PEMERINTAH KABUPATEN SUMBAWA
PEMERINTAH KABUPATEN SUMBAWA
RUMAH
RUMAH SAKIT SAKIT UMUM UMUM DAERAH DAERAH SUMBASUMBAWWAA Jalan Garuda Nomor 5
Jalan Garuda Nomor 5 TTelp. 03!"#!$#$ %a&. 03!"#3$' Sum(a)a Be*ar elp. 03!"#!$#$ %a&. 03!"#3$' Sum(a)a Be*ar
KEPUTUSAN +IREKTUR RUMAH SAKIT UMUM +AERAH SUMBAWA KEPUTUSAN +IREKTUR RUMAH SAKIT UMUM +AERAH SUMBAWA
N,M,R - ( T
N,M,R - ( TAHUN #0!AHUN #0!
TENTANG TENTANG PENETAP
PENETAPAN AN TIN+AKANTIN+AKAN"TIN+AKA"TIN+AKAN N ME+IS ME+IS //ANG MEMERUKANANG MEMERUKAN INFORMED CONSENT
INFORMED CONSENT
PA+A RUMAH SAKIT SAKIT UMUM SUMBAWA PA+A RUMAH SAKIT SAKIT UMUM SUMBAWA
DIREKTUR RUMAH SAKIT UMUM SUMBAWA DIREKTUR RUMAH SAKIT UMUM SUMBAWA
Men1m(an2
Men1m(an2 - - a. a. Ba)a Ba)a Ruma Ruma Sa41 Sa41 Umum Umum +aera +aera Sum(a)a Sum(a)a merupa4an merupa4an Ruma Ruma Sa41 Sa41 Umum Umum 6an2 6an2 1da4 1da4 er
erleplepa* a* dardar1 1 pempem(er(er1an pela6a1an pela6anan nan 4ep4epada pa*1eada pa*1en n *e7*e7ara (ermuara (ermuu u dan men2udan men2uamaama4an4an 4e*elamaan pa*1en8
4e*elamaan pa*1en8 (.
(. Ba)a Ba)a dalam dalam ran24a ran24a men1n24a4an men1n24a4an muupela6anan muupela6anan dan dan 4e*lamaan 4e*lamaan pa*1en pa*1en *era*era pemenuan eradap a4 dan 4e)a91(an pa*1en er4a1 per*eu9uan 1nda4an med1*8
pemenuan eradap a4 dan 4e)a91(an pa*1en er4a1 per*eu9uan 1nda4an med1*8 7.
7. Ba)a (Ba)a (erda*aerda*ar4an perr4an per1m(a1m(an2an pada (n2an pada (u1r a u1r a dan ( perldan ( perlu d1*u*u d1*u*un 4e(19un 4e(19a4an penea4an peneapanapan 1nda4an : 1nda4an med1* 6an2 memerlu4an
1nda4an : 1nda4an med1* 6an2 memerlu4an informed consent informed consent ..
Men21n2a
Men21n2a - - !. !. Undan2 Undan2 : : Undan2 Undan2 Nomor Nomor 3; 3; TTaun aun #00$ #00$ enan2 enan2 Ke*eaan.Ke*eaan. #.
#. Undan2 : Undan2 : Undan2 Nomor Undan2 Nomor '' T'' Taun #00$ aun #00$ enan2 Ruma enan2 Ruma Sa41.Sa41. 3.
3. Undan2"Undan2 Nomor Undan2"Undan2 Nomor #$ #$ TTaun #00' aun #00' enan2 Pra4enan2 Pra414 Kedo4eran.14 Kedo4eran. '.
'. Perauran Perauran Mener1 Mener1 Ke*eaan Ke*eaan Nomor Nomor !;$!<MENKES<PER<=II<#0!!;$!<MENKES<PER<=II<#0!! ! TTaun aun #0!! #0!! enan2enan2 Ke*elamaan Pa*1en
5. Perauran Mener1 Ke*eaan Nomor #$0<MENKES<PER<III<#00 Taun #00 enan2 Per*eu9uan T1nda4an Kedo4eran
;. Kepuu*an rapa Kom1e Med1* RSU+ Sum(a)a pada an22al !3 Jul1 #0! enan2 Peneapan T1nda4an : T1nda4an Med1* 6an2 memerlu4an Informed Consent.
MEMUTUSKAN
Meneap4an - Ke(19a4an Peneapan T1nda4an : T1nda4an Med1* /an2 Memerlu4an Informed Consent *e(a2a1mana er7anum dalam lamp1ran.
Perama - amp1ran *ura 4epuu*an 1n1 merupa4an *au 4e*auan *e1n22a 1da4 dapa d1p1*a4an *au den2an la1nn6a8
Kedua - Kepuu*an 1n1 (erla4u *e9a4 an22al d1eap4an.
