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All Journal Indonesian Health Journal Malahayati International Journal of Nursing and Health Science
Pretangga, Anak Agung Ngurah
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Effectiveness of Surgical Interventions in Chronic Venous Insufficiency: An Evidence-Based Systematic Review Tama, I Putu Rangga Rasnadea; Prayogo, Danniel Loogman; Manikasari, Putu Indri; Sudiartha, I Putu Gede; Pretangga, Anak Agung Ngurah
Indonesian Health Journal (IHJ) Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.611

Abstract

Chronic Venous Insufficiency (CVI) is a disease that can significantly affect patients' quality of life. Although modern surgical therapies such as endovenous thermal ablation (ETA), iliac vein stenting, and others have been introduced, the effectiveness and safety of each procedure needs to be further evaluated. This study aims to evaluate the effectiveness and safety of modern surgical interventions in the management of CVI, focusing on clinical outcomes such as ulcer healing, pain reduction, and improvement in patient quality of life. This systematic review was conducted following PRISMA guidelines by screening literature from PubMed, ScienceDirect, Google Scholar, and Cochrane Library between 2014 and 2024. Of the 17,500 articles identified, 10 studies were included through a rigorous selection process. Analysis was performed based on study design, population, intervention type, clinical outcomes, and safety profile.  Endovenous thermal ablation showed an anatomical success rate of more than 96% with long-term clinical benefits. Iliac vein stenting significantly improved symptoms of deep vein obstruction (VAS: 9 to 2.5) with a primary patency rate of 92%. Methods such as mechanochemical ablation (MOCA) and cyanoacrylate embolization (CAE) offer minimally invasive approaches with low complication rates and fast recovery times. The combination of early ablation and compression therapy accelerates healing of chronic venous ulcers (median healing time: 56 vs. 82 days). Modern surgical interventions are proven effective and safe in the management of CVI, with thermal ablation as the gold standard and iliac vein stenting as the superior option for deep vein obstruction. This evidence-based approach provides important guidance for personalizing CVI therapy in the future. Further research is needed to evaluate long-term sustainability and to optimize evidence-based clinical guidelines.
Effectiveness of Surgical Interventions in Chronic Venous Insufficiency: An Evidence-Based Systematic Review Tama, I Putu Rangga Rasnadea; Prayogo, Danniel Loogman; Manikasari, Putu Indri; Sudiartha, I Putu Gede; Pretangga, Anak Agung Ngurah
Indonesian Health Journal Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.611

Abstract

Chronic Venous Insufficiency (CVI) is a disease that can significantly affect patients' quality of life. Although modern surgical therapies such as endovenous thermal ablation (ETA), iliac vein stenting, and others have been introduced, the effectiveness and safety of each procedure needs to be further evaluated. This study aims to evaluate the effectiveness and safety of modern surgical interventions in the management of CVI, focusing on clinical outcomes such as ulcer healing, pain reduction, and improvement in patient quality of life. This systematic review was conducted following PRISMA guidelines by screening literature from PubMed, ScienceDirect, Google Scholar, and Cochrane Library between 2014 and 2024. Of the 17,500 articles identified, 10 studies were included through a rigorous selection process. Analysis was performed based on study design, population, intervention type, clinical outcomes, and safety profile.  Endovenous thermal ablation showed an anatomical success rate of more than 96% with long-term clinical benefits. Iliac vein stenting significantly improved symptoms of deep vein obstruction (VAS: 9 to 2.5) with a primary patency rate of 92%. Methods such as mechanochemical ablation (MOCA) and cyanoacrylate embolization (CAE) offer minimally invasive approaches with low complication rates and fast recovery times. The combination of early ablation and compression therapy accelerates healing of chronic venous ulcers (median healing time: 56 vs. 82 days). Modern surgical interventions are proven effective and safe in the management of CVI, with thermal ablation as the gold standard and iliac vein stenting as the superior option for deep vein obstruction. This evidence-based approach provides important guidance for personalizing CVI therapy in the future. Further research is needed to evaluate long-term sustainability and to optimize evidence-based clinical guidelines.
Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report Yuliani, Anak Agung Ary; Pretangga, Anak Agung Ngurah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1484

Abstract

Background: Mammae aberrans, also known as accessory or ectopic breast tissue, is a rare congenital condition that arises due to incomplete regression of the embryonic mammary ridge. Although it is often asymptomatic, in some cases it may enlarge, become tender, or resemble other axillary abnormalities, which can complicate diagnosis and management. Given its rarity and similarity to other axillary lesions, clinicians must exercise caution to ensure accurate diagnosis and appropriate management. Purpose: To describe in detail the clinical features, diagnostic process, and surgical management of a 27-year-old female patient presenting with an axillary mass later identified as mammae aberrans. Method: The report is based on a single clinical case involving a young female patient who presented with a progressively enlarging mass in her right axilla. The diagnostic process included physical examination, ultrasonography, and histopathological analysis. The patient underwent surgical excision of the mass under general anesthesia, followed by postoperative observation and follow-up to monitor recovery and possible recurrence. Results: Clinically, the mass was firm, immobile, and measured approximately 12 × 8 × 6 cm. Ultrasonography indicated fibro-glandular tissue, and the histopathological examination confirmed the diagnosis of mammae aberrans. The surgical removal of the mass was successful, with the patient showing good postoperative recovery. No pain, complications, or recurrence were reported during follow-up visits. Conclusion: Highlights the importance of considering accessory breast tissue in the differential diagnosis of axillary masses, especially in women of reproductive age. Early and accurate diagnosis, followed by appropriate surgical management, can lead to complete recovery, prevent misdiagnosis, and improve cosmetic and psychological outcomes for the patient.
Co-Authors Manikasari, Putu Indri Prayogo, Danniel Loogman Sudiartha, I Putu Gede Tama, I Putu Rangga Rasnadea Yuliani, Anak Agung Ary