LIST OF PATIENTS BEING TREATED WITH LASER

There are cases of interest being treated with laser.
One of the case is a woman with aphonia following typhoid fever.Laryngeal endoscopy is not remarkable.
It is an amazing event when we can hear the sound uttered just following laser irradiation,guided by a detector to find points in the neck.
Another cases being treated and/or under list:allergic rhinitis with sinusitis,anosmia and tinnitus,a child with hearing loss following head trauma etc.
May I quote Toshio Ohshiro MD DMedSci:

Pure light is the medicine of life

L.S.Handikin,MD
Jakarta,Indonesia

IKLASI AWARDS 2007

THE INDONESIAN SOCIETY FOR LASER MEDICINE has awarded trophy to Tiur Farida MD,specialist in Physical Medicine and Rehabilitation for research on the laser therapy on hand rheumatoid arthritis.This is the 3rd trophy given by IKLASI(The short of Ikatan Kedokteran Lasert Indonesia=The Indonesian Society for Laser Medicine) to research in clinical application of laser.The ceremony was held in Santika Hotel,Jakarta last Saturday,April 28,2007 and the award was handed over by Mulyono Soedirman,MD,chairman of Continuing Professional Development Comission of The Indonesian Medical Association.
I posted this news to this blog with a hope that its will inspire young doctors and researchers to joint research programs in laser medicine.
You may contact me :L.S.Handikin,MD,President The Indonesian Society for Laser Medicine by email: lshandik@gmail.com
P.S.Welcome to Basic Course on Laser Medicine and Surgery will be held in Pelni Hospital,Jakarta next Sunday,May,20,2007,contact Riza by phone 62-21-5306793 office hour to check available seat!

New Generation Lasers & Leading Edge Treatments With CANDELA Technology

A laser workshop was taken place in Gerbera Room, Mulia Hotel, Jakarta, Indonesia on February 28, 2007. There were 2 speakers: Taro Kondo, MD (Tokyo Women Medical University) and Aryani Sudharmono, MD (Division of Aesthetic Dermatology, Dept. of Dermatology and Venereal Diseases, Faculty of Medicine, University of Indonesia).

Taro Kondo talked about “Gentle YAG Treatment in Hair Removal ,Vascular Lesions and Skin Rejuvenation” while Aryani Sudharmono presented “V Beam Experiences in Indonesia”. As an addition to the speakers’ presentations, a live demo was presented by Taro Kondo for Gentle YAG and V Beam Perfecta.

Overall, this meeting was a great opportunity both for doctors and investors. The market is growing even greater and faster with the raising demand and better understanding of individual health as well as the interest to beauty and wellness.

Many doctors are interested in Laser Medicine and Surgery. Recent data shows that more than 400 doctors are now registered as members of The Indonesian Society for Laser Medicine. Training and education are most important and highly critical in the competency development programs in laser medicine.

Let me quote some basic principles on the selective photothermolysis as written by Yacov Domankevitz, a senior scientist at Candela Corporation:

Laser treatment of vascular lesions is based on the principle of selective photothermolysis (Parrish and Anderson). By proper selection of laser system parameters, selective heating of vessels within the skin is possible while producing only minimal damage to the overlying epidermis and adjacent dermis.

The basic elements of selective photothermolysis for the treatment of vascular anomalies are:

1. Selective Absorption -- Laser energy should be preferentially absorbed by blood vessels and not by the overlying epidermis and adjacent dermis.

2. Optical Penetration Depth (OPD) -- Laser energy should penetrate sufficiently deep to reach the larger and deeper situated vessels.

3. Energy Deposition -- Laser energy at the vessel site should be sufficient to heat the vessels to the damaging temperature.

4. Damage Confinement -- The exposure time of the laser energy should be less or equal to the thermal relaxation time of the vessels

5. Epidermal Cooling -- Although this is not a basic element of selective

photothermolysis it is an essential element in many laser therapies.

LASER CIRCUMCISION

Laser has its role in circumcision. If you look for a tool to make a bloodless incision in doing circumcision, laser is the choice!

Carbon dioxide (C0₂) laser is the favorite because it cuts and coagulates almost at the same time. Water is the chromophore or absorbing component of the tissue when you replace the scalpel with laser. However, you lose your tactile sensation while using it because you cannot transmit the laser with a fiber. You can use it with fiber but you have to pay for the technology

You can design appropriate delivery system as needed like putting a prism in the hand piece for lateral or side firing.

If you like, you may use Nd:YAG laser where you deliver it with your intact tactile sensation. Increased quality of treatment including less pain is due to less edema post-operatively and increased level of local endorphins production following laser surgery.

If you need more information, you may contact The Indonesian Society for Laser Medicine via e-mail at iklasi_pusat @yahoo.com