+1eap4an d1 Sum(a)a Be*ar Pada Tan22al ! Jul1 #0! +IREKTUR RSU+ SUMBAWA
amp1ran ! Kepuu*an +1re4ur RSU+ Sum(a)a Nomor
-Tenan2 - Peneapan T1nda4an : T1nda4an Med1* /an2 Memerlu4an Informed Consent
!. T1nda4an Pem(edaan dan 1nda4an 1n>a*1? 6an2 memerlu4an Informed Consent " ,RTH,PE+I
A(dom1nopel>17 ampua1on A71lloenoom6
Addu7or enoom6 o? 1p Ad>an7emen o? endon
Ad>an7emen o? endon o? and Ampua1on a(o>e 4nee
Ampua1on and d1*ar17ula1on o? ?1n2er" 2eneral anae*e*1a Ampua1on and d1*ar17ula1on o? ?1n2er "lo7al anae*e*1a Ampua1on and d1*ar17ula1on o? um("2eneral anae*e*1a Ampua1on and d1*ar17ula1on o? ?1n2er" 2eneral anae*e*1a Ampua1on and d1*ar17ula1on o? ?1n2er "lo7al anae*e*1a Ampua1on and d1*ar17ula1on o? um("2eneral anae*e*1a Ampua1on and d1*ar17ula1on o? um("lo7al anae*e*1a Ampua1on o? an4le rou2 malleol1 o? 1(1a and ?1(ula Ampua1on o? oe"2eneral anae*e*1a
Ampua1on o? oe"lo7al anae*e*1a Ampua1on rou2 ?oo
Ampua1on rou2 ?orearm
Ampua1on rou2 and@ Ampua1on rou2 7arpal* Ampua1on rou2 umeru*@ Upper arm ampua1on Ampua1on@ no oer)1*e *pe71?1ed
An4le ?u*1on
Appl17a1on o? e&ernal ?1&aor de>17e
Appl17a1on o? e&ernal ?1&aor de>17e@ monoplanar *6*em Appl17a1on o? e&ernal ?1&aor de>17e@ r1n2 *6*em
Appl17a1on o? 6(r1d e&ernal ?1&aor de>17e Arro7ene*1*
Blo4 Sara? Per1?er I Pen9a1an Sara? Tep1 Arrode*1* o? el(o) Arrode*1* o? 1p Arrode*1* o? 4nee
Arrode*1* o? oer *pe71?1ed 9o1n* Arrode*1* o? *oulder
A*p1ra1on o? (ur*a
A*p1ra1on o? (ur*a o? and A*p1ra1on o? oer *o? 1**ue
A*p1ra1on o? oer *o? 1**ue o? and B1op*6 o? (one
B1op*6 o? 9o1n *ru7ure Bone 2ra?
Bun1one7om6 )1 *o? 1**ue 7orre71on and arrode*1*
Bun1one7om6 )1 *o? 1**ue 7orre71on and o*eoom6 o? e ?1r* meaar*al Bur*e7om6
Bur*e7om6 o? and Bur*oom6
Bur*oom6 o? and arporad1al ?u*1on
lo*ed redu71on o? d1*lo7a1on "General anae*e*1a lo*ed redu71on o? d1*lo7a1on o? an4le
lo*ed redu71on o? d1*lo7a1on o? el(o)
lo*ed redu71on o? d1*lo7a1on o? ?oo and oe"2eneral anae*e*1a lo*ed redu71on o? d1*lo7a1on o? ?oo and oe"lo7al anae*e*1a lo*ed redu71on o? d1*lo7a1on o? and and ?1n2er2eneral anae*e*1a lo*ed redu71on o? d1*lo7a1on o? and and ?1n2erlo7al anae*e*1a lo*ed redu71on o? d1*lo7a1on o? 1p
lo*ed redu71on o? d1*lo7a1on o? 4nee
lo*ed redu71on o? d1*lo7a1on o? oer *pe71?1ed *1e*"2eneral anae*e*1a lo*ed redu71on o? d1*lo7a1on o? oer *pe71?1ed *1e*"2eneral anae*e*1a lo*ed redu71on o? d1*lo7a1on o? oer *pe71?1ed *1e*"lo7al anae*e*1a lo*ed redu71on o? d1*lo7a1on o? *oulder
lo*ed redu71on o? d1*lo7a1on o? )r1*
lo*ed redu71on o? d1*lo7a1on"o7al anae*e*1a
lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on " arpal and mea7arpal lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on " %emur
In7lud1n2 - MIP,@ 1nerlo741n2 na1l@ TENC
lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on "1nrar17ular Ma9or Bone lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on " Palan2 o? ?oo
lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on "Palan2 o? and
lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on "Rad1u* and ulna MIP,@TENC lo*ed redu71on o? ?ra7ure )1 1nernal ?1&a1on "Tar*al and meaar*al
E&71*1on o? (one ?or 2ra? E&71*1on o? le*1on o? mu*7le
E&71*1on o? le*1on o? mu*7le o? and E&71*1on o? le*1on o? oer *o? 1**ue E&71*1on o? (one ?or 2ra?
