<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\nDr. \u0218tefan Jianu<\/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=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.20.2″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
Istoricul laserului in tratamentul bolii venoase cronice – de la inceput pana in zilele noastre<\/span><\/p>\nAutor: Stefan Jianu<\/span><\/p>\nCuvinte cheie: istoric, laser, boala venoasa cronica<\/p>\n
Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru punerea in practica a cunostintelor teoretice si crearea primului laser cu rubin. Evolutia laserului a fost apoi rapida, catre diferite tipuri de producere a luminii amplificate, catre puteri si lungimi de unda variabile, catre utilizari din ce in ce mai largi si catre dimensiuni si costuri cat mai reduse.
Asa s-a ajuns ca laserul sa fie folosit si in tratamentul bolii venoase cronice, atat transcutan pentru telangiectazii si venule reticulare sau unele malformatii venoase, cat si endovenos, ca o modalitate de ablatie termica minim invaziva, care este recomandata in ultimii ani ca prima optiune de tratament, in cazul varicelor sistematizate, de toate ghidurile internationale de flebologie.
Laserul endovenos se practica de regula sub anestezie locala cu tumescenta, prin introducerea unei fibre optice in vena de tratat sub control ecografic si ablatia termica a venei care se inchide treptat sub efectul fotocoagularii laserului. Este o procedura ambulatorie, necesita punctii sau microincizii, durerile postoperatorii sunt minime si recuperarea rapida. Noi am inceput acum 20 de ani sa utilizam laserul endovenos in Clinica ProEstetica si acum am facut o analiza retrospectiva a celor aproape 5000 de pacienti operati pentru varice sistematizate in acest interval de timp, comparand rezultatele laserului endovenos cu cele ale chirurgiei clasice deschise. Avantajele laserului endovenos in tratamentul varicelor au reiesit clar in studiul nostru : mai putin traumatic decat chirurgia deschisa, mai putine complicatii pe termen scurt si lung, mai putine dureri, cu o rata a recidivei comparabila cu chirurgia dar cu o acceptare mult mai buna a pacientilor.
Si in tratamentul cu laser transcutan avem o experienta de peste 20 de ani si am facut deasemenea un studiu retrospectiv, evaluand in jur de 4500 de pacienti cu venule reticulare, tratati cu laser, scleroterapie sau cu ambele procedee . Eficienta scleroterapiei a fost mai buna decat a laserului transcutan dar rezultatele cele mai bune s-au obtinut la asocierea scleroterapiei cu laser ulterior.
In concluzie tratamentul cu laser ocupa azi un loc important in boala venoasa cronica, atat ca laser endovenos pentru varice sistematizate cat si ca laser transcutan pentru telangiectazii si venule reticulare.<\/p>\n
The history of laser in the treatment of chronic venous disease- from birth to our days<\/span><\/p>\nAuthor: Stefan Jianu<\/span><\/p>\nKeywords: history, laser, chronic venous disease<\/p>\n
In 1917 Albert Einstein made the theoretical basement of laser and maser but it was necessary other 40 years for creating the first laser with ruby. The evolution of laser was after that quick, to different tips of source for light amplification, to variable power and wavelengths, to wider utilization and to lower cost and dimension.
This way the laser became a powerful tool for the treatment of chronic venous disease, transcutaneous laser for telangiectasia, reticular veins and some venous malformations and endovenous laser as minim invasive thermic ablation for varicose veins, in the last years recommended as the first option by all the international guidelines for phlebology.
Endovenous laser is performed usually under tumescent local anesthesia, 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 outpatient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. We started endovenous laser 20 years ago in ProEstetica Clinic and now we made a retrospective study of the 5000 patients operated for varicose veins in this period in the clinic and we compared the results of endovenous laser with the results of open surgery. The advantages of endovenous laser in the treatment of varicose veins were very clear in our study: less traumatic than open surgery, less complications on short and long term, less pain, comparable recurrency rate and better acceptance from the patients.
Also, in the treatment with transcutaneous laser we have more than 20 years of experience and we made a retrospective study of the 4500 patients with reticular veins, treated with sclerotherapy, laser or both methods. Sclerotherapy efficiency was better than transcutaneous laser but the best results were after association of sclerotherapy with laser.
