November 13rd – November 19th 2017

CHIEF OBSTETRIC EMERGENCY UNIT : CKS/HNS

CHIEF GYNECOLOGIC EMERGENCY UNIT : CKS/HNS
CHIEF CEMPAKA OBSTETRIC / OBSTETRIC CENTRAL OPERATING ROOM : PTA/HDW
CHIEF CEMPAKA GYNECOLOGYC / GYNECOLOGIC CENTRAL OPERATING ROOM : GIP
CHIEF OBSTETRIC OUT PATIENT CLINIC : AYT
CHIEF GYNECOLOGIC OUT PATIENT CLINIC : BRM
CHIEF FERTILITY OUT PATIENT CLINIC : WAP
CHIEF ONCOLOGY OUT PATIENT CLINIC : GSK
CHIEF UROGYNECOLOGIC OUT PATIENT CLINIC: BAM
 WEEKLY REPORT OF GYNECOLOGY
EMERGENCY ROOM AND CEMPAKA WARD
November 13rd – November 19th 2017

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 AbCSess N75.1 - - - -
1.2.5 Others - - - -
 IRD CEMPAK GYN/OBS
NO CASES DESCRIPTION
ICD X NEW PREVIOUS NEW PREVIOUS
GYNECOLOGY TUMORS
2 - - 2 12
Subtotal
19 2.1. Benign
2.1.1 Bartholin Cyst N75.0 - - - -
2.1.2 Cervical Polyp N84.1 - - - -
2.1.3 Adenomyosis N80 - - 1 -
2.1.4 Ovarian Cyst N83.2 - - - 1
2.1.5 Solid Ovarian Tumor D27 - - 1 1
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 - - - 6
2.3.4 Endometrial Carcinoma C54.1 - - - 2
2.3.5 Fallopian Tube Carcinoma C57.0 - - - -
2.3.6 Ovarian Carcinoma C56 - - - 2
2.3.7 Trophoblastic M90 - - - -
2.4 Others - - -
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
ENDOCRINOLOGY AND INFERTILITY
3 - - 1 -
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 - - 1 -
3.6 Others - - - -

EARLY PREGNANCY COMPLICATION

4 - - - -
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 - - - -
 IRD CEMPAKA GYN/OBS
NO CASES DESCRIPTION
NEW PREVIOUS NEW PREVIOUS
ICD X
MINOR OPERATION GYNECOLOGY
5 - - - -/-
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 - - - -
OTHERS
6 - - - 1
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 - - - 1
6.6 Susp. Vagina Septa Q52.1 - - - -
6.7 Visum et Repertum Z03 - - - -
6.8 Other - - - -
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
N NAME, WA PRE OP PLANNING DURING OPERATIVE OP
DATE OPERATIVE RA RA OR
O AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

1 KAT, 49 yo 14/11 C II Solid Ovarian Laparotomy During operation found: Total • Multiple Myoma + 225 BYM IX
(P5 - 13 yo) /2017 GIN Tumor + Right (TAH – BSO) + • Ascites (+)  PA Abdominal Post Total minutes
Abdominal
Pleural Effusion ec FZ Evaluation of internal Hysterectomy – Hysterectomy –
Metastasis dd/ (ICD IX: 54.1) genitalia organ: Bilateral Bilateral
Primary - Uterus size and Salphingoooph Salphingooophore
(ICD X: D39.1; consistency ~ 28-30 orectomy ctomy
J91.0) weeks  adhered with • After Liver Biopsy,
omentum  release Susp. Liver Tumor
succeed Susp. Malignancy
- Seen multiple myoma: dd/ Metastasis
- seen subserosal • History of Right
myoma, size 10x10 Pleural Effusion ec
cm, at posterior Susp. Metastasis
uterine corpus, dd/ Primary
adhered with
omentum  FZ
- seen pedunculated
myoma, size 15x10
cm, at anterior
uterine corpus
- seen subserosal
myoma, size 8x8 cm,
8x6 cm, 5x5 cm, 4x4
cm, 3x2 cm, clear
border, smooth
surface, mobile
- felt intramural
myoma, size 11x10
cm, 8x6 cm, 4x3 cm,
3x3 cm, 3x3 cm, clear
border, smooth
surface
- Right Fallopian Tube
and Ovary were normal
- Left Fallopian Tube and
ovary were normal
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
N NAME, WA PRE OP PLANNING DURING OPERATIVE OP
DATE OPERATIVE RA RA OR
O AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

1 KAT, 49 yo 14/11 C II Solid Ovarian Laparotomy Decided to do: Total • Multiple Myoma + 225 BYM IX
(P5 - 13 yo) /2017 GIN Tumor + Right (TAH – BSO) + Total Abdominal Abdominal Post Total minutes
Hysterectomy dan Bilateral Abdominal
Pleural Effusion ec FZ Salphingooophorectomy Hysterectomy + Hysterectomy –
Metastasis dd/ (ICD IX: 54.1) Bilateral Bilateral
Primary Evaluation of intrabdomen Salphingoooph Salphingooophore
(ICD X: D39.1; organ: orectomy + ctomy
J91.0) • Peritonuem & Liver Biopsy • After Liver Biopsy,
omentum: nodule (-) (ICD IX: 68.49; Susp. Liver Tumor
• Liver: smooth surface, Susp. Malignancy
nocule (-), seen multiple 65.6 dd/ Metastasis
white plaque  consult • History of Right
to Digestive Surgery Pleural Effusion ec
Departement  biopsy Susp. Metastasis
dd/ Primary
Cytology result:
• Mesothelial Cell
Hypoplasia
• Malignant cell (-)

