Bedah B Kenal Plastik Est Edit

8/16/2019 Bedah B Kenal Plastik Est Edit

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BEDAH PLASTIK

PLASTIC SURGERY

DR. B J Bismedi SpBP

Divisi Bedah Plastik Rumah Sakit Umum Dr Zainoel Abidin

Banda Aceh


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Introduction

≠ Organ/System Digest! Uro!"euro! #asc! $hora%! Oral! &and''(

≠ Disease $umor/Onkology''( ≠ Status/)ender Obstetry!

Paediatric! )eriatry!''(

Plastic Surgery * +odality!Per,ormance! -uality o, .i,e


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PLASTIC SURGERY

P.AS$0OS 1 2to mold3! 4molding5

Reconstructive

Aesthetic


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PLASTIC SURGERY

B6AU$7 8Aesthetics

"OR+A.9U"0$O"

Abnormality /De,ect /De,ormity

Aesthetic(Recon.)

Reconstructive(Aest.)

•Objective

•Subjective

•Compliance /Satisfaction

•Bod !ma"e

-UA.$7 O9 .96


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Plastic Surgery Cases

D69OR+$7

D6960$

Abnormality

Dis,unction

4De,ect5

Con"enital

#rauma

#umor Ablation

$iseasesBody Image

Aging, Others


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PLASTIC SURGERY

-uality o, .i,e

Ab"ormality "ormal Beauty

BOD7 +A)6Perce:tion

nvestment


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PLASTIC SURGERY


+ODA.$7Basic Surgical $echni;ue < Art

=ound 0are / &ealing(

Skin )ra,t

9la:! sim:le +icro Surgery

Suction m:lant

Body mage! Rehabilitation Su::ort!)ood


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CONGENITAL Abnormality

0.69$ .P

PR+AR7 D6+A"D R60O"S$RU0$#6

SUR)6R7

+odality BSS 8Art 9la:


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CLET LIP ! PALATE 0ongenital

+asa kritis> gestasi?


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CONGENITAL

0ongenital

0.69$ .P

$iming O:erasi Rule o, the $6"

Usia JC minggu

Berat JC :on

&b JC g/dl

. K C'

2Sentuhan Perdana3 1Su::ort! +enenangkan6dukasi Eeluarga


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CONGENITAL Abnormality " #e$e%

0ongenital

&emangioma

&i:os:adia<Ambigus

+odality Skingra,ting


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TRAU&A #e$ormity " #e$ects

$RAU+A De,ect

9racture Burn

+odality

BSS m:lant


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TRAU&A AbN' #e$ect' #e$orm

$RAU+A

Burn

+odality BSS

=ound &ealing


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(URN =ound &ealing


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(URN =ound &ealing

Skingra,ting


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TRAU&A #e$ect

$RAU+A De,ect

+odality BSS


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#ISEASE #e$ect ) *ound

DS6AS6 8n,ection

+odality Anatomy

=ound &ealing

=ound 0are Rekonstruksi dg 9la:/Skin gra,t

=ound 0are

C' Eai .uka

G' $indakan RaIat .uka C' Pre:arasi .uka Iound bed

:re:aration( 0leansing

Debridement

G' Dressing


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Case 3

First-day presentation


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Wounds


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Luka Berdasarkan Kedalaman

Luka parsial

Luka dalam

Luka superfsial

Luka superfsial-parsial


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Luka berupa ulkus

Ulkus Variko-sum.Gangguan Vena

Ulkus iskemik.Gangguan arteri

Ulkus / Gangren Diabetik

Ulkus Malignansi

Ulkus Decubitus, ulkus berongga

cavity !, luka dalam, nekrotik,contaminated.


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Luka berdasarkan kondisi

necrotic" eskar, keras,#itam, kering

$et necrotic" lembek,%arna kekuningan,basa#


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Case 3

First-day presentation


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Case 3

&ntraoperati'e fndings


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Case 3

(ostoperati'e day ) *, %ound treated %it# +ora


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Case 3

$eek) , ater treated %it# erplast0 a'it


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Case 3

$eek) 1, ater treated %it# erplast0 a'it


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Case 3

$eek)2


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Case 3

$eek)3


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Case 3

$eek)*


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Case 3

$eek)*2


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Case 3

$eek)*3


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#ISEASE #e$ect

DS6AS6


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#ISEASE"TRAU&A #e$ect

DS6AS6

Ulcus Decubitus

+odality =ound healing

9la:


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TU&OR A(LATION #e$ect' AbN

$umor Ablation

+odality BSS Eaedah Onkologi

9la: L Skin )ra,t


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TU&OR A(LATION

+odality

BSS

Eaedah Onkologi

9ree 9la: L +icrosurgery


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PLASTIC SURGERY


+ODA.$7Basic Surgical $echni;ue

=ound 0are / &ealing(Skin )ra,t

9la:! sim:le +icro Surgery

Suction m:lant

Body mage! Rehabilitation Su::ort!)ood


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NOR&AL UNCTION AN# #E&AN#

$attoo

Mantelasma

S60O"DAR7D6+A"D N

A6S$&6$0 8R60O"S$RU0$SUR)6R7

Body mage


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NOR&AL UNCTION AN# #E&AN#

#R)"A.+A++A6&7P6R$&ROP7

PR+AR7 8S60O"DAR7D6+A"D

A6S$&6$0 8R60O"S$RU0$

SUR)6R7 +odality

BSS < Art


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(LEP+AROPLASTY+odality

BSS < Art


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(REAST LIT

+odalityBSS < Art


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(REAST AUG&ENTATION

+odalityBSS 8 Artm:lant


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TU&&Y TUC,

+odalityBSS < Art


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Abdomino-lasty . &amo-lasty

(ody Contouring


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PLASTIC Aest/etic SURGERY

-uality o, .i,e

Ab"ormality "ormal Beauty

"o


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PLASTIC SURGERY

B6AU$7 8Aesthetics

"OR+A.9U"0$O"

Abnormality /De,ect /De,ormity

Aesthetic(Recon.)

Reconstructive(Aest.)

•Objective

•Subjective

•Compliance /Satisfaction

•Bod !ma"e

-UA.$7 O9 .96


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PLASTIC Aest/etic SURGERY

+ODA.$7Basic Surgical $echni;ue < Art

Suction

m:lant Body mage! Rehabilitation Su::ort!

)ood


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TERIMAKASIH

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Bedah B Kenal Plastik Est Edit