Selasa, 17 September 2013

Anouncement dan schedule kegiatan Inavasc IV bandung 9-10 november 2013







INDONESIA VASCULAR UPDATE IV
(InaVasc IV)



Scientific Capability and Practice of Peripheral Vascular Disease in Indonesia – Diagnosis and Management of Peripheral Vascular Disease

Peningkatan Kemampuan Pengetahuan Sains dan Praktek Vaskular
Diagnosis dan Pengelolaan Penyakit Pembuluh Darah Tepi – Diagnosis dan Pengelolaan Penyakit Pembuluh Darah Tepi



November 9-10th, 2013
Bandung










ORGANIZED BY:
The Indonesian Society  for Vascular And Endovascular Surgery
Division of Vascular Surgery, Departement of Surgery, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin Hospital
Departement of Surgery, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin Hospital


Welcome Message



Dear all,
Management of vascular and endovascular surgery has developed rapidly recent years. Some breakthrough in current management, in either conservative or invasive treatment modalities take an important role in promoting excellent skill and advanced knowledge in the management of vascular disease. Therefore, as continuing effort to bring the latest information needed for better quality of care for patients, The Indonesia Society for Vascular And Endovascular Surgery, The Division of Vascular Surgery, Departement of Surgery, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin Hospital, and The Departement of Surgery, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin Hospital, will be holding Indonesia Vascular Update IV (InaVasc IV) in Bandung on November 9 – 10th, 2013.

In adjunct to the symposium, workshop will be conducted on day 2. There will be three workshops consisting of: vascular physical examination and ultrasonography, foam sclerotherapy, and haemodyalisis access focusing in AV fistula.
                                                                                                

With our warmest heart, we hope these agenda give valuable scientific experiences and all participants enjoying the whole program.

We sincerely invite you to join us in Bandung.





Best regards,
                         

Hendro Sudjono Yuwono                                         R. Suhartono
Chairman of the Organizing Committee                       President of PESBEVI




Committee & Faculties

ORGANIZING COMMITTEE
·         President of PESBEVI
·         Dean Faculty of Medicine, University of Padjadjaran
·         Chairman of Division of Vascular, Department of Surgery, Faculty of Medicine, University of Padjadjaran/Dr. Hasan Sadikin Hospital
·         Head of Department of Surgery, Faculty of Medicine, University of Padjadjaran/ Dr. Hasan Sadikin Hospital

Chairman of Organizing Committee
Hendro Sudjono Yuwono

Faculty Member


H. Djang Jusi
Alexander Jayadi Utama
Hendro Sudjono Yuwono
Richard Marnix Sumangkut
R. Soeparwata
Dedi Achmad Zaelani
Murnizal Dahlan
Witra Irfan
Hilman Ibrahim
Akhmadu
R. Suhartono
Fahmi Jaka
Dedy Pratama
Vendry Rivaldy
Aris Sudjarwo
Mulawardi
Raflis Rustam
Agnes Indarti
Teguh Marfen Djajakusumah
Putie Hapsari
Ismon Kusasi
Muhammad Fauzi
Aswadi Tanjung
Wahyu Wardhana
Patrianef
Ramzi Asrial




Sekretariat PESBEVI JAKARTA
d/a Divisi Vaskuler dan Endovaskuler, Department Ilmu Bedah
Fakultas Kedokteran Universitas Indonesia/ RSUPN Dr. Cipto Mangunkusumo
Jl. Diponegoro No. 71 – Jakarta Pusat
No. Tlp : +62-21-3910487

Sekretariat PESBEVI BANDUNG
d/a Divisi Bedah Vaskular, Departemen Ilmu Bedah
Fakultas Kedokteran Universitas Padjadjaran/RSUP Dr. Hasan Sadikin
Jl.Pasteur no. 38 - Bandung
No.Tlp : +62-22-2038436 
CP      : Hendra Benyamin (085220391205), Putie Hapsari (0811237961),
            Fahad Hasan (081210009382), Irzan (083829010395)
Email : inavasc4bdg@gmail.com  


Program At A Glance    
Indonesia Vascular Update IV (InaVasc IV)
Scientific Capability and Practice of Peripheral Vascular Disease in Indonesia – Diagnosis and Management of Peripheral Vascular Disease
November 9-10th, 2013 – Bandung

