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Perforasi Gaster

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Perforasi Gaster

Text of Perforasi Gaster

  • EMERGENCY CASE REPORTS Sunday, November 15th, 2010SURGERY DEPARTMENT

    EMERGENCY ROOMWAHIDIN SUDIROHUSODO GENERAL HOSPITALMAKASSAR

  • Sunday, November 15th 2010

  • Physical Examination

  • Rectal Toucher Sphincter ani was loose. Mucous was smooth. Ampula was empty. No palpable tumor mass.

    Gloves : feces (-), blood (-), slime (-)

  • Thorax AP X-Ray

  • Abdominal X-Ray Supine Position

  • Abdominal X-Ray Erect Position

  • Operating ProcedurePatient laid supine under epidural and GADesinfection & drapping ProcedureMidline incision 2 fingers under Proc. Xyphoideus until 3 fingers upper SOPOpen peritoneum Identification solid organ seen no abnormallitiesContinued with hollow viscous exploration seen anthrum perforation size 1 x 1,5 cmStiched perforation with primary suture continued with omental flapPerform NGT no.18 at gaster and 12 for nutrition at duodenumWash peritoneal cavity with normal saline.Stitch the wound layer by layer and leaving 1 drainOperation finished

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