E&71*1on o? le*1on o? mu*7le
E&71*1on o? le*1on o? mu*7le o? and E&71*1on o? le*1on o? oer *o? 1**ue E&71*1on o? le*1on o? endon *ea
E&71*1on o? le*1on o? endon *ea o? and@Gan2l1one7om6 o? endon *ea )r1*C"General anae*e*1a
E&71*1on o? le*1on o? endon *ea o? and@Gan2l1one7om6 o? endon *ea )r1*C"o7al anae*e*1a
E&71*1on o? mu*7le or ?a*71a ?or 2ra?
E&71*1on o? oer le*1on o? *o? 1**ue o? and E&71*1on o? endon ?or 2ra?
E&71*1on o? endon o? and ?or 2ra? E&plora1on o? endon *ea
E&plora1on o? endon *ea o? and %a*71oom6
%a*71oom6 o? and %1n2er reaa7men %oo reaa7men
%orearm@ )r1*@ or and reaa7men Gra? o? mu*7le or ?a*71a
In71*1on and dra1na2e o? palmar or enar *pa7e
In9e71on o? ane*e17 1no per1peral ner>e ?or anal2e*1a In9e71on o? ane*e17 1no *p1nal 7anal ?or anal2e*1a
In9e71on o? lo7all6"a71n2 erapeu17 *u(*an7e 1no oer *o? 1**ue In9e71on o? erapeu17 *u(*an7e 1no (ur*a
In9e71on o? erapeu17 *u(*an7e 1no (ur*a o? and In9e71on o? erapeu17 *u(*an7e 1no 9o1n or l12amen In9e71on o? erapeu17 *u(*an7e 1no endon
In9e71on o? erapeu17 *u(*an7e 1no endon o? and In*er1on o? (one 2ro) *1mulaor
Inernal ?1&a1on o? (one )1ou ?ra7ure redu71on Inerpalan2eal ?u*1on
1m( len2en1n2 pro7edure* 1m( *oren1n2 pro7edure*
o7al e&71*1on o? le*1on or 1**ue o? (one o)er le2 or an4le reaa7men
o)er l1m( ampua1on@ no oer)1*e *pe71?1ed 6*1* o? ade*1on* o? and
6*1* o? ade*1on* o? mu*7le@ endon@ ?a*71a@ and (ur*a 6*1* o? ade*1on* o? *p1nal 7ord and ner>e roo*
Mea7arpo7arpal ?u*1on Mea7arpopalan2eal ?u*1on Meaar*opalan2eal ?u*1on M1dar*al ?u*1on
Mu*7le ran*?er or ran*plana1on
M6oom6
M6oom6 o? and
,pen (1op*6 o? 7ran1al or per1peral ner>e or 2an2l1on ,pen (1op*6 o? *o? 1**ue
,pen redu71on o? d1*lo7a1on o? an4le " Ne2le7ed d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? el(o) "%re* d1*lo7a1on
,pen redu71on o? d1*lo7a1on o? and and ?1n2er "%re* d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? 1p " %re* d1*lo7a1on
,pen redu71on o? d1*lo7a1on o? 1p " Ne2le7ed d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? 4nee " Ne2le7ed d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? 4nee "%re* d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? oer *pe71?1ed *1e*
,pen redu71on o? d1*lo7a1on o? *oulder "%re* d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? *oulder "Ne2le7ed d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? un*pe71?1ed *1e"%re* d1*lo7a1on ,pen redu71on o? d1*lo7a1on o? un*pe71?1ed *1e"Ne2le7ed d1*lo7a1on
,pen redu71on o? d1*lo7a1on o? )r1* "%re* d1*lo7a1on
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"rad1u* and ulna"S1mple ?ra7ure
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on un*pe71?1ed *1e Per1ar17ular Ma9or Bone C ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"7arpal* and mea7arpal* " plae *7re)* Hand N,S "Plae D S7re)
Hand N,S "1mplan *ederana K")1reC
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"?emur"omm1nu1>e or Se2menal ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"?emur" S1mple ?ra7ure
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on umeru*"omm1nu1>e or Se2menal
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onoer*pe71?1ed (one Inraar14ular Ma9or BoneC ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? ?oo " *1mple 1mplan* K")1reC ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? ?oo"Plae D S7re)*
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? and" Plae D S7re)* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? and" *1mple 1mplan* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onar*al* and meaar*al*" Plae D S7re)* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onar*al* and meaar*al*" *1mple1mplan* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"1(1a and ?1(ula "S1mple ?ra7ure