In conclusion laser treatment plays now an important role in chronic venous disease, as endovenous laser for varicose veins but also as transcutaneous laser for telangiectasia and reticular veins.<\/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. \u201eCarol Davila\u201d, 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. \u201eCarol Davila\u201d. 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 \u2013 Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 \u2013 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 \u2013 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 \u2013 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
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.19.4″ background_color=”rgba(240,98,42,0.19)” background_image=”https:\/\/pdi.ro\/2023\/wp-content\/uploads\/2022\/12\/PDI2023_header__-scaled.jpg” background_blend=”multiply” 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=”#F0622A” bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop” global_module=”9177″ saved_tabs=”all” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”4.19.4″ custom_padding=”100px|0px|69px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text disabled_on=”off|off|off” _builder_version=”4.20.2″ 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” global_colors_info=”{}”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2023<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro” submit_button_text=”Trimite mesajul” disabled_on=”off|off|off” _builder_version=”4.20.2″ _unique_id=”794aaef5-e005-432a-99fb-9ca53e06d67b” title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A” global_colors_info=”{}”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” global_colors_info=”{}”]<\/p>\n
Operatorul PDI 2023<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”||||||||” global_colors_info=”{}”]<\/p>\n
![\"\"](\"https:\/\/pdi.ro\/2023\/2022\/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: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n
Parteneri Media<\/p>\n
[\/et_pb_text][et_pb_slider disabled_on=”on|on|on” _builder_version=”4.19.4″ _module_preset=”default” position_origin_r=”bottom_left” width=”200px” max_width=”200px” content_width=”200px” content_max_width=”200px” min_height=”100px” height=”100px” max_height=”100px” custom_margin=”0px||0px||false|false” custom_padding=”0px||0px||false|false” auto=”on” auto_speed=”3000″ disabled=”on” global_colors_info=”{}”][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/ziaruldeiasi_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.ziaruldeiasi.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/timpul_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”#” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/medical-market_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/issuu.com\/finwatch\/docs\/dermato?fr=sYWIzMjQ1MDUxNTY” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/agerpress_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.agerpres.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][\/et_pb_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Dr. \u0218tefan Jianu Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaIstoricul laserului in tratamentul bolii venoase cronice – de la inceput pana in zilele noastre Autor: Stefan Jianu Cuvinte cheie: istoric, laser, boala venoasa cronica Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru […]<\/p>\n","protected":false},"author":2,"featured_media":12296,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-12295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/comments?post=12295"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions"}],"predecessor-version":[{"id":12949,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions\/12949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media\/12296"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media?parent=12295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/categories?post=12295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/tags?post=12295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Dr. \u0218tefan Jianu<\/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=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.20.2″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
Istoricul laserului in tratamentul bolii venoase cronice – de la inceput pana in zilele noastre<\/span><\/p>\nAutor: Stefan Jianu<\/span><\/p>\nCuvinte cheie: istoric, laser, boala venoasa cronica<\/p>\n
Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru punerea in practica a cunostintelor teoretice si crearea primului laser cu rubin. Evolutia laserului a fost apoi rapida, catre diferite tipuri de producere a luminii amplificate, catre puteri si lungimi de unda variabile, catre utilizari din ce in ce mai largi si catre dimensiuni si costuri cat mai reduse.
Asa s-a ajuns ca laserul sa fie folosit si in tratamentul bolii venoase cronice, atat transcutan pentru telangiectazii si venule reticulare sau unele malformatii venoase, cat si endovenos, ca o modalitate de ablatie termica minim invaziva, care este recomandata in ultimii ani ca prima optiune de tratament, in cazul varicelor sistematizate, de toate ghidurile internationale de flebologie.
Laserul endovenos se practica de regula sub anestezie locala cu tumescenta, prin introducerea unei fibre optice in vena de tratat sub control ecografic si ablatia termica a venei care se inchide treptat sub efectul fotocoagularii laserului. Este o procedura ambulatorie, necesita punctii sau microincizii, durerile postoperatorii sunt minime si recuperarea rapida. Noi am inceput acum 20 de ani sa utilizam laserul endovenos in Clinica ProEstetica si acum am facut o analiza retrospectiva a celor aproape 5000 de pacienti operati pentru varice sistematizate in acest interval de timp, comparand rezultatele laserului endovenos cu cele ale chirurgiei clasice deschise. Avantajele laserului endovenos in tratamentul varicelor au reiesit clar in studiul nostru : mai putin traumatic decat chirurgia deschisa, mai putine complicatii pe termen scurt si lung, mai putine dureri, cu o rata a recidivei comparabila cu chirurgia dar cu o acceptare mult mai buna a pacientilor.
