drug rehabilitation

PROGRESS in the field of brain surgery had been so rapid and great benefits for the healing of mental illness. Brain neurosurgical technology now not only able to overcome the diseases due to imbalance in the brain fluid such as schizophrenia or depression, but even able to heal patient with drug addiction.

Yes, new hope for treatment of patients addicted to drugs now emerging thanks to the development of neurosurgical technique called kapsulotomi. This surgical technique was introduced in Indonesia by Professor Bomin Sun MD Associate Professor of Neurosurgery and Director of Surgical Neurology Jiatong Shanghai Rui Jin Hospital University of China.

Prof. Sun Bomin with neurosurgeon Dr. Alfred Sutrisno, SpBS, kapsulotomi surgery for the first time in a patient from Indonesia at the Omni International Hospital, Serpong, Tangerang, Friday (22 / 8).

The team consisting of doctors, psychiatrists and expert neurophysiology, operated on a young patient who suffered schizophrenia psychiatric disorder that is characterized by hallucinations, agitation and paranoid. Operations carried out in a conscious patient (awake surgery) was a success for approximately 2.5 hours.

"In our opinion, surgery techniques and instruments used are the first carried out (in Indonesia). The operation is also called a functional surgery, where surgery can not only be used theraping-patients in patients with schizophrenia, but also can overcome depression, obsessive compulsive disorder, distonia, anorexia, and even drug addiction problem, "said Dr Alfred in a press conference post-surgery.

Alfred explained, capsulotomi in a simple operation can be described as an action to shut down one of the area sirkut white (white matter) of the brain called the internal capsula. By disabling one of these circuits, this internal capsula will no longer deliver the negative impulses so that the balance of neurotransmitters (brain chemicals) are expected to re-create the patient.

Before surgery, patients first undergo a three-dimensional MRI scan on the head. This is very important to determine accurately the point or location on the internal capsula which will become the target of action. Computerization and aided navigation tool called a highly sophisticated stereotactic frame, then the doctor will get the direction, depth and proper angle during live action.

To turn off the target circuit, the team of doctors using ablative technique using a special tool that will burn by using radio frequency and a certain voltage. "The area was burned to conduct disorder no longer deliver negative impulses in the area," he said

In this surgical procedure the patient's skull must be drilled and drilled. But once the patient must remain conscious of the conditions given the threat and risk caused paralysis. "This technique is very close to the center of the motor or movement in the brain, so long as operations continue to be monitored and patients were asked whether to move the body like the feet or hands," he added.

Questioning the patient's postoperative recovery rate, Professor Sun Bomin ensure that this operation has a success rate that reaches up to 80-90 percent. While failure rate of less than three percent, and the possibility of patients experienced postoperative recurrence of less than five percent.

In place of practice in Shanghai, China, Professor Sun said Bomin there are about 600 actions kapsulotomi operations performed each year with an age range between 6 patients between 67 years old. Special case of drugs, within the last four years, Prof. Bomin Sun claims to have handled 10 cases, and all patients are now able to live a normal life after the operation.

While Dr Andri, SpKJ, a psychiatrist from Omni International Hospital said the patient must meet certain requirements and diagnostics to this surgery. For schizophrenia, for example, patients who become targets of this operation are those who have severe symptoms of aggressive behavior and violence against the environment. This operation can not be done for Alzheimer's patients.

"Those who develop schizophrenia experience a balance disorder in his brain. Usually the patient is given drugs to overcome, but there are some cases that are difficult or does not work with drugs. With this operation, we seek to balance it back. This operation technique is different from the operation first lobotomies known to cope with schizophrenia. If the first, the operation is only to suppress aggressiveness, but the patient then became silent. But this surgery can restore function to 80-90 percent, "he explained.