,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"1(1a and ?1(ula"omm1nu1>e or Se2menal ,pen redu71on o? ?ra7ure )1ou 1nernal ?1&a1on
,pen redu71on o? *eparaed ep1p6*1* ,*eo7la*1* 7orre71on o? (one de?orm16C ,er per1peralC >a*7ular *un or (6pa** ,er ampua1on (elo) 4nee
,er arroom6 ,er (un1one7om6
,er (un1one7om6 )1 *o? 1**ue 7orre71on ,er 7an2e 1n and mu*7le or endon len2 ,er 7an2e 1n mu*7le or endon len2 ,er de*ru71on o? 1ner>ere(ral d1*7 ,er d1>1*1on o? (one
,er e&71*1on o? 9o1n ,er e&71*1on o? *o? 1**ue
,er e&71*1on o? *o? 1**ue o? and
,er e&71*1on or a>ul*1on o? 7ran1al and per1peral ner>e* ,er e&71*1on@ ?u*1on and repa1r o? oe*
,er ?a*71e7om6
,er ?a*71e7om6 o? and ,er ?u*1on o? ?oo
,er and mu*7le ran*?er or ran*plana1on ,er and mu*7le ran*po*11on
,er and endon ran*?er or ran*plana1on ,er and endon ran*po*11on
,er 1n71*1on o? (one )1ou d1>1*1on ,er 1n71*1on o? *o? 1**ue
,er 1n71*1on o? *o? 1**ue o? and
,er 1n9e71on o? lo7all6"a71n2 erapeu17 *u(*an7e 1no *o? 1**ue o? and ,er lo7al e&71*1on or de*ru71on o? le*1on o? 9o1n
,er mu*7le ran*po*11on ,er m6e7om6
,er m6e7om6 o? and ,er neuropla*6
,er opera1on* on mu*7le@ endon@ ?a*71a@ and (ur*a@Suure o? (ur*a
,er par1al o*e7om6 1n7lud1n2 - Bone 7urrea2e@mar21nal re*e71on<e&71*1onC
,er per1peral ner>e or 2an2l1on de7ompre**1on or l6*1* o? ade*1on* Per1peral ner>e neurol6*1* N,S
,er pla*17 opera1on* on ?a*71a ,er pla*17 opera1on* on and ,er pla*17 opera1on* on mu*7le ,er repa1r o? an4le
,er repa1r o? el(o)
,er repa1r o? and@ ?1n2er* and )r1* ,er repa1r o? 9o1n
,er repa1r o? 4nee ,er repa1r o? *oulder
,er repa1r or pla*17 opera1on* on (one ,er *uure o? ?le&or endon o? and ,er *uure o? mu*7le or ?a*71a ,er *uure o? oer endon o? and ,er *uure o? endon
,er endon ran*po*11on ,er enode*1* o? and ,er enone7om6
,er enone7om6 o? and ,er enopla*6 o? and Paellar *a(1l1a1on
Per1peral ner>e 1n9e71on@ no oer)1*e *pe71?1ed Pla*17 opera1on on and )1 2ra? o? mu*7le or ?a*71a Pla*17 opera1on on and )1 oer 2ra? or 1mplan Fuadr17ep*pla*6
Reaa7men o? mu*7le
Reaa7men o? mu*7le o? and Reaa7men o? endon
Reaa7men o? endon o? and Relea*e o? 7arpal unnel
Relea*e o? 7lu(?oo@ no el*e)ere 7la**1?1ed Relea*e o? ar*al unnel
Remo>al o? 7emenC *pa7er
Remo>al o? (one 2ro) *1mulaor 1n>a*1>eC
Remo>al o? 1mplaned de>17e* ?rom (one : 7arpal* and mea7arpal*"Plae D *7re)
Remo>al o? 1mplaned de>17e* ?rom (one : 7arpal* and mea7arpal*"*1mple 1mplan* K")1reC Remo>al o? 1mplaned de>17e* ?rom (one " E&ernal ?1&aor de>17e 1n>a*1>eC
Remo>al o? 1mplaned de>17e* ?rom (one " ?emur Remo>al o? 1mplaned de>17e* ?rom (one " umeru*
Remo>al o? 1mplaned de>17e* ?rom (one " rad1u* and ulna
Remo>al o? 1mplaned de>17e* ?rom (one " *7apula@7la>17le@ and ora& r1(* and *ernumC
Remo>al o? 1mplaned de>17e* ?rom (one "un*pe71?1ed *1e Palan2e* o? ?ooC o? andCC " Plae D S7re)
Remo>al o? 1mplaned de>17e* ?rom (one "un*pe71?1ed *1e Palan2e* o? ?ooC o? andCC "*1mple 1mplan* K")1reC
Remo>al o? 1mplaned de>17e* ?rom (one "paella
Remo>al o? 1mplaned de>17e* ?rom (one" ar*al* and meaar*al*" *1mple 1mplan* K")1reC Remo>al o? 1mplaned de>17e* ?rom (one" 1(1a and ?1(ula
Remo>al o? 1mplaned de>17e* ?rom (one"ar*al* and meaar*al* " Plae D S7re) Remo>al o? 1nernal l1m( len2en1n2 de>17e
Repa1r o? 7la) oe Repa1r o? 7le? and Repa1r o? ammer oe
Repa1r o? 1p@ no el*e)ere 7la**1?1ed Repa1r o? ma7roda76l6
Repa1r o? malle ?1n2er
Repa1r o? re7urren d1*lo7a1on o? *oulder Seue*re7om6
Su(alar ?u*1on
Su(alar 9o1n arroere1*1* Suure o? Arer6
Suure o? 7ap*ule or l12amen o? an4le and ?oo
Suure o? 7ap*ule or l12amen o? oer lo)er e&rem16 Suure o? 7ap*ule or l12amen o? upper e&rem16
Suure o? mu*7le or ?a*71a o? and Suure o? endon *ea
Suure o? endon *ea o? and Suure o? =e1n
S6no>e7om6
Tar*omeaar*al ?u*1on Tendon 2ra?