Si in tratamentul cu laser transcutan avem o experienta de peste 20 de ani si am facut deasemenea un studiu retrospectiv, evaluand in jur de 4500 de pacienti cu venule reticulare, tratati cu laser, scleroterapie sau cu ambele procedee . Eficienta scleroterapiei a fost mai buna decat a laserului transcutan dar rezultatele cele mai bune s-au obtinut la asocierea scleroterapiei cu laser ulterior.
In concluzie tratamentul cu laser ocupa azi un loc important in boala venoasa cronica, atat ca laser endovenos pentru varice sistematizate cat si ca laser transcutan pentru telangiectazii si venule reticulare.<\/p>\n
The history of laser in the treatment of chronic venous disease- from birth to our days<\/span><\/p>\nAuthor: Stefan Jianu<\/span><\/p>\nKeywords: history, laser, chronic venous disease<\/p>\n
In 1917 Albert Einstein made the theoretical basement of laser and maser but it was necessary other 40 years for creating the first laser with ruby. The evolution of laser was after that quick, to different tips of source for light amplification, to variable power and wavelengths, to wider utilization and to lower cost and dimension.
This way the laser became a powerful tool for the treatment of chronic venous disease, transcutaneous laser for telangiectasia, reticular veins and some venous malformations and endovenous laser as minim invasive thermic ablation for varicose veins, in the last years recommended as the first option by all the international guidelines for phlebology.
Endovenous laser is performed usually under tumescent local anesthesia, 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 outpatient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. We started endovenous laser 20 years ago in ProEstetica Clinic and now we made a retrospective study of the 5000 patients operated for varicose veins in this period in the clinic and we compared the results of endovenous laser with the results of open surgery. The advantages of endovenous laser in the treatment of varicose veins were very clear in our study: less traumatic than open surgery, less complications on short and long term, less pain, comparable recurrency rate and better acceptance from the patients.
Also, in the treatment with transcutaneous laser we have more than 20 years of experience and we made a retrospective study of the 4500 patients with reticular veins, treated with sclerotherapy, laser or both methods. Sclerotherapy efficiency was better than transcutaneous laser but the best results were after association of sclerotherapy with laser.
In conclusion laser treatment plays now an important role in chronic venous disease, as endovenous laser for varicose veins but also as transcutaneous laser for telangiectasia and reticular veins.<\/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. \u201eCarol Davila\u201d, 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. \u201eCarol Davila\u201d. 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 \u2013 Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 \u2013 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 \u2013 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 \u2013 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
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.19.4″ background_color=”rgba(240,98,42,0.19)” background_image=”https:\/\/pdi.ro\/2023\/wp-content\/uploads\/2022\/12\/PDI2023_header__-scaled.jpg” background_blend=”multiply” 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=”#F0622A” bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop” global_module=”9177″ saved_tabs=”all” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”4.19.4″ custom_padding=”100px|0px|69px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text disabled_on=”off|off|off” _builder_version=”4.20.2″ 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” global_colors_info=”{}”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2023<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro” submit_button_text=”Trimite mesajul” disabled_on=”off|off|off” _builder_version=”4.20.2″ _unique_id=”794aaef5-e005-432a-99fb-9ca53e06d67b” title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A” global_colors_info=”{}”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” global_colors_info=”{}”]<\/p>\n
Operatorul PDI 2023<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”||||||||” global_colors_info=”{}”]<\/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: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n
Parteneri Media<\/p>\n
[\/et_pb_text][et_pb_slider disabled_on=”on|on|on” _builder_version=”4.19.4″ _module_preset=”default” position_origin_r=”bottom_left” width=”200px” max_width=”200px” content_width=”200px” content_max_width=”200px” min_height=”100px” height=”100px” max_height=”100px” custom_margin=”0px||0px||false|false” custom_padding=”0px||0px||false|false” auto=”on” auto_speed=”3000″ disabled=”on” global_colors_info=”{}”][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/ziaruldeiasi_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.ziaruldeiasi.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/timpul_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”#” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/medical-market_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/issuu.com\/finwatch\/docs\/dermato?fr=sYWIzMjQ1MDUxNTY” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/agerpress_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.agerpres.