Endometriosis II (Presentasi)

Endometriosis merupakan jaringan endometrium yang terdapat di luar kavum uteri.  Lesi-lesi endometriosis tetap dipengaruhi oleh hormon estrogen dan progesteron, dan mengalami perubahan siklik seperti endometrium. Paling sering terjadi pada usia reproduksi.

Presentasi Endometriosis :

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Endometriosis I (Presentasi)

Endometriosis merupakan kelainan ginekologi yang kompleks, kronik dan mempengaruhi fertilitas wanita. Pertama kali diperkenalkan tahun 1800-an. Dan mulai menarik perhatian pada permulaan abad ke-20

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The use of 5% dextrose as a distending media In endometrial ablation

(CASE REPORT)

Wi Liong, Eddy Hartono

Department of Obstetrics and Gynecology

Faculty of Medicine Hasanuddin University

Wahidin Sudirohusodo General Hospital

Makassar

INTRODUCTION

Menorrhagia is a common clinical problem and makes a large contribution to the workload of gynecologists. Dysfunctional uterine bleeding (DUB) affects 20-30% of women and accounts for 12% of gynecological referrals. Sixty percent of these women will have undergone hysterectomy within 5 years of referral, making it the commonest major gynecological operation. The recent VALUE Survey of over 36,000 hysterectomies reported a mortality rate of 0.38 per 1000 operations and serious morbidity rate of 3% (bleeding, visceral injury and other complications).

Endometrial ablation is a procedure that aims to destroy the endometrial lining of the uterus, causing a reduction or elimination of menstrual bleeding. To suppress menstrual bleeding effectively, it is necessary to remove the full thickness of the endometrial lining as well as the superficial myometrium. The endometrial tissue may be destroyed either by excision with an electrosurgical loop, or by ablation using an energy source which has sufficient power to produce necrosis of the entire thickness of the endometrium as well as the superficial myometrium.

The Use Of Medical Plastic Bag As A Replacement For Endobag In The Laparoscopic Procedure Of Ovarian Dermoid Cyst

Eddy Hartono, Edmoon Liwan

Obstetrics and Gynecology Department

The Faculty of Medicine of the University of Hasanuddin

ABSTRACT

Objective : To report the success use of medical plastic bag as a replacement for endobag in the laparoscopic procedure of ovarian dermoid cyst.

Location : Dr. Wahidin Sudirohusodo General Hospital, Makassar

Study design : Case-report

Method : women, 39 years old, PIIIA0, with a preoperative diagnosis of ovarian cyst, a diagnostic laparoscopic was performed, we found a right ovarian dermoid cyst and endometriosis stage I, then we performed right salpingooforectomy through operative laparoscopic, as a replacement for endobag we used medical plastic bag (Zipack®). For the endometriosis stage I, we did bipolar coagulation. Sterilization was performed using bipolar destruction method.

Result : The use of medical plastic bag as a replacement for endobag in the laparoscopic procedure of ovarian dermoid cyst was quite effective in preventing spill of the cyst content to abdominal cavity.

Key words : laparoscopy, ovarian dermoid cyst.