Parenchymal Cryosurgery FER

7/26/2019 Parenchymal Cryosurgery FER

1/21

ParenchymalCryosurgery

Dr. Ferdy Mayo Pembimbing :

Dr. Darmawan Ismail, Sp. BTKV

PROGRAM PENDIDIKAN DOKTER SPESIALIS I ILMU BEDAHFK. UNS / RSUD. DR. MOEWARDI SURAKARTA

2 !"


2/21

Pen#$%&'&$n

M(#$'i)$* )e+$,i -$n-e+ O,e+$*i,eng$ng-$)$n +$#i()e+$,i #$n

-em()e+$,i . Kem$ &$n ,e+-emb$ng$n )e-n('(gi

Te-ni- #i$gn(*)i- Kem$ &$n $,'i-$*i ,eng&n$$n me)(#e

0+1(*&+ge+1 Cryosurgery /0+1($b'$)i(n

Te+$,i -(m,'emen)e+ ,$#$ *e' )&m(+ #eng$n

,+in*i, freezing and thawing me'$'&i probe me)$' )in#$-$n minim$' in3$*i3e4.


3/21

Se $+$% 5+1(*&+ge+1

P$#$ "6 SMme)(#e 0+1(*&+ge+1&n)&- ,eng(b$)$n'&-$ )e+in7e-*i.

O+$ng me*i+ -&n( 8Hi,(0+$)e* 9$) 1$ng#ingin *eb$g$i )e+$,i.

Gage


4/21

Se $+$% 5+1(*&+ge+1 Cryosurgery ,e+)$m$ -$'i #ig&n$-$n

#i E+(,$ )$%&n ! ;; ('e% 5$+,en)e+ #iIngg+i*

T$%&n !!


5/21

5+1(*&+ge+1

Tig$ H$' ,en)ing #$'$m0+1(*&+ge+1 Me-$ni*me bi(-imi$ #$n

bi( *i-$ #$+i -e+&*$-$n $+ing$n *e'$m$ 0+1(*&+ge+1

Pe+$'$)$n 0+1(*&+ge+1

Pem$n)$&$n #$n ,en0i)+$$n)e-ni- 0+1(*&+ge+1.

Xu Kecheng


6/21

Pe+$'$)$n 5+(*&+ge+1

Courtesy of Dr.Darmawan Ismail Sp.BTKV


7/21

P+in*i, 5+1(*&+ge+1 Si*)em ni)+(gen 0$i+#$n $+g(n>%e'i&m Pengg&n$$n g$* $+g(n

&n)&- men#(+(ng,emben)&-$n e*mengg&n$-$n ,+in*i,1$ng #i-en$' *eb$g$ie7e- ?(&'e>T%(m*(n

Xu Kecheng, Lizhi N,Franco L


8/21

P+(*e* 5+1(*&+ge+1

Courtesy of Dr.Darmawan Ismail Sp.BTKV


9/21

P+e *i-'&* 7+ee9e>)%$ Si-'&*7+ee9e

Si-'&* Courtesy of Dr.Darmawan Ismail Sp.BTKV


10/21

5+1(*&+ge+1 D(0.


11/21

P+(*e#&+ 5+1(*&+ge+1 Me-$ni*me

'$ng*&ng e7e- #e*)+&-*i #$+i

freezing #$n

thawing . Me-$ni*me

)e+)&n#$ -eg$g$'$n

mi-+(*i+-&'$*i#i*e-i)$+ #$e+$%)$+ge) )e+ $#i*)$*i* #$+i,emb&'&% #$+$% *&$)& e7e- #e*)+&-*i


12/21

P+(*e#&+ 5+1(*&+ge+1

Si*)em -e-eb$'$n )&b&% #$+i#$+i ,$*ien $-$n )e+*en*i)$*i('e% )&m(+ 1$ng #i%$n0&+-$n.