SYMPOSIUM & WORKSHOP
Saturday, November 9th, 2013
Sunday, November 10th, 2013
Auditorium Gedung Rumah Sakit Pendidikan Fakultas Kedokteran Universitas Padjadjaran – Jl. Eijkman No.38 Bandung
07.00 – 07.30
Registrasi
08.00 – 09.30
Symposium 5
Endovascular: Current Technique in Vascular and Endovascular Surgery for Better Quality of Care
07.30 – 08.00
Opening Ceremony & Book Launch
09.30 – 09.45
Coffee Break
08.00 – 09.30
Symposium 1
Epidemiology of Vascular Diseases and Management of Peripheral Arterial Diseases
09.45 – 11.15
Symposium 6
Vascular Trauma, Vascular Access,
and Carotid Disease
09.30 – 09.45
Coffee Break
11.15 – 12.15
Lunch Symposia
09.45 – 11.15
Symposium 2
Limb Ischaemia
12.15 – 13.00
Lunch Break
11.15 – 12.15
Lunch Symposia
13.00 – 16.00
Workshop I
Foam Sclerotherapy
13.00 – 16.00
Workshop II
Vascular Physical Examination and Ultrasonography
13.00 – 16.00
Workshop III
Haemodyalisis Access: AV Fistula
12.15 – 13.15
Lunch Break
14.30-16.00
Workshop IV
Vascular Access for Chemotheraphy and Parenteral Nutrition

13.15 – 14.45
Symposium 3
Venous and Lymphatic Disorders
16.00 – 16.30
Closing Ceremony, Doorprize, and
Poster Presentation Winner Anouncement
14.45 – 15.00
Coffee Break

Exhibition will be held troughout the symposium

Poster Presentation will be held
on Day 2 of the symposium

15.00 – 16.30
Symposium 4
Haemangioma and Vascular Malformation



Scientific Schedule

Day 1: Saturday, November 9th, 2013

Opening Ceremony and Book Launch

07.30 – 08.00 Author speech: Prof. Hendro S. Yuwono, dr., SpB(K)V
“Coffee for Wound Healing: New Paradigm in Wound Management”
Commentary Speech by Director of Dr. Hasan Sadikin Hospital
Commentary and Opening Speech by Dean of Medical Faculty of University of Padjadjaran


Symposium 1
Epidemiology of Vascular Diseases and Management of Peripheral Arterial Diseases
Moderator: Prof. H. Djang Jusi, dr., SpB(K)V

08.00 – 08.20 The Frequency of Vascular Disease in Indonesia
                   Prof. Hendro S. Yuwono, dr., SpB(K)V
08.20 – 08.40 Peripheral Arterial Disease: Diagnosis and Management
                   R. Suhartono, dr., SpB(K)V
08.40 – 09.00 Diabetic Foot: Diagnosis and Management
                   Dedy Pratama, dr., SpB(K)V
09.00 – 09.30 Discussion

09.30 – 09.45 Coffee break

Symposium 2
Limb Ischaemia
Moderator: Aswadi Tanjung, dr., SpB(K)V

09.45 – 10.05 Acute Limb Ischaemia
                   Patrianef, dr., SpB(K)V
10.05 – 10.25 Critical Limb Ischaemia
                   Ismon Kusasi, dr., SpB(K)V
10.25 – 10.45 Buerger’s disease and Other Vasculitis
                   Richard Manix Sumangkut, dr., SpB(K)V
10.45 – 11.15 Discussion



Lunch Symposia

11.15 – 11.45 Chronic Venous Insufficiency
                   Teguh Marfen Djajakusumah, dr., SpB(K)V
11.45 – 12.15 Primary Haemorrhoidal Disease:The Best Conservative Treatment
                   Prof. Hendro S. Yuwono, dr., SpB(K)V

12.15 – 13.15 Lunch Break

Symposium 3
Venous and Lymphatic Disorders
Moderator: Murnizal Dahlan, dr., SpB(K)V

13.15 – 13.35 Intervention in Varicose Veins and Chronic Venous Disease
                   Dedy Pratama, dr., SpB(K)V
13.35 – 13.55 Deep Vein Trombosis
                   Witra Irfan, dr., SpB
13.55 – 14.15 Lymphedema: Prevention and Conservative Treatment
                   Prof. Hendro S. Yuwono, dr., SpB(K)V
14.15 – 14.45 Discussion

14.45 – 15.00 Coffee break

Symposium 4
Haemangioma and Vascular Malformation
Moderator: Aris Sudjarwo, dr., SpB(K)V

15.00 – 15.20 Vascular Anomalies: Classification and Diagnosis
                   Teguh Marfen Djajakusumah, dr., SpB(K)V
15.20 – 15.40 Treatment modalities for Hemangioma
                   Raflis Rustam, dr., SpB(K)V
15.40 – 16.00 Treatment modalities for Vascular Malformation
                   Alexander Jayadi Utama, dr., SpB(K)V
16.00 – 16.30 Discussion