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][\/et_pb_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Dr. \u0218tefan Jianu Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaIstoricul laserului in tratamentul bolii venoase cronice – de la inceput pana in zilele noastre Autor: Stefan Jianu Cuvinte cheie: istoric, laser, boala venoasa cronica Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru […]<\/p>\n","protected":false},"author":2,"featured_media":12296,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-12295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/comments?post=12295"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions"}],"predecessor-version":[{"id":12949,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions\/12949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media\/12296"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media?parent=12295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/categories?post=12295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/tags?post=12295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autor: Stefan Jianu<\/span><\/p>\n Cuvinte cheie: istoric, laser, boala venoasa cronica<\/p>\n Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru punerea in practica a cunostintelor teoretice si crearea primului laser cu rubin. Evolutia laserului a fost apoi rapida, catre diferite tipuri de producere a luminii amplificate, catre puteri si lungimi de unda variabile, catre utilizari din ce in ce mai largi si catre dimensiuni si costuri cat mai reduse. The history of laser in the treatment of chronic venous disease- from birth to our days<\/span><\/p>\n Author: Stefan Jianu<\/span><\/p>\n Keywords: history, laser, chronic venous disease<\/p>\n In 1917 Albert Einstein made the theoretical basement of laser and maser but it was necessary other 40 years for creating the first laser with ruby. The evolution of laser was after that quick, to different tips of source for light amplification, to variable power and wavelengths, to wider utilization and to lower cost and dimension. 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=”4.19.4″ background_color=”rgba(240,98,42,0.19)” background_image=”https:\/\/pdi.ro\/2023\/wp-content\/uploads\/2022\/12\/PDI2023_header__-scaled.jpg” background_blend=”multiply” 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=”#F0622A” bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop” global_module=”9177″ saved_tabs=”all” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”4.19.4″ custom_padding=”100px|0px|69px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text disabled_on=”off|off|off” _builder_version=”4.20.2″ 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” global_colors_info=”{}”]<\/p>\n Contacteaz\u0103 operatorul PDI 2023<\/p>\n [\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro” submit_button_text=”Trimite mesajul” disabled_on=”off|off|off” _builder_version=”4.20.2″ _unique_id=”794aaef5-e005-432a-99fb-9ca53e06d67b” title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A” global_colors_info=”{}”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ global_colors_info=”{}” 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=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” global_colors_info=”{}”]<\/p>\n Operatorul PDI 2023<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.16″ text_font=”||||||||” global_colors_info=”{}”]<\/p>\n <\/span><\/p>\n <\/span><\/p>\n Adresa: Str. A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”on|on|on” _builder_version=”4.19.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” disabled=”on” locked=”off” global_colors_info=”{}”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_slider disabled_on=”on|on|on” _builder_version=”4.19.4″ _module_preset=”default” position_origin_r=”bottom_left” width=”200px” max_width=”200px” content_width=”200px” content_max_width=”200px” min_height=”100px” height=”100px” max_height=”100px” custom_margin=”0px||0px||false|false” custom_padding=”0px||0px||false|false” auto=”on” auto_speed=”3000″ disabled=”on” global_colors_info=”{}”][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/ziaruldeiasi_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.ziaruldeiasi.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/timpul_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”#” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/medical-market_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/issuu.com\/finwatch\/docs\/dermato?fr=sYWIzMjQ1MDUxNTY” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][et_pb_slide _builder_version=”4.17.3″ _module_preset=”default” background_enable_color=”off” background_image=”https:\/\/pdi.ro\/2023\/2022\/wp-content\/uploads\/2022\/05\/agerpress_.jpg” background_enable_image=”on” background_size=”initial” custom_padding=”0px||0px||false|false” link_option_url=”https:\/\/www.agerpres.ro\/” link_option_url_new_window=”on” global_colors_info=”{}” sticky_transition=”on”][\/et_pb_slide][\/et_pb_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Dr. \u0218tefan Jianu Clinica ProEstetica, Bucure\u0219ti, Rom\u00e2niaIstoricul laserului in tratamentul bolii venoase cronice – de la inceput pana in zilele noastre Autor: Stefan Jianu Cuvinte cheie: istoric, laser, boala venoasa cronica Inca din 1917 Albert Einstein a pus bazele teoretice ale laser-ului si maser-ului dar a mai fost nevoie de inca 40 de ani pentru […]<\/p>\n","protected":false},"author":2,"featured_media":12296,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-12295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/comments?post=12295"}],"version-history":[{"count":7,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions"}],"predecessor-version":[{"id":12949,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/12295\/revisions\/12949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media\/12296"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media?parent=12295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/categories?post=12295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/tags?post=12295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Asa s-a ajuns ca laserul sa fie folosit si in tratamentul bolii venoase cronice, atat transcutan pentru telangiectazii si venule reticulare sau unele malformatii venoase, cat si endovenos, ca o modalitate de ablatie termica minim invaziva, care este recomandata in ultimii ani ca prima optiune de tratament, in cazul varicelor sistematizate, de toate ghidurile internationale de flebologie.
