
dr. Christian Permana, SpBS, F-NTB, FINSS, FICS

Speciality | Neuro Surgery |
Location | Mandaya Royal Puri |
Language Spoken | English, Indonesia |
Speciality | Neuro Surgery |
Location | Mandaya Royal Puri |
Language Spoken | English, Indonesia |
Coronary heart disease is a condition that occurs when the heart’s arteries cannot deliver enough oxygen-rich blood to the heart muscle due to narrowing caused by fat deposits (plaque). This condition is also known as coronary artery disease or ischemic heart disease.
The coronary arteries are responsible for delivering blood to the heart muscle. If these arteries are damaged or diseased and unable to deliver oxygen and nutrients to the heart, it can lead to heart attacks and even death.
The main symptoms of coronary heart disease include:
Not everyone with coronary heart disease experiences the same symptoms. In fact, some people may not experience any symptoms at all before being diagnosed by a doctor.
Coronary heart disease is caused by the buildup of fat, cholesterol, and other substances in and on the walls of the heart’s arteries. This condition is called atherosclerosis, and the deposits are known as plaque.
Plaque can cause arteries to narrow, blocking blood flow. Plaque can also rupture, leading to blood clots.
Some common causes of atherosclerosis and coronary heart disease include:
If a doctor suspects you are at risk for coronary heart disease, they may perform a risk assessment. The doctor will also ask about your personal and family medical history and lifestyle, and may order blood tests.
Further tests may be required to confirm a diagnosis of coronary heart disease, such as:
There are several risk factors for coronary heart disease that you can control to prevent its onset, such as quitting smoking, managing cholesterol and blood sugar levels, improving your diet, maintaining an ideal weight, and managing blood pressure.
Doctors may prescribe medications for coronary heart disease, including:
Coronary angioplasty uses a balloon to widen the blood vessels, improving blood flow. Though angioplasty may be done on blood vessels in other parts of the body, it can help increase blood flow to the heart.
Heart bypass surgery is often performed on people who experience chest pain and have coronary heart disease. During the surgery, a bypass is created by grafting a vein above and below the blocked coronary artery area, allowing blood to flow around the blockage.
The vein is usually taken from the leg, but arteries from the chest and arms can also be used for the bypass graft. Sometimes, multiple bypasses are needed to restore full blood flow to all parts of the heart.
A rotablator is a device used to shave off hardened plaque in the coronary blood vessels, especially in cases where plaque is difficult to treat with balloons or stents.
Using a rotablator, doctors can remove blockages and improve or restore blood flow to the heart.
Want to consult further about coronary heart disease or overall heart health? Visit Mandaya Royal Hospital Puri. Our hospital is equipped with modern medical technology to handle various heart conditions. You can also consult with experienced heart specialists.
Schedule your appointment through our WhatsApp Chat feature, Book Appointment, or the Care Dokter app—available on Google Play and the App Store—to ease your visit, check your queue number, and access complete information.
Cholecystitis is an inflammation of the gallbladder, a small, pear-shaped organ located beneath the liver that stores bile produced by the liver. Infection or blockage in the gallbladder or bile ducts can cause inflammation, pain, and swelling.
If left untreated, cholecystitis can lead to serious complications, such as gallbladder rupture, which can be life-threatening. Treatment often involves surgery to remove the gallbladder.
Common symptoms of cholecystitis include:
These symptoms often occur after eating, particularly fatty or large meals.
Several factors can cause gallbladder inflammation, including:
Certain individuals are at a higher risk of developing cholecystitis, including those who:
To diagnose cholecystitis, doctors perform a physical examination and assess the patient’s symptoms and medical history. Diagnostic tests and procedures may include:
Treatment options for cholecystitis include:
Cervical cancer is the third most common type of cancer among Indonesians. However, this cancer can be prevented with the HPV vaccine starting at the age of 12. Also known as cervical cancer, it can be cured or go into remission if treatment begins at an early stage.
Cervical cancer is the growth of uncontrollable abnormal cells that form a tumor on the cervix or neck of the uterus. The cervix is the area that connects the vagina to the uterus.
Almost 99% of cervical cancer cases are caused by HPV (Human Papillomavirus) infection. This is a very common type of virus that is often transmitted through sexual intercourse.
It is estimated that 8 out of 10 women may be infected with HPV in their lifetime, but most do not develop cervical cancer.
Most HPV infections do not cause symptoms and clear up on their own. However, in a small percentage of people, certain types of HPV can persist for years. It is this long-term HPV infection that can trigger cervical cancer in women.
In addition to HPV infection, your risk of this disease may also increase if you:
The most common symptoms of cervical cancer include:
In the early stages of development, cervical cancer may not cause any specific signs and symptoms. In fact, not everyone diagnosed will experience symptoms until the cancer reaches advanced stages.
To detect the presence of cervical cancer, doctors may perform several tests, such as:
A Pap smear is performed by taking a sample of cervical tissue to be examined in a laboratory for the presence of abnormal cells.
