{"id":13724,"date":"2025-09-15T16:33:54","date_gmt":"2025-09-15T16:33:54","guid":{"rendered":"https:\/\/vascularclinic.sg\/?p=13724"},"modified":"2026-09-24T04:20:07","modified_gmt":"2026-09-24T04:20:07","slug":"a-case-study-comparing-open-and-endovenous-therapy-for-varicose-veins","status":"publish","type":"post","link":"https:\/\/vascularclinic.sg\/id\/a-case-study-comparing-open-and-endovenous-therapy-for-varicose-veins\/","title":{"rendered":"Studi Kasus yang Membandingkan Terapi Terbuka dan Endovaskular untuk Varises"},"content":{"rendered":"
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Baru-baru ini, seorang pria berusia 65 tahun datang ke klinik saya. Ia datang dengan riwayat pembengkakan dan nyeri yang memburuk di paha bagian bawah dan betis kirinya selama beberapa bulan. Ia juga memiliki varises yang melebar di kaki yang sama selama beberapa tahun dan memperhatikan bahwa varises tersebut menjadi lebih menonjol dan berdenyut saat berdiri dan beraktivitas akhir-akhir ini. Semua ini secara signifikan memengaruhi kualitas hidupnya.<\/p>

Setelah menjalani anamnesis menyeluruh, pemeriksaan fisik, dan USG dupleks pada kaki kirinya, ia didiagnosis menderita kerusakan katup pada vena saphena panjangnya yang mengakibatkan aliran balik darah ke dalam vena varises yang melebar di kaki kirinya.<\/p>

Ia memiliki riwayat operasi varises pada kaki kanannya 8 tahun yang lalu. Prosedur tersebut melibatkan operasi terbuka untuk mengikat vena saphena melalui sayatan di selangkangan, diikuti dengan pengangkatan seluruh vena di paha melalui sayatan terpisah di paha bagian bawah. Namun, prosedur tersebut menyebabkan memar dan nyeri yang signifikan setelah operasi, serta mati rasa kronis di bagian dalam pahanya. Selama konseling untuk pengobatan varisesnya saat ini, ia sangat khawatir apakah metode pengobatan yang sama akan ditawarkan dan apakah ia akan menghadapi potensi komplikasi jangka panjang yang sama seperti pada kaki kanannya.<\/p>

Setelah mendapat jaminan dan konseling, ia menjalani ablasi endovena minimal invasif pada vena saphena kirinya menggunakan kombinasi ablasi termal dan skleroterapi busa melalui tusukan kecil di kaki bagian bawah dekat daerah pergelangan kaki. Varisesnya yang melebar kemudian diangkat melalui beberapa sayatan kecil di sekitar paha bagian bawah dan betis. Ia dipulangkan pada hari yang sama dan 2 minggu kemudian sayatannya telah sembuh dan ia melaporkan tidak ada lagi gejala nyeri, bengkak, atau mati rasa dan dapat melanjutkan aktivitas sehari-harinya dan bermain squash tanpa rasa sakit.<\/p>

Ligasi vena saphena terbuka dan terapi endovaskular (seperti ablasi laser atau ablasi frekuensi radio) sama-sama digunakan untuk mengobati varises, tetapi keduanya berbeda secara signifikan dalam pendekatan dan hasilnya. Terapi endovaskular umumnya dianggap kurang invasif, dengan waktu pemulihan yang lebih cepat dan potensi komplikasi yang lebih sedikit, sedangkan ligasi terbuka, meskipun efektif, dikaitkan dengan pemulihan yang lebih lama dan risiko kekambuhan yang lebih tinggi.<\/p>

Di bawah ini, kami memberikan ringkasan singkat dan perbandingan antara operasi endovaskular vs operasi terbuka untuk varises<\/a>:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Ligasi dan pengupasan vena saphena terbuka:<\/h3>

Prosedur<\/strong>:
Prosedur ini melibatkan pembuatan sayatan di selangkangan dan berpotensi di lokasi lain di sepanjang kaki untuk mengakses dan mengikat
memutus (ligasi) vena saphena, seringkali diikuti dengan pengangkatan (pengangkatan) vena tersebut.<\/p>

Efektivitas<\/strong>:
Meskipun efektif dalam menghilangkan refluks pada pembuluh darah yang diobati, penelitian menunjukkan tingkat kekambuhan yang lebih tinggi.
dibandingkan dengan teknik endovaskular.<\/p>

Pemulihan<\/strong>:
Biasanya melibatkan periode pemulihan yang lebih lama (1-3 minggu) dengan potensi rasa sakit, memar, dan efek samping lainnya.
efek.<\/p>

Komplikasi<\/strong>:
Dapat meliputi infeksi, kerusakan saraf, dan trombosis vena dalam (DVT)<\/a>.<\/p>

Terapi Endovenous \u2014ablasi termal, ablasi sianoakrilat\/lem (CAG), ablasi mekanokimia dengan skleroterapi busa (MOCA):<\/h3>

Prosedur<\/strong>:
Pendekatan minimal invasif di mana panas diterapkan pada pembuluh darah (baik melalui laser atau frekuensi radio) untuk menutupnya. Ini dilakukan melalui tusukan kecil, bukan sayatan besar.<\/p>

Efektivitas<\/strong>:
Studi yang mencakup data jangka panjang (>10 tahun) menunjukkan tingkat penutupan vena yang tinggi (90-100%) dan perbaikan gejala.<\/p>

Pemulihan<\/strong>:
Secara umum melibatkan pemulihan yang lebih cepat (harian, bukan minggu) dengan rasa sakit yang lebih sedikit dan kembali beraktivitas lebih cepat.
aktivitas normal.<\/p>

Komplikasi<\/strong>:
Meskipun umumnya lebih aman, komplikasi yang mungkin terjadi meliputi nyeri, memar, kerusakan saraf, dan pembekuan darah.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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RINGKASAN PERBANDINGAN ANTARA TERAPI TERBUKA DAN TERAPI ENDOVENOUS UNTUK VARISES<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Kesimpulan<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Terapi endovaskular semakin banyak dipilih untuk pengobatan varises karena sifatnya yang minimal invasif, pemulihan yang lebih cepat, dan efektivitas yang sebanding dengan operasi terbuka. Namun, ligasi terbuka tetap menjadi pilihan yang layak, terutama dalam kasus di mana pendekatan endovaskular tidak sesuai atau dalam skenario klinis tertentu di mana hal itu mungkin lebih disukai. Pilihan antara keduanya harus dibuat dengan berkonsultasi dengan spesialis vaskular yang berkualifikasi, dengan mempertimbangkan faktor dan preferensi pasien secara individual.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Baru-baru ini seorang pria berusia 65 tahun datang ke klinik saya. Ia datang dengan riwayat pembengkakan dan nyeri yang memburuk di paha bagian bawah dan betis kirinya selama beberapa bulan. Ia juga memiliki varises yang melebar di kaki yang sama selama beberapa tahun dan mencatat bahwa varises tersebut menjadi lebih menonjol dan berdenyut-denyut\u2026<\/p>","protected":false},"author":1,"featured_media":15638,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-13724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nA Case Study Comparing Open and Endovenous Therapy for Varicose Veins - The Vascular & Endovascular Clinic<\/title>\n<meta name=\"description\" content=\"Vein stripping or minimally invasive endovenous therapy? 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