Tendon pulle6 re7on*ru71on Tendon pulle6 re7on*ru71on Tendon ran*?er or ran*plana1on Tenoom6 o? and
T12 reaa7men Tum( reaa7men Toe reaa7men
Un*pe71?1ed opera1on on (one 1n9ur6 Upper arm reaa7men
Upper l1m( ampua1on@ no oer)1*e *pe71?1ed Wed2e o*eoom1
Ampua*1 A(o>e Knee Ampua*1 Belo) Knee
+1*ar14ula*1 *end1 e4*rem1a* %a*71oom6
Ampua*1 Jar1 %lap < S41n Gra? Ampua*1 Tun24a1 < en2an Ad>an7emen %lap
a1**1mu* +or*1 %lap
,pera*1 Komparemen ,o Roa1on %lap
Ampua*1 a(o>e el(o) Ampua*1 (ello) el(o) Ampua*1 d121al
Ampua*1 9ar1 ! Ampua*1 9ar1 *1n2le E4*ra4*1 4orpu* al1enum E&71*e pol6da76l6
+ ?lap
,r1? ?ra4ur and
Pa*an2 (a74 *la(<?ore *la( Pa*an2 7a*<21p* anpa repo*1*1 Repa1r ?1n2er1p 1n9ur6
Replana1on Roa1on ?lap
S1mple (one 2ra?1n2 S1mple *41n 2ra?1n2 S41n ?lap S41n 2ra? 5 7m S41n 2ra? *edan2 5 7m S41n 2ra?1n2 4e71l S41n 2ra?1n2 lua* S41n 2ra?1n2 *edan2 S41n 2ra?1n2 )1 7ompl17a1on Tendon re7on*ru71on Tendon ran*?er
Tendon ran*?er )1 7ompl17a1on Tennorap6
Tennorap6 )1 7ompl17a1on " BE+AH
+e(r1men Re4on*ru4*1 =ulnu* Kul1 Kepala E4*1*1 K1*a J1na4 Kul1 Kepala
Ele>a*1 Kran1oom1 %ra4ur Impre*1@+en2an Ro(e4an Pen9a1an Sara? Tep1
A?? Ar7 Barr
A?? Ar7 Barr dan *u*pen*1 ma4*1la B1op*6 In*1*1onal den2an ana*e*1 lo4al E4*1*1 2ld *u(mand1(ula
E4*1*1 12roma leer E4*1*1 41*a 1ro2lo*u* ?lap lo4al
re4onru4*1 ?lap lo4al
E4*1*1 par*1almar*up1al1*a*1 Ranula
E4*1*1 umor 2ana* 4ul1 den2an ?lap lo7al aau 2ra? 4ul1 E4*1*1 lua* umor 2ana* 4ul1 den2an re4onru4*1
E4*1*1 umor 2ana* 4ul1 anpa re4onru4*1 E4*1*1 umor 91na4 den2an ana*e*1 lo4al E4*4o4lea*1 41*a rad14uler
E4*1rpa*1<e4*1*1 umor 91na4 9ar1n2an luna4 u4uran #7m E4*1rpa*1 41*a dermo1d
%14*a*1 1nerna ?ra4ur ma4*1lo?a*1al !"# empa paaan %14*a*1 1nerna pan"?a71al
In*1*1 a(*e* den2an ana*e*1 lo4al In*1*1 ?le2mon da*ar mulu
Inernal %14*a*1 ?ra4ur ma4*1lo?a*1al 3"' empa paa an%14*a*1 o*ae l1pp@ W1reC d1luar l1ppC Pema*an2an ora4 dra1n<)aer *ealed dra1na2e WS+C d1luar alaC
Re>1*1 Tora4* dra1n<)aer *ealed dra1na2e WS+C d1luar alaC E4*1*1 Tumor Pem(ulu +ara Per1?er Heman21omaC
E4*plora*1 =a*4ular Trauma<Non raumaC
%a*71oom6
12a*1 =a*4ular E4*rem1a* Apende4om1
Apende4om1 d2n pen6ul1 ma9or Apende4om1 d2n pen6ul1 m1nor B1op*1 re7um
E4*1*1 emoro1d e4*erna %1*uloom1
%1*uloom1 d2n pen6ul1 ma6or %1*uloom1 d2n pen6ul1 m1nor Ga*ro*om1
Hem14ole4om1 den2an pen6ul1 ma6or Hem14ole4om1 den2an pen6ul1 m1nor Hem14ole4om1 anpa pen6ul1
