Future Doctors Must Master the Technology Early On

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Illustration: Alifian Sukma

UNAIR NEWS – Prof. Dr. David Sontani Perdanakusumah, dr., Sp.BP-RE (K) has shown an outstanding performance in Indonesian plastic surgery. The Vice Dean I of Faculty of Medicine Universitas Airlangga has made a lot of achievements as he has successfully handled countless plastic surgery cases.

His success has not turned him arrogant but it even motivates David to do more. He has relentlessly formulated strategies for the faculty development.

The quality of academicians is always improved so hopefully, FK UNAIR can compete and perform well at global level. “Our level is no longer national but international,” he stated after opening Website Database Update Workshop in Faculty of Medicine in March 2017.

The consistency of mastering technology in all aspects is also equally important as this rapid information technology advancement is capable to develop science and our potentials. “Great doctors in the future are the ones exposed to sophisticated technology early on. They will come out on top in the competition,” he explained.

He believed that Indonesian human resources have the same potential with other countries. It can be seen from many achievements made by Indonesian internationally. There are a lot of FK UNAIR doctors who have long experience at global level. So the quality of this university should not be questioned.

On the other hand, commitment to maintain complete accreditation should be demonstrated. Therefore, database update is a matter of urgency and it should be given more attention. David said that the faculty archives should be well-managed and accessible. Moreover, with Dr. Soetomo General Hospital, FK has made remarkable achievements. “Faculty must have complete track records,” he stated.


Prof. David, the Collector of Achievements

The doctor born in Singkawang has conducted excellent researches and made useful invention for the community. One of his inventions is keloid removal cream. It is effective to remove fibrous, thick and contract in color scar wound.

To deal with keloid, generally people go through various methods such as operation, cortisone injection, cryotherapy, and many other methods. But, they can’t remove keloid, the operation can even make it bigger. Keloid often becomes the patient or doctor’s nightmare.

Keloid grows from excessive collagen activity. The collagen growth is influenced by uncontrolled collagenase enzyme. It is the enzyme which catalyzes collagen hydrolysis.

Melanin, the skin pigment, is acidic. To make collagenase works, the enzyme should be alkaline. To people with pale complexion, excessive melanin makes their skin acidic.

David has formulated a way to reduce the melanin by using a whitener containing alkaline solvent. To prevent the skin becomes oversensitive because of the alkalinity and acidity, he combines the whitener with liposome so its alkalinity reacts when it reaches dermis layer. The whitener he uses is Hydroquinone with 4 percent concentration.

His idea patented was on alkaline whitening for keloid. It was in his work titled, Hydroquinone use to Prevent and Remove Keloid. The alkaline keloid whitener was finally patented on October 17, 2012 with patent number ID P0031959.

“I submitted the patent in around 2004, but it was finished in 2012. Eight years needed because hydroquinone is not something new. It has been often used as whitener, but hydroquinone for keloid had never existed. It is my research, originally,” he added.

He has tried it to patients who have gone through operation which caused keloid. The result shows less keloid and better color. For big keloid, the cream should be combined with surgery.

Beside for patients with keloid, he has been using his whitening cream for patients with smallpox remains and burns. “Burnt hand becomes soft with it. There is trauma, scar from operation, I administered the cream and it turns out well and soft,” said the recipient of Science Achievement Award 2015 from Media Republika.

At the moment, through Institute of Tropical Disease UNAIR, David’s cream is going to be mass produced by a pharmaceutical company. It is being tested for stability and after that there will be clinical tests in various healthcare centers.

The doctor with four children has shown excellent craftsmanship with a scalpel and he has made a lot of achievements for it (see the table), either from the association, local or even central government. The professor who has attended training and workshops in Singapore, Belgium, Australia, The USA and Canada also often speaks in seminars, conferences and other scientific events, at national or international level.

Besides teaching, he also conducts research and community services. From 2006 to 2014, he has made contributions in 10 regional or national community services.

He is often invited to be a doctoral thesis examiner (S-3) in Universitas Indonesia, Universitas Udayana, Universitas Hasanuddin, Universitas Padjadjaran, and Universitas Gajah Mada from 2012 to 2015. He holds some patents and copyrights.

Some of them are Hydroquinone use to Prevent and Remove Keloid, Copyright for Wound Mannequin, Copyright for Wound Poster, Copyright for Respiratory Emergency Interactive CD (Module 1), Copyright for Circulatory Emergency Interactive CD (Module 2), Copyright for Burn Wound Emergency Interactive CD and Copyright for Respiratory Pediatric Interactive CD.

David said that the application of plastic surgery was started from an effort to reconstruct body parts of human, for example due to traffic accidents or birth defects like cleft palate or ear deformities.

“Plastic surgery does not overturn God’s will. It only reconstructs the structure as the patient’s wish to create better condition, similar with cosmetics. I often make an analogy that we are just an artist who wants to create something more beautiful,” he explained.

In its development, plastic surgery also covers the field of aesthetics. It provides services for people who in their own will want to improve their body parts. They want it without any coercion and with a logical reason. Plastic surgeons are obliged to comply with the ethical and religious values. Therefore, not all patients can be directly assisted.

The prospect of plastic surgery in the future is promising as the population is growing. The demand of plastic surgeons will also rise. Therefore, higher education institution such as Universitas Airlangga should produce more experts in this field of study. (*)

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