<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\nDr. Jianu \u015etefan<\/span><\/strong>
\nClinica ProEstetica, Bucure\u0219ti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
Complica\u021biile tratamentului cu laser endovenos \u00een boala varicoas\u0103<\/span>
\nAutor: \u0218tefan Jianu<\/span><\/p>\nDin 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate ghidurile interna\u021bionale de flebologie.
\nLaserul endovenos se practic\u0103 de regul\u0103 sub anestezie local\u0103 cu tumescen\u021b\u0103, prin introducerea unei fibre optice \u00een vena de tratat sub control ecografic \u0219i abla\u021bia termic\u0103 a venei care se \u00eenchide treptat sub efectul fotocoagul\u0103rii laserului. Este o procedur\u0103 ambulatorie, necesit\u0103 punc\u021bii sau microincizii, durerile postoperatorii sunt minime \u0219i recuperarea rapid\u0103. Cu toate acestea exist\u0103 \u0219i complica\u021bii ale laserului endovenos, specifice-precum arsurile cutanate, leziuni nervoase, fistula arteriovenoas\u0103, tromboze sau hiperpigmentare \u0219i nespecifice – precum echimoze, hematoame, seroame, parestezii sau tromboze venoase profunde.
\n\u00cen studiul nostru am analizat retrospectiv un grup de 2644 cazuri de varice operate cu laser endovenos \u00een Clinica ProEstetica \u00eentr-o perioad\u0103 de 14 ani. Complica\u021biile au fost minore, av\u00e2nd pe primul plan echimozele (asociate mai ales anesteziei locale cu tumescen\u021b\u0103 \u0219i administr\u0103rii de heparin\u0103 cu greutate molecular\u0103 mic\u0103 postinterven\u021bie) – 56%, paresteziile – 10% \u0219i fenomenele inflamatorii (trombophlebitis-like ) pe traiectul venei tratate – 8% , cu o singur\u0103 arsur\u0103 cutanat\u0103 \u0219i niciun caz cu tromboz\u0103 venoas\u0103 profund\u0103.
\n\u00cen concluzie complica\u021biile laserului endovenos sunt minore \u0219i justific\u0103 alegerea sa ca prim\u0103 metod\u0103 de tratament \u00een boal\u0103 varicoas\u0103.<\/p>\n
The complications of endovenous laser treatment for varicous veins<\/span>
\nAuthor: \u0218tefan Jianu<\/span><\/p>\nStarting since 2004 we performed for the first time in Romania the endovenous laser treatment for varicosis veins ,a minimal invasive method of thermal ablation which is mostly recommended in the last years by all the phlebological international guides as the first option for the treatment of varicosis veins.
\n Endovenous laser is performed usually under tumescent local anaesthesia, by the introduction of a laser fiber in the vein, firing the laser and retiring the fiber, obtaining the closing of the vein under the photocoagulation effect. It is an outpacient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. But there also described in the literature complications of the endovenous laser, specific- like cutaneous burns, neurologic injuries, arteriovenous fistulas, thrombosis or hyperpigmentations and nonspecific- like ecchymosis, hematomas, seromas, paraesthesias or deep vein thrombosis.
\n In our study we analysed retrospectively a group of 2644 cases of endovenous laser for varicosis veins performed in ProEstetica Clinic in 14 years. Complications were minor, having on the first place the ecchymosis – 56%, paraesthesias -10% and inflammatory reactions (trombophlebitis-like ) on the treated vein trajectory- 8% , with only one single cutaneous burn and no cases of deep vein thrombosis.
\n In conclusion, the complications of endovenous laser are minor, justifying why is the first method of treatment for varicosis veins.\n<\/p>\n
Scurt CV<\/span><\/p>\nDoctor \u00een medicin\u0103
\nMedic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
\nDr. \u0218tefan Jianu este absolvent al Facult\u0103\u021bii de Medicin\u0103 General\u0103 din cadrul U.M.F. “Carol Davila”, Bucure\u0219ti, \u00een anul 1988, cu media general\u0103 10, medic specialist chirurgie general\u0103 \u00een 1993, doctorand \u00een 1994, medic primar chirurgie general\u0103 \u00een 1998, din 2000 ob\u021bine competen\u021b\u0103 \u00een chirurgie laparoscopic\u0103 iar \u00een 2001 devine \u201cDoctor \u00een medicin\u0103\u201d al U.M.F. “Carol Davila”. Este membru fondator \u0219i pre\u0219edinte al Institutului Venelor iar din 1994 p\u00e2n\u0103 \u00een prezent continu\u0103 s\u0103 conduc\u0103 Departamentul de chirurgie general\u0103 \u0219i flebologie al Clinicii ProEstetica.
