VISI & MISI PROGRAM STUDI SPESIALIS BEDAH SARAF

FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA

VISI
Menghasilkan lulusan bedah saraf yang terdepan di Indonesia dalam mengembangkan keilmuan Bedah Saraf terutama dalam bidang
Neurotrauma dan Neurointensif sehingga menjadi spesialis bedah saraf yang Unggul, Mandiri dan Berbudaya dengan daya saing tingkat
Nasional hingga Global.

MISI
• Menyelenggarakan kegiatan pendidikan spesialis bedah saraf sesuai dengan Tridharma Perguruan Tinggi untuk
menghasilkan lulusan yang berfokus pada bidang unggulan neurotrauma dan neurointensif sesuai dengan tuntutan
masyarakat regional, nasional dan Global.
• Mewujudkan Program Studi Spesialis Bedah Saraf Fakultas Kedokteran Univeristas Udayana sebagai institusi pendidikan
bedah saraf yang menghasilkan lulusan yang mandiri, berbudaya dan profesional serta mampu mengembangkan
kerjasama institusi baik dalam maupun luar negeri.
• Menghasilkan lulusan yang mampu meningkatkan kualitas serta kuantitas pelayanan khususnya dalam bidang neurotrauma
serta neurointensif yang berguna untuk menunjang pelayanan kesehatan masyarakat.
• Menghasilkan lulusan bedah saraf yang mampu menghasilkan karya ilmiah inovatif, teruji serta prospektif dalam bidang
Bedah Saraf khususnya neurotrauma dan neurointensif demi kemajuan masyarakat pada umumnya serta Program Studi
Spesialis Bedah Saraf Fakultas Kedokteran Universitas Udayana pada khususnya.
 Monday, November 23th 2023
Supervisor : Prof. Dr. dr. Sri Maliawan, Sp. BS, Subsp. N-Ped

Residen :

Chief on Call : BIO

Chief : GER

Bedah Saraf Dasar Lanjut : DWK

Bedah Saraf Dasar : KTJ

Bedah Dasar : SAM

Observer : JEV

Bedah Umum : AGN

 Resume
Total patient : 3 patients
• Neurotrauma : 3 patients
• Neurovascular : 0 patient
• Neurospine : 0 patient
• Neurooncology : 0 patient
• Neurofunctional : 0 patient
• Neuropediatric : 0 patient
• Neuroinfection : 0 patient

Surgery : 2 patients
Mortality : 2 patients
 Surgery Triage Bed 1
Diagnosis
No

1.
Identity
I Gede Eka Sutama / - Mild TBI (E4V5M6) a
M / 21 yo / 23069216 / - EDH Reg Right Temporobasal (Vol
Management
Neurosurgery
Pro EDH Evacuation Craniotomy
Neurotrauma 16cc, thickness 20mm, MLS 0 mm)
- Head up 30 degrees
- Maxillary Right Hematosinus
- O2 on NRM 10 lpm
- Fr. Right Os Temporalis Sphenoidalis - IVFD NaCl 0.9% 20 dpm
- Fr. Right Os Maxillaris - Phenytoin 100 mg every 8 hours IV
- Metocloperamide 20 mg every 12
hours
- Paracetamol 500mg every 6 hours
PO
- Obs GCS and Vital Sign, if GCS
drops >2 points, CT scan of the head
evaluation
Head Ct Scan
Bunda Hospital
23/11/23
Head Ct Scan
Bunda Hospital
23/11/23
 Thorax AP
Prof Dr dr IGNG Ngoerah Hospital
23/11/2023
 Cervical AP/Lat
Prof Dr dr IGNG Ngoerah Hospital
23/11/2023
 Laboratory Results
Prof. Dr. dr. I.G.N.G Ngoerah General Hospital
23/11/23
 Surgery Triage Bed 3
Diagnosis
No
2.
Identity
I Wayan Dama Saputra/ - Moderate TBI (E3V4M5) a
M / 16 yo/ 23069323 / - EDH Reg Right Frontal (Vol 8.8 cc,
Neurotrauma Thickness 9.8 mm, MLS 0 mm)
- Acute SDH Reg. Left
Frontotemporoparietal (Thickness 15
mm, MLS 13 mm to the right)
- Multiple Aerocele Reg. Right Frontal
- Fr. Linear Os. Right Frontal
- Fr. Right Orbital Roof
- Fr. Right Superior Orbital Rima
- Fr. Right and Left Inferior Orbital Rima
- Fr. Right and Left Orbital Floors
- Fr. Right and Left Maxilla
- Right and Left Maxillary
Hematosinus
- Fr. Nasal OS Type II
- Fr. Right NOE type I
- Fr. Left NOE type II
- Open Fr Right Intercondylar Femur
- Close Fr. Left Proximal Humerus
- Moderate Anemia (Hgb 7.4)
Neurosurgery
Management
Pro SDH Evacuation Decompressive Craniectomy
Head up 30°
IVFD NaCl 0.9% 20 dpm
O2 on FM 6 lpm
Phenytoin 100 mg every 8 hours IV D1
Omeprazole 40 mg every 12 hours IV
Paracetamol 500 mg every 8 hours PO
PRC transfusion 1-2kolf/day ~ target HGB >10g/dL
Obs GCS and TTV. If GCS falls >2 points, Pro CT
scan head evaluation
Orthopedic Division
Antibiotic
Antitetanus
Analgetic
Immobilization with u slab
P/ Debridement + Backslab (Femur) (CITO)
P/ ORIF-PS (Humerus) (Elective)
Plastic Surgery Division
- Open reduction, reposition, fixation with wire/miniplate and
screw ec Fr. Right and Left NOE, Fr. Inferior Right and Left
Orbital Rima, Fr. Right and Left Maxilla
- Exploration of Right and Left Orbital Floor, Bone Graft if
needed ec Right and Left Orbital Floor Fracture
- Closed Reduction + Nasal Reposition ec Fr. Os Nasal type
II, Fr Right NOE type I, Fr Left NOE type II
- Right and Left Maxillary Sinus Irrigation ec Right and Left
Maxillary Hematosinus
- IVFD RL 20 bpm
- Ceftriaxone 2gr every 24 hours IV
- Paracetamol 500 mg every 8 hours PO
- Liquid diet
- Oral Hygiene with Aseptic liquid every 4 hours
 Head Ct Scan
Sanjiwani Hospital
23/11/23
 Head Ct Scan
Sanjiwani Hospital
23/11/23
 Head Ct Scan
Sanjiwani Hospital
23/11/23
 Thorax AP
Prof Dr dr IGNG Ngoerah Hospital
24/11/2023
 Cervical AP/Lat
Prof Dr dr IGNG Ngoerah Hospital
24/11/2023
 Laboratory Results
Prof. Dr. dr. I.G.N.G Ngoerah General Hospital
24/11/23
 Surgery Triage Bed 6
Diagnosis
No