End of Day 1


Day 2: Sunday, November 10th, 2013

Symposium 5
Endovascular: Current Technique in Vascular and Endovascular Surgery for Better Quality of Care
Moderator: Prof. Rasjid Soeparwata, dr., SpBTKV, SpB(K)V

08.00 – 08.20 Development of Vascular and Endovascular Surgery in Indonesia
                    HIlman Ibrahim, dr., SpB(K)V
08.20 – 08.40 Abdominal Aortic Aneurysm: Diagnosis and Treatment Options
                   Prof. Hanafiah – Hospital University Kebangsaan Malaysia
08.40 – 09.00 Endovascular Treatment Options for Peripheral Arterial Disease
                   Zainal Arifin, dr. – Hospital Kuala Lumpur
09.00 – 09.30 Discussion

09.30 – 09.45 Coffee Break

Symposium 6
Vascular Trauma, Vascular Access, and Carotid Disease
Moderator: Arthur L. Tobing, dr., SpB

09.45 – 10.05 Vascular Trauma
                   Ihsan, dr., SpB
10.05 – 10.35 Vascular and Hemodyalisis Access
                   R. Suhartono, dr., SpB(K)V
10.35 – 10.55 Carotid Disease
                   Prof. Rasjid Soeparwata, dr., SpBTKV, SpB(K)V
10.55 – 11.15 Discussion

Lunch Symposia

11.15 –12.15  Wound Care
                  
12.15 – 13.00 Lunch Break

Workshops 13.00 – 16.00

13.00 – 14.30 Workshop I    : Foam Sclerotherapy
13.00 – 16.00          Workshop II   : Vascular Physical Examination and Ultrasonography
13.00 – 16.00          Workshop III  : Haemodyalisis Access: AV Fistula
14.30 – 16.00          Workshop IV  : Vascular Access For Chemotherapy & Parenteral Nutrition

16.00 – 16.30 Closing Ceremony, Doorprizes, and Poster Presentation Winner
Anouncement

End of Day 2


Abstract Instruction
ABSTRACT
Only electronically submitted abstracts will therefore be considered. Abstract must be submitted through inavasc4bdg@gmail.com Format the text in accordance with the instruction below:
1.    Abstract must be type single spacing, font in 10 point only and justified at the left margin only, do not leave blank lines between paragraphs. Do not indent.
2.    Abstract title should appear in bold, do not indent. Title should be consider and indicate the content of the abstract.
3.    Use first initial followed by the last name, omit degrees. For poster submission place an asterisk (*) after the name of the author presenting the poster. On a separate line, type as succinctly as possible the names of institutions and countries.
4.    Leave blank in between the title/author block and the abstract text. The abstract text should include background, methods, results, and conclusion.
5.    Each abstract may contain up to max. 1,800 characters, including title, author’s name, affiliation, and the abstract text (spaces are not included).
6.    Use italics only when appropriate (e.g., for names of genus and species). Simple table and graphs (neat and in black ink) may be included.
7.    Deadline for abstracts will not be exceeded of 10 October 2013.
8.    Each abstract must be submitted in electronic form as MS. WORD for window (2003 or 2007, or any previous version).
9.    Poster presenter must pay full registration fee.

GUIDELINES FOR POSTER PRESENTATION
1.    For poster presenters, the organizing committee will provide 7 minutes of presentation and 3 minutes for discussion.
2.    The deadline for abstract submission is October 10th, 2013.
3.    The organizing committee will send a confirmation letter for each poster abstract accepted.
4.    Poster size must be 90x120 cm, font size must be able to be red from 2 m distance.
5.    Assessment or decision of the judge can not be contested.
6.    Certificate for poster presenter will be given ONLY for presenters who attend and give presentation.
7.    Registration for the conference is mandatory for poster.


GENERAL and CONGRESS INFORMATION   

GENERAL INFORMATION

DATE & VENUE :
NOVEMBER 9-10th, 2013
Auditorium Gedung Rumah Sakit Pendidikan FK UNPAD lantai 2
JL. Eijkman no. 38
Bandung

IMPORTANT DATES :
Deadline of abstract subsimission
OCTOBER 10th, 2013

Symposium                                                    Exibition
NOVEMBER 9-10th, 2013                                   NOVEMBER 9-10th, 2013

Workshop                                                      Poster Presentation
NOVEMBER 10th, 2013                                                NOVEMBER 10th, 2013


CONGRESS INFORMATION
 AUDIO VISUAL FOR SPEAKERS:
In-focus/LCD are available for symposia. If you need Video/VCD/DVD player, please inform the committee one month prior to the event.