\nDr. \u0218tefan Jianu este un pionier al chirurgiei miniinvazive \u00een Rom\u00e2nia, realiz\u00e2nd o serie \u00eentreag\u0103 de premiere na\u021bionale precum primele opera\u021bii laparoscopice pentru ulcer perforat (1995 – Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 – PROESTETICA), primele flebectomii microchirurgicale (1998), primele opera\u021bii de varice cu laser endovenos \u00een 2004 \u2013 Clinica PROESTETICA \u0219i primele scleroterapii cu spum\u0103 ecoghidate \u00een acela\u0219i an. Are o mare experien\u021b\u0103 \u00een chirurgia varicelor – peste 30 de ani, cu cea mai mare cazuistic\u0103 de proceduri cu laser endovenos, pe care \u00eel practic\u0103 de peste 16 ani \u00een boala varicoas\u0103 dar \u0219i o \u00eendelungat\u0103 practic\u0103 a laserului transcutan \u0219i scleroterapiei pentru telangiectazii, venule \u0219i varice nesistematizate.
\nAre peste 100 prezent\u0103ri la Congrese \u0219i Conferin\u021be na\u021bionale \u0219i interna\u021bionale, cu articole publicate \u00een Revista rom\u00e2n\u0103 de flebologie, \u00een Revista rom\u00e2n\u0103 de chirurgie, \u00een Hernia, \u00een British Journal of surgery, International Angiology etc. Este autor \u0219i coautor al mai multor monografii \u0219i ghiduri, este membru al multor societ\u0103\u021bi academice, precum – Societatea rom\u00e2n\u0103 de flebologie, Societatea Interna\u021bional\u0103 de Medicin\u0103 \u0219i Chirurgie regenerativ\u0103, Societatea rom\u00e2n\u0103 de chirurgie, Societatea rom\u00e2n\u0103 de limfologie, Colegiul american de flebologie, Societatea francez\u0103 de flebologie, Societatea european\u0103 de hernie \u0219i tr\u0103ie\u0219te cu speran\u021ba de a face c\u00e2t mai mult bine semenilor s\u0103i.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@primaderma.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
![\"\"](\"https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/eventer_logo_150px.png\")
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
[\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Dr. Jianu \u015etefan Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaComplica\u021biile tratamentului cu laser endovenos \u00een boala varicoas\u0103 Autor: \u0218tefan Jianu Din 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8357","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":8364,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions\/8364"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Dr. Jianu \u015etefan<\/span><\/strong>
\nClinica ProEstetica, Bucure\u0219ti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
Complica\u021biile tratamentului cu laser endovenos \u00een boala varicoas\u0103<\/span>
\nAutor: \u0218tefan Jianu<\/span><\/p>\nDin 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate ghidurile interna\u021bionale de flebologie.
\nLaserul endovenos se practic\u0103 de regul\u0103 sub anestezie local\u0103 cu tumescen\u021b\u0103, prin introducerea unei fibre optice \u00een vena de tratat sub control ecografic \u0219i abla\u021bia termic\u0103 a venei care se \u00eenchide treptat sub efectul fotocoagul\u0103rii laserului. Este o procedur\u0103 ambulatorie, necesit\u0103 punc\u021bii sau microincizii, durerile postoperatorii sunt minime \u0219i recuperarea rapid\u0103. Cu toate acestea exist\u0103 \u0219i complica\u021bii ale laserului endovenos, specifice-precum arsurile cutanate, leziuni nervoase, fistula arteriovenoas\u0103, tromboze sau hiperpigmentare \u0219i nespecifice – precum echimoze, hematoame, seroame, parestezii sau tromboze venoase profunde.
