A specialist in vascular surgery or in the Indonesian language known as a “Spesialis Pembuluh Darah” specializes in the treatment of disorders of the arteries, arteries, veins and lymphatic systems. The vascular system consists of the arterial and venous systems, while the lymphatic system transports lymph fluid back to the venous system. A specialist in vascular surgery performs almost all operations on a vein or artery, with the exception of intra-cranial or cardial surgery procedures.
Until the 1970s, vascular surgery was carried out by general surgeons. In the 1970s surgeons in England, Australia and the United States began to make training programs for surgeons specializing in vascular surgery techniques. In the US, a vascular surgeon must complete general surgery education followed by one to two years of additional surgical training focused on the vascular system
A specialist in vascular and endovascular surgery starts from diagnostics, non-invasive and invasive examinations and performs both medical treatment, open surgery that has been done for a long time and minimally invasive techniques using wire, catheter and angiography and angioplasty and a combination of both known as hybrid. A specialist in vascular and endovascular surgery is a person who is able to do all the modalities available both at the time of diagnosis until the time of treatment.
Vascular and endovascular surgery specialists also handle cases of cases related to disorders of the vascular system such as diabetic ulcers, in cases of diabetic ulcers usually disruption of the lower limb vascularization system that requires both medical treatment and minimally invasive or surgery. In the case of lower venous ulcers, the cause is chronic venous insufficiency or a disturbance in the venous valve that causes stasis of venous flow.
Patients with problems from the lymphatic system, such as limphedema, also need the care of a vascular and endovascular surgeon. Limphedema is fluid retention that carries blood products from vessels to cells. A specialist in vascular and endovascular surgery also receives consultation with patients suffering from scleroderma, autoimmune diseases that cause tissue hardening, or Raynaud’s syndrome, disorders of the extremities which are characterized by vascular spasm and decreased blood flow.
A vascular and endovascular surgeon also makes vascular access for hemodialysis, vascular access for resuscitation and chemotherapy.
In patients with venous thrombosis in the management also carried out by vascular and endovascular specialists including the installation of vena cava filters in the superior vena cava.
Although this specialization in vascular surgery is relatively new, this science is now growing very rapidly because it is supported by a growing technology, along with an increase in atherosclerotic cases that cause an increase in incidence and increase in trauma that cause blood vessel injury and reinforced the introduction of minimally invasive techniques. such as endovascular and hybrid techniques (a combination of open and endovascular surgery). Currently a specialist in vascular surgery is more commonly referred to as a specialist in vascular and endovascular surgery in the future is more appropriately referred to as a vascular specialist, because the only specialist in the vascular field who is able to perform all available treatment modalities.
There is confusion among the community and even among other medical and health personnel with the assumption that this specialist is the same or part of a cardiovascular thoracic surgery specialist. These two specialists are different, Vascular and Endovascular Surgeons are the development of general surgery and a person with this designation is a consultant and subspecialist or specialist II so that a specialist in vascular and endovascular surgery is also a general surgeon and specialist in vascular and endovascular surgery. While the cardiovascular thoracic surgeon is specialist I and the participants are taken from a general practitioner. In abroad there is a clear division between these two fields of science where a cardiovascular thoracic surgeon primarily develops heart and lung surgery