EXHIBITION
The committee will organized an exhibition in conjunction with congress, featuring the latest pharmaceutical, instrumentations, and medical equipment for clinical managements and research. The exhibition will take place at the same location the symposium conducted.  Companies interested in participating in the exhibition may request for details from the congress secretariat.

LETTER OF INVITATION:             
The organizing committee will send a letter of invitation upon request. This invitation is intend to facilitate participant’s travel and visa arrangement and do not imply any commitment of financial or other support by the organizing committee. Please include your name, address, and a note rewetting a letter of invitation.

LIABILITY / DISCLAIMER
The organizing committee shall not be held liable for personal accidents , illness, loses, or damage to private property of registered delegates of the congress, during and after the event. Participant is finally responsible for any damage sustained venue fittings, property or equipment. Participants are strongly recommended to seek insurance coverage for health and accident, lost luggage and trip cancellation.

BANDUNG MAP
& ACCESS TO AUDITORIUM RSHS BANDUNG


REGISTRATION INFORMATION

REGISTRATION FEE
The registration fee includes: admission to all scientific session except workshop, admission to Opening Ceremony, admission to exibition, abstract book,  programme book, symposium kits, lunch and coffe break.

REGISTRATION PAYMENT
All registration fees must be paid by bank transfer. Registrant  should bear all bank charges.  Please send a copy of the transaction along with the registration to the Organizing Comittee.

Bank Mandiri, Cabang RSHS, Bandung
Account Name      : Hendro Sudjono Yuwono
Account Number   : 132 000 222 1381

CONFIRMATION OF REGISTRATION
Upon receive of registration payment, each participant will receive an official confirmation. Please bring and show this confirmation letter to the registration  desk for re-registration.

ON SITE REGISTRATION
Those who have not registered in advanced may register at on-site registration desk. Only cash payment will be accepted during on site registration. No refund will be made for on-site registration fees.

REGISTRATION FEE (SYMPOSIUM)
PARTICIPANTS
Fee
SPECIALIS                      
Rp 750.000
GP/RESIDENT       
Rp 400.000
MEDICAL STUDENT                   
Rp 150.000
NURSE                                    
Rp 150.000


REGISTRATION FEE (WORKSHOP)
PARTICIPANTS
Fee
FOAM SCLEROTHERAPY
Limited for 20 person              
Rp 500.000
VASCULAR Physical Examination & ULTRASONOGRAPHY
Limited for 20 person    
Rp 500.000   
HAEMODIALYSIS ACCESS: AV FISTULA            
Limited for 10 person, surgeon only
Rp 2.000.000
VASCULAR ACCESS : For Chemotherapy & Parenteral Nutrition
Limited for 20 person,  surgeon only
Rp 1.000.000



REGISTRATION FORM
Please fill in this form with capital block

NAME            :        __________________________________________________________

INSTITUTION  :        __________________________________________________________

ADDRESS        :        __________________________________________________________

CITY             :        ______________________________ ZIP CODE      : ______________

PHONE          :        ____ --__________________________   FAX        : ____________________

EMAIL           :        ___________________________________________________________


REGISTRATION FEE (SYMPOSIUM)
PARTICIPANTS
Fee
SPECIALIS                      
Rp 750.000
GP/RESIDENT                 
Rp 400.000
MEDICAL STUDENT
Rp 150.000
NURSE                                    
Rp 150.000

REGISTRATION FEE (WORKSHOP)
PARTICIPANTS
Fee
FOAM SCLEROTHERAPY
Limited for 20 person              
Rp 500.000
VASCULAR Physical Examination & ULTRASONOGRAPHY
Limited for 20 person    
Rp 500.000   
HAEMODIALYSIS ACCESS: AV FISTULA            
Limited for 10 person,  surgeon only
Rp 2.000.000
VASCULAR ACCESS : For Chemotherapy & Parenteral Nutrition
Limited for 20 person,  surgeon only
Rp 1.000.000

PAYMENT METHODS
Transfer via following account
Bank Mandiri, Cabang RSHS, Bandung
Account Name        : Hendro Sudjono Yuwono
Account Number     : 132 000 222 1381                            
Bank charges will be borne by participants

