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Tanggal:
8 Februari 2014 jam 08.00 – 13.00

Tempat:
Auditorium Ang Kang Hoo,
National Hopital, Boulevard Famili Selatan,
Kav 1 Graha Famili, Surabaya

Narasumber:

Prof. DR.dr Abdul Hafid Bajamal, SpBS (K)
Functional & Vascular Neurosurgery

dr. Achmad Fahmi, SpBS

Teknologi mutakhir atasi kelainan gerak (parkinson, Tremor, Dystonia, Spastisitas, Hemifacial Spasm)

dr. Agoes Wilyono., Sps

Cegah tangani Stroke

dr. Nur Setiawan Suroto, SpBS

Terapi minimal invasif kelainan pembuluh darah otak

DR. dr. Agus Turchan, SpBS

Penanganan nyeri punggung dengan intervention Pain Management

informasi & pendaftaran GRATIS:
GRO National Hospital
031-2975700 ext 1825 atau email ke marketing@national-hospital.com

SOLUSI terkini atasi kelainan gerak, kelainan pembuluh darah, stroke dan nyeri punggung.

seminar bedah saraf surabaya

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Instructors:

Max Wirjo, M.D., F.R.C.P.C. (USA); Agus Turchan, M.D., Ph.D.; Achmad Fahmi, MD. ;
Rully Hanafi Dahlan, MD. ; David Tandian, MD.

Main Topics:
1. PATIENT EVALUATION FOR INTERVENTIONAL PAIN MANAGEMENT
2. SPINE PROCEDURE TOPOGRAPHY
3. MEDIAL BRANCH BLOCK
4. NERVE ROOT BLOCK
5. TRANSFORAMINAL EPIDURAL INJECTION
6. TRANSLAMINAR EPIDURAL INJECTION
7. CAUDAL EPIDURAL INJECTION
AND EPIDUROLYISIS

VENUE:
– DR. SOETOMO GENERAL HOSPITAL, SURABAYA
– NATIONAL HOSPITAL, SURABAYA

IDI ACCREDITED
Participant : 10 SKP
Speaker : 8 SKP Committee : 1 SKP

DATE: Level 1 (November 1st st — 22nd nd , 2013)

LIMITED PARTICIPANTS
(20 SPECIALISTS @ LEVEL)
RP. 4.500.000,00
(Lunch, Didactic Manual, Seminar Kit, and Certificate)

NEUROSURGERY DEPARTMENT, AIRLANGGA UNIVERSITY –
DR SOETOMO HOSPITAL, SURABAYA, INDONESIA
Secretariat : GDC 5th Floor Dr. Soetomo Hospital, Jl. Dharmawangsa, Surabaya, Indonesia
Phone : +62 31 550 1325 Fax: +62 31 502 5188 e-mail: pain_nsua@yahoo.com
C/P : Agus Turchan, MD., Ph.D (+62 811 327 601)
Bank Account : BNI capem UNAIR Acc Name: Bpk. Agus Turchan, dr Acc No: 0188889403

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Left Brachial Plexus injury-preganglionic lesions-neurotization

Cedera pleksus brakialis kiri, lesi preganglionik. Dilakukan penyambungan dengan donor dari saraf interkosta, dan graf dari saraf suralis.

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—
ANGGAPAN yang mengatakan bahwa penyakit gangguan gerak seperti parkinson atau epilepsi hanya bisa sembuh dengan penggunaan obat ternyata tidak selamanya benar. Saat ini penyakit tersebut bisa disembuhkan dengan cara cepat, yakni melalui pembedahan. Alhasil, dengan cara ini, angka kesembuhan bisa mencapai 70-80 persen dengan waktu yang relatif singkat.

Hal itu dibahas dalam seminar “Functional Neurosurgery” yang digelar di fakultas kedokteran Universitas Airlangga, Sabtu (31/8). Hadir dalam acara itu spesialis bedah asal Jepang Prof Takaomi Taira MD PhD dan Prof Sarat Chandra MD PhD dari India.

Taira -sapaan akrab Takaomi Taira- menjelaskan, ada dua metode pembedahan yang bisa dilakukan, yakni melalui deep brain stimulator (DBS) dan ablative atau pengambilan saraf yang rusak. Untuk DBS sendiri, menurut Taira, teknik ini sangat canggih, yakni dengan menanamkan alat elektroda ke bagian saraf otak.

Namun, yang menjadi kendala adalah alat elektroda yang harganya cukup mahal. Ya, harga satu elektroda bisa mencapai Rp 385 juta. Namun, Taira juga menjelaskan, teknik ini bisa membantu kesembuhan pasien hingga 90 persen dengan waktu yang cukup singkat.

Sedangkan untuk teknik ablative atau pengambilan adalah cara yang kedua dengan menggunakan alat bernama stereotaksis, yaitu sebuah alat berbentuk frame yang dipasang di kepala pasien.

Menurut Taira, ini merupakan cara yang paling pas untuk diterapkan di Indonesia dengan biaya yang relatif tidak mahal. “Operasi ini termasuk operasi canggih juga. Sebab, hanya butuh diameter minimal 1 cm untuk bisa akses ke dalam otak,” ujarnya.

