Conference "Laser technologies in aesthetic medicine", St. Petersburg, 14.06.2017 (Day Two)
- Author: Semenov Artem Yuryevich
- Category: News
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13 and 14 July in one of the oldest universities in Russia - the First St. Petersburg State Medical University named after academician IP Pavlov was held the scientific and practical conference "Laser technologies in aesthetic medicine".
The conference was attended by a cardiovascular surgeon, an employee of the innovative phlebology clinic "MIFTS", Moscow Raskin Vladimir Vyacheslavovich.
Doctors cardiovascular surgeons Raskin VV (MIFTS, Moscow) and Kazarenko AG. (Elizavetinskaya Hospital, St. Petersburg).
The second day of the conference was devoted mainly to the use of different types of lasers in phlebological practice.
Certificates of conference participants
The second day of the conference began with the report of Oleg Aleksandrovich Shonov, a phlebologist (St. Petersburg) "Teleangiectases and reticular veins: prevalence, etiology and pathogenesis." In his lecture, Oleg Aleksandrovich elaborated on the problem of classification and treatment of vascular "stars" and telangiectases.
Rosukhovskiy Dmitry Alexandrovich, a phlebologist-doctor (St. Petersburg), in his report "Ethics and advertising in aesthetic phlebology," raised the problem of ethical norms in advertising medical centers. What and how is it allowed to advertise in Russia and in Western countries and how should proper advertising look on the Internet.
Gavva Ekaterina Andreevna, phlebologist (St. Petersburg), made a presentation on the possibilities of using a long-pulse neodymium laser in aesthetic phlebology.
The most interesting report was traditionally presented by Baghdasaryan Artur Gagikovich, a cardiovascular surgeon, aesthetic phlebologist (Moscow). The title of the report was as follows: "Scientific approach and clinical practice in transdermal laser therapy of vascular skin lesions." In his report Arthur Gagikovich noted the highest interest shown by doctors and cosmetologists in Russia and the world to laser cosmetology procedures and apparatuses, and also lamented the meager information on the use of such laser systems in the recommendations of phlebological communities in Russia and Western countries. After that, Dr. Baghdasaryan shared his experience in this area with the audience on the basis of over half a thousand successfully treated patients. The culmination of the report was the conclusion that soon the obliterations of sclerotherapy procedures and the complete transition to laser treatment of vascular telangiectasis. The report was widely discussed by doctors and cosmetologists, who for more than 10 minutes asked questions to Arthur Gagikovich and received exhaustive answers.
Dr. Baghdasaryan A.G. predicts an early "death" of sclerotherapy
Novikov Kirill Alexandrovich, a dermatologist, specialist in laser methods of treatment and rejuvenation in dermatocosmetology (Moscow) shared his