KASUS BEDAH Vena Seksi Ralatttttttt

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SEMINAR I KASUS BEDAH VENA SEKSI

030.06.009

GALUH MA MAHARANI S SU UKMA

030.07.004

ADHY HE HERMAWAN

030.07.026 030.07.0 26

ANNE MAYLITA MAYLITA DJEMAT

030.07.046

BUDI SOENARTO

030.07.083

ERIKA P PR RATAMI

030.07.107

HERNITA PER PERLYANI

030.07.143

LIMA HALIMAH

030.07.163

MEIRINA RAHMADIN INII

030.07.187

NINA SANIA

030.07.22

RI!KY PERDANA

030.07.24

SIRIN NA NAMIRAH

030.07.270

WID IDII ANGGA KUSUMA

030.07.301

M. HA HA"I! B SALEHUDDIN

030. 030.07 07.3 .32 21

NURAT RATIK IKA AH BT MOH MOH NASIR  SIR 

030.07.342

SITI N NU URLIANA BT MO MOH D

FAKULT FA KULTAS AS KEDOKTERAN KEDOKTERA N UNIVERS UNIVERSITAS ITAS TRISAKTI JAKARTA, 11 JUNI 2010

 

KASUS BEDAH SESI – 1 Hari/Tanggal  Ra!", # J"ni 2010 Ja$  0%&00 – 10&00

S#$%&' S#$ %&'( ( )&*+, )&*+, 10 )-&', )-&', /&&'( # UGD %-& &+ #5& #5& &'/& )##%&. )##%&. B&*+ #% #%#) #)- - #'(& #' (&&+ &+ /#+/%& /#+/%&+ + )#%& )#%& &%#'& &%#'& /+&%# /+&%# /&' -'& -'&-'& '&. . S# S##& #&  /+$)& /+$)& )#)#%& )#)#%&5& 5& &+ &+  5#&&'(&' +'-# : I;"D < I'%& ;#'$- ;#'$- "-+/ D%+5 = /#'(&' /#'( &' &%& )+&& +/& )#%&+ &+%'*& /+&-&' 5#&&'(&' +'-# /#'(&' #&-&' >#'& #+ : >#'$- -/$?' =. B&*+ #%#)- &+%'*& #&&.

P#%&'*&&' < 1. 2. 3. 4. . 6.

A5&& *&'( /+&/+&-/ / /#'(&' +'/&&' +'/&&' >#'& #+ : >#'$- >#'$- -/$?' -/$?' =@ S#)-&' S#)-&' +'/+&+ +'/+&+ /&' $'%& $'%& +'/+&+ +'/+&+ +'/&& +'/&&' ' >#'& #+ #+ S#)-&' S#)-&' &&&& &&&& *&'( *&'( /+)--&' /+)--&' -'- -'- #&-&' #&-&' +'/&&' +'/&&' >#'& >#'& #+ #+ S#)-&' S#)-&' >#'&>#'& >#'&>#'& *&'( *&'( )+&& )+&& /+(-'&&' /+(-'&&' 5&/& 5&/& +'/&&' +'/&&' >#'& >#'& #+ #+ J#& J#&&' &' #'+ #'+ #' #'+ + >#'& >#'& # #+ + J#& J#& &' &' &' &'& &$ $++ /& /&' ' $% $%$ $$( $(++ ;#'& S& S&# #'& '& M&(' M&('&& )& )&(+ (+&' &' 5% 5%$ $+ +& & /& /&' ' /+ /+ & &

#-)-'(&' /#'(&' +'/&&' >#'& #+ 7. S#)-&' S#)-&' $5+&+ $5+&+$5 $5+&+ +&+ *&'( *&'( -'(+' -'(+' #%&/+ #%&/+ 5&/& +'/&&' +'/&&' >#'& #+ #+

LA'ORAN HASIL DISKUSI I

 

