You are on page 1of 36

LAPORAN MINGGUAN

BEDAH
12 Juli 18 Juli 2013

RSUDZA

KAMAR OPERASI
ELEKTIF

JADWAL OPERASI
ELEKTIF
ASAL PASIEN
RUANGAN
ODC
TOTAL

JUMLAH
54
8
62

PERINCIAN PASIEN OPERASI


DIVISI

TERJADWAL

BATAL

KETERANGAN

ANAK

DIGESTIF

Terlampir

ONKOLOGI

Terlampir

ORTHOPEDI

17

Terlampir

PLASTIK

Terlampir

SARAF

Terlampir

TKV

13

62

UROLOGI
JUMLAH

PERINCIAN PEMBATALAN OPERASI


ELEKTIF
TGL
DIVISI
MASUK

NAMA/
UMUR/
KELAMIN

Bedah 16-7-2013 Aqlima/15bln/ P


Plastik

Onkolog 17-7-2013 Abdul


i
azis/56th/L

TINDAKA
DIAGNOSA
N
Facial Cleft

Rekonstruks
i

OPERATOR
dr. M. Jailani,
SpBP

SNNT Regio Ismulobekto dr. Farizal Fadil,


Colli anterior
mi
SpB
sinistra

ALASAN
PEMBATAL
AN
Demam

Tidak ada
darah
golongan AB

NAMA/
TGL
UMUR/
DIVISI
MASUK KELAMI
N

DIAGNOSA

TINDAKAN

Bedah 17-7-2013 Rahmaya Susp. Meningioma Kraniotomi +


Saraf
nti/26th/P
tumor removal
bedah mikro
18-7-2013 Naila
Hidrocephalus non
Azzura/10
communicans
bln/P
Bedah 17-7-2013 Anwar
Hernia Inguinalis
Digestiv
Puteh / 50 Medial Bilateral
e
th/ L

dr. Iskandar,
SpBS

ICU Penuh

VP Shunt

dr. Bustami,
SpBS

Anestesi minta
konsul Cardio
anak

Hernioraphy

dr. Muslim,
SpB(K)BD

Trombositopen
ia + Anemia
aplastik (tidak
terkoreksi)

Bedah 18-7-2013 Sulaiman Burst fr Th XII Fr A


Stabilisasi
Ortopae
amin / 32
Posterior +
di
th/ L
Laminectomy
16-7-2013 Alinas nur
/ 82 th / P

Close Fr neck
Femur (D)

ALASAN
OPERATOR PEMBATALA
N

dr. Azharuddin, Anestesi minta


SpOT K-SPINE
ICU

Hemiartoplasty dr. Armia Indra


NA SpOT

Hipertensi di
meja operasi

WAKTU INSISI

OKA 3

OKA 4

OKA 5

OKA 6

OKA 7

OKA 8

EMERGENCY

DIVISI

NAMA/UM TGL
UR/
MASU
KELAMIN
K

orthope Ruwand 12
di
a
July
Fauzan, 2013
14
Thn,Lk

DIAGNOSA
PRE
OPERATIF

TINDAKAN

TGL
OPER
ASI

DIAGNOSA
PASCA
OPERATIF

TIM JAGA

dr. Armia,
Open
Debridemen 13 Open
SpOT
fracture of t and ORIF July fracture of
the left leg
2013 the distal of dr. Safrizal R,
grade IIIA
the left tibia SpOT
fibula grade
Edi/Hen/Gls/T
IIIA (Salter om/Aa/Rrm/R
Haris type yan/Moh/Mul
IV)
dr. Armia,
orthope Wawan 12
Open
Debridemen 12 Open
SpOT
di
Setiawa July Fracture of t and K-wire July Fracture of
n, 19
2013 the 3rd and
2013 the3 rd , 4th dr. Safrizal R,
SpOT
Thn,Lk
4th ,
proximal
metacarpal
phalanx of
Edi/Hen/Gls/T
of the right
the right
om/Aa/Rrm/R
and and
hand and
yan/Moh/Mul
close
close
Fracture of
Fracture of
the 5th
the 5th
metacarpal
proximal
of the right
phalanx of
hand
the right
hand

TGL
NAMA/UMU
DIVISI
MASU
R/ KELAMIN
K

DIAGNOSA
PRE
OPERATIF

TINDAKAN

TGL DIAGNOSA
OPER
PASCA
ASI
OPERATIF

digesti Maulizam, 12
Acute
Appendecto 13 Acute
ve
21 Thn, July Appendiciti my
July appendiciti
Lk
2013 s
emergency 2013 s