I.             Bandung - History & Recreation
History and Recreation
Bandung is the capital city of West Java, and the third largest city in Indonesia after Jakarta and Surabaya. Nicknamed Parijs van Java (Paris of Java) by the Dutch for its resemblance to Paris and European atmosphere back at the colonial times. Another nickname is Kota Kembang, literally meaning the Flower City since Bandung used to have a lot of flowers.
In the 17th-18th century, the Dutch East Indies Company (VOC) created small plantations in Bandung, with a road to Batavia (today's Jakarta) completed in 1786. In 1809, Louis Bonaparte, the ruler of the Netherlands and its colonies, ordered the Dutch Indies Governor H.W. Daendels to improve Java's defenses against the threat of the English, who occupied the nearby Malay peninsula. Daendels responded by building the Great Post Road (De Groote Postweg) that stretched about 1000 km between the west and the east coasts of Java. Because north coast was in the form of impassable swamps and marshes at the time, the road was diverted through Bandung along what is now Jalan Asia-Afrika.
Daendels liked Bandung's strategic location so much that he ordered the capital to be moved there. Military barracks were built and Bupati Wiranatakusumah II, the chief administrator of that area, built his dalem (palace), Masjid Agung (the grand mosque) and pendopo (meeting place) in the classical Javan alun-alun (city square) near a pair of holy city wells (Sumur Bandung) and facing the mystical mountain of Tangkuban Perahu.
Located at the altitude of 768 m with the surroundings of lush and beautiful Parahyangan mountains makes the climate mild and pleasant. The city has been well known for the universities, apparel products and a great place for gastronomic adventure. Nowadays, Bandung has become a very popular weekend escape for Jakartans, who would crowd the city on weekends and national holidays.


Gedung Sate, Jl. Diponegoro. Architect: J. Gerber, built in 1921. It was used as the head of the Dutch Indies Government Companies. The roof has a decoration of a popular satay food as now it is famous for the name, though it was not meant to be like that. In fact, it is a 6 ornaments, symbolizing 6 million guldens, the cost of the building. Now, the complex is the office of West Java governor and the local provincial house of representatives. Interestingly, this building mixes different architectural styles: Spanish Moorish style for the windows, Italian renaissance for the over all building, and between Balinese pura & Thai's pagoda for the roof. The facade faces directly to the Mt. Tangkubanperahu. The building is open for public, and at the end of the journey inside, you can sip a nice hot bajigur drink while watching the city view from the top floor.
Mt. Tangkuban Perahu. Go circling around Kawah Ratu (Queen's crater) to see the volcanic activity closely. Is on the northern side of Bandung, the closest city is Lembang. You can see it from a distance at many places in Bandung but a tour to Bandung will not be complete without visiting the crater. If you are in Bandung, take a look towards the north keeping an eye out for a mountain of unusual shape. The name itself comes from the local legend of Sangkuriang ("Legenda Sangkuriang") The legend is based upon a disobedient son who kicks his boat upside-down and was then transformed into stone. Hence the name of this mountain. Tangkubanflipped and perahu boat. It is still an active volcanic mountain. The crater is reachable by car and it is fun to do hiking to the top by foot from Lembang. Elevation is 2,084 m above sea level and the path from Lembang is not too steep. At the crater, there is a tourist spot. Near the main crater is another amazing site, 'Kawah Upas', where you stand between two big craters, to the left and to the right.
Sari Ater is a resort with natural hot water spring pools, some recreation parks and healthy spas. Stay overnight and have a good dinner at their restaurant. This hot spring has shallow pools some with lukewarm and some with hot spring water for you to soak. There is a restaurant serving food just adjacent to the pools.


Kawah Putih (2,430 meters), about 50 km south of Bandung (Travel south through Ciwidey). Kawah Putih is a striking crater lake and tourist spot in a volcanic crater around 50 km to the south of Bandung. Expect quite lengthy drive from the city centre. Allocate at least more than half day to visit this crater lake. The admission fee is not as cheap as other tourist spot, but the scenery is breathtaking and out of this world.


Paris Van Java Mall, Jl Sukajadi. An attractive atmosphere with a mixed environment of outdoor and indoor mall. Carrefour, a mega international style supermarket, Gramedia, a giant bookstore, cafe, bistros. Both smaller shops and high end clothing stores such as MNG, Guess, H.O.B., and Esprit can be found here.