FZ Result:
Spindel Cell Neoplasia seem
Leiomyoma
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
NAME, WA PRE OP PLANNING DURING OPERATIVE OP
NO DATE OPERATIVE RA RA OR
AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

2 ADI, 40 yo 15/11 C II Ovarian cyst Laparotomy During operation found: Total Sertoli Leydig Cell 295 BDA IX
(P2-10 yo) /2017 GIN suspect malignant (USO +FZ) • Ascites (+)  cytology Abdominal Tumor Post Total minutes
Abdominal
(ICD X: N 83.20) (ICD IX: 54.1) Hysterectomy – Hysterectomy –
Evaluation of internal
Bilateral Bilateral
genitalia organ:
Salphingoooph Salpingoophorectomy
- Seen cystic mass, – Omentectomy Day 1
orectomy -
unsmooth surface, - Post Bladder
Omentectomy
size 24x15 cm, Repair Day 1
originated from the - Post
right ovary Appendisectomy
- Seen cystic mass, Day 1
- Hypoalbuminem
unsmooth surface, ia (1.1)
size 15x10 cm,
originated from the
left ovary
- Uterus size and
consistency ~ Normal
- Seen the mass and the
uterus adhered to the
bladder
- Done mass release 
succeed  FZ

Evaluation of
intraabdominal organ:
- Liver : smooth surface,
nodule (-)
- Peritoneum : nodule (-
)
- Omentum : nodule (-)
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
N NAME, WA PRE OP PLANNING DURING OPERATIVE OP
DATE OPERATIVE RA RA OR
O AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

2 ADI, 40 yo 15/11 C II Ovarian cyst Laparotomy During operation found: Total Sertoli Leydig Cell 295 BDA IX
(P2-10 yo) /2017 GIN suspect malignant (USO +FZ) Abdominal Tumor Post Total minutes
FZ results: Abdominal
(ICD X: N 83.20) (ICD IX: 54.1) Hysterectomy – Hysterectomy –
Right and left ovaries: Bilateral Bilateral
- Morphology of mixed Salphingoooph Salpingoophorectomy
sex cord stromal orectomy- – Omentectomy Day 1
tumor, tend to be Omentectomy - Post Bladder
Sertoli-Leydig Cell Repair Day 1
Tumor - Post
Appendisectomy
Day 1
Cytology results: - Hypoalbuminem
- No malignant cells ia (1.1)

Decided to do Total
Abdominal Hysterectomy –
Bilateral
Salpingoophorectomy –
Omentectomy

During operation found :

- Ruptured bladder 
Consult to Urology
Department  Done
Bladder repair
- Supurative appendix
and ileum laceration
 Consult to
Digestive  Done
Appendisectomy
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
N NAME, WA PRE OP PLANNING DURING OPERATIVE OP
DATE OPERATIVE RA RA OR
O AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

3 MUR, 47 yo 16/11 C II Solid Ovarian Laparotomy During operation found: Total Uterine Myoma Post BDA IX
(P0- /2017 GIN Tumor (USO +FZ) - Ascites (-) Abdominal Total Abdominal Minutes
Hysterectomy + Left
unmarried) (ICD X: D 27.9) (ICD IX: 54.1) - Internal genital organ Hysterectomy – Salpingoophorectomy
Left + Right Salpingectomy
evaluation:
Salpingoophore Day I
• Uterus size & ctomy + Right
Consistency > Salpingectomy
Normal ~ 32-34
weeks
• Right ovary and
fallopiantube ~
Normal
• Seen left ovarian
cyst sized 5x5 cm
and left paratubal
cyst
- Decided to do total
abdominal
hysterectomy
• Left
Salphingoophorecto
my
• Right
Salphingectomy
- Evaluation of internal
abdominal organs:
• Liver: Smooth
Surface, Nodul (-)
• Peritoneum: Nodul (-
)
• Omentum: Nodul (-)
 WEEKLY REPORT CENTRAL OPERATING ROOM
November 13rd – November 19nth 2017

POST DU OPE
NAME, WA PRE OP PLANNING DURING OPERATIVE OP
NO DATE OPERATIVE RA RA OR
AGE (PARITY) RD DIAGNOSIS PROCEDURE FOUND PROCEDURE
DIAGNOSIS TION TOR

4 SUM, 50 yo 16/11 C II Ovarian ReLaparotom During operation found: Total Ovarian Carcinoma 270 BYM IX
(P2-10 yo) /2017 GIN Carcinoma y (surgical • Ascites (-) Abdominal stadium IA post Total minutes
Abdominal
(ICD X: C 56.9) stagging) Hysterectomy Hysterectomy –
Evaluation of internal
(ICD IX: 54.1) – Bilateral Bilateral pelvic
genitalia organ:
pelvic Limphadenectomy –
- Uterus size and Omentectomy –
Limphadenect
consistency ~ Normal appendicectomy -
omy –
- Not seen both Peritoneal and
Peritoneal and
ovarium and fallopian Paraaorta Biopsy
Paraaorta
tube
Biopsy
Decided to do Total
Abdominal Hysterecotomy
–Omentectomy – Bilateral
pelvic Limphadenectomy

Evaluation of
intraabdominal organ:
- Liver : smooth surface,
nodule (-)
- Peritoneum : nodule (-
)
- Omentum : nodule (-)

Decided to peritoneal
biopsy and appendectomy