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All Journal Jurnal Pengabdian UNDIKMA Journal of Medicine and Health
Deviandri, Romy
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A Rare Presentation of Hemothorax due to Left Hemithorax Penetrative Wound: An Operative Approach Requiring Segmentectomy Endrika, Adhia; Deviandri, Romy; Wirdayanto, Ade; Hendra, Fakhrul; Briliant, Briliant; Valentino, Andrea
Journal of Medicine and Health Vol 8 No 1 (2026)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v8i1.11791

Abstract

Hemothorax is a medical emergency as blood accumulates inside the pleural space due to spontaneous, iatrogenic, or traumatic etiology. In general, hemothorax has a good prognosis. But severe hemothorax, especially those in vital areas, can lead to more invasive management. This case report aims to explore the presentation of massive hemothorax due to penetrative trauma and discuss suitable management approaches. A 16-year-old patient came due to spear wound through the left shoulder without exit wound. From primary assessment we found subcutaneous emphysema in the left lung, without compensation in airway and circulation system. A thoracocentesis intervention promptly performed as initial treatment. Secondary management proceeded with surgical thoracotomy which resulted in segmentectomy. Around 2-6% of patients of hemothorax patients need surgical intervention, and less than 2% will need segmentectomy intervention due to bleeding that cannot be corrected with surgical ligation. This case is one of the rare cases of hemothorax with segmentectomy. Although this patient did not have any respiratory nor circulatory complication, laceration in proximal hilum area leads to massive bleeding that damaged the lung parenchyma. Vigilant assessment in patients with penetrative trauma, especially in the left hemithorax, is essential to diagnose possible complication and execute evidence-based management plan.
Community-Based Tele-Mentored Ultrasound for Urological Screening in Rural Primary Care Afdal; Jaya, Indra; Hardiansyah, Muhammad Teguh; Yashar, Muhammad Adan; Prihartomo, Gatot Aji; Deviandri, Romy; Maulanisa, Sinta Chaira
Jurnal Pengabdian UNDIKMA Vol. 7 No. 2 (2026): May (IN PRESS)
Publisher : LPPM Universitas Pendidikan Mandalika (UNDIKMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jpu.v7i2.20028

Abstract

This community service activity aims to assess the feasibility and impact of the community-based HHUS tele-mentoring program for urological screening in rural primary healthcare centers in Indonesia. A prospective quasi-experimental study was conducted from August to October 2025 at Pangkalan Baru Primary Health Center, Riau, Indonesia. Four general practitioners (GPs) underwent a one-day HHUS training session, followed by one month of tele-mentoring using the UroSono Mentor app, a telemedicine platform that supports both real-time video consultation and asynchronous image review, and one additional month of independent practice. Confidence, usability, feasibility, mentor responsiveness, patient satisfaction, and behavioral intention were assessed using structured questionnaires. Data were analyzed using the Friedman test (p < 0.05). Confidence scores improved significantly across all phases (p = 0.018), increasing from 2.06 (pre-training) to 4.37 (tele-mentoring) and 3.81 (independent practice). Training satisfaction was high (3.81 ± 0.19), with positive ratings for mentor responsiveness (4.44 ± 0.24) and usability (4.13 ± 0.14). Patient satisfaction averaged 4.49 ± 0.54. Of the 26 patients examined, 69.2% had normal findings, while 30.8% required referral. Community-based tele-mentored HHUS effectively enhanced GPs’ competence and confidence, achieving strong acceptance among both healthcare providers and patients. The UroSono Mentor model shows promise for scalable integration into rural urological screening programs.
Co-Authors Adhia Endrika, Adhia Afdal Briliant, Briliant Hardiansyah, Muhammad Teguh Hendra, Fakhrul Indra Jaya Maulanisa, Sinta C. Prihartomo, Gatot Aji Valentino, Andrea Wirdayanto, Ade Yashar, Muhammad Adan