Trans Studio Bandung Theme Park is the second indoor theme park in Indonesia after Makassar. Trans Studio Bandung is much more spectacular and exciting than Trans Studio Makassar, but both have their own uniqueness that makes Trans Studio Bandung not only the biggest in Indonesia but also one of the biggest in the world. It has 20 rides and variety of shows. It divided into 3 different zones. Visitors will feel the experience of becoming a star also become a men behind the scene of your favorite TV programs in TRANS TV and TRANS 7, such as ‘Dunia Lain’, ‘Jelajah’, ‘Si Bolang’ and many more.















ORGANIZED BY:
· The Indonesian Society for Vascular and Endovascular Surgery
· Division of Vascular Surgery, Departement of Surgery, Faculty of Medicine,
University of Padjadjaran/Dr. Hasan Sadikin Hospital
· Departement of Surgery, Faculty of Medicine, University of Padjadjaran/
Dr. Hasan Sadikin Hospital

SEKRETARIAT PESBEVI JAKARTA:
d/a Divisi Vaskuler dan Endovaskuler, Department Ilmu Bedah
Fakultas Kedokteran Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo
Jl. Diponegoro No. 71 – Jakarta Pusat
No. Tlp : +62-21-3910487


SEKRETARIAT PESBEVI BANDUNG
d/a Divisi Bedah Vaskular, Departemen Ilmu Bedah
Fakultas Kedokteran Universitas Padjadjaran/RSUP Dr. Hasan Sadikin
Jl.Pasteur no. 38 - Bandung
No. Tlp : +62-22-2038436
Contact Person : Hendro Sudjono Yuwono (0811206443), Putie Hapsari (085793347858),
Samuel Pratama Adjie(081367677244), Agus (082117301612)


Minggu, 15 September 2013

Informasi Jadwal acara pertemuan ahli bedah vaskular dan Endovaskular Indonesia di bandung 09-10 november 2013

Ruang praktek bedah _Dokter Ramzi SpB | Pertemuan Ahli bedah vaskular dan endovaskular Indonesia di Bandung | Sebagai forum pertemuan tahunan dalam penyegaran dan pengembangan ilmu , up date ilmu terbaru dan current therapi dalam penanganan kasus - kasus bedah vaskular dan kemajuan penanganan secara endovaskuler di indonesia akan di paparkan dan di tampilkan di forum INAVASC Up date IV ini. Beberapa penelitian dan kasus - kasus bedah vascular yang di jumpai dan telah di tangani akan di tampilkan di forum ini .

Ini adalah anouncement yg telah di susun dan di buat sebagai informasi awal tentang kegiatan ini :






Pendekatan diagnostik dengan USG , Ct angiografi dan angiografi , Tindakan - tindakan Minimal invasif dan penangan operasi terkini yang telah di lakukan dan bagaimana perkembangan bedah vaskular dan endovaskular kedepan akan di tampilkan secara jelas dan tegas di forum ini silakan datang dan hadiri event yang sangat penting ini yang juga di sertai dengan workshop-workshop tentang vaskular akses dan vascular diagnostik akan muncul di forum ini.

Senin, 09 September 2013

Posisi Kateter double lumen dievaluasi setelah dipasang

Ruang praktek bedah - dokter ramzi spb | evaluasi pemasangan kateter duble lumen | Setelah di pasang kateter doubel lumen pada vena jugularis interna sebaiknya kita evaluasi posisi letak dari kateter , dimana sudut dari kateter dengan track vena jugularis tidak terlalu lancip sehingga potensi terjadinya sumbatan atau stenosis bisa lebih dapat diminimalisir.


gambaran hasil c-arm dari kateter doble lumen yang baru di pasang , tampak kateter dan track terlihat terpasang baik dengan arah ke bawah dan sedikit ke central.

Jumat, 06 September 2013

Kapan kelainan pembuluh darah mesti di operasi dan kapan di tunggu

Ruang praktek bedah - dokter ramzi spb | indikasi kelainan vaskuler | kapan kelainan vaskuler kita lakukan penganan dan kapan mesti di awasi , ini sepertinya masih sangat rentan mengalami loss , kenapa ? karena rendahnya pengetahuan dan pemahaman kita akan pentingnya pengetahuan tentang pembuluh darah yang nota bene terhitung sulit dan rumit. kejadian trauma , luka , bengkak dan sumbatan pada pembuluh darah kerap menakutkan terutama perdarahan langsung . namun disisi lain akan membiarkan benjolan yg berdenyut pada bekas daerah suntukan atau daerah benturan .

Berikut gambaran tanda utama dan tanda penunjang dari suatu kelainan pada pembuluh darah:


Minggu, 01 September 2013

Apa komplikasi pemasangan kateter dobel lumen pada untuk akses cuci darah ..