Hemoro1de4om1 Hern1oom1
Hern1oom1 d2n pen6ul1 ma6or Hern1oom1 d2n pen6ul1 m1nor Je9uno*om1 < 1leo*om1
aparoom1 den2an pen6ul1 m1nor aparoom1 anpa pen6ul1
12a*1 emoro1d d1luar alaC Per1oneal la>a*e
Pol1pe4om1 Repa1r ?1*el u*u*
Repa1r ern1a 717ar17al1*
Repa1r ern1a 717ar17al1* d2n pen6ul1 ma6or d1luar alaC Repa1r ern1a 717ar17al1* d2n pen6ul1 m1nor d1luar alaC Splene4om1 < *plenorap6 rauma14a
Splene4om1 non rauma
Tuup (ur* a(domen anpa alaC
Tuup (ur* a(domen den2an pen6ul1 ma6or Tuup (ur* a(domen den2an pen6ul1 m1nor Tuup 4olo*om1 < 1leo*om1
Tuup 4olo*om1 < 1leo*om1 den2an pen6ul1 ma6or Tuup 4olo*om1 < 1leo*om1 den2an pen6ul1 m1nor B1op*1 Pen1*
B1op*1 Te*1* E4*ra4*1 Bau
E>a4ua*1 Be4uan +ara loC Gan1 Ne?ro*om6
H1dro4el per In2u1nal<12a*1 T1n221 H1dro4el per S4roal
In*1*1 A(*e* Per1neum In*1*1 A(*e* S4roum Meaoom1
,pera*1 Trauma G1n9al
,pera*1 Ura4u*<Re*e4*1 ura4u* ,r41de4om1
,r41de4om1 e&ended ,r41de4om1 12a*1 T1n221 ,r41de4om1 Su(4ap*uler
,r41dope4*1 Tor*1o Te*1*C ,r41dope4*1 U+TC
Pa*an2 Kaeer
Pa*an2 Kaeer den2an Mandra1n Pene4om1 Par*1al
S1r4um*1*1
S1*o*om1 per4uan S1*o*om1 Ter(u4a
=a*e4om1 ane*e*1 lo4alC =a*e4om1 nar4o*eC
A*p1ra*1 K1*a Mamma S1n2le dan Mul1ple B1op*1 ore o4al Ane*e*1
B1op*1 E4*1*1 o4al B1op*1 E4*1*1 Nar4o*e B1op*1 In*1*1 o4al B1op*1 Nar4o*e +e(r1men Mamma
E4*1*1 %1(roadenoma o4al Ane*e*1 S1n2le Sau S1*1 E4*1*1 %1(roadenoma Mul1ple Nar4o*e
E4*1*1 Tumor Mea*a*e o7o"re21onal In*1*1 A(*7e* Ma*11* o4al
Ma*e7om6
S1mple Ma*e4om6 %lap<S41n Gra?1n2 S1mple Ma*e4om6 S1n2le
,pera*1 Tumor Kul1
B1op*1 In*1*1 Tumor Kul1 o4al E4*1*1 Tumor J1na4 37m
E4*1*1 Tumor J1na4 %lap<S41n Gra? E4*1*1 Tumor J1na4 Kul1 37m
W1de E4*1*1 +1*e4*1 KGB W1de E4*1*1 Tumor Gana* Kul1
W1de E4*1*1 Tumor Gana* Kul1%lap < S41n Gra? ,pera*1 So? T1**ue Tumor
Ampua*1 +1*e4*1 KGB
Ampua*1 Jar1 %lap < S41n Gra? Ampua*1 Tun24a1 < en2an
B1op*1 In*1*1 Tumor So? T1**ue o4al Ane*e*1 E4*1*1 Tumor J1na4 37m
E4*1*1 Tumor J1na4 L37m W1de E4*1*1 +1*e4*1 KGB A*p1ra*1 E??u*1 Pleura
I*mulo(e7om6
,pera*1 4omparemen ,o Roa1on %lap
S41n Gra?1n2 Ade*1ol1*1*
Appende4om1 d2n pen6ul1 Appende4om1 anpa pen6ul1 B1op*1 re7um
+1>er14ule4om6
+ra1na*e a(*e* den2an 2eneral ana*e*1a +ra1na*e a(*e* lo7al ana*e*1a
E4*1*1 62roma 7oll1 E4*1*1 41*a (ra71al1*
E4*1*1 41*a du4u* 1ro2lo**u*
E4*1*1 neopla*ma J1na4 l1poma@ aeroma dll C E4*1*1 *1nu*<2ranuloma um(1l14al1*