TIM JAGA
Dr. Muslim,
SpB(K)BD
dr. Safrizal R,
SpOT
Edi/Hen/Gls/To
m/Aa/Rrm/Rya
n/Moh/Mul

digestive Nazaruddi 13
Acute
Appendecto 14 Acute
n,26 Thn, July Appendiciti my
July appendiciti
Lk
2013 s
emergency 2013 s

Dr. Muslim,
SpB(K)BD
dr. Dian AS,
SpBA
Azi/Put/Nzr/I
nl/Mnw/Ikd/L
ik/Asw/Iwn/R
ul

TGL
NAMA/UMUR/
DIVISI
MASU
KELAMIN
K

DIAGNOSA
PRE
OPERATIF

TINDAKAN

anak

By. Deffy
Yusnita, 1 Hr,
Pr

Anal
imperforate
without fistula
+ down
syndrome

Prepare
colostomy
emergency

anak

By. Humaira, 1 14 July Anal


2013 imperforate
Hr , Lk
without fistula
+ down
syndrome

Colostomy
emergency

14 July
2013

TGL DIAGNOSA
OPER PASCA
ASI OPERATIF

TIM JAGA

14 July Anal
dr. Muntadhar,
2013 imperforate
SpB,SpBA
high level
without
Dr.M.Yusuf, SpB
fistula +
down
Azw/Nzl/Mut/Hip
syndrome
/Lea/Pon/Rrm/Su
m/Jau/Fzn
15 July Anal
dr. Muntadhar,
2013 imperforate
SpB,SpBA
without
fistula +
Dr.M.Yusuf, SpB
down
syndrome
Azw/Nzl/Mut/Hip
/Lea/Pon/Rrm/Su
m/Jau/Fzn

TGL
DIAGNOSA
NAMA/UMUR/
DIVISI
MASU
PRE
TINDAKAN
KELAMIN
K
OPERATIF
DigestiveSurya
14 juli
General
Laparatomy
Hernanda , 18 2013 peritonitis due exploration
Thn, Lk
to
Susp.Internal
Bleeding due
to blunt
abdominal
injury with
stable
haemodinamic
+ close
fracture of left
clavicle +
Close fracture
of the upper
third of the left
tibia
Saraf

Fauzi, 45 Thn,
Lk

TGL
DIAGNOSA
OPER
PASCA
TIM JAGA
ASI
OPERATIF
14 juli
Dr. Muslim,
General
2013 peritonitis due SpB(K)BD
to Susp.Internal
Bleeding due to Dr.M.Yusuf,
SpB
blunt
abdominal
injury with Azw/Nzl/Mut
/Hip/Lea/Pon
stable
haemodinamic /Rrm/Sum/Ja
u/Fzn
+ close
fracture of left
clavicle +
Close fracture
of the upper
third of the left
tibia

15 Juli Mild head injury Elevation depress 15 juli Mild head injury + dr. Iskandar,
2013
2013 depress fracture
+ depress
fracture
SpBS
fracture at the
emergency
at the right
frontal region
Frontal region dr. Bustami,
SpBS
Edi/Joko/Gls/
Tom/Aa/Lik/
Ryan/Moh/M
ul.

TGL
NAMA/UMU
DIVISIz
DIAGNOSA PRE
R/
MA
i/
OPERATIF
KELAMIN SU
K
th
Digestive Juanda, 55 ,
16 General peritonitis due to
Lk
Juli appendicitis perforation
2013

TINDAKAN
Laparotomy
exploration
emergency

TGL
DIAGNOSA
OPE
PASCA
RAS
OPERATIF
I
17
General
Juli peritonitis due to
2013 appendicitis
perforation

TIM JAGA
dr. M. Yusuf,SpB
dr. Armia, SpOT

Azi/Hen/Mut/Ikd/M
w/Asw/Iws/Jau/Rul
anak

By.Masyitah, 1 16 Gastroschisiz + low birth


Primary repair
17 Gastroschisiz +
Hr,Lk
juli
weight
defect emergency juli low birth weight
2013
2013

dr. Muntadhar,
SpB,SpBA
Dr. Armia, SpOT

Azi/Hen/Mut/Ikd/M
w/Asw/Iws/Jau/Rul

RAWAT JALAN

POLIKLINI PASIEN
K
BARU
B. ANAK
9
B.
7
DIGESTIF
B.
16
ONKOLOGI
ORTHOPED
34
I
B. PLASTIK
11
B. SARAF
2
B. TKV
5
B.
10
UROLOGI
JUMLAH
94