Akses vena central saat ini sangat bervariasi , tidak hanya sebagai jalur tol untuk cuci darah namun juga saat ini trend untuk vena central semakin berkembang untuk jalur pemberian nutrisi , untuk akses pemberian obat khemotherapi dan akses - akses lainnya . Dari semua route tersebut memang tidak dapat di pungkiri bahwa akses untuk cuci darah adalah akses yang boleh di katakan paling lama karena akan di gunakan secara terus menerus. sebab jika terjadi kegagalan atau gangguan dari saat melakukan cuci darah jelas permasalahan akan muncul terkait kelangsungan hidup penderitanya.

Sering orang menganggap sepele kepada akses yang telah terpasang baik sehingga melupakan bagaimana merawat dan menjaga kelangsungan alat ini.baik itu pasien dan keluarga , tenaga medis yang memberikan dan melakukan pelayanan cuci darah di bagian haemodialisa dan dokter lain yang terkait .

Minggu, 28 Juli 2013

Penanganan terkini Untuk akses cuci darah ( haemodialisa )

Ruang praktek bedah - dokter ramzi spb | akses untuk cuci darah | Banyak metode dan cara telah di kembangkan untuk akses pencucian darah bagi penderita gagal ginjal selain melakukan transplantasi ginjal. Saat ini penderita gagal ginjal selalu diupayakan untuk dipermudah akses untuk melakukan pencucian darah mengingat kondisi ini akan berlangsung selamanya dan penderita harus bisa untuk melakukan aktifitas dan pekerjaan sehari-hari tanpa mesti di bantu oleh orang lain.

Dalam perkembangannya akses mesin cuci darah ke pembuluh darah selalu menjadi permasalahan tersendiri bagi penderitanya , permasalahan sumbatan , hematom , infeksi , volume yang kecil dan sulitnya mencari pembuluh darah yang baik setelah dilakukan suntikan berulang-ulang yg dilakukan langsung pada vena telah menimbulkan masalah tersendiri bagi petugas pelaksana pencucian darah dan tentunya suatu kondisi yang tidak nyaman juga bagi pasien atau penderita.

Banyak pasien datang ke ahli pembuluh darah setelah dilakukan akses yang berulang ulang mulai dari pergelangan tangan sampai ke daerah leher atau lipat paha . Dimana jika ini berlangsung berulang ulang tentunya akan menyebabkan ancaman infeksi , kerusakan dinding pembuluh darah , robeknya pembuluh darah dan terbentuknya plak dan menyumbat pembuluh darah vena dan oklusi atau penyumbatan total.

Mengingat resiko yang begitu hebat dan kemungkinan rusaknya akses yang telah disediakan oleh yang maha kuasa tersebut maka di kembagkanlah berbagai alat , tehnik dan metode yang jangan sampai merusak dinding pembuluh darah . seperti

Pembuatan double lumen cateter pada vena central yang dilakukan langsung pada vena leher dalam dengan membuat pintu jauh dari akses langsung ke pembuluh darah tersebut . Kondisi ini tentu lebih nyaman bagi pasien yang bisa di pertahankan cukup lama kadang sampai 1 tahun . sehingga dapat digunakan dengan cepat dan dapat bertahan untuk waktu yang cukup lama.

Jika double lumen yang di pasang langsung pada pembuluh darah maka infeksi akan dengan mudah dapat terjadi . sehingga maksimal hanya dapat di pertahankan untuk waktu yang pendek yaitu sekitar satu bulan.

Tahap berikutnya terhadap penderita di rencanakan untuk pembuatan akses yg permanen berupa tindakan operasi yg di sebut AV-shunt dengan pilihan bagian paling bawah di pergelangan tangan yang tidak dominan , maksudnya tangan yang tidak digunakan paling aktif dalam pekerjaan., daerah ini disebut operasi cimino - brescia . selanjutnya baru dilakukan AV-shunt di atas tangan yg tidak dominan atau tepatnya di lipat dalam siku. Jika gagal baru di lakukan pada bagian pergelangan tangan yg dominan dan seterusnya.

Jika gagal AV shunt maka dilakukan pembuatan graft dari autograft atau vena pasien itu sendiri atau dengan pemasangan pembuluh darah buatan. atau disebut loop AV-shunt .

Jika terjadi gangguan seperti penyempitan pada sambungan masih dapat di lakukan pelebaran lobang pembuluh darah dengan alat angiografi dengan balon dll. Makin banyak temuan yg terbaru yang dapat memudahkan akses cuci darah akan terus dikembangkan sehingga perbaikan kualitas hidup penderita akan semakin nyata dan kerusakan lumen pembuluh darah yang akan memperburuk kondisi pasien dapat di cegah...

