Left Gauza Led to Osteomyelitis

MEMBERS OF GROUP 12
AFRILIA CHAERUNNISA (110 2015 0065)
MICHAELLA ALMIRAH TENRISAJU (110 2015 0121)
ULFA DINARIANI (110 2015 0122)
FATHANNIA RIZKY DIENNILAH (110 2015 0131)
FIFI NURFIAH SRIYANTI (110 2015 0135)
RAHMA ULFA (110 2015 0138)
SHARIFA MUTIARA (110 2015 0139)
AYDILLA LILANNISANI H.S. (110 2015 0140)
BAKDA AWALIA RAHMAYANTI (110 2015 0146)
NURUL ARDHIA REGITA (110 2015 0153)
ANDI MULiA SUDIRMAN (110 2015 0154)

Left gauze led to osteomyelitis

Mas Parjo come to the hospital REMEN WARAS
because fracture in the femur. Doctor Ndang Sun
Tiken, SpB who handle these cases is the only
surgeon in the City SARWO SARAS. Parjo
scheduled operation, through routine procedures
the hospital, informed consent was signed by
Parjo own. Parjo very aware of what he signed.
Before operated Parjo at 10:00, dr. Ndang Sun
Tiken already done three elective surgery one cito
operation. In the evening dr. Ndang Sun Tiken
operated two cito operations. Parjo repositioning
operation has been successful, from postoperative x-rays, the pen has been stuck in the
right place, and the alignmet of the bones has

Parjo after recovery and adequate care wardcould

eventually repatriate. There has not been a week, at
a surgical site, at any time is always out pus, to make
wound dressings are always replaced.
Parjo intends control again to Hospital REMEN
WARAS, but he found the queue was so long, and
already wait for 8:00 until 11:00 but doctor Ndang
Sun Tiken not come. Many times he asked the nurse
clinic, always, the answer is still operating. Because it
is not comfortable with what happened, and uneasy
with the views of people around who seems disgusted
to see the condition of his thighs. Parjo and the family
decided to check them into hospital ARTO WEDI that
is located hundreds of kilometers from their home.

Sign Hospital ARTO WEDI, with higher costs, Parjo

directly examined by dr. Hangabehi, SpBO.FICS.
Orthopedist who has been known far beyond the
region. By dr. Hangabehi, Parjo immediately conducted
a routine procedure, x-ray and immediately rescheduled operation. Back conducted routine
procedure, including the informed consent was signed
and Parjo aware of what he was doing. Generally, the
condition Parjo well ahead of the operation . only from
previous surgery wounds are continually flowing pus.
Finally debridement surgery to address the pus that
constantly flows the bone diagnosed with osteomyelitis
done. During debridement is performed how surprising
faced dr. Hangabehi operations team, they found the
gauze left behind in the bones that have been
repositioned. Thanks to God the bones still unite.

The patients family wants to know why bad

luck happened to Parjo. Dr. Hangabehi forced to
explain that this all because of the gauze is left
behind in the space between the bones and
muscles. After get the explanation, Parjo family
get angry and did not accept the doctor Ndang
Sun Tiken and his team performances. They
agreed to do a subpoena with a letter to the
doctors alleged malpractice Ndang Sun Tiken
along with the director of the Hospital Remen
sane through their legal representatives Gawe
Hurricane SH. They are demanding
compensation of $ 1 billion over the material and
immaterial losses suffered.

I. CLARIFICATION OF UNCLEARED TERMS

AND CONCEPTS

Difficult Word
1. Cito operation : emergency operation

2. Deberdiment operation : the process of

removing death
issue foreign material from and around a would
to expose
healthy issue

3. Osteomlitis : infection in the bones to expose

healthy issue

4. Informed consent :
1.)approval of medical action
2.) a process for getting permission before the

6. Malpractic : is a aprofessional person such a

physician, dentist, vetenarian, malpractice may
be the result of skill
or fidelity in the
performance of professional duties, intentionally
wrong doing or illegal or unethical practice
7. Roentgen : portrait tool that uses x-ray can
penetrate the
body parts

8. Orthopedy : the medical speciality, that

treatment of
musculoskeletal
system
9. Fracture: is a medical condition where the
continuity of the
bone is broken.
10. X-ray: a form of electromagnetic radiation to

II. PROBLEM DETERMINING

Before they sign the informed consent, he should
really understand the risks. (autonomy)
Negligence by the doctor, he left the gauza led on
the operation (non maleficience)
The second doctor found a left gauza from reposition
bone and report to the family ( autonomy )
Parjo family angry and dont accept performance
doctor and team,they agreed to do a somation with
a letter to the doctors alleged malpractice
(autonomy)
They are demanding compensation of 1 billion over
the material and immaterial losses suffered
(autonomy)

III. ANALYSIS PROBLEM

- Formulate the central of ethical dilemma in the
case above
- From the case above, you try to analysis based:
a) Basic Rule bioethics and Prima Facia (using the
KDB criteria table)
b) Clinical Ethics Jonsen Siegler Winslad (use
clinical ethics questions Jonsen Siegler Winslad
"Four Box")
- What if the case above, we see it in the Islam
perspective (Islamic Ethics).