
5.8 IUD Insertion 69.7 - - - -

6 OTHERS - - -
Subtotal
6.1 Uterine Prolaps N81.2 - - -
6.2 Unplanned Pregnancy O35 - - - -
6.3 IUD Translocation Z35 - - - -
6.4 Invertio Uteri O71.2 - - - -
6.5 Elongatio Colli N88.4 - - - -
6.6 Vagina Septa Q52.1 - - - -
6.7 Visum et Repertum Z03 - - - -
6.8 Other - - - -

6
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 1st 2020– November 7th 2020

PLANNIN
N NAME, G DURING OPERATIVE POST DU OPERAT
DATE WARD PRE OP DIAGNOSIS OP PROCEDURE RA OR
O AGE (PARITY) PROCEDU FOUND OPERATIVE DIAGNOSIS OR
TION
RE

1. WAR, 47 yo 2/11/20 C.Gyn - Ovarian Cyst TAH – During operation found: Ovarian carcinoma stage 210 dr. ART IX
suspect Malignancy BSO – FZ Total Abdominal (ERF)
20018535 Ascites (+)  Cytology Hysterectomy, IIIA1 (ii) minutes
‒ Bilateral
hidronefrosis Bilateral salpingo ‒ Post complete surgical
Evaluation of Internal staging
‒ Controlled Genitalia Organ : oophorectomy,
Hypertension Omentectomy, ‒ Bilateral hidronefrosis
- Seen cystic mass size
post URS DJ Stent
‒ Suspect coronary 30x30 cm, clear Appendisectomy,
bilateral
artery disease border, unsmooth bilateral pelvic lymph
surface, seems ‒ Controlled Hypertension
nodes dissection +
originated from left ‒ Suspect coronary artery
Para aorta Lymph disease
adnexa
nodes dissection,
- Uterus size and
consistency ~ normal Peritoneal Biopsy
- Right fallopian tube
and ovarium ~ normal

Decided to do : left
salphingooophorectomy
 Frozen Section

Frozen section result:

Left Ovary :
Histomorphology ~ clear
cell carcinoma
Cytology : Not seen any
tumor cell
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 1st 2020– November 7th 2020

N NAME, PLANNING DURING OPERATIVE POST DU OPERAT

DATE WARD PRE OP DIAGNOSIS OP PROCEDURE RA OR
O AGE (PARITY) PROCEDURE FOUND OPERATIVE DIAGNOSIS OR
TION

Continue with Total

Abdominal
Hysterectomy –Right
Salpingooophorectomy
 PA
Continued with
omentectomy,
appendisectomy.
Bilateral pelvic lymph
node disection- bilateral
paraaortal lymph node
dissection- peritoneal
biopsy  PA

Intraabdominal organ
evaluation:
Liver : sharp edge (+),
nodule (-)
Omentum : nodule (-)
Peritoneum : nodule (-)
Lymph Node : Paraaorta
nodule (+) size > 1 cm
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 1st 2020– November 7th 2020

PRE OP POST DU
N NAME, DATE WARD DIAGNO PLANNING DURING OPERATIVE FOUND OP PROCEDURE OPERATIVE RA OPERATOR OR
O AGE (PARITY) PROCEDURE
SIS DIAGNOSIS TION

2. RUS, 43 yo 04/11/20 C.Gyn Bilateral TAH – BSO – FZ 225 dr. BDA IX

(P3-12 yo) Ovarian Cyst During operation found : Laparatomy Total Bilateral (FLO)
suspect ­ Ascites (-) peritoneal washing Abdominal Endometriosis minutes
20024855 Malignancy,
Post  cytology Hysterectomy – Cyst, Suspect
Cystectomy Billateral Salpingo- Adenomyosis
(2019)
Evaluation of Internal Genitalia oophorectomy – + Post Laparatomy
Organs : Adhesiolysis Total Abdominal
- Seen cystic mass size 10 x 10 Hysterectomy–
cm, clear border, smooth Billateral
surface, adhered to posterior Salpingo-
uterus and omentum. Seems oophorectomy –
originated from left adnexa  Adhesiolysis –
Adhesiolysis  Rupture  Day-0
Seen brownies fluid  Left + Post Cystectomy
Salphingoophorectomy  FZ (2019)

Seen cystic mass size 8 x 7 cm,

clear border, smooth surface,
adhered to posterior uterus.
Seems originated from left
adnexa  Adhesiolysis 
Rupture Seen brownies fluid
 Right Salphingoophorectomy
 FZ

Seen uterus enlarge, globuler

~ 12-14 weeks,
FZ Result : Endometriosis Cyst
Cytology peritoneal washing :
Aceluler
Continue with Total Abdominal
Hysterectomy
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 1st 2020– November 7th 2020

POST DU
N NAME, DATE WARD PRE OP PLANNING DURING OPERATIVE FOUND OP PROCEDURE OPERATIVE RA OPERATOR OR
O AGE (PARITY) DIAGNOSIS PROCEDURE
DIAGNOSIS TION

4. SUL, 29 yo 5/11/20 C.Obs G1P0000 37 Primary CS P1001 Post CS 110 dr. ART X
Weeks 0 Day Done : Primary CS (LIV)
Single/Life, Primary Caesarean Section minutes
20004928 Fetal
Congenital At 11.08 AM, Born Baby Female,
Anomaly 2400 g, AS 8-9, NBS 33~37 Weeks
(Omphalochele
+ Fetal Ascites) (AGA) Congenital Anomaly (+)
Omphalocele
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 1st 2020– November 7th 2020

POST DU
N NAME, PRE OP
O AGE (PARITY) DATE WARD DIAGNOSIS PLANNING PROCEDURE DURING OPERATIVE FOUND OP PROCEDURE OPERATIVE RA OPERATOR OR
DIAGNOSIS TION

5. PAR, 46 yo 6/11/20 C.Gyn Cervical Radical Hysterectomy, During operation found: Radical Hysterectomy, Cervical 307 Prof. SW IX
(P2-25 yo) Carcinoma st Bilateral Bilateral Carcinoma stage
IIB, Post Salpingoophorectomy, Ascites (-) Salpingoophorectomy, IIB post minutes
20021906 Chemotherapy Bilateral Pelvic Lymph Uterus size and Bilateral Pelvic Lymph Chemotherapy
NAC Paxus Node Dissection consistency ~ normal Node Dissection NAC Paxus
Carboplatine VI Carboplastine 6
Series Tube and Ovarian Dextra series,
(3/9/2020) and Sinistra ~ normal post Radical
Right Fallopian Tube & Hysterectomy,
Ovary ~ normal Bilateral
Salpingoophorec
Left Fallopian Tube & tomy, Bilateral
Ovary ~ Normal Pelvic Lymph
Lymph node enlargement Node Dissection
(-)

Decided to do Radical
hysterectomy, Bilateral
salpingoophorectomy,
Bilateral Pelvic Lymph
Node dissection 
Pathology Anatomy

Evaluation of
Intraabdominal organ:
Hepar: smooth surface,
sharp edge, nodule (-)
Omentum: nodule (-)
Peritoneum: nodule (-)