Sabtu, 08 Juni 2013

Lidah membesar ( makroglosia ) langkah apa yang akan dilakukan dokter...?

ruang praktek bedah - dokter ramzi spb | Makroglossia | Lidah membesar di bandingkan normal , suatu kasus kelainan bawaan yang sangat mengganggu bagi penderita . Akibat dari lidah yang terlalu besar sehingga mulut susah di tutup dan sangat menyulitkan saat makan . Hal ini dijumpai pada pasien wanita  usia sekitar 13 tahun dimana keadaan ini telah di alami penderita sejak lahir.Berdasarkan referensi yang kami baca kasus ini adalah kasus yang jarang di jumpai . Selama berpraktek kedokteran baru satu kali kasus seperti ini kami jumpai. Terhadap pasien dilakukan operasi rekonstruksi untuk mengecilkan lidah penderita..


Kenali jenis - jenis hernia yang anda idap....mudah kok..

ruang praktek bedah - dokter ramzi spb | mengenali jenis hernia yang di idap | sebaiknya kita mengenali macam-macam hernia yang kita idap agar lebih mudah di gambarkan , mudah di jelaskan dan tahu resiko-resiko yang akan terjadi sesuai dengan letak dari hernia. Selama ini mind set penderita pada umumnya akan tergambar bahwa setiap hernia adalah benjolan pada lipat paha . Namun kita jadi lupa jika ada hernia di rongga perut lain yang resiko dan penanganannya hampir sama dan perlu perhatian serius.Sering pusat yang bodong di anggap itu hal yang biasa padahal itu juga termasuk hernia...Namun hernia yang mana ..hayo




Selasa, 04 Juni 2013

Kasus atresia intestinal atau usus tidak nyambung suatu kelainan bawaan lahir

Ruang praktek bedah - dokter ramzi spb | Atresia intestina | dimana usus tidak nyambung karena ada sebagian dari usus tidak terbentuk sejak lahir . Pasien umumnya mengalami muntah-muntah saat di beri minum atau asi . jika letak atresia rendah maka pasien ankan mengalami gembung dan perut membesar terutama pada bayi-bayi di bawah 1 minggu. Kondisi pasien akan memburuk dengan cepat . sehingga penganan yang cepat dengan diagnosa yg akuran adalah harga mati.



Gibus ...suatu gambaran TBC pada tulang belakang ...

Ruang praktek bedah - dokter ramzi spb | Spondilitis TBC | Gibus adalah gambaran benjolan dan patah pada tulang belakang yang terjadi akibat infeksi kronis oleh kuman basil tuberkulosa . Suatu bakteri tahan asam yang bisa menyerang pada hampir seluruh bagian tubuh seperti paru-paru , kelenjar getah bening , tulang belakang , sendi , usus , kulit dan lain-lain. Lantas apakah gibus seperti ini dapat di perbaiki ?



Hamil anggur pada kasus mola yang telah di kurettage ...

Ruang praktek bedah - dokter ramzi spb | hamil anggur | Mola adalah kasus kehamilan palsu dan saat di lakukan kuret yang keluar adalah jaringan-jaringan seperti pada gambar persis seperti anggur dengan kantong-kantong yang berisi cairan bening kekuningan dalam jumlah yang cukup banyak . Ukurannyapun bervariasi ada yang besar dan banyak pula yg kecil-kecil.Hamil anggur ini dianggap juga suatu pre cancerous mass jadi harus di waspadai. Suatu foto koleksi dari kasus yg sudah cukup lama tersimpan di memory disc camera.


Senin, 03 Juni 2013

Ibu jari kaki yang menghitam , amputasi nggak ya....?

ruang praktek bedah - dokter ramzi spb | ibu jari kaki menghitam | Terjadi akibat komplikasi gula yang menyebabkan pembuluh darah yang mendarahi bagian ujung atau perifer dari tungkai bawah terutama jari-jari kaki mengalami sumbatan sehingga bagian ujung dari daerayang diperdarahi oleh pembeluh darah yang tersumbat tidak mendapatkan darah sehingga lama kelamaan akan membiru dan menghitam . Sering kondisi seperti ini bagi penderita di minta jangan di buang atau di amputasi padahal jika tidak di amputasi akan menyebabkan infeksi yg meluas. Lagi pula pilihan untuk yg telah menghitam tersebut adalah amputasi atau copot sendiri untuk waktu yang cukup lama.