\n\u00cen studiul nostru am analizat retrospectiv un grup de 2644 cazuri de varice operate cu laser endovenos \u00een Clinica ProEstetica \u00eentr-o perioad\u0103 de 14 ani. Complica\u021biile au fost minore, av\u00e2nd pe primul plan echimozele (asociate mai ales anesteziei locale cu tumescen\u021b\u0103 \u0219i administr\u0103rii de heparin\u0103 cu greutate molecular\u0103 mic\u0103 postinterven\u021bie) – 56%, paresteziile – 10% \u0219i fenomenele inflamatorii (trombophlebitis-like ) pe traiectul venei tratate – 8% , cu o singur\u0103 arsur\u0103 cutanat\u0103 \u0219i niciun caz cu tromboz\u0103 venoas\u0103 profund\u0103.
\n\u00cen concluzie complica\u021biile laserului endovenos sunt minore \u0219i justific\u0103 alegerea sa ca prim\u0103 metod\u0103 de tratament \u00een boal\u0103 varicoas\u0103.<\/p>\n
The complications of endovenous laser treatment for varicous veins<\/span>
\nAuthor: \u0218tefan Jianu<\/span><\/p>\nStarting since 2004 we performed for the first time in Romania the endovenous laser treatment for varicosis veins ,a minimal invasive method of thermal ablation which is mostly recommended in the last years by all the phlebological international guides as the first option for the treatment of varicosis veins.
\n Endovenous laser is performed usually under tumescent local anaesthesia, by the introduction of a laser fiber in the vein, firing the laser and retiring the fiber, obtaining the closing of the vein under the photocoagulation effect. It is an outpacient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. But there also described in the literature complications of the endovenous laser, specific- like cutaneous burns, neurologic injuries, arteriovenous fistulas, thrombosis or hyperpigmentations and nonspecific- like ecchymosis, hematomas, seromas, paraesthesias or deep vein thrombosis.
\n In our study we analysed retrospectively a group of 2644 cases of endovenous laser for varicosis veins performed in ProEstetica Clinic in 14 years. Complications were minor, having on the first place the ecchymosis – 56%, paraesthesias -10% and inflammatory reactions (trombophlebitis-like ) on the treated vein trajectory- 8% , with only one single cutaneous burn and no cases of deep vein thrombosis.
\n In conclusion, the complications of endovenous laser are minor, justifying why is the first method of treatment for varicosis veins.\n<\/p>\n
Scurt CV<\/span><\/p>\nDoctor \u00een medicin\u0103
\nMedic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
\nDr. \u0218tefan Jianu este absolvent al Facult\u0103\u021bii de Medicin\u0103 General\u0103 din cadrul U.M.F. “Carol Davila”, Bucure\u0219ti, \u00een anul 1988, cu media general\u0103 10, medic specialist chirurgie general\u0103 \u00een 1993, doctorand \u00een 1994, medic primar chirurgie general\u0103 \u00een 1998, din 2000 ob\u021bine competen\u021b\u0103 \u00een chirurgie laparoscopic\u0103 iar \u00een 2001 devine \u201cDoctor \u00een medicin\u0103\u201d al U.M.F. “Carol Davila”. Este membru fondator \u0219i pre\u0219edinte al Institutului Venelor iar din 1994 p\u00e2n\u0103 \u00een prezent continu\u0103 s\u0103 conduc\u0103 Departamentul de chirurgie general\u0103 \u0219i flebologie al Clinicii ProEstetica.
\nDr. \u0218tefan Jianu este un pionier al chirurgiei miniinvazive \u00een Rom\u00e2nia, realiz\u00e2nd o serie \u00eentreag\u0103 de premiere na\u021bionale precum primele opera\u021bii laparoscopice pentru ulcer perforat (1995 – Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 – PROESTETICA), primele flebectomii microchirurgicale (1998), primele opera\u021bii de varice cu laser endovenos \u00een 2004 \u2013 Clinica PROESTETICA \u0219i primele scleroterapii cu spum\u0103 ecoghidate \u00een acela\u0219i an. Are o mare experien\u021b\u0103 \u00een chirurgia varicelor – peste 30 de ani, cu cea mai mare cazuistic\u0103 de proceduri cu laser endovenos, pe care \u00eel practic\u0103 de peste 16 ani \u00een boala varicoas\u0103 dar \u0219i o \u00eendelungat\u0103 practic\u0103 a laserului transcutan \u0219i scleroterapiei pentru telangiectazii, venule \u0219i varice nesistematizate.
