<\/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=”4.9.7″ hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n
Rolul laserului in tratamentul varicelor si tengiectaziilor- experienta personala<\/span>
Autor: \u0218tefan Jianu<\/span><\/p>\nAm inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu obiectivul de a evalua noua metoda cu laser prin comparatie cu metoda traditionala de chirurgie deschisa in tratarea venelor safene mari si mici incompetente.
In tratarea venulelor si telangiectaziilor am folosit diferite lasere- cu Argon, laser dioda 810 nm si 980 nm, cu sau fara racire, Nd-Yag sau IPL, ca proceduri separate sau in asociere cu scleroterapia. Pentru evaluarea rezultatelor am facut un studiu retrospectiv, comparand trei grupuri de pacienti, primul grup numai cu scleroterapie, al doilea grup numai cu tratament laser transcutan si al treilea grup cu ambele tratamente, scleroterapie mai intai si apoi laser transcutan. Ca tratament unic scleroterapia a fost mai eficienta decat laserul si , deasemenea, mai ieftina. Surpriza a fost ca asocierea dintre scleroterapie ca prim tratament si laserterapie ca al doilea a avut cele mai bune rezultate. In concluzie recomandam scleroterapia ca prima optiune in tratamentul venulelor si telangiectaziilor , in asociere cu laserul in timpul doi pentru a obtine cele mai bune rezultate.
Pana in 2008 am reusit sa randomizam bine pacientii in cele doua grupuri cu chirurgia varicelor deschisa si laser endovenos pentru varice.Dupa 2008 a devenit foarte clar ca pacientii au inceput sa fie mult mai bine informati si din ce in ce mai multi au preferat tratmentul miniinvaziv cu laser endovenos. Toate procedeele au fost practicate sub anestezie tumescenta locala, cu sau fara sedare intravenoasa, ambulator si toti pacientii au fost urmariti cu Duplex la 7 si 30 de zile postoperator, apoi la 6 luni si in fiecare an dupa interventie. Rezultatele au fost similare in ceea ce priveste recurenta dar morbiditatea si timpul de recuperare postoperatorie au fost mult mai mari dupa chirurgia deschisa. In concluzie laserul endovenos utilizat in tratamentul varicelor este urmat de mai putine complicatii si zile de recuperare postoperatorie, fiind preferat de majoritatea pacientilor.<\/p>\n
The role of laser in the treatment of varicous veins and spider veins- personal experience<\/span>
Autor: \u0218tefan Jianu<\/span><\/p>\nWe started to use the laser in the treatment of spider veins and telangiectasia in 1995, making alternative treatments with sclerotherapy. In 2004 we introduced first time in Romania the endovenous laser for the treatment of varicous veins and with this occasion we started a prospective study, with the target to evaluate the new laser method and to compare it with the old traditional open surgical method, for the treatment of incompetent great and small saphenous veins.
In the treatment of spider veins and telangiectasia we used different lasers- Argon laser, diode laser 810 nm and 980 nm, with or without cooling, Nd-Yag or IPL, like separate procedures or associated with sclerotherapy. For evaluation of the results we made a retrospective study , comparing three groups of patients, first group with only sclerotherapy procedure, second group with only lasertherapy transcutaneous and the third one with both, sclerotherapy and laser.Like unique treatment- sclerotherapy was more effective than lasertherapy and cheaper. The surprise was that the association between sclerotherapy as first treatment and lasertherapy as second has the best results. In conclusion we recommend the sclerotherapy as the first option for the treatment of spider veins and telangiectasia, associated with laser in the second step for better results.
Until 2008 we managed to randomise well the patients in the two groups with open surgery and endovenous laser for varicous veins. After 2008 it was clear that the patients begin to be much better informed and more and more preferred the miniinvasive treatment with laser. All the procedures were performed under local- tumescent anaesthesia and ambulatory and all the patients were controlled with Duplex at 7 days postop, at 30 days, 6 months, one year and every year after. The results were similar in therms of recurrency but the morbidity and the time of recovery were much higher. In conclusion the endovenous laser for varicous veins brings less complications and less recovery days, being preferred by the majority of patients.<\/p>\n
Scurt CV<\/span><\/p>\nDoctor \u00een medicin\u0103
Medic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
Dr. \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.
Dr. \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.
Are 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.<\/p>\n
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Contacteaz\u0103 operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/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=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
![\"\"](\"https:\/\/pdi.ro\/2021\/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
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Dr. Jianu \u015etefan Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaRolul laserului in tratamentul varicelor si tengiectaziilor- experienta personalaAutor: \u0218tefan Jianu Am inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu […]<\/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\/2021\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":8,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":10018,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions\/10018"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/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=”4.9.7″ hover_enabled=”0″ sticky_enabled=”0″]<\/p>\n
Rolul laserului in tratamentul varicelor si tengiectaziilor- experienta personala<\/span>
Autor: \u0218tefan Jianu<\/span><\/p>\nAm inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu obiectivul de a evalua noua metoda cu laser prin comparatie cu metoda traditionala de chirurgie deschisa in tratarea venelor safene mari si mici incompetente.
