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HIRSCHPRUNGOPERATION
OLEH :
Muhammad Khadaf PEMBIMBING :
Dr. Rasyidi Siregar, S!
BAGIAN ILMU BEDAH
FAKULTAS KEDOKTERAN USU
RSU DR PIRNGADI MEDAN
MEDAN2007
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Persiapan operasi
• Tidak ada persiapan khusus,
• Rektum diirigasi dengan normal salin.
• Kassa dimasukkan ke proximal rektum untuk
mencegah tinja memasuki daerah operasi.
• Antibiotik diberikan sebagai premedikasi.
• NGT
• urine kateter
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Litoto!" position
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D!A"#$ pull through %&'(
keuntungan
) sangat sedikit manipulasi rektum dianterior,
sehingga plexus sara* autonom urogenital dapat
di hindari.) relati* lebih mudah
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+A-# #ndorectal pull through
/ranco +oa0e %&''1
K#NTNGAN
) "enghindari cedera sara* pel0ik.K#KRANGAN
) +ering terjadi konstipasi.
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D!A"#$ 2R3#DR#
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D!A"#$ 2R3#DR#
+4#N+N5+ 2R3#DR#
+A-#5+ 2R3#DR#
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Komplikasi pasca bedah
• Kebocoran anastomose
• +tenosis
• Gangguan *ungsi s*ingter anal• enterokolitis
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