DOC-20160920-WA0018

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PREFACE A training in surgery is very much an apprenticeship and requires the trainee to spend long periods in the operating theatre, observing what is done and assisting other surgeons to do it. When it is judged your time to perform the operation you will be assisted by someone more senior for the first few occasions. After that you may well be on your own and although you will be familiar with the basic manoeuvres of the operation, there will be nobody to remind you of the order in which they are done and to point out the tricks which can make the operation easier to perform. Our book is an attempt to remedy this by serving as an aide memoire to which you can refer before commencing an operation. Very few of the procedures are original for they have been accrued over many years from colleagues, both senior and junior. Nor are these operations exclusive, for there are many variations that give just as good results. The techniques described here are those that we have come to prefer and continue to practise. Unlike other books on operative surgery, this one is designed to be portable to allow you to carry it on your person whilst going about your daily duties. To achieve this goal, the text has been kept to a minimum and only the more important aspects of each operation are discussed. As a consequence the diagnostic features of the condition and appropriate preoperative investigations, although important, have been omitted. The scope of the book is aimed to cover the period from the first basic surgical training post up to the third year of the specialist registrar training. As such it covers many operations .regarded by the trainee as being mundane but which are often poorly performed. We have chosen not to include proprietary names of sutures or eponymous instruments (unless one is invaluable) as there are many alternatives available. M. E. Foster G. Morris-Stiff 2000 iii
DAFTAR ISI 1. MULAI DAN AKHIR OPERASI 1 Persiapan operasi 3 Insisi 4 Laparotomi 6 Penutupan luka 7 Laparoskopi 9 Diatermi 12 2. NODUS, NODULUS DAN LAIN-LAIN 15 Eksisi lesi kulit 16 Eksisi lipoma 17 Eksisi kista sebasea 18 Eksisi kelenjar getah bening 19 Eksisi radikal kuku jari kaki –Operasi Zadik 20 3. HERNIA 21 Herniotomi inguinal 22 Herniorafi inguinal 24 Herniorafi femoral 26 Repair hernia umbilikal 28 Repair hernia paraumbilikal 31 Repair hernia insisional 32 4. PAYUDARA 35 Eksisi benjolan payudara 36 Biopsi untuk menentukan lokasi 37 Eksisi lebar dan pembersihan aksila 38 Mastektomi Patey modifikasi 40 Mastektomi subkutan 42 Mikrodokektomi 43 Insisi duktus utama –Operasi Hadfield 44 Insisi dan drainase abses payudara 45 5. GASTROINTESTINAL ATAS 47 Esofago gastro-duodenoskopi 48 Percutaneous endoscopic gastrostomy 50 Gastroenterostomi 52 Operasi untuk perforasi tukak peptik 54 Operasi untuk perdarahan tukak peptik 55 Kolesistektomi laparoskopik 56 Kolesistektomi terbuka 59 Splenektomi 62 5. GASTROINTESTINAL BAWAH 65 Apendektomi 66 Reseksi usus halus 68 Divertikulektomi Meckel 70 Hemikolektomi dekstra 71 Hemikolektomi sinistra 73 Operasi Hartmann 75 Pembentukan end colostomy 77 Pembentukan loop colostomy 78 Penutupan loop colostomy 79 Pembentukan end ileostomy 80 Pembentukan loop ileostomy 82 Penutupan loop ileostomy 84 7. ANAL/ PERIANAL 87 Proktoskopi dan sigmoidoskopi 88 Banding hemoroid 89 Injeksi hemoroid 90 Hemoroidektomi 91 Lateral internal sphincterektomy 92 Eksisi fistula ani 93 Evakuasi hematoma perianal 94 Abses perianal 95 Eksisi sinus pilonidal 96 8. VASKULAR 97 Vena varikosa (varises) 98 Embolektomi femoral 100 Amputasi ekstremitas bawah 102 9. KEPALA DAN LEHER 105 Tiroidektomi 106 Eksisi kista tiroglosus 109 10. UROLOGI 111 Sirkumsisi 112 Vasektomi 114 Hidrokel 116 Varikokel 118 Eksisi kista epididimis 119 Orkidopeksi 120 Eksplorasi testis untuk torsi 122 INDEKS 125 iv