P&/& -)- &'-+& &'-+& #%/&5& #%/&5& 5#)--5# 5#)--5#)-- )-- /&%& *&'( #&%& (&%+ )#&% #%)&(+ && 3 :+(&= *&'+, 5#)-- /&%& &%#%+, >#'& /&' &5+#%. P#)-- /&%& &%#%+ #)&?& /& /&%& %&  /& /&%+ %+ &' &'-' -'( ( /& /&' ' #'/+ #'/+ %+ %+))-+ +&' &''* '*&& # # #-%%-  & &%+ %+'( '(&' &' -))-  #& #&-++ & &)& )&'( '( &)&'('*&. P#)-- /&%& >#'& &/&& 5#)-- /&%& *&'( #)&?& /&%& #)&+ #  &'-'(. S#/&'(&' 5#)-- /&%& &5+#% &/&& 5#)-- /&%& *&'( #'(-)-'(&' &'&%& 5#)-- /&%& &%#%+ /&' >#'&. P&/& -+&' +'+, &&' /+)&& #'(#'&+ 5#)-- /&%& >#'&& /&' 5#%&'& >#' 5#%&'&''* ''*&& /&& /&& +'/&& +'/&&' ' #(&?& #(&?&/&% /&%-%& -%&&' &' #/+ #/+,, /&& /&& & +'+ &/&& &/&& /&& /&& +'/&&' -'- %#-+&+ &+%&'. P&/& )+/&'( #/+, #%+'( /+&-&' 5%$#/-% 5#&&'(&' #&'( +'- -'- #%&5+ &+%&' 5&/& 5&+#' /#'(&' 5#%+)&'(&' -'- #5#%)&++ $'/++ 5#'/#%+&. N&-' 5&/&  )#)#%&5& &-, &# -'- %#-+&+ &+%&' /#'(&' #'((-'&&' 5#)-- /&%& 5#%+#% +/&  /&5& /+&-&' && 5&/& )#)#%&5& $'/++ +'+ /+5#%-&''*& -'- +'/&&' Venous cut down, down, &&- >#'& #+$', &&- /+'&&&' -(& /#'(&' &# >#'& /&&. A# >#'& /&& #%-5&&'  5%$#/-% -'- #'/&5&&' &# >&-#% :5#)-- /&%&=, /+&'& 5#)-- /&%& >#'& /+#5$C/+)-& /#'(&' &%& 5#)#/&&' /&' #-/+&' &'-& /+&-&' #/&& 5#)-- /&%& >#'& *&'( #-/+&' /+(-'&&' -'- %#-+&+ &+%&' 5&/& 5#'/#%+& /#'(&' %&-& /&' * *$ $ +5$>$ +5$>$#+ #+  :#&/& :#&/&&' &' /+&'& /+&'& #%&/ #%&/++ #-%& #-%&'(& '(&' ' &+ &+%&' %&' -)- -)- *&'( *&'( )#%#) )#%#)+& +&' ' *&'( *&'(  )#%&+% #5&/& #%-&&' $%(&' -)- &+)& -%&'('*& &+%&' *&'( )#%+%-&+=. A# >#'& /&& :venous :venous cutdown  cutdown  = +'+ /+&-&' /+&-&' &'*& +& &# /#'(&' #'((-'&&' 5#)-- 5#)-- /&%&  5#%+#% +/& /&5& /+&-&' /+&%#'&&' $'/++ /&%+ ++ &&- 5#'*&+ /&%+ 5#'/#%+&. ;#'& #+ +/& )$# /+&-&' &5&)+& 5&+#' /&& #&/&&' +'#+, %$)$+ >#'&, /&' #&+'&' 5#)#-&' /&%& #5#%+ $&(-$5&+. ;#'& #+ )+&&'*& )+&&'*& #'((-'&&' #'((-'&&' Vena Saphena Saphena magna magna /+ &#$- #/+&+ &%#'& #&'*& -5#%++& /+&& -&'( /&' #5-'*&+ -'+& --&%+ -$&# #)& #+'((& )+& /+)-& +/& #'(#5+. #'(#5+. ;#'&>#'& &+' *&'( /&5& /+5&&+ -'- >#'& #+ +&'*& +&'*& Vena  Basiler  :/+#'(&   :/+#'(& >$#% $& -)++= Vena -)++=  Vena Cephalis :&#%& >$#% $& -)++=, /&' >#'& /&#%& #$%& :5&&=. ANATOMI DARI VENA SA'HENA MA(NA

 

