Objectives: the aim of this study is to report the outcome of Manchester operation in cervical elongation patients with pelvic organ prolapse at Dr. Soetomo Hospital, Surabaya from January 2015 to June 2017.Case Report: During January 2015 until June 2017 there were seven patients already performed Manchester operation, however only four patients routine control. In all four cases, three cases were obtained with cervical elongation with a pelvic organ prolap (POP) and one case with cervical elongation. Perform evaluation before and after operation by using questionnaire and inspection of POP-Q system. During the evaluation there was one case with repeated lump complaints diagnosed with a uterine prolap, while one of it was with a posterior compartment prolap, but the patient did not complain during the evaluation. Both of these patients refused to reoperate after evaluation.Conclusion: After Manchester operation in cervical elongation with POP had two cases with repeated prolapse. Questionnaires and POP-Q systems were used to diagnose and evaluate preoperative and postoperative Manchester.

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ABSTRAKObjectives: To analyze the causes of post-caesarean section surgical site infection (SSI) at South Konawe Hospital, Southeast Sulawesi, Indonesia, between February and July 2017. Materials and Methods: Retrospective study using descriptive method with cross-sectional design from February to July 2017 in inpatient and outpatient wards at Obstetrics and Gynecology Outpatient Clinic, South Konawe Hospital. The population was the patients' medical records. Results: There were nine cases (7.75%) from totally of 116 cases of caesarean section with SSI. Based on SSI type, there were four cases (44.4%) with superficial SSI and 5 cases (55.5%) with deeper classification of SSI. SSI was dominated by women of productive age with age 20-35 years in 66.6% case. The lowest BMI was 22 kg/m2 and the highest BMI was 41.5 kg/m2. Hemoglobin levels were higher than 11 g/dL (66.6%). The most surgical action to be performed was emergency operation in 8 cases (15.09%). Conclusion: Causal characteristics of SSI at South Konawe were age of 20-35 years, the lowest BMI of 22 kg/m2 and the highest BMI 41.5 kg/m2, hemoglobin levels higher than 11 g/dL, and the need of emergency operation.