Page 2 and 3: TEKNIK BEDAH UMUM M.E. Foster MChir
Page 6 and 7: 1 MULAI DAN AKHIR OPERASI 1
Page 8 and 9: 1 INSISI MULAI DAN AKHIR Syarat ins
Page 10 and 11: 1 LAPAROTOMI MULAI DAN AKHIR Laparo
Page 12 and 13: 1 PENUTUPAN LUKA MULAI DAN AKHIR Pe
Page 14 and 15: 1 LAPAROSKOPI MULAI DAN AKHIR Tekni
Page 16 and 17: 1 DIATERMI MULAI DAN AKHIR Diatermi
Page 18 and 19: 2 NODUS, NODULUS DAN LAIN-LAIN 15
Page 20 and 21: EKSISI LIPOMA 2 Indikasi Kosmetik P
Page 22 and 23: EKSISI KELENJAR GETAH BENING 2 Indi
Page 24 and 25: 3 HERNIA 21
Page 26 and 27: HERNIOTOMI INGUINAL 3 Perlu Sabar d
Page 28 and 29: HERNIORAFI INGUINAL 3 Lakukan trans
Page 30 and 31: HERNIORAFI FEMORAL 3 Tutup jaringan
Page 32 and 33: REPAIR HERNIA UMBILIKAL 3 Penting u
Page 34 and 35: REPAIR HERNIA EPIGASTRIK 3 Indikasi
Page 36 and 37: REPAIR HERNIA INSISIONAL 3 Jaringan
Page 38 and 39: 4 EKSISI BENJOLAN PAYUDARA PAYUDARA
Page 40 and 41: 4 EKSISI LEBAR DAN PEMBERSIHAN AKSI
Page 42 and 43: 4 MASTEKTOMI PATEY MODIFIKASI PAYUD
Page 44 and 45: 4 MASTEKTOMI SUBKUTAN PAYUDARA Indi
Page 46 and 47: 4 EKSISI DUKTUS MAYOR-OPERASI HADFI
Page 48 and 49: 5 GASTROINTESTINAL ATAS 47
Page 50 and 51: ESOFAGO-GASTRODUODENOSKOPI 5 Lambun
Page 52 and 53: PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
Page 54 and 55:
GASTROENTEROSTOMI 5 Biasanya tidak
Page 56 and 57:
Indikasi OPERASI UNTUK PERDARAHAN T
Page 58 and 59:
KOLESISTEKTOMI LAPAROSKOPIK 5 Denga
Page 60 and 61:
KOLESISTEKTOMI TERBUKA 5 Indikasi 1
Page 62 and 63:
KOLESISTEKTOMI TERBUKA 5 Eksplorasi
Page 64 and 65:
SPLENEKTOMI 5 Selanjutnya sisa liga
Page 66 and 67:
6 APENDEKTOMI GASTROINTESTINAL BAWA
Page 68 and 69:
6 RESEKSI USUS HALUS GASTROINTESTIN
Page 70 and 71:
6 DIVERTIKULEKTOMI MECKEL GASTROINT
Page 72 and 73:
6 HEMIKOLEKTOMI DEKSTRA GASTROINTES
Page 74 and 75:
6 HEMIKOLEKTOMI SINISTRA GASTROINTE
Page 76 and 77:
6 OPERASI HARTMANN GASTROINTESTINAL
Page 78 and 79:
6 PEMBENTUKAN LOOP COLOSTOMY GASTRO
Page 80 and 81:
6 PEMBENTUKAN END ILEOSTOMY GASTROI
Page 82 and 83:
6 PEMBENTUKAN LOOP ILEOSTOMY GASTRO
Page 84 and 85:
6 PENUTUPAN LOOP ILEOSTOMY GASTROIN
Page 86 and 87:
7 ANAL/ PERIANAL 87
Page 88 and 89:
Indikasi Banding hemoroid dikerjaka
Page 90 and 91:
Indikasi Hemoroid eksterna (derajat
Page 92 and 93:
EKSISI FISTULA ANI 7 Indikasi 1. Fi
Page 94 and 95:
ABSES PERIANAL 7 Indikasi Abses per
Page 96 and 97:
8 VASKULAR 97
Page 98 and 99:
VENA VARIKOSA (VARISES) 8 Saphena p
Page 100 and 101:
EMBOLEKTOMI FEMORAL 8 Letakkan klem
Page 102 and 103:
AMPUTASI EKSTREMITAS BAWAH 8 di baw
Page 104 and 105:
9 TIROIDEKTOMI KEPALA DAN LEHER Ind
Page 106 and 107:
9 TIROIDEKTOMI KEPALA DAN LEHER Pad
Page 108 and 109:
10 UROLOGI 111
Page 110 and 111:
SIRKUMSISI 10 Amankan arteri frenul
Page 112 and 113:
VASEKTOMI 10 Ikat dasar vas deferen
Page 114 and 115:
HIDROKEL 10 Prosedur Lord Dengan be
Page 116 and 117:
EKSISI KISTA EPIDIDIMIS 10 Indikasi
Page 118 and 119:
ORKIDOPEKSI 10 Tinggalkan lapisan f
Page 120 and 121:
EKSPLORASI TESTIS 10 Fiksasi testis
Page 122 and 123:
126 INDEKS Abses apendik 67 ischior
Page 124 and 125:
128 INDEKS Luminal stent 48 Mamogra
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DOC-20160920-WA0018

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