Vena saphena magna  magna  #%#& #%#& /+/&& #& #& -)-&' -)-&' /&' )#%&&' )#%&&' # 5$#%+$% 5$#%+$% #&-+ +&- &5#'- 5&/& &+& 5%$-'/& -'- )#%(&)-'( /#'(&' >. #$%&+ +%&+%& 1, +'+ :##)&% 2  &%+= /+ )&?& /&' &#%& #%&/&5 -)#%-- 5-)+-. P#'+'( -'- /+#&-+ )&?& >. &5#'& &('& #&-+ +&- &5#'- -'- /&5& &- # >.#$%&+. #+5-' /#++&', --%&' /&' )#'- +&- &'(& )#%>&%+&+

ALAT)ALAT *AN( DI'ERLUKAN UNTUK MELAKUKAN 'ROSEDUR VENA SEKSI •





B&&' %-+'  S&%S&%-'( '( & &'( '(&' &' : # #%%+ =  D- #%+  F&+% F&+%&' &' &'+ &'+# #5 5+ + : A A$$ $$, , P$>+ P$>+/$ /$' ' *$/+- *$/+- =  K& K&& # #%%+ # #- --5 -5'* '*&&  B#'&'( B#'&'( &+ &+ 5&+' 5&+' &(- &(- '$$% '$$% : 3 '$ = /&' /&' S+ S+ '$$ '$$%% : 2 '$ = A'##+  L+/$&+' 0, 0,  1 I'%-#'  G&(& G&(&'( '( 5+& 5+&- '$ '$ 3 /& /&' ' & &&& 5+ 5+&& K K# # $ $-+ -+$ $ : B#'( B#'($ $ /& /&' ' -% -%- - =  K# K# &%# &%#%+ %+ 5# 5#&' &' : B#'( B#'($ $ =

 

       

G-' G-'+' +'( ( /+ /+# #+ + : B#'( B#'($ $ = P+'# &'&$+ P+'#  +%-%(+ N&/ >$#/#%   G-' G-'++'( )#'& )#'&'( '( : )#' )#'( ($ $ = J&%- &%- & &+ + -' '- - - -+ K&'- 5&+  P+5& P+5& +'% +'%&> &>#' #'&& : # # +' +'- - =

TEHNIK O'ERASI

1. S+&5& S+&5&' ' -+ -+ 5#%(#& 5#%(#&'(&' '(&' &+ /#'(&' /#'(&' &%-& &%-&' ' &'+# &'+#5+ 5+  /&' --5 --5 /&#%& /&#%& &5&'(& &5&'(&' ' $5#%&+ /#'(&' /- #%+ &&- )+& -(& /&#%& #$%& &&- /+ #'(&' 5#'/#%+&. 2. L&-&' &'##+ &'##+ +'+ +'+%&+ %&+ 5&/& -+ -+ /#'(&' /#'(&' +/$&+ +/$&+' ' 0, 3. I'++ I'++ -+ #+' #+'&'( &'( ##)&'*& ##)&'*& /+)-& /+)-& /+ /&#%& /&#%& &'##+ &'##+&& #5&'&'( #5&'&'( 2,  4. D+#+ D+#+ -5-, -5-, /#'(&' #'((-'& #'((-'&&' &' # #$& #$& *&'( *&'( #'(-'(, >#'& >#'& /++/#'++ /++/#'++&+ &+ /&' /+5$$'( /&' /+)#)&&' /&%+ #-& &%+'(&' #+&%'*&. . A'(& A'(& /&' /+#+ /+#+ >#'& #%#)#%#)- #5&'&'( #5&'&'( +%&+ +%&+%& %& 2  -'- ##5& ##5&&'' &''*& *& /&%+ /&&%  6. I& I& >#'& )&(+&' )&(+&' /+&, /+&, /&' $)++ $)++&+ &+ >#'&, +'((& +'((&& &' ' &+ &+&' &' /+ #5& #5& -'- /+&%+ /+&%+    :%&+$'= 7. P&&'( 5#'(+& 5#'(+& #++'( #++'( 5#)- 5#)--'*&, -'*&, &%& #5&&/ #5&&/ 8. B-& B-& >#'$ >#'$$ $++ *& *&'( '( # #+ + #+ #+' '&' &'( ( /&' /+ /+& && &+ + 5# 5#% %& &&' &' & &&' &' /# /#'(& '(&' ' - --'( -'(  # # #$& *&'( /+--5 9. M&M&- &' &' & &'- '- 5& 5&+ + #& #&-++ ># >#'$ '$$ $++ /&' + +& & /# /#'( '(&' &' + +(& (&+ + 5% 5%$ $+ +& & #+ #++' +'( (  5#)-- /&' &'-. K&'- &%- /+&-&' /#'(&' 5&'&'( *&'( --5 -'-  #'#(& #%#5& 10. S&)-'( 5+5& +'%&>#'& /#'(&' &'- /&' --5& +'++'*& +'++'*& /#'(&' &+&' +'#%-5+ +'#%-5+ 11. P&&'(