In tratarea venulelor si telangiectaziilor am folosit diferite lasere- cu Argon, laser dioda 810 nm si 980 nm, cu sau fara racire, Nd-Yag sau IPL, ca proceduri separate sau in asociere cu scleroterapia. Pentru evaluarea rezultatelor am facut un studiu retrospectiv, comparand trei grupuri de pacienti, primul grup numai cu scleroterapie, al doilea grup numai cu tratament laser transcutan si al treilea grup cu ambele tratamente, scleroterapie mai intai si apoi laser transcutan. Ca tratament unic scleroterapia a fost mai eficienta decat laserul si , deasemenea, mai ieftina. Surpriza a fost ca asocierea dintre scleroterapie ca prim tratament si laserterapie ca al doilea a avut cele mai bune rezultate. In concluzie recomandam scleroterapia ca prima optiune in tratamentul venulelor si telangiectaziilor , in asociere cu laserul in timpul doi pentru a obtine cele mai bune rezultate.
Pana in 2008 am reusit sa randomizam bine pacientii in cele doua grupuri cu chirurgia varicelor deschisa si laser endovenos pentru varice.Dupa 2008 a devenit foarte clar ca pacientii au inceput sa fie mult mai bine informati si din ce in ce mai multi au preferat tratmentul miniinvaziv cu laser endovenos. Toate procedeele au fost practicate sub anestezie tumescenta locala, cu sau fara sedare intravenoasa, ambulator si toti pacientii au fost urmariti cu Duplex la 7 si 30 de zile postoperator, apoi la 6 luni si in fiecare an dupa interventie. Rezultatele au fost similare in ceea ce priveste recurenta dar morbiditatea si timpul de recuperare postoperatorie au fost mult mai mari dupa chirurgia deschisa. In concluzie laserul endovenos utilizat in tratamentul varicelor este urmat de mai putine complicatii si zile de recuperare postoperatorie, fiind preferat de majoritatea pacientilor.<\/p>\n
The role of laser in the treatment of varicous veins and spider veins- personal experience<\/span>
Autor: \u0218tefan Jianu<\/span><\/p>\nWe started to use the laser in the treatment of spider veins and telangiectasia in 1995, making alternative treatments with sclerotherapy. In 2004 we introduced first time in Romania the endovenous laser for the treatment of varicous veins and with this occasion we started a prospective study, with the target to evaluate the new laser method and to compare it with the old traditional open surgical method, for the treatment of incompetent great and small saphenous veins.
In the treatment of spider veins and telangiectasia we used different lasers- Argon laser, diode laser 810 nm and 980 nm, with or without cooling, Nd-Yag or IPL, like separate procedures or associated with sclerotherapy. For evaluation of the results we made a retrospective study , comparing three groups of patients, first group with only sclerotherapy procedure, second group with only lasertherapy transcutaneous and the third one with both, sclerotherapy and laser.Like unique treatment- sclerotherapy was more effective than lasertherapy and cheaper. The surprise was that the association between sclerotherapy as first treatment and lasertherapy as second has the best results. In conclusion we recommend the sclerotherapy as the first option for the treatment of spider veins and telangiectasia, associated with laser in the second step for better results.
Until 2008 we managed to randomise well the patients in the two groups with open surgery and endovenous laser for varicous veins. After 2008 it was clear that the patients begin to be much better informed and more and more preferred the miniinvasive treatment with laser. All the procedures were performed under local- tumescent anaesthesia and ambulatory and all the patients were controlled with Duplex at 7 days postop, at 30 days, 6 months, one year and every year after. The results were similar in therms of recurrency but the morbidity and the time of recovery were much higher. In conclusion the endovenous laser for varicous veins brings less complications and less recovery days, being preferred by the majority of patients.<\/p>\n
Scurt CV<\/span><\/p>\nDoctor \u00een medicin\u0103
Medic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
Dr. \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.
Dr. \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.
Are 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.<\/p>\n
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Contacteaz\u0103 operatorul PDI 2021<\/p>\n
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Operatorul PDI 2021<\/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\u00e2niaRolul laserului in tratamentul varicelor si tengiectaziilor- experienta personalaAutor: \u0218tefan Jianu Am inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu […]<\/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\/2021\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":8,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":10018,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions\/10018"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=8357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autor: \u0218tefan Jianu<\/span><\/p>\n
Am inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu obiectivul de a evalua noua metoda cu laser prin comparatie cu metoda traditionala de chirurgie deschisa in tratarea venelor safene mari si mici incompetente.
