• 21 DEC 12
    • 0

    The veins represent a major component of the sanguine system allowing the introduction of the blood from the periphery to the lungs and the liver for the oxygenation and the detoxification. Preventing this function in case of a venal disease will have not only local consequences, but also general consequences over the entire body.

    Nowadays, 45 % of the general population suffers of hydrostatic varices at the level of the pelvic limbs and the prevalence of the reticular vessels is approching 60%. Those two affections, although different as appearance and circulation consequences, have a commune substrate. They appear in the conditions of a collagen tissue with a lower quality. Being hereditary, this factor can not be changed at the level where the medical knowledge is now, but there are some hopes that the genetic engineering will eliminate this problem. Other factors which could contribute to this pathology are the sedentary lifestyle, the alimentation and some particular conditions as the pregnancy, some professions supposing long standing, local traumatism.

    In case of hydrostatic varices, the prevention resumes to the elastic sock, venal tonic and regular physical exercises. Once the disease appears, the only medical solution is the surgery. After getting away of the mutilating procedures as venal stripping and the CHIVA procedures or sclerotherapy, on the medical modern scene stay just the endovenous techniques: the endovenous laser imposes itself thanks to the reduced number of the relapses and the absence of the postoperative complications.

    The technique, invented in Europe, but improved technologically in the U.S., allows to solve the affection and to eliminate thermomechanically all the varicose dilatations, unsightly for the foot, through the same medical intervention. All these are solved under local anesthesia and the patient can leave the clinic in a few hours on his own feet. The pain is inexistent, the only traces of the intervention being some bruising which disappear in a few days.

    The principle of the method itself, integral laser treatment of the affected vein portions, represents the guarantee of a good result at distance and the endovenous style guarantees the mini- invasive and esthetic character of the intervention.

    The patient can go back to his current activities immediately in case this thing do not suppose important physical efforts or he needs only a few days of recovery in order to reintegrate in the activity. Endovenous laser means non only the therapeutic successful method, but also an esthetical intervention, without incisions, gauze bandage, metallic clips which get out of the skin and all the entire arsenal of the classical surgery which is now at the “medical history” chapter.

    In case of reticular vessels, the laser acts crossing the skin and concentrating the light energy at the level of target vessel. Under the photothermic effect, the vessel is closing and the blood is taken by the normal venous network existent. So, we obtain the esthetical effect desired. The way the laser succeeds to concentrate only on the target vessel is due to the fact that the laser is preset to follow the hemoglobin concentration, the substance that is predominant is the vessel. The only problem would be the dose of the energy: too much affects the skin while too little would not close sufficiently the vessel. The solution is the application of this therapy in sessions with progressive energy.

    The results at distance are excellent with the condition of avoidance of the sun exposure for 30 days. The method is not painful and do not suppose to respect any regime after the therapy. The laser can also successfully treat the hemangiomas replacing some laborious and risky operations with a method used in the cabinet, in a few minutes, with no pain and no associate treatments. The progress realized by the laser therapies justify entirely the main place that this method has in solving the health problems which tend to affect more and more people.

    Eduard Ursuleanu, General Surgeon

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