In addition to detecting cancer cells, this test can also detect cells that have the potential to become cancerous.
A biopsy is a more in-depth examination of cervical tissue to confirm the presence or absence of cancer cells in the cervix.
A biopsy can be performed during a colposcopy examination. Colposcopy is a procedure performed by a doctor using a magnifying instrument to examine the symptoms and signs of cancer in the cervix.
Imaging tests such as MRI and CT scans may also be performed to determine the presence of malignant tumors in the cervix. These tests are usually performed to determine the severity of cancer or to determine the stage of cancer.
Here are some types of treatment that can be done to treat cervical cancer:
For early-stage cervical cancer that has not spread, treatment with surgery may be performed. Types of surgery include:
Radiation therapy is a treatment that uses high-energy rays to kill cancer cells. Radiation can be performed externally, internally, or a combination of both.
Chemotherapy involves the use of powerful drugs to kill cancer cells. Low-dose chemotherapy is often combined with radiation therapy to treat cancer that has not spread.
If you need screening or treatment for cervical cancer, you can visit the Cancer Center at Royal Mandaya Hospital, which is equipped with world-class cancer treatment technology.
The oncology genomic laboratory at Mandaya Royal Hospital Puri can accurately determine your cancer type and subtype so that you can receive the appropriate treatment.
Consult with a specialist now and get the best treatment for your cancer. Use the Chat feature via Whatsapp, Book Appointment, or the Care Doctor app which can be downloaded from Google Play and the App Store to facilitate visits, view queue numbers, and get other complete information.
Colorectal cancer ranks among the most prevalent cancers in Indonesia. According to the WHO, it holds the fourth position, surpassing prostate and ovarian cancers. Lifestyle changes are suspected to be a significant trigger leading to the increasing number of colorectal cancer cases each year.
Colorectal cancer originates in the inner lining of the large intestine’s wall. Polyps, which are growths on the intestine, can evolve into cancer, although some may remain benign.
If left untreated, cancer originating from the large intestine can spread to other organs.
The large intestine is comprised of mucosal membrane layers, tissues, and muscles. Cancer cells typically develop in the mucosal layer, which is the innermost layer of the large intestine. This layer contains cells that produce and release mucus and other fluids. When cells grow uncontrollably in this layer, polyps, or growths, can form.
Over time, polyps can develop into cancer.
Several factors may increase the risk of this disease, including:
Symptoms of this type of cancer can vary. However, generally, some common symptoms include:
Several examinations can be conducted to detect colorectal cancer, such as:
Colonoscopy involves using a small tube inserted into the digestive tract. The tube contains a camera, allowing the doctor to directly observe the condition inside the body without surgery.
In addition to the camera, the doctor may also place a small operating tool. This is done to remove growths or polyps in the large intestine.
Biopsy is a procedure for taking tissue samples to be examined in the laboratory. To obtain tissue in the large intestine, the doctor can do this during a colonoscopy.
In the laboratory, it will be determined whether the tissue sample contains cancer cells.
Blood tests can also help detect colorectal cancer. Mandaya Hospital Puri provides the Septin-9 DNA examination service, which can detect with a sensitivity rate of up to 96.3% in stages 1-4.
Individuals receiving comprehensive treatment while colorectal cancer is still in the early stage have a relatively high five-year survival rate, reaching 90%.
Treatment can be administered in several ways, including:
Surgery is the most common treatment for this type of cancer. Types of surgery that can be performed include:
Chemotherapy is usually performed to shrink tumors or growths and alleviate cancer symptoms.
This therapy targets genes, proteins, and tissues involved in the development and growth of cancer cells. In targeted therapy, doctors create artificial antibodies that will target cancer cells.
Several measures can be taken to reduce the risk, such as:
Mandaya Royal Hospital Puri has a cancer center with complete equipment and experienced specialist doctors. Do not hesitate to schedule an appointment with our doctor via WhatsApp Chat, the Book Appointment page, or the Care Doctor app, available for download on Google Play and the App Store. In addition to appointments, you can also monitor your queue number and access other comprehensive information there.
Speciality | Pediatric |
Location | Mandaya Royal Puri |
Language Spoken | Indonesia, English |
Educational Background
Courses & Training
Speciality | Orthopedic Surgery sub. Hip & Knee, Orthopaedics & Traumatology |
Location | Mandaya Karawang |
Language Spoken | Indonesia, English |
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Speciality | Radiology |
Location | Mandaya Royal Puri |
Language Spoken | Indonesia, English |
Rating:(average: 5 out of 5. Total: 1) |
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Patient Satisfaction Reviews | 1 Patient Comment |
Dr. Christopher Silman, Sp.Rad, Ph.D., is a radiologist at Mandaya Royal Hospital Puri. He has expertise in performing various imaging procedures, including X-Ray, CT-Thorax, Mammography, CT Scan, and MRI.
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https://www.researchgate.net/scientific-contributions/Christopher-Silman-2120459417
Educational Background
Courses & Training
Reviewed on Jan 31, 2025
Doctor is very helpful, informative and explain every details clearly