5 / 16
Page 32
allied
academies
August 23-24, 2018 | Paris, France
Laser, Optics and Photonics
International Conference on
Journal of Materials Science and Nanotechnology | Volume: 2
Ten conclusions after ten years experience in radical endovenous laser therapy of lower extremity
varicose veins
Ivan Maly, S Julinek
and
D Klein
General and Vascular Out-patient Surgery Centre, Czech Republic
T
he paper is aimed to show our experience with endovenous
surgical treatment of superficial venous insufficiency
of the lower limbs. We have been performing the radical
endovenous laser therapy in the treatment of the chronic
venous insufficiency of the great and the small saphenous
veins with the device Cerelas D15/Biolitec Inc./ since 2004.
The 980nm wavelength was used until the end 2007, and the
1470nm wavelength has been used from 2008 to date. All
patients underwent the procedure under the conditions of the
aseptic operation theatre, the length of their hospitalisation
ranged from a few hours to 24 hours. In total, we treated 835
patients, 65.5% of them were females, the great saphenous
veins were closed in 724 cases, the small saphenous veins in
103 cases, bilateral procedure was performed in 102 cases and
the accesory veins in 77 cases. The power of the laser beam
decreased from 12W in the groin to 2W in the ankle. The
amount of energy released per unit length oscilated around
80J/cm. We always sought to treat simultaneously all varices on
the extremities during the initial endolaser therapy. All dilated
branches of the main veins were closed either by laser, or
instrumentally with combined approach, or by sclerotisations.
Speaker Biography
IvanMaly born in PragueMarch 16
th
, 1944. He has been graduated on Charles University in
Prague, Czech Republic in 1967. From 1967 he worked as a general surgeon and after time
with the vascular specialisation, in Central Military Hospital in Prague till 2003. He has been,
from 2004, the private surgeon in General and Vascular outpatient centre and at present,
he is interested in the endovenous laser surgery of the lower limbs
.
e:
i.maly@seznam.czNotes: