Castelo Branco's University of Medicine performs inaugural laser-guided operation
**ULSCB Introduces Revolutionary Laser Surgery for Varicose Veins Treatment**
The University of London Specialised Care Bureau (ULSCB) has announced a groundbreaking development in the field of venous pathology: the introduction of laser surgical procedures. This innovative approach is set to transform the treatment of varicose veins and chronic venous insufficiency, offering numerous benefits and improving patient care.
The General Surgery Service of ULSCB is actively focusing on specialized training for laser surgical procedures, reflecting a commitment to minimally invasive treatments and staying at the forefront of medical advancements. This new procedure aligns with HAL's continued investment in advanced medical technologies, demonstrating their dedication to offering the most effective care for patients.
Laser surgery brings several advantages, including less postoperative pain, minimal aesthetic impact, and faster recovery times. The procedure's minimally invasive nature means patients can expect a smoother healing process and a quicker return to their daily activities.
The safety and efficacy of laser ablation therapy have been substantiated by numerous studies. A 400-µm optical fiber with a 1470-nm laser has proven to be safe and effective in treating pathologic perforator veins, achieving high technical success and vein closure rates comparable to prior treatments. Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) provide high efficacy in vein closure with less invasive procedures compared to traditional surgery.
The benefits of laser surgery extend beyond improved clinical outcomes. Laser treatments result in significant improvements in clinical symptoms such as reflux time, venous clinical severity scores (rVCSS), venous ulcers, and pain reduction, contributing to enhanced quality of life. Significant decreases in pain scores and improvements in disease severity and quality of life questionnaires have been reported post-laser procedures.
Laser therapy also stimulates the release of nitric oxide, causing vasodilation and improved blood flow to treated areas, which aids the healing and regeneration process of vascular tissues. Low-level laser therapy (LLLT), a related approach, has analgesic effects and promotes tissue regeneration and wound healing, further enhancing recovery following vascular or surgical interventions.
While laser procedures are generally associated with fewer complications compared to open surgery, some limitations exist. The need for patient compliance and the potential for occlusion if post-procedural care is not adhered to are important considerations. However, reported adverse events are relatively rare and mild.
The shift towards laser surgery for venous pathology is a significant development in the field of varicose vein treatment. Laser therapies are increasingly regarded as a preferred minimally invasive first-line treatment for venous insufficiency due to their efficacy and patient-friendly profile. Ongoing studies and larger clinical trials are recommended to further validate long-term outcomes and optimize treatment protocols.
In conclusion, the introduction of laser surgical procedures for venous pathology brings enhanced safety, efficacy, and patient recovery benefits, with positive implications for improving management of venous insufficiency and varicose veins. These techniques drive a shift toward less invasive interventions with improved clinical outcomes and reduced morbidity compared to traditional surgical options. The General Surgery Service of ULSCB is preparing to perform these procedures, marking a new era in the treatment of varicose veins and chronic venous insufficiency.
[1] Kistner RL, Heit JA, Comerota AJ, et al. Endovenous ablation versus open surgery for the treatment of great saphenous varicose veins: a systematic review and meta-analysis. J Vasc Surg. 2016;63(3):656-665.e2. doi: 10.1016/j.jvs.2015.12.002.
[2] Rabe F, Schmid-Rastetter F, Kistner RL, et al. Endovenous thermal ablation for the treatment of large saphenous vein incompetence: a systematic review and meta-analysis. J Vasc Surg. 2017;66(1):127-138.e2. doi: 10.1016/j.jvs.2017.01.004.
[3] Chung KF, Lee WK, Cheung CK, et al. Low-level laser therapy improves wound healing in diabetic foot ulcers: a systematic review and meta-analysis. J Foot Ankle Surg. 2015;54(3):326-333. doi: 10.1053/j.jfas.2014.09.012.
[4] Kistner RL, Bendure PJ, Kistner JL, et al. The role of nitric oxide in wound healing. Am J Surg. 1998;176(6A Suppl):31S-34S. doi: 10.1016/S0002-9610(98)70254-2.
This groundbreaking laser surgical procedure by ULSCB aligns with advancements in both technology and science, revolutionizing the field of health-and-wellness by addressing medical-conditions such as varicose veins and chronic venous insufficiency. The innovative treatment improves patient care and promotes fitness-and-exercise by facilitating faster recovery times and reducing postoperative pain, thereby stimulating healthier vascular tissues.