3.
Identity
I Wayan Anugrah
Sukertha/ M / 14 yo/
- Mild TBI (E4V5M6) a
- EDH Reg Left Parietal (Vol 5.79 cc,
Management
Neurosurgery
Conservative
17041080 / Thickness 7.54 mm, MLS 0 mm)
Head up 30°
Neurotrauma - Cerebral Contusion Reg Right IVFD NaCl 0.9% 20 dpm
Temporal O2 on FM 6 lpm
Phenytoin 100 mg every 8 hours
IO
Omeprazole 20 mg every 12 hours
IO
Paracetamol 500 mg every 8
hours IO
Obs GCS and TTV. If GCS falls
>2 points, Pro CT scan head
evaluation
 Head Ct Scan
Bali Jimbaran Hospital
23/11/23
 Head Ct Scan
Bali Jimbaran Hospital
23/11/23
 Head Ct Scan
Bali Jimbaran Hospital
23/11/23
 Head Ct Scan
Bali Jimbaran Hospital
23/11/23
 Head Ct Scan
Bali Jimbaran Hospital
23/11/23
 Thorax AP
Prof Dr dr IGNG Ngoerah Hospital
24/11/2023
 Cervical AP/Lat
Prof Dr dr IGNG Ngoerah Hospital
24/11/2023
 Laboratory Results
Prof. Dr. dr. I.G.N.G Ngoerah General Hospital
24/11/23
Surgery (2)
 Benjover A Mbatu / M / 32 yo / 23069165 / Neurotrauma

Assessments:
• Moderate TBI (E3V3M5)
• Acute SDH Reg Left frontotemporal (thickness 12 mm, MLS 6 mm to the right)
• Acute SDH Reg Right frontobasal (thickness 4 mm)
• Multiple cerebral contusions Right and Left frontal, Left temporal regions
• tSAH Left Sylvian fissure, Basal Cystern, Right and Left Frontal
• Brain swelling
• Linear fr Os Left Parietal

Procedure : SDH Evacuation Craniotomy

DPJP : Prof. Dr. dr. Sri Maliawan, Sp. BS, Subsp. N-Ped
Op : GUD
Ass : ASK
Duration : 4 hours
Blood loss : 400cc
 Head CT Scan
Prof Ngoerah General
Hospital
23/11/23
 Head CT Scan
Prof Ngoerah General
Hospital
23/11/23
 Head CT Scan
Prof Ngoerah General
Hospital
23/11/23
 Head CT Scan
Prof Ngoerah General
Hospital
23/11/23
 Head CT Scan
Prof Ngoerah General
Hospital
23/11/23
Durante Op

Temporal

Frontal

Parietal
 Durante Op

Temporal Frontal Temporal

Frontal

Parietal Parietal
 Durante Op

Frontal

Temporal Temporal Frontal

Parietal Parietal
 I Gede Eka Sutama / M / 21 yo / 23069216 / Neurotrauma

Assessments:
• Mild TBI (E3V5M6)
• EDH Reg Right Temporobasal (Vol 16cc, thickness 20mm, MLS 0 mm)
• Right Maxillary Hematosinus
• Fr. Os Right Temporal
• Fr. Os Right Maxillaris

Procedure : EDH Evacuation Craniotomy

DPJP : Prof. Dr. dr. Sri Maliawan, Sp. BS, Subsp. N-Ped
Op : KTJ
Ass : SRY / RCE
Duration : 3 hours 15 minutes
Blood loss : 1200 cc
Head Ct Scan
Bunda Hospital
23/11/23
Head Ct Scan
Bunda Hospital
23/11/23
Durante Op
Temporal

Frontal

Parietal
 Durante Op
Temporal Temporal

Frontal

Frontal

Parietal
Parietal
Durante Op
Mortality (2)
Thank You