\nAre peste 100 prezent\u0103ri la Congrese \u0219i Conferin\u021be na\u021bionale \u0219i interna\u021bionale, cu articole publicate \u00een Revista rom\u00e2n\u0103 de flebologie, \u00een Revista rom\u00e2n\u0103 de chirurgie, \u00een Hernia, \u00een British Journal of surgery, International Angiology etc. Este autor \u0219i coautor al mai multor monografii \u0219i ghiduri, este membru al multor societ\u0103\u021bi academice, precum – Societatea rom\u00e2n\u0103 de flebologie, Societatea Interna\u021bional\u0103 de Medicin\u0103 \u0219i Chirurgie regenerativ\u0103, Societatea rom\u00e2n\u0103 de chirurgie, Societatea rom\u00e2n\u0103 de limfologie, Colegiul american de flebologie, Societatea francez\u0103 de flebologie, Societatea european\u0103 de hernie \u0219i tr\u0103ie\u0219te cu speran\u021ba de a face c\u00e2t mai mult bine semenilor s\u0103i.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
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Operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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Dr. Jianu \u015etefan Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaComplica\u021biile tratamentului cu laser endovenos \u00een boala varicoas\u0103 Autor: \u0218tefan Jianu Din 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8357","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":8364,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions\/8364"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nAutor: \u0218tefan Jianu<\/span><\/p>\n
Din 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate ghidurile interna\u021bionale de flebologie.
\nLaserul endovenos se practic\u0103 de regul\u0103 sub anestezie local\u0103 cu tumescen\u021b\u0103, prin introducerea unei fibre optice \u00een vena de tratat sub control ecografic \u0219i abla\u021bia termic\u0103 a venei care se \u00eenchide treptat sub efectul fotocoagul\u0103rii laserului. Este o procedur\u0103 ambulatorie, necesit\u0103 punc\u021bii sau microincizii, durerile postoperatorii sunt minime \u0219i recuperarea rapid\u0103. Cu toate acestea exist\u0103 \u0219i complica\u021bii ale laserului endovenos, specifice-precum arsurile cutanate, leziuni nervoase, fistula arteriovenoas\u0103, tromboze sau hiperpigmentare \u0219i nespecifice – precum echimoze, hematoame, seroame, parestezii sau tromboze venoase profunde.
\n\u00cen studiul nostru am analizat retrospectiv un grup de 2644 cazuri de varice operate cu laser endovenos \u00een Clinica ProEstetica \u00eentr-o perioad\u0103 de 14 ani. Complica\u021biile au fost minore, av\u00e2nd pe primul plan echimozele (asociate mai ales anesteziei locale cu tumescen\u021b\u0103 \u0219i administr\u0103rii de heparin\u0103 cu greutate molecular\u0103 mic\u0103 postinterven\u021bie) – 56%, paresteziile – 10% \u0219i fenomenele inflamatorii (trombophlebitis-like ) pe traiectul venei tratate – 8% , cu o singur\u0103 arsur\u0103 cutanat\u0103 \u0219i niciun caz cu tromboz\u0103 venoas\u0103 profund\u0103.
\n\u00cen concluzie complica\u021biile laserului endovenos sunt minore \u0219i justific\u0103 alegerea sa ca prim\u0103 metod\u0103 de tratament \u00een boal\u0103 varicoas\u0103.<\/p>\n
The complications of endovenous laser treatment for varicous veins<\/span> Starting since 2004 we performed for the first time in Romania the endovenous laser treatment for varicosis veins ,a minimal invasive method of thermal ablation which is mostly recommended in the last years by all the phlebological international guides as the first option for the treatment of varicosis veins. Scurt CV<\/span><\/p>\n Doctor \u00een medicin\u0103 Contacteaz\u0103 operatorul PDI 2020<\/p>\n [\/et_pb_text][et_pb_contact_form email=”contact@primaderma.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n Operatorul PDI 2020<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n <\/span><\/p>\n <\/span><\/p>\n Adresa: Str. A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Dr. Jianu \u015etefan Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaComplica\u021biile tratamentului cu laser endovenos \u00een boala varicoas\u0103 Autor: \u0218tefan Jianu Din 2004 am introdus prima dat\u0103 \u00een \u021bar\u0103 tratamentul varicelor cu LASER endovenos, metod\u0103 modern\u0103 de abla\u021bie termic\u0103 minim invaziv\u0103, care este recomandat\u0103 \u00een ultimii ani ca prima op\u021biune de tratament, \u00een cazul varicelor sistematizate, de c\u0103tre toate […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8357","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":8364,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8357\/revisions\/8364"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nAuthor: \u0218tefan Jianu<\/span><\/p>\n
\n Endovenous laser is performed usually under tumescent local anaesthesia, by the introduction of a laser fiber in the vein, firing the laser and retiring the fiber, obtaining the closing of the vein under the photocoagulation effect. It is an outpacient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. But there also described in the literature complications of the endovenous laser, specific- like cutaneous burns, neurologic injuries, arteriovenous fistulas, thrombosis or hyperpigmentations and nonspecific- like ecchymosis, hematomas, seromas, paraesthesias or deep vein thrombosis.
