Use of Robots in the World Medical in Indonesia
Tjoe Yang Hwa, 46, had returned to normal activities. Two weeks ago, the general manager in a private company is taking care of business in Bali. While doing business, Wawa, as he is usually called, took time to snorkel on the island. No more complaints around the uterus, as it often appears earlier.
Wawa tumor lodged in the uterus (myomas). The symptoms he had been since mid-December. Wawa frequent bleeding and susceptible to disease. Through the examination at one hospital in the numbers in Tangerang, Banten, no tumor discovered during 9 centimeters. Wawa treatment. But he was not satisfied.
After asking a few colleagues, he moved to the Hospital (RS) Lady in Menteng, Central Jakarta. Here, Wawa had a number of checks, such as ultrasound, blood, heart and other diseases. More surprising results of Wawa: tumors growing in her womb for the baby's head. '' I was like five months pregnant,'' he told M. Bonny S. Diaz of Gatra.
Doctors offer some treatment options. Ie laparoscopy, cesarean section, and robotic surgery, complete with the benefits of each alternative before. Without a doubt, the mother of one child chose the latter, although informed that the charge of about USD 100 million. Besides being able to financially, he was eager to move quickly and require surgery and short recovery time.
The operation took about three hours, while the total recovery of five hours. Seven in the evening, Wawa has been realized. '' I'm satisfied and the operation was successful,'' he said. Although somewhat costly, Wawa is still considered cheap compared with similar treatment in Singapore, which cost Rp 140 million. This fee also does not include transportation costs, lodging, and others.
Another advantage, said Wawa, three days post-surgery is considered minimally invasive, he was able to walk. Then, a week later, he was able to perform various activities. Wawa is the fifth patient who tested the new surgical technologies. So far, there have been 10 patients who live it.
In some countries, the technology is already widely used. In the United States, since the 1980s this model of surgery performed. A decade later developed da vinci robotic surgery technology. Now the equipment was further developed to form a more streamlined and robot machines can see abnormalities in three dimensions. '' It is not style-gayaan, but it does provide something different in the patients,'' said Dr. Ivan Sini, Vice President Bunda Hospital.
This technology utilizes a robotic surgical instrument. While the doctor just to control robot arms, the length of each 1.5 centimeters. Equipment that has three or four arms, each of which cost about USD 20 million. Even so, they are able to perform various surgeries. According to Ivan, some diseases can be treated with this therapy, the other content diseases, diseases related to urination system (urology), and gastrointestinal disease.
Of the four arms that work, one of which serves as an arm of the camera. The aim is to facilitate physicians controllers saw the object operations. The camera is above 1,200 megapixel resolution with high definition quality. He was able to demonstrate a network with a distance of two millimeters.
Camera arm has a diameter of 12 mm, while the other arm diameter of 8 mm. There is also the arm that has two fingers that can spin like a human hand rotation. '' The fingers that this will then have the ability to hold, sewing, and cutting,'' said Ivan.
Ivan claimed not difficult to operate the equipment, especially that used to do major surgery. PlayStation is like playing games, come to move a robotic arm in accordance with the orders. Physicians who want to operate this equipment must pass through a month-long training and certification. Now formed a team of 5-10 doctors from various disciplines.
Because it has high precision, the device can, for example, reducing the risk of bleeding. This is then related to the speed of recovery for patients. '' Usually two to three days post-operation could work again,'' said Ivan. So, what about the risk of post-surgery? Ivan explained, when speaking of risk, robotic surgery is similar to other operations. There remains a risk, but at least once. Such as infection, injury, and bleeding. So, the doctor should be proficient. But he guarantees, the infection will quickly disappear.
The biggest obstacle is precisely in maintenance costs. For service per year alone, the hospital management to pay about $ 1 billion. However, Ivan believes the cost patients would be comparable with that obtained. Moreover, the cost is cheaper than the patient's medical treatment abroad.
In Singapore, for example, 40% of patients seeking treatment are from Indonesia. Even the first robotic surgery was colon cancer patients from Indonesia. In "lion country", the kind of equipment is already available in 2004, but it was used in 2007-2008.
Responding to the use of robotic technology, Prof. Dr. dr. Biran Affandi, SpOG, from the Faculty of Medicine, University of Indonesia explained that such equipment is commonly used in laparoscopic surgery, minimal surgery is generally intended to reduce the risk of acquired operations. '' Thus, the movements are standardized. Hence, using a robot,'' said Biran.
However, these technologies need to consider several aspects. Among others, the safety, effectiveness, and community acceptance. "Usually three things that are closely linked,'' he said.
Meanwhile, Doctor Frizar Irmansyah, colleagues Biran, said that the presence of robotic surgery was positive for all standardized. This is also the advances in medical technology. '' Because there are some actions that do require accuracy and specific surgical techniques that are difficult if humans do,'' said Fitri Frizar to Kumalasari of Gatra via electronic mail.
Frizar also explains the presence of robotic surgery in Indonesia it is necessary to receive supervision. '' There should be regulation and oversight of the profession and the health consumer organization in order to prevent irregularities in its use,'' he said.