Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal The Journal of Society Medicine (JSOCMED)
Agus Prima
Division of Anesthesiology and Intensive Care, National Center of Research and Education Institute (NCREI), Medan, Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Thoracic Spinal Anesthesia in a Patient with Peritoneal Tuberculosis with Massive Ascites and Bilateral Pleural Effusion for Laparotomy Dwi Lunarta Docterina Sutanti Siahaan; Jadeny Sinatra; Ronald T.H. Tambunan; Agus Prima
Journal of Society Medicine Vol. 5 No. 6 (2026): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.286

Abstract

Peritoneal tuberculosis is an extrapulmonary form of tuberculosis with nonspecific clinical manifestations, such as ascites and abdominal pain, often leading to delayed diagnosis. In advanced conditions, massive ascites combined with bilateral pleural effusion may significantly impair respiratory function and increase perioperative risk. General anesthesia, commonly used for laparotomy, may further worsen pulmonary complications in such high-risk patients. We report a case of a 23-years-old female with peritoneal tuberculosis complicated by massive ascites and bilateral pleural effusion who underwent laparotomy under thoracic spinal anesthesia. The patient presented with abdominal distension, dyspnea, anemia, and hypoalbuminemia, indicating a compromised physiological status. Considering the risks associated with general anesthesia, thoracic spinal anesthesia was selected. The procedure was successfully performed with stable intraoperative hemodynamics and no significant respiratory complications. Thoracic spinal anesthesia is a feasible regional technique for abdominal surgery, offering better respiratory outcomes and recovery compared to general anesthesia. This case demonstrates its potential as a safe alternative in high-risk patients undergoing laparotomy.
Co-Authors Dwi Lunarta Docterina Sutanti Siahaan Jadeny Sinatra Ronald T.H. Tambunan