Optimizing Intraoperative Hypothermia Management: A Case Study on Laparotomy for Adhesiolysis and Jejunal Diverticulectomy
Dublin Core
Title
Optimizing Intraoperative Hypothermia Management: A Case Study on Laparotomy for Adhesiolysis and Jejunal Diverticulectomy
Subject
Hypothermia, Exploratory Laparotomy, Warm Irrigation, Intraoperative
Description
Exploratory laparotomy surgery is a procedure that is often found in patients
with adhesive obstruction ileus. In the intraoperative phase, exploratory
laparotomy takes a long time and exposure to cold environments and
anesthetic drugs often causes hypothermia which has an impact on serious
complications. The purpose of this study was to analyze intraoperative
hypothermia management interventions in patients undergoing exploratory
laparotomy surgery with adhesiolysis and jejunal diverticulectomy. The study
design used a case study with a nursing care approach. The research sample
is patient with a diagnosis of adhesive obstruction ileus taken using the
convenience sampling technique. Data collection was carried out by
observation during surgery and documentation studies with a perioperative
nursing care format. Hypothermia management was carried out by providing
warm irrigation interventions of the gastrointestinal organs with 0.9% NaCl
fluid at a temperature of 38oC and laparotomy gauze when starting
exploration for 4 hours according to the duration of surgery. The results of
the study showed significant clinical improvements in body temperature,
skin, blood pressure, pulse and gastrointestinal motility. The irrigation
method with warm NaCl 0.9% during exploratory laparotomy is very effective
in overcoming intraoperative hypothermia and facilitating the adhesiolysis
process in the gastrointestinal organs
with adhesive obstruction ileus. In the intraoperative phase, exploratory
laparotomy takes a long time and exposure to cold environments and
anesthetic drugs often causes hypothermia which has an impact on serious
complications. The purpose of this study was to analyze intraoperative
hypothermia management interventions in patients undergoing exploratory
laparotomy surgery with adhesiolysis and jejunal diverticulectomy. The study
design used a case study with a nursing care approach. The research sample
is patient with a diagnosis of adhesive obstruction ileus taken using the
convenience sampling technique. Data collection was carried out by
observation during surgery and documentation studies with a perioperative
nursing care format. Hypothermia management was carried out by providing
warm irrigation interventions of the gastrointestinal organs with 0.9% NaCl
fluid at a temperature of 38oC and laparotomy gauze when starting
exploration for 4 hours according to the duration of surgery. The results of
the study showed significant clinical improvements in body temperature,
skin, blood pressure, pulse and gastrointestinal motility. The irrigation
method with warm NaCl 0.9% during exploratory laparotomy is very effective
in overcoming intraoperative hypothermia and facilitating the adhesiolysis
process in the gastrointestinal organs
Creator
Muhammad Alfarizi
Source
https://ebsina.or.id/journals/index.php/jkmi
Publisher
Universitas Jember
Date
February 2025
Contributor
Sri Wahyuni
Rights
EISSN 2502-2717
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Muhammad Alfarizi, “Optimizing Intraoperative Hypothermia Management: A Case Study on Laparotomy for Adhesiolysis and Jejunal Diverticulectomy,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11071.