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All Journal Jurnal Anestesiologi Indonesia Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kebijakan Kesehatan Indonesia DE JURE Berkala Ilmiah Kedokteran Duta Wacana Jurnal Keperawatan Padjadjaran Review of Islamic Economics and Finance Indonesian Journal of Anesthesiology and Reanimation (IJAR) Journal of Anaesthesia and Pain JIPMukjt:Jurnal Ilmu Pendidikan Muhammadiyah Kramat Djati Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal Sehat Indonesia (JUSINDO) Jurnal Studia Legalia Jurnal Ilmiah MEA (Manajemen, Ekonomi, dan Akuntansi) DEVOTE: Jurnal Pengabdian Masyarakat Global Sunan Kalijaga: Islamic Economics Journal Biomedika Indonesian Journal of Nutritional Epidemiology and Reproductive Journal of Medicine and Health
Novita Anggraeni
Study Program of Animal Bioscience, Graduate School, Bogor Agricultural University
Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Journal : Berkala Ilmiah Kedokteran Duta Wacana

 1 
EMERGENCY NON-OBSTETRIC SURGERY DURING PREGNANCY: ANESTHETIC AND PAIN MANAGEMENT IN OVARIAN CYST TORSION Leonardo, Peter; Anggraeni, Novita; Masjkur, Diana
Berkala Ilmiah Kedokteran Duta Wacana Vol. 9 No. 2 (2024): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v9i2.1036

Abstract

The management of non-obstetric emergency surgeries during pregnancy presents unique challenges that necessitate careful consideration of both maternal and fetal health. This case report outlines the management of a pregnant patient (G3P2A0H2, 10-11 weeks gestation) who presented with acute abdominal pain due to a suspected ovarian cyst torsion. The patient underwent exploratory laparotomy under spinal anesthesia with bupivacaine, morphine, and fentanyl. Postoperative pain was managed using a multimodal analgesic strategy including surgical wound infiltration with 0.25% ropivacaine combined with dexamethasone. This technique was used to minimize opioid use and enhance recovery. The patient experienced stable hemodynamics and minimal postoperative pain (VAS 1-2), and was discharged on the third postoperative day. This case highlights the importance of effective pain management, particularly during non-obstetric surgeries during pregnancy. Regional anesthesia, along with local infiltration of ropivacaine and dexamethasone, provides an effective pain control strategy, contributing to faster recovery and enhanced patient satisfaction while minimizing systemic opioid exposure.
Co-Authors Abu Khoiri Ahmad, Sabarudin Ananda, Pratama Arif Setyo Upoyo Awanda Herman Candra Fatihah, Dian Catur, Andri Christyana Sandra Dian Fery Handrianti Dino Irawan Fajri, Doni Ginarsyah, Riando Hamdan, Muchammad Hamzah, Zeze Zakaria Herlina, Erna Hidayat, Nopian Hotabilardus, Nusi Hotabilardus, Nusi A Hotabilardus, Nusi Andreas Indra Indra Irwanda, Faisal Jaya, Pelinggo Leonardo, Peter Masjkur, Diana Muhlis Muhlis Noorrahman, M Irvan Pambudi, Andrian Kukuh Putra, Rosyid Nur Anggara Ragil Sunaryo, Ajeng Rukmini, Mimin Sari, Valencia Ayu Saryono Saryono Soeharto, Delan Syaiful Anwar Syariefah, Laila Tetralleniajr, Tetralleniajr Ton, Yori Yarson Wahyu Anugrah Utomo, Mochammad Widi Hartono Zaerofi, Afif