OBSTETRIC AND GYNECOLOGY DEPARTMENT

BUDHI JAYA MOTHER AND CHILD HOSPITAL

JL. Dr. Sahardjo No. 120 Jakarta Selatan 12960
Telp. (021) 8292672 , 8311722, 8312378
Fax. 8301901

OPERATION REPORT
Name: Mrs. Tina Herawati
Sex: female
Age : 31 years
Operator
Prof. Dr. H.I.O Marsis, SpOG Anesthetic
dr. Widodo, SpAn
Assistant 1 dr. Benhur Sibuea
Instrumentator Zr. Lisa
Assistant 2 Monalisa Manurung
Observer
Ketut Bagus Deddy M.W
Pre-surgical Diagnose : Cephalopelvic Disproportion at 40
weeks of gestation in G5P2A2

Technique of operation:

Surgery date : february 4th 2014

Duration time of surgery : 1 hour
Type of Surgery:

1. Sectio Caesarean trans peritoneal profunda

2.

Emergency
Polyclinic

Minor
Medium

3.

Elective

Major

Post-surgical Diagnose: Cephalopelvic Disproportion

Operation Procedures:
I. Patient slept in supine position with spinal anastesia
II. Aplied inside the dower catether
III. Aseptic and antiseptic on abdomen adjacent regio until 1/3 proximal upper leg and the operation field
was limited with steril doek
IV. Direct incision was made ind down abdomen region. The incision was made deeper slice by slice
from cutis , subcutis, fascia musculus rectus abdominis and then it separated to lateral section with
dull technique, bleeding was taken care off.
V. Peritoneum parietal was opened tipside and downside so we can see the uterine gravidarum, and the 2
curavor were put inside both lateral abdomen cavity for separating the uterine and the other organ
VI. Transversal incision was made on lower segment of the uterus , extend to the right and left until we
can saw liquor amnii membrane and the operator broke the liquor amnii membrane , the liquor is
clear and we could saw babys head
VII. The babys head has not entered the pelvic inlet yet, confirming the CPD
VIII. The babys head was pulled out using forcep and with mild pressure on the fundus uterine by
assistance. Then delivered step by step from the head, front shoulder, back shoulder, backward
trochanter anterior, trochanter posterior , breech and inferior extremity was delivered .

IX. The baby was crying, umbilical cord was clamped on 2 places about 5cm and 7 cm from the
umbilical cord, then it was cut between 2 clamp .
X. The suture was done on lower segmen of the uterine at two pole with Chromic Cat Gut no 1 and
then the miometrium tissue was sutured with continuous and overhecting.
- First slice of miometrium tissue with Chromic Cat Gut no 2 by continuous form
- Second slice of miometrium tissue and serosum was sutured by continuous form with
Chromic Cat Gut no 2.
XI. The abdominal cavity was cleaned and the 2 curavor was pulled out from the abdomen cavity
XII. Before the abdomen cavity was sewed, it was given cortisone into the peritoneal cavity
XIII. After reassuring that there were no bleeding left, the abdomen cavity was sewn back slice by slice
-

Peritoneum parietal was sutured with Plain Cat Gut no 2 by continuous form
M. Rectus Abdominis was sutured with Plain Cat Gut no 2 by simple form
Fascia was sutured with Vicryl no 1 by simple suture
Subcutis was sutured with Chromic Cat Gut no 2 by simple suture
Cutis was sutured with Monosin no 3 subcuticuler form

XIV. Bleeding approximately 300 cc

XV. The operation wound was cleaned by cleaning stole cell from the vagina , operation wound was
cleaned with Nacl 0.9% and the it was given antibiotic zalf and then was closed by sufratulle , sterille
cassa and tegaderm
XVI. The operation finished

The condition of patient post operation :

General condition
Consciousness
Blood Pressure
Blood pulse
Respiration rate
Temperature

: Look mildly ill

: Compos Mentis
: 120/70 mmHg
: 102 x / minute
: 24 x / minute
: 36.6 oC

Send tissue to Pathology of anatomy :

Yes

Type of tissue : ..

No
Operator

( Prof. Dr. H.I.O Marsis, SpOG )