In tratarea venulelor si telangiectaziilor am folosit diferite lasere- cu Argon, laser dioda 810 nm si 980 nm, cu sau fara racire, Nd-Yag sau IPL, ca proceduri separate sau in asociere cu scleroterapia. Pentru evaluarea rezultatelor am facut un studiu retrospectiv, comparand trei grupuri de pacienti, primul grup numai cu scleroterapie, al doilea grup numai cu tratament laser transcutan si al treilea grup cu ambele tratamente, scleroterapie mai intai si apoi laser transcutan. Ca tratament unic scleroterapia a fost mai eficienta decat laserul si , deasemenea, mai ieftina. Surpriza a fost ca asocierea dintre scleroterapie ca prim tratament si laserterapie ca al doilea a avut cele mai bune rezultate. In concluzie recomandam scleroterapia ca prima optiune in tratamentul venulelor si telangiectaziilor , in asociere cu laserul in timpul doi pentru a obtine cele mai bune rezultate.
Pana in 2008 am reusit sa randomizam bine pacientii in cele doua grupuri cu chirurgia varicelor deschisa si laser endovenos pentru varice.Dupa 2008 a devenit foarte clar ca pacientii au inceput sa fie mult mai bine informati si din ce in ce mai multi au preferat tratmentul miniinvaziv cu laser endovenos. Toate procedeele au fost practicate sub anestezie tumescenta locala, cu sau fara sedare intravenoasa, ambulator si toti pacientii au fost urmariti cu Duplex la 7 si 30 de zile postoperator, apoi la 6 luni si in fiecare an dupa interventie. Rezultatele au fost similare in ceea ce priveste recurenta dar morbiditatea si timpul de recuperare postoperatorie au fost mult mai mari dupa chirurgia deschisa. In concluzie laserul endovenos utilizat in tratamentul varicelor este urmat de mai putine complicatii si zile de recuperare postoperatorie, fiind preferat de majoritatea pacientilor.<\/p>\n
The role of laser in the treatment of varicous veins and spider veins- personal experience<\/span> We started to use the laser in the treatment of spider veins and telangiectasia in 1995, making alternative treatments with sclerotherapy. In 2004 we introduced first time in Romania the endovenous laser for the treatment of varicous veins and with this occasion we started a prospective study, with the target to evaluate the new laser method and to compare it with the old traditional open surgical method, for the treatment of incompetent great and small saphenous veins. Scurt CV<\/span><\/p>\n Doctor \u00een medicin\u0103 [\/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\/2021\/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 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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=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n Operatorul PDI 2021<\/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\u00e2niaRolul laserului in tratamentul varicelor si tengiectaziilor- experienta personalaAutor: \u0218tefan Jianu Am inceput sa folosim laserul in tratamentul venulelor si telangiectaziilor in 1995, alternativ cu scleroterapia. In 2004 am introdus pentru prima data in Romania laserul endovenos in tratamentul varicelor, ocazie cu care am pornit un studiu prospectiv, cu […]<\/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\/2021\/wp-json\/wp\/v2\/pages\/8357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=8357"}],"version-history":[{"count":8,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions"}],"predecessor-version":[{"id":10018,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/8357\/revisions\/10018"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=8357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autor: \u0218tefan Jianu<\/span><\/p>\n
In the treatment of spider veins and telangiectasia we used different lasers- Argon laser, diode laser 810 nm and 980 nm, with or without cooling, Nd-Yag or IPL, like separate procedures or associated with sclerotherapy. For evaluation of the results we made a retrospective study , comparing three groups of patients, first group with only sclerotherapy procedure, second group with only lasertherapy transcutaneous and the third one with both, sclerotherapy and laser.Like unique treatment- sclerotherapy was more effective than lasertherapy and cheaper. The surprise was that the association between sclerotherapy as first treatment and lasertherapy as second has the best results. In conclusion we recommend the sclerotherapy as the first option for the treatment of spider veins and telangiectasia, associated with laser in the second step for better results.
Until 2008 we managed to randomise well the patients in the two groups with open surgery and endovenous laser for varicous veins. After 2008 it was clear that the patients begin to be much better informed and more and more preferred the miniinvasive treatment with laser. All the procedures were performed under local- tumescent anaesthesia and ambulatory and all the patients were controlled with Duplex at 7 days postop, at 30 days, 6 months, one year and every year after. The results were similar in therms of recurrency but the morbidity and the time of recovery were much higher. In conclusion the endovenous laser for varicous veins brings less complications and less recovery days, being preferred by the majority of patients.<\/p>\n
Medic primar chirurgie general\u0103, competen\u021ba \u00een chirurgie laparoscopic\u0103
Dr. \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.
Dr. \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.
Are 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.<\/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