PASIEN
LAMA
19

TOTAL
28

34

41

48

64

105

139

17
18
6

28
20
11

35

45

282

376

RUANG
RAWATAN

DIVISI
KAPASITAS
(BED)
ANAK
DIGESTIF
ONKOLOGI
ORTHOPEDI
PLASTIK
SARAF
TKV
UROLOGI
JUMLAH
(PASIEN)

JEUMP JEUMP JEUMP JEUMP


A
A
A
A
I
2
3
4
28

28

28

26

4
2
5
6
5
2
3

4
3
2
11
3
3
2

1
4
9
2
5
1
3

4
1
7
1
2

27

28

25

15

SR SR SR
MP MP
GL GL
GR
HC NIC PIC
DIVISI N N N
L
L
ICU
M 1M 2
T
U U U
1
2
3
1
2
ANAK
DIGESTI
F
ONKOLO
GI
ORTHOP
EDI

2** 1*

6*****
*

PLASTIK

SARAF

1*

TKV

1*

1*

1*

1*

UROLOG
I
JUMLAH
5
(PASIEN)

3*** 1*

2** 1* 4**

35

PERENCANAAN
OPERASI PASIEN
BEDAH

PERENCANAAN OPERASI
PASIEN
BEDAH
Jumlah
Perenca
nan
Operasi
Pasien
Bedah
Minggu
Lalu

Jumlah
Jumlah
Pasien Perencan
Operas
an
i
Operasi
Minggu Pasien Ke
ini
depan

Tanggal

B.
DIGESTIVE

ORTHOPED
I

170

15

169

22 Juli 2013 19 Desember


2013

24 Juli 2013 26 Juli 2013

58

62

22 Juli 2013 6 Oktober


2013

B. TKV

B. ANAK

22 Juli 2013 23 Juli 2013

47

51

22 Juli 2013 23 Desember


2013

B. SARAF
B.
ONKOLOGI

B. PLASTIK

22 Juli 2013 29 Juli 2013

RENCANA JADWAL OPERASI PASIEN BEDAH DI INSTALASI BEDAH SENTRAL


RSUD Dr.ZAINOEL ABIDIN BANDA ACEH .22- 26 juli 2013
Hari

: Senin

Tanggal : 22 Juli 2013

N
O

UMU
NAMA PASIEN
JK
R

JAM

DIAGNOSA

TINDAKAN

LAMA MULA SELES


OPERA
OK
OP
TOR
I
AI

RESIDEN

1 Mariana

41

SNNT a/r Colli (D)

Ismulobektomi

60

08.30 09.30

FF

AZY/GLS/LDS/PO
N

2 Aisyah Ahmad

63

Ca Mammae (S)

Mastektomi (S)

60

09.30 10.30

FF

AZY/GLS/LDS/PO
N

3 Nurhafifah

71

Ganglion a/r manus (D)

Eksisi

60

10.30 11.30

FF

AZY/GLS/LDS/PO
N

4 Said Ali

53

Tumor Ampula Vateri

By Pass
Biliodigestive

90

08.30 10.00

MUS

PUT/HEN/ZUM

5 Abdul Hamid

60

Hemoroid Grade III

Hemoroidektomi +
Stapler

90

10.00 11.30

MUS

PUT/HEN/ZUM

Facial cleft

Rekonstruksi

90

08.30 10.00

JAI

AZW/MOH/ASW

Fr.Simphisis mandibula

ORIF

60

10.00 11.00

JAI

AZW/MOH/ASW

41
thn

Defect a/r Femur

Tutup Defect

60

11.00 12.00

JAI

AZW/MOH/ASW

11 Ishak

73

Ca Prostat T2NxMx

90

08.30 10.00

DAH

MUT/HIP/AND

12 Adnan
13 Nasruddin
14 M.Nursalam
15 Yuliana

42
33
64
18

L
L
L
P

Hidrocele (S)
Fr. Radius (D)
Fr. Neck Femur (S)
Fr. Clavicula (D)