12.

5#)&- #%+ /#'(&' &#5 &'+)+$+ $5+&

 

Tehnik Vena Seksi

KOM'LIKASI

K$5 K$ 5+ +& &++ *& *&'( '( -'( -'(+' +' # #% %/+ /+ /&%+ /&%+ +'/ +'/&& &&' ' ># >#'& '& # # ++ *& *&'( '( 5& 5&+ +'( '( # #%+ %+'( '( &/ &/& && &  5#%/&%&&'. H& +'+ /&5& /+&&+ /#'(&' 5#'((-'&&' )#)& #&'. K$5+&+ &+' &/&& •

I'#+, #5#%+ #)++ : +'&&+ >#'& = &-5-' #-++ *&'( #%+'( #%&/+ /+  &%+'(&' -)-&'. U'- #'&'(&'+'*& &)- &##%, $5%# &'(&, #%&

• • • •

##>&+&' -'(&+, #%& )#%+&' &'+)+$+ +& 5#%-. H#&$&, #%)#'-'*& )#-&' /&%& /+ -&% 5#)-- /&%&. P#%$%&+ /&%+ /+'/+'( 5$#%+$% >#'& T%$)$+ >#'& R$)#&' &%& #%& &%#%+

'ERA+ 'ER A+A ATAN TAN 'ASA BEDAH B EDAH

 

P#%&?& P#% &?&&' &' 5&& 5&& >#'& >#'& #+ #+ &%- &%- )#'&% )#'&%)#' )#'&% &% /+5#% /+5#%&+ &+&' &' #% #%-& -&& & /+ /&#%& /&#%& #5& #5& /+&-&' >#'& #+&%- )#)& +'#+. H& +'+ /&5& /+#(& /#'(&' %&?& -& #+&5 &%+, #%& --5 /#'(&' && #%+. J+& &/& +'#+ #)&+'*& &##% >#'& /+&)-.

FOLLO+ U'

P#'/#%+& 5&& *$ +5$>$#+ ##& *$ #%&&+. K&##% >#'& /&5& /+#5& /&' )+&  5#'/#%+& -/& )+& 5#%$%& #)&+'*& #%&5+ &+'#'&'# /#'(&' 5#%$%& &&- /#'(&' #'((-'&&' &# +'%&>#'& &+''*& *&'( '$' 5#)#/&&'. L-& 5&& >#'& #+ &%- /+%&?& &#5+. /+%&?& &#5+. P#'+'( P#'+'( -'- /+&-&' #>&-&+ +'+, &'/&&'/& &'/&&'/& >+&, /&' &'/&&'/& &'/&&'/& +'#+.

DAFTAR 'USTAKA

1. R#$5%$/$, R#$5%$/$, S$#&% S$#&%$. $. B&(+&' B&(+&' I- B#/& B#/& "&-& "&-& K#/$#%&' K#/$#%&' U'+>#%+ U'+>#%+& & I'/$'#+&C R-& S&+ D%. F+5$ M&'(-'--$. K"$-"lan K"lia. Il$" Ba.. B+'&%-5& A&%& P-)+#%. T&'(#%&'(. T&'(#%&'(. 2. ;#'$- '$- F- D$?'. D$?'. A>& A>&+ +&)# &)# &< &< 5& A>&+& +&)# )# &< &< 5#'&#+C . 5#'&#+C .  A##/ $' J-'# 9 , 2010.

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