Untuk angka kesembuhan sendiri, teknik ini bisa mencapai 70-80 persen. Saat ini, lanjut Taira, teknik tersebut mulai dikenalkan di Indonesia. Bahkan, Jumat (30/8) dia bersama tim dokter sudah membedah lima pasien di Rumah Sakit National Hospital. Hasilnya pun cukup berhasil. Kelima pasien tersebut mengalami kemajuan dalam hitungan jam.

Dia juga menjelaskan, teknik pembedahan tersebut juga bisa mengurangi angka ketergantungan obat hingga 75 persen. Seperti yang diketahui dengan metode konvensional, kebanyakan pasien mengonsumsi obat antikejang untuk mengontrol kejangnya. Kejang tersebut pasti cukup mengganggu kualitas hidup dan mengakibatkan ketergantungan obat.

http://www.jpnn.com/read/2013/09/01/188746/Parkinson-pun-Bisa-Dioperasi

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The first Stereotactic Neurosrugery for Dystonia and Chorea in Indonesia. The operation taken place in Surabaya, performed by Divison of Functional Neurosurgery, Department of Neurosurgery Faculty of Medicine Airlangga University – Dr Soetomo General Hospital.
We have acquired patient’s consent for their appearance in this video.

Operasi Chorea-Distonia pertama di indonesia dengan stereotactic neurosurgery

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Nyeri ?

Kesemutan ?

Rasa Tebal ?

Kelemahan ?

Faktor resiko utama:

– Aktivitas pergelangan tangan yang berlebihan dan posisinya yang tidak ergonomis pada saat bekerja

– Cedera pada pergelangan tangan

– dan penyebab yang lainnya

Terapi :

– Fisioterapi

– Obat-obatan

– Injeksi

– Operasi ( lokal anestesi )

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OBJECTIVES
To report the outcome of steroid injection and ablative radiofrequency in 43 patient with persistent severe spinal pain followed up for 2 years.

METHODS

We performed interventional pain management in 43 patients with axial and radicular pain. Forty one patients had degenerative process at the
spine, one patient with failed back surgery, and one patient with compression fracture confirmed by spinal MRI. Thirty five patients (81% )
underwent steroid injection and 8 patients (19%) had ablative radiofrequency.(1, 2) We used steroid either triamcinolone or methylprednisolone or dexamethasone depend on the site of the procedure.(3)(3) Pulse or thermal radiofrequency was used for ablative procedure.(4) C-Arm was used for guiding.(5) Follow up was done by interviewing the patients regarding the subjective experience after procedure.

Almost all (88%) of the patients who had steroid injection experienced the pain free period for 20 weeks. Four patients (12%) had about 20 to 30 weeks period of pain free ( fig.1 ). It is different with patients that performed ablative radiofrequency. Almost all (75%) of the patients that performed ablative radiofrequency had more than 20 weeks pain free time, and just 2 patients (25%) had before 20 weeks pain free time ( fig. 2 ). Most of the patient had good response immediately after the procedure, and stayed convenient for about 3 months after steroid injection and 7 months after ablative radiofrequency. Patient needed to had another procedure when the patient felt the pain again, and the shortest time period for repeated procedure was about 1 week for steroid injection and 4 weeks for ablative radiofrequency.

CONCLUSIONS

Interventional pain management was the safe and convinience to control the pain. Safe and minimal invasive procedure and one-day-care treatment are some of the advantages offered by this procedure. Ablative radiofrequency offers a longer pain free period than the steroid injection.

References

1. Hammer M, Noe CE, Racz GB, Ruiz-Lopez R, Pichot C. Spinal Neuroaxial Procedures of the Head and Neck. In: Raj PP, Lou L, Erdine S, Staats PS, Waldman SD, Racz G, et al., editors. Interventional Pain Management. Second Edition ed. Philadelphia: Saunders; 2008. p. 127-87.
2. Landers MH, Jones RL, Rosenthal RM, Derby R. Lumbar Spinal Neuroaxial Procedures. In: Raj PP, Lou L, Erdine S, Staats PS, Waldman SD, Racz G, et al., editors. Interventional Pain Management. Second Edition ed. Philadelphia: Saunders; 2008. p. 322-67.
3. Heavner JE. Drugs Used in Interventional Techniques. In: Raj PP, Lou L, Erdine S, Staats
   PS, Waldman SD, Racz G, et al., editors. Interventional Pain Management. Second Edition ed. Philadelphia: Saunders; 2008. p. 40-55.
4. Calodney AK. Lumbar Facet Joint Blocks and Neurotomy. In: Raj PP, Lou L, Erdine S,
   Staats PS, Waldman SD, Racz G, et al., editors. Interventional Pain Management. Second Edition ed. Philadelphia: Saunders; 2008. p. 368-81.
5. Lou L, Raj PP. Imaging Techniques. In: Raj PP, Lou L, Erdine S, Staats PS, Waldman SD,
   Racz G, et al., editors. Interventional

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