For several years, vascular surgeons have been able to know very well that venous insufficiency can be associated with any superficial (superficial) vein of the lower extremities and in no case necessarily only with the major or minor clear vein, which according to In the recent past, their almost blind eradication through a long and highly traumatic procedure (clarinectomy) was the most common tactic in the treatment of varicose veins.
“Modern, minimally invasive treatment techniques, therefore, appeared, causing a revolution in the field of treatment of venous insufficiency since, in addition to painless and non-traumatic, they offer excellent functional and aesthetic result, enabling us to approach and intervene in each individual vein. may not be enough “.
This pathological entity is an evolutionary disease of the lower extremities that evolves through various stages. Starting from the first stage of varicose veins (spider veins) then passes to the creation of venous varicose veins (stretched venous stems), skin lesions (dryness, pigmentation, etc.) and, finally, dull skin venous ulcers at a very advanced stage . It is easily understood that the pooling of blood in the veins can cause particularly dangerous complications, such as venous thrombosis, which if it involves a vein in the deep venous network of the lower extremities can potentially lead to pulmonary embolism, a protrusion life-threatening condition of the patient.
Endotracheal laser: The ultimate weapon in the fight against venous insufficiency
Laser intravenous treatment of varicose veins was first applied in 1999 as a rapid and painless treatment of venous insufficiency, an alternative then, at the beginning of the open classical surgical method (sapinectomy). Since then, a lot of water flowed in the groove, in 2007, with the possibility of new generation lasers for circular diffusion of thermal energy, offering infinitely better absorption of energy from the venous walls, completely sealing the lumen of the insufficient vein. In addition, the endotracheal laser focuses with characteristic homogeneity on those points of the venous network that are considered necessary, minimizing the chances of hematoma formation, without the slightest sensation of burning.
A few words about how it is done
Under ultrasound monitoring, the insufficient vein is punctured and then the laser catheter is inserted into the lumen of the vein, which has an optical fiber at the top, and if it is the major clear, it is advanced up to 1.5 cm before the clear-cut junction.
Then, we gradually withdraw the catheter at a rate given to us by the laser machine (sound tones), while at the same time radially diffusing the thermal energy of the laser which results in the final sealing of the insufficient venous lumen allowing the blood flow to follow all other healthy and open pathways of the venous network of the limb. At the end of the procedure the patient returns home the same day, is not limited in the slightest in terms of his activities and the next day is able to return to work normally.
Advantages of endotracheal laser
• Fast, non-traumatic and painless technique
• Absolutely accurate, offering maximum security
• No incisions, so it leaves no marks
• Eliminates the possibility of postoperative complications, such as infections
• Offers immediate restoration through excellent aesthetic and functional result.
Writes:
Konstantinos N. Xiromeritis, MD, PhD, MSC, Vascular Surgeon – Doctor of the University of Athens,
Director of the Vascular Surgery Clinic-Endotracheal Laser of Metropolitan General
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