E4*1*1 *o? 1**ue umor den2an pen6ul1 E4*1*1 *o? 1**ue umor anpa pen6ul1 E4*1*1 umor 91na4 )a9a
E4*1*1 ura7u* Ga*ro*om1 Hem14ole4om1
Hern1om1 d2n pen6ul1 < 4ompl14a*1 H1dro4ole4om1
Kole*1*e4om1
Kolo*om1 < *12mo1do*om1 ,r71dope&6
,er Repa1r o? A(dom1nal Wall Repa1r ,mpa7eleC Repa1r ern1a d1a?ra2ma
Repa1r o? Ga*ro71*1*
S1r4um*1*1 den2an 2eneral ane*e*1a S1r4um*1*1 den2an lo7al ane*e*1a Splene4om1
Tuup (ur* a(domen den2an pen6ul1 Tuup (ur* a(domen anpa pen6ul1 Tuup 1leo*om1 den2an pen6ul1 Tuup 4olo*om1 < 1leo*om1 Tuup Soma
Wound repa1r
A?? ar7(ar@ o4al Ana*e*1 Ampua*1 a(o>e el(o) Ampua*1 (ello) el(o) Ampua*1 d121al
Ampua*1 9ar1 ! Ampua*1 9ar1 *1n2le
lo*ed Redu71on %r. Na*al E4* mamma a(eran (1laeral
E4*1*1 neopla*ma 91na4 l1poma@ aeroma dllC E4*ra4*1 aeroma < 4elo1d
E4*ra4*1 4orpu* al1enum Ele>a*1 ear r1m 7ar1la2o
E&71*e eman21oma re4on*ru4*1 E&71*e 1nra 4elo1d
E&71*e pol6da76l6 %a*71oom6 (urn 1n9ur6
%a*71oom6 )1 7ompl17a1on %lap lo4al *ederana
%ra4ur Pro*e*u* al>eolar1* den2an 1ner denal )1r1n2 I+WC per raan2C %ra4ur Pro*e*u* al>eolar1* lua* den2an I+W per raan2C
%ra4ur raan2 redu4*1 er(u4a D 1ner o*eu* )1r1n2 Mamma a(eran un1laeral
Mul1ple ?a71al ?ra4ur 1mplan Pa*an2 ar7(ar
Pa*an2 (a74 *la(<?ore *la( Pa*an2 7a*<21p* anpa repo*1*1 Relea*ed *6nda76l6 4omple4* Repa1r ?1n2er1p 1n9ur6
Replana1on
Repo*1*1 ?ra4ur na*al *ederana Roa1on ?lap S1mple *41n 2ra?1n2 S41n ?lap S41n 2ra? 5 7m S41n 2ra? *edan2 5 7m S41n 2ra?1n2 4e71l S41n 2ra?1n2 lua* S41n 2ra?1n2 *edan2 Tendon re7on*ru71on Wound +re**1n2 Wound Repa1r " MATA An24a Ja1an
An24a Ja1an den2an GA E4*1*1 Hordeolum < ala1on
E4*1rpa*1 orpu* Al1enum d1 Kornea
Ja1 Kelopa4 Maa %ull T174ne** D 1d Mar21n " ,BSG/N
auer *er>14* E4*plora*1 >a21na
E&1rpa*1 4ure pol1p endo*er>14* E&1rpa*1 2e(oren m1oma
E&1rpa*1 2e(oren m1oma4u1rea*1 K1*e4om1
Kure a(oru* 1n7omplee* ap op- m6ome4om1
aparoom1 den2an pen6ul1 m1nor aparoom1 anpa pen6ul1
M17ro 4urea*e +UB M14ro4ure
M1ome7om6 ,>ere7om1 Pa1nle** la(or Per*al1nan normal
Per*al1nan normal den2an pen6ul1
Per*al1nan per>a21nam 1nda4an opera1? Per*al1nan *un2*an2
Salp1n2e4om1 un1laeral Salp1n2oo>are7om1 un1laeral Se4*1o *e*ar1a
Se4*1o *e*ar1a den2an pen6ul1 TAHBS, den2an Pen6ul1
TAHBS, den2an Pen6ul1 Pema*an2an Tampon A(domen Toal a(dom1nal 6*ere7om6(1laeral *al?1n2e4om1
Tu(e4om1 4l1n14 Tuup (ur* a(domen