Laserul endovenos se practica de regula sub anestezie locala cu tumescenta, prin introducerea unei fibre optice in vena de tratat sub control ecografic si ablatia termica a venei care se inchide treptat sub efectul fotocoagularii laserului. Este o procedura ambulatorie, necesita punctii sau microincizii, durerile postoperatorii sunt minime si recuperarea rapida. Noi am inceput acum 20 de ani sa utilizam laserul endovenos in Clinica ProEstetica si acum am facut o analiza retrospectiva a celor aproape 5000 de pacienti operati pentru varice sistematizate in acest interval de timp, comparand rezultatele laserului endovenos cu cele ale chirurgiei clasice deschise. Avantajele laserului endovenos in tratamentul varicelor au reiesit clar in studiul nostru : mai putin traumatic decat chirurgia deschisa, mai putine complicatii pe termen scurt si lung, mai putine dureri, cu o rata a recidivei comparabila cu chirurgia dar cu o acceptare mult mai buna a pacientilor.
Si in tratamentul cu laser transcutan avem o experienta de peste 20 de ani si am facut deasemenea un studiu retrospectiv, evaluand in jur de 4500 de pacienti cu venule reticulare, tratati cu laser, scleroterapie sau cu ambele procedee . Eficienta scleroterapiei a fost mai buna decat a laserului transcutan dar rezultatele cele mai bune s-au obtinut la asocierea scleroterapiei cu laser ulterior.
In concluzie tratamentul cu laser ocupa azi un loc important in boala venoasa cronica, atat ca laser endovenos pentru varice sistematizate cat si ca laser transcutan pentru telangiectazii si venule reticulare.<\/p>\n
This way the laser became a powerful tool for the treatment of chronic venous disease, transcutaneous laser for telangiectasia, reticular veins and some venous malformations and endovenous laser as minim invasive thermic ablation for varicose veins, in the last years recommended as the first option by all the international guidelines for phlebology.
Endovenous laser is performed usually under tumescent local anesthesia, 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 outpatient procedure, it is performed through punction or very small incisions, the postoperative pains are minimal and the recovery quick. We started endovenous laser 20 years ago in ProEstetica Clinic and now we made a retrospective study of the 5000 patients operated for varicose veins in this period in the clinic and we compared the results of endovenous laser with the results of open surgery. The advantages of endovenous laser in the treatment of varicose veins were very clear in our study: less traumatic than open surgery, less complications on short and long term, less pain, comparable recurrency rate and better acceptance from the patients.
Also, in the treatment with transcutaneous laser we have more than 20 years of experience and we made a retrospective study of the 4500 patients with reticular veins, treated with sclerotherapy, laser or both methods. Sclerotherapy efficiency was better than transcutaneous laser but the best results were after association of sclerotherapy with laser.
In conclusion laser treatment plays now an important role in chronic venous disease, as endovenous laser for varicose veins but also as transcutaneous laser for telangiectasia and reticular veins.<\/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. \u201eCarol Davila\u201d, 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. \u201eCarol Davila\u201d. 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 \u2013 Spitalul de Urgen\u021b\u0103), primele opera\u021bii de hernie f\u0103r\u0103 internare (1997 \u2013 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 \u2013 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 \u2013 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: contact@pdi.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n