Se)i$, )&m(+ ,+ime+ #$n,+(*e* me)$*)$*i* 1$ng )e+ $#i$-$n #i%$n0&+-$n ('e% *i*)emim&n

Re*,(n ini #i*eb&) C+e*,(n0+1(imm&n('(gi0$'C


13/21

Me-$ni*me 5e#e+$ Se'$m$5+1(*&+ge+1

?$+ing$n #ibe-&-$n #eng$n ,+(be0+1(*&+gi0$' me'$'&i *&$)& -(n)$- )e++m$'.

Kemi$n #iii-&)i #eng$n ,em$n$*$n #$n,en0$i+$n

P+(*e#&+ 0+1(*&+ge+1 be+'$ng*&ng $n)$+$bebe+$,$ meni) *$m,$i *$)& $m. Se)i$, *e' #$+i $+ing$n m&ng-in meng$'$mi

$-)& )e+m$' 1$ng be+be#$. Se'>*e' #e-$) ,e+m&-$$n ,+(be 0+1(*&+gi0$'

$-$n #i#ingin-$n #eng$n '$ & ,en#ingin$n1$ng 'ebi% )inggi #$n *&%& 1$ng 'ebi% +en#$%.


14/21

Pem$n)$&$n #$n Pen0i)+$$n5+1(*&+ge+1

Pe+-emb$ng$nUSG in)+$(,e+$)i7&n)&- mem$n)$&

,+(*e* )e+$,i. 5T S0$n MRI

Xu Kecheng$ Lizhi N,Franco


15/21

In#i-$*i 5+1(*&+ge+1 K$n-e+ ,$+& *)$#i&m

'$n &) K$n-e+ %$)i K$n-e+ gin $' K$n-e+ O3$+i&m K$n-e+ F$+ing

K$n-e+ Te*)i* T&m(+ U)e+&* K$n-e+ ,$n-+e$* K$n-e+ ,$1$+$ S$+-(m$

K$n-e+ ,+(*)$) K$n-e+ -&'i) #$n

me'$n(m$ Xu Kecheng$ Lizhi N, Franco


16/21

A,'i-$*i 5+1(*&+ge+1

En#(b+(n0%i$' Cryosurgery Cryosurgery %irect In)+$)(+$-* Cryosurgery Pe+-&)$n

Forest ', (eoc)h *


17/21

Ke&n)&ng$n 5+1(*&+ge+1

E7e- *$m,ing +ing$n W$-)& ,en1emb&%$n *e+)$ LOS 'ebi%

,en#e- Ke+&*$-$n $+ing$n *e%$) #$,$)

#iminim$'-$n

Te+$,i $m$n i-$ #i&'$ng #$n #$,$)#i-(mbin$*i-$n #eng$n )e+$,i '$in Ke%i'$ng$n #$+$% #&+$n)e (,e+$*i #$n

-e)i#$-n1$m$n$n ,$*0$>be#$%#iminim$'-$n


18/21

K(m,'i-$*i 5+1(*&+ge+1P$+&4

Hem$)()%(+$-* Pne&m()%(+$- Hem(,)i*i* Cryoshoc+

*aiwand


19/21

K(mbin$*i #eng$n )e+$,i'$in

Cryosurgery me+&,$-$n )e+$,i-(m,'emen)e+ #i-(mbin$*i-$n#eng$n -em()e+$,i $)$& +$#i()e+$,i.

Cryosurgery mengin#&-*i ,+(*e*$,(,)(*i* *en*i)$*i im&n('(gi-

Forest ', (eoc)h *


20/21

Sim,&'$n

Pene'i)i$n #$n %$*i' -'ini*men&n &--$n-(mbin$*i cryosurgery #$n-em()e+$,i #$n +$#i()e+$,imembe+i-$n %$*i' 1$ngmen $n i-$n . H$' ini ,e+'&

#i'$-&-$n ,ene'i)i$n #eng$n &m'$% *$m,e' 1$ng be*$+ #$nme'ib$)-$n m&')i 0en)e+


21/21

Terima Kasih

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Parenchymal Cryosurgery FER