\n In our study we analysed retrospectively a group of 2644 cases of endovenous laser for varicosis veins performed in ProEstetica Clinic in 14 years. Complications were minor, having on the first place the ecchymosis – 56%, paraesthesias -10% and inflammatory reactions (trombophlebitis-like ) on the treated vein trajectory- 8% , with only one single cutaneous burn and no cases of deep vein thrombosis.
\n In conclusion, the complications of endovenous laser are minor, justifying why is the first method of treatment for varicosis veins.\n<\/p>\n
\nMedic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
\nDr. \u0218tefan Jianu este absolvent al Facult\u0103\u021bii de Medicin\u0103 General\u0103 din cadrul U.M.F. “Carol Davila”, Bucure\u0219ti, \u00een anul 1988, cu media general\u0103 10, medic specialist chirurgie general\u0103 \u00een 1993, doctorand \u00een 1994, medic primar chirurgie general\u0103 \u00een 1998, din 2000 ob\u021bine competen\u021b\u0103 \u00een chirurgie laparoscopic\u0103 iar \u00een 2001 devine \u201cDoctor \u00een medicin\u0103\u201d al U.M.F. “Carol Davila”. Este membru fondator \u0219i pre\u0219edinte al Institutului Venelor iar din 1994 p\u00e2n\u0103 \u00een prezent continu\u0103 s\u0103 conduc\u0103 Departamentul de chirurgie general\u0103 \u0219i flebologie al Clinicii ProEstetica.
\nDr. \u0218tefan Jianu este un pionier al chirurgiei miniinvazive \u00een Rom\u00e2nia, realiz\u00e2nd o serie \u00eentreag\u0103 de premiere na\u021bionale precum primele opera\u021bii laparoscopice pentru ulcer perforat (1995 – Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 – PROESTETICA), primele flebectomii microchirurgicale (1998), primele opera\u021bii de varice cu laser endovenos \u00een 2004 \u2013 Clinica PROESTETICA \u0219i primele scleroterapii cu spum\u0103 ecoghidate \u00een acela\u0219i an. Are o mare experien\u021b\u0103 \u00een chirurgia varicelor – peste 30 de ani, cu cea mai mare cazuistic\u0103 de proceduri cu laser endovenos, pe care \u00eel practic\u0103 de peste 16 ani \u00een boala varicoas\u0103 dar \u0219i o \u00eendelungat\u0103 practic\u0103 a laserului transcutan \u0219i scleroterapiei pentru telangiectazii, venule \u0219i varice nesistematizate.
\nAre peste 100 prezent\u0103ri la Congrese \u0219i Conferin\u021be na\u021bionale \u0219i interna\u021bionale, cu articole publicate \u00een Revista rom\u00e2n\u0103 de flebologie, \u00een Revista rom\u00e2n\u0103 de chirurgie, \u00een Hernia, \u00een British Journal of surgery, International Angiology etc. Este autor \u0219i coautor al mai multor monografii \u0219i ghiduri, este membru al multor societ\u0103\u021bi academice, precum – Societatea rom\u00e2n\u0103 de flebologie, Societatea Interna\u021bional\u0103 de Medicin\u0103 \u0219i Chirurgie regenerativ\u0103, Societatea rom\u00e2n\u0103 de chirurgie, Societatea rom\u00e2n\u0103 de limfologie, Colegiul american de flebologie, Societatea francez\u0103 de flebologie, Societatea european\u0103 de hernie \u0219i tr\u0103ie\u0219te cu speran\u021ba de a face c\u00e2t mai mult bine semenilor s\u0103i.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n<\/span><\/p>\n
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n