" THT"K Adenoon*1le4om1 Anro*om1S1nu*4op1
BM S1mple K1*a@Pol1p@Nodul@Granula*1C B1op*1 Tumor
ald Well u7
E4*1rpa*1 K1*a +u7u* T1ro2lo*u* E4*ra4*1 2ranula*1 MAE<Kole*eao*1* E4*ra4*1 Pol1p
E4*ra4*1 Korpu* Al1enum Ka>um Na*1 E4*1rpa*1 %1*el Pre Aur14uler
E4*ra4*1 Korpu* Al1enum MAE E4*1rpa*1 Kelen9ar Su( Mand1(ula E4*plora*1 A(*e* Para?ar1n2eal
E4*1rpa*1 Tumor J1na4 Kepala D eer Aerom 1pomaC %ar1n2oom1
In*1*1 A(*e* eer +alam In*1*1 Per14ondr11*
Ir12a*1 S1nu* Ma4*1la In*1*1 A(*e* Per1on*1l Kau*14 Kon4a In?er1or ,*eoom1Sepum 4ore4*1
Re4onru4*1 %ra4ur Ma4*1la Mul1ple Re4onru4*1 %ra4ur Ma4*1la Sederana R1nopla*1
Repo*1*1 %ra4ur ,* Na*al
Repo*1*1 D %14*a*1 %ra4ur Mand1(ula Sepum Kore4*1Kon4oom1
T1ro1de4om1 Su("Toal
Ton*1le4om1<Adeno1de4om1 Tra7eo*om1
" GIGI +AN MUUT
+e(r1men Mu4o*a dan Pen2elolaan u4a Sa6a +1*lo4a*1 Send1 Mand1(ula
E4*1*1 Epul1* Per Raan2
Enu4lea*1 K1*a +en12erou* E&ra4*1 G121 Impa4*1 E&ra4*1 G121 Ana4 den2an Kela1nan Janun2 Per Raan2 E&ra4*1 G121 Ana4 Per Raan2
E&ra4*1 G121 +e)a*a Per Raan2 %rene4om1 Per Raan2
G1n21>e4om1 Per Raan2 In*1*1 A(*e* < Ple2mon ,done4om1 Per G121 " GAWAT +ARURAT =ena *e71e Pun2*1 Pleura Inu(a*1 Endora4ea Kr14o1room1
" PEN/AKIT JANTUNG +AN PEMBUUH +ARAH =
!. T1nda4an Ane*e*1 D Seda*1.
a. Semua 1nda4an ane*e*1 dan *eda*1 d1 dalam 4amar opera*1. (. Semua 1nda4an ane*e*1 dan *eda*1 d1 IU
T1nda4an Ana*e*1 d1 IU Pema*an2an 1nu(a*1 >en1laor
Pema*an2an >ena *enral
Pema*an2an 1nra arer1al 7aeer Kard1o>er*1
#. T1nda4an pem(er1an produ4 dara dan 4omponen dara@ 1nda4an 6an2 memerlu4an 1n?ormed 7on*en er*e(u anara la1n
-a. Pla*ma *el (. PR
7. Wole Blood ell d. Trom(o*1e
e. Al(um1n
3. T1nda4an 6an2 (er1*14o 1n221 " ANAK
Pema*an2an =en1laor Inu(a*1 Endora4ea
Pema*an2an ar6n2eal ma*4 In?u* 1nrao**eu*
Kanula*1 >ena per1?er
Pen2am(1lan dara 1nra >ena dan 1nra arer1 Pun2*1 lum(al
Pema*an2an 4aeer ur1ne Pema*an2an 4aeer re7al Pema*an2an oro2a*r14 u(e Pema*an2an na*o2a*r14 u(e Ple(oom1
" GIGI dan MUUT
urea2e<roo plann1n2 914a d1perlu4an ane*e*1C G1n21>e4om1
%rene4om1 " RA+I,,GI
T1nda4an Rad1olo21 pada pa*1en den2an KU 6an2 menurun T1nda4an Rad1olo21 pada I(u am1l 6an2 memerlu4an ?oo " JIWA
P*67o Anal1*a
P*67o Terap6 +alam
Pemer14*aan 4andun2an a nar4o14a
Re*ra1n < %14*a*1 - me4an14 dan p*14orop14a " Semua 1n9e4*1 den2an o(a r1*14o 1n221
+1eap4an d1 Sum(a)a Be*ar Pada an22al - ! Jul1 #0! +IREKTUR RSU+ SUMBAWA
