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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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