60
90
90
90

10.00
08.30
10.00
11.30

7
8
8
8

DAH
ZUL
ZUL
ZUL

MUT/HIP/AND

8 Aqlima Azzahra
9
10

Nasrullah
Abdul Karim

15
bln
17
thn

Biopsi prostat +
Sistoskopi + TURP
Hidrocelectomi
ORIF
ORIF
ORIF

11.00
10.00
11.30
13.30

EDI/JOK/SUM
EDI/JOK/SUM
EDI/JOK/SUM

RENCANA JADWAL OPERASI PASIEN BEDAH DI INSTALASI BEDAH SENTRAL


RSUD Dr.ZAINOEL ABIDIN BANDA ACEH
22 23 juli 2013
Hari

: Selasa

Tanggal : 23 Juli
2013

N
O

NAMA PASIEN

1 M. Ghazi

UMU
JK
R
2

Aisyah
Rahmad
Bustami
Sulaiman

40
17
24
49

P
L
L
L

6 Abdul Rahim

37

7 Saifullah

30

87

2
3
4
5

8 Rania
9 Aliansyah Nur

DIAGNOSA

TINDAKAN

Soft Tissue Tumor a/r Auricula


Eksisi
(D)
Fr.Maxillofacial
ORIF
Fr.angulus Mandibula
ORIF
Fr.Nasal
Rekonstruksi
Batu ureter proximal (D)
URS + Litotripsi
URS + Litotripsi +
HN Gr III-IV (D) + Pyelolitiasis
DJ Stent
(D) + Batu ureter proximal (S)
OA HIP Joint (D)
Post open reduksi + Casting
a.i CDH
Fr.neck femur (S)

JAM
LAMA
OPERATO
MULA SELE OK
OP
R
I
SAI

RESIDEN

60

08.30 09.30

DAS

60
60
60
90

08.30
09.30
10.30
08.30

09.30
10.30
11.30
10.00

5
5
5
7

JAI
JAI
JAI
DAH

NZL/AAD/LRM/IW
S
AZW/MOH/ASW
AZW/MOH/ASW
AZW/MOH/ASW
MUT/HIP/AND

90

10.00 11.30

DAH

MUT/HIP/AND

THR

90

08.30 10.00

ARM

EDI/JOK/SUM

Reduksi casting

90

10.00 11.30

ARM

EDI/JOK/SUM

Hemi artroplasty

90

11.30 13.00

ARM

EDI/JOK/SUM

RENCANA JADWAL OPERASI PASIEN BEDAH DI INSTALASI BEDAH SENTRAL


RSUD Dr.ZAINOEL ABIDIN BANDA ACEH
22 24 juli 2013
Hari
: Rabu
Tanggal : 24 juli
2013
N
O

NAMA PASIEN

UMU
JK
R

DIAGNOSA

TINDAKAN
Ismulobektomi

JAM
LAMA
OPERAT
MULA SELE OK
OP
OR
I
SAI

RESIDEN

90

08.30 10.00

FF

AZY/GLS/LDS/PO
N

90

10.00 11.30

FF

AZY/GLS//LDS/PO
N

90

08.30 10.00

MUS

PUT/HEN/ZUM

90

10.00 11.30

MUS

PUT/HEN/ZUM

Craniotomy
removal tumor

150

08.30 11.00

IS

TOM/ALIK/NAS/FA
U

Cranioplasty
Autografi

120

11.00 13.00

IS

TOM/ALIK/NAS/FA
U

Sistoskopi +
L LUTS ed Vesicholitiasis + BPH Litotripsi + Batu
+ TURP

90

08.30 10.00

DAH

MUT/HIP/AND

20

Kista sebasea scrotum

Eksisi kista

90

10.00 11.30

DAH

MUT/HIP/AND

22

Mal union Fr.Femur (D) +


Shorthening

Rekontruksi

90

08.30 10.00

AZH

EDI/JOK/SUM

10 Sulaiman amin

32

Burst Fr. Th X 12 Fr A

120

10.00 12.00

AZH

EDI/JOK/SUM

11 Mahmudin Idris

58

Burst Fr Th X Fr C +
Fr.Humerus (D)

150

12.00 14.30

AZH

EDI/JOK/SUM

1 Marlaini

44

SNNT (S)

2 Abdullah Aziz

56

SNNT (S)

3 Muhammad

70

Post Colostomi

4 Zakara

55

Ca Esofagus

5 Mustafa

37

Susp Oligodendroglioma

6 Zuraida

38

Skull Defect ar
Frontotemporal (D)

7 Mara husen

82

8 Said hafazh
9 Sriwahyuni

Ismulobektomi
Colostomi Closure
(Reanastomosis)
Torakolaparotomi

Laminektomi +
Stabilisasi
postrerior
Laminektomi +
Stabilisasi
postrerior Platting
Humerus (D)

RENCANA JADWAL OPERASI PASIEN BEDAH DI INSTALASI BEDAH SENTRAL


RSUD Dr.ZAINOEL ABIDIN BANDA ACEH
22 25 juli 2013
Hari

: Kamis

Tanggal : 25 Juli
2013

N
O

NAMA PASIEN

UMU
JK
R

DIAGNOSA

TINDAKAN

Businasi

1 Abu bakar

58

Post sachse a/i striktur uretra

2 M.Yusuf umar

80

RPG + URS +
Nefrolitiasis (D) Ureterolitiasis
Persiapan litotripsi
proximal (D)
batu ureter

3 Mariah

43

OA HIP (D)

4 Asnawi

5 Muhibuddin

JAM
LAMA
OPERAT
OK
OP MULA SELE
OR
I
SAI

RESIDEN

30

08.30 09.00

DAH

MUT/HIP/AND

90

09.00 10.30

DAH

MUT/HIP/AND

THR

60

08.30 09.30 8

SR

EDI/JOK/SUM

Fr.Suprakondiler Femur (D)

ORIF

90

09.30 11.00 8

SR

EDI/JOK/SUM

OA HIP (S)

THR

60

11.00 12.00 8

SR

6 Zulfaksi

23

Non Union Fr.femur (S)

ORIF

90

12.00 13.30 8

SR

7 Desinil Rayanti

25

Mal union Supra kondiler


humerus (S)

Rekonstruksi +
ORIF

90

13.30 15.00 8

SR

EDI/JOK/SUM
EDI/JOK/SUM
EDI/JOK/SUM

RENCANA JADWAL OPERASI PASIEN BEDAH DI INSTALASI BEDAH SENTRAL


RSUD Dr.ZAINOEL ABIDIN BANDA ACEH
22 26 juli 2013
Hari
: Jumat
Tanggal : 26 Juli
2013
N
O

NAMA PASIEN

UMU
JK
R

DIAGNOSA

TINDAKAN

JAM
LAMA
OPERATO
RESIDEN
MULA SELE OK
OP
R
I
SAI
60
08.30 09.30 3
FF
AZY/GLS/LDS/PON

1 Yusmaidar

27

FAM (S)

Eksisi

2 Jasmani

38

Lipoma a/r Femur (D)

EKsisi

60

09.30 10.30

FF

AZY/GLS/LDS/PON

3 Ti Hajar Saat

59

Craniotomy
removal tumor

120

08.30 10.30

IS

TOM/ALIK/NAS/FA
U

4 Lia

45

ORIF

90

08.30 10.00

ARM

EDI/JOK/SUM

5 Zaiyana
6 Fatimah

32
27

P
P

Massa intra Cranial susp


Astrocytoma low grade
Implant failure a/r tibia fibula
1/3 tengah (D)
Union fr.femur (D)
Union Fr.Tibia-Fibula (S)

ROI
ROI

90
90

10.00 11.30
11.30 13.00

8
8

ARM
ARM

EDI/JOK/SUM
EDI/JOK/SUM

DISTRIBUSI
KASUS
KEMATIAN

N
O
1
2

3
4

NAMA/UMUR/
KELAMIN
Verry ZN / 14 thn / L
POD : 23

DIAGNOSA

TINDAKAN

Tumor fossa
Craniotomy
posterior
removal
(meduloblastoma)
tumor
Cut Ruhul Aflah / 58 CKB + SDH + ICH
thn/ P
a/r
AD : 4
temporoparietal
(D)
Ibnu Umar / 48 thn /
Susp glioma a/r Craniotomy
L
ganglia basalis (s)
removal
POD : 3
tumor
Rohana Yusuf / 46 thn CKS + Open fr Craniectomy
/P
depress a/r frontal elevasi fr
POD : 1
(s)
depress

DPJP

PENYEBAB
KEMATIAN

Dr. Iskandar SpBS

Sepsis

Dr. Iskandar SpBS

Herniasi

Dr. Iskandar SpBS

Perdarahan
dan edem otak
berat
Gangguan
Airway

Dr. Bustami SpBS

M. Darwin / 53 th / L Perforasi gaster + Laparotomy


Dr. Ferry Erdani
POD : 15
efusi pleura (d) Eksplorasi +
SpB(K)BD
pemasangan Dr. Muntadhar SpB,SpBA
wsd

Kuat / 72 th / L
POD : 23

Post Laparotomy
ReDr. Muslim, SpB(K)BD
eksplorasi a/I
Laparotomy
perforasi Ileum + + Colostomy
adhesi + anemia
+ DM tipe 2

Pneumonia

Sepsis

MORBIDITAS

1. dr. Guruh Laut Suhartono


melakukan tindakan di IGD tidak
sesuai dengan instruksi.
2. dr. Haji Ifradin Pinim, dr. Andri
Mulya, dr. Aswad merokok di area
Rumah Sakit

TERIMA
KASIH

You might also like