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All Journal Folia Medica Indonesiana Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Edwin Danardono
Digestive Surgery Division, Department Of Surgery, Faculty Of Medicine, Universitas Airlangga/ Dr. Soetomo Hospital General Academic Hospital, Surabaya
Medicine & Pharmacology Other

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Case Report: POST ESOPHAGECTOMY ESOPHAGEAL RECONSTRUCTION IN ESOPHAGEAL INJURY DUE TO CAUSTIC MATERIALS Edwin Danardono
Folia Medica Indonesiana Vol. 53 No. 4 (2017): December 2017
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.509 KB) | DOI: 10.20473/fmi.v53i4.7163

Abstract

The esophageal caustic injury is rare, but it requires precise and complex management. A variety of reconstruction techniques have been done, but despite the increasing volume, the incidence of complications is still relatively high. We reported the experience in our center in handling esophageal reconstruction in patients with caustic esophageal injury that caused oesophageal stricture between 2014-2017. This study used case series method with literature review. The results showed that between 2014-2017, there were 3 patients with caustic esophageal injury. All patients undergoing esophageal reconstruction surgery were included under conditions of malnutrition. Two were caused by HCl and the rest by NaOH. All patients underwent a resection of stricture segment of the esophagus, either using partial or total esophagectomy. Anastomosis leakage occurred in all cases, but improved with conservative treatment. The average length of hospitalization was 27 days. The intraoperative blood loss in patients ranged from 450-700 cc. In conclusion, proper preliminary management can provide approppiate preparation of the patients for definitive or reconstructive surgery, especially to avoid malnutrition. The ideal reconstruction still could not be established, and the rate of postoperative complications was still high. The length of patient hospitalization was also relatively long.
Splenectomy for Aseptic Splenic Abscess Andy Kusuma Pranata; Edwin Don Danardono
Folia Medica Indonesiana Vol. 57 No. 4 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (989.281 KB) | DOI: 10.20473/fmi.v57i4.11121

Abstract

Highlight:A 26-year-old woman have sterile aerobic and anaerobic bacterial cultures.Pus and splenic tissue examination revealed no bacterial proliferation, while the surgery revealed a splenic abscess.Abstract:We presented a rare case, a 26-year-old woman have sterile aerobic and anaerobic bacterial cultures. Clinical examination of the patient showed a dense cystic mass in the left upper abdomen. Ultrasonography examination suspected a dermoid cyst. However, MRI examination of the abdomen showed turbid cystic lesions. The surgery revealed a splenic abscess, while pus and splenic tissue examination revealed no bacterial proliferation. Based on the literature, the patient had a good prognosis.
Albumin Levels in Nontraumatic Acute Abdomen Patients Undergoing Emergency Laparotomy: A Retrospective Study in the Intensive Observation Ward of Dr. Soetomo General Academic Hospital Fitri mazia; Maulydia; Edwin Danardono; Edward Kusuma
Indonesian Journal of Anesthesiology and Reanimation Vol. 7 No. 2 (2025): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V7I22025.100-108

Abstract

Introduction: Acute abdomen is a critical medical emergency characterized by the abrupt onset of severe abdominal pain, often requiring emergency laparotomy. Emergency laparotomy, due to limited preoperative preparation, generally has a higher morbidity and mortality rate than elective surgery. Optimizing perioperative care, particularly by monitoring albumin levels, may improve outcomes, as albumin plays a crucial role in maintaining fluid balance, wound healing, and controlling inflammatory responses. Postoperative emergency patients at Dr. Soetomo General Academic Hospital are closely monitored in a specific ward known as the Intensive Observation Ward (Ruang Observasi Intensif/ROI). Objective: To evaluate albumin levels in nontraumatic acute abdomen patients treated in ROI following emergency laparotomy. Methods: This study used a retrospective descriptive study design and was conducted from January to June 2022. Patients under 18 with malignancy, trauma, gynecological or obstetrical cases, and incomplete medical records were excluded. Results: The male and female number of 90 patients was equal, most patients were aged 41-50, and had a normal BMI. Generalized peritonitis was the most common indication, followed by acute appendicitis and bowel obstruction. Appendectomy and exploratory laparotomy were the primary procedures, mostly done in under 3 hours. Most patients had no prior laparotomy history. Most patients had normal albumin levels preoperatively, but these shifted to mild hypoalbuminemia postoperatively. Of 13 deaths, 12 involved preoperative hypoalbuminemia. The predominant PS-ASA scores were 2 and 3. Electrolyte imbalance, especially hypokalemia, was the prevalent preoperative complication. Frequent comorbidities included kidney disorders and hypertension. The average ROI stay was 2.1±1.59 days, with most patients staying for 1 to 3 days. Operation-related complications included intra-abdominal infections and bleeding, while medical complications involved electrolyte imbalances, sepsis, and metabolic acidosis. Conclusion: Nontraumatic acute abdomen patients with low preoperative albumin levels tend to have higher rates of postoperative complications and mortality.
Co-Authors Andy Kusuma Pranata Fitri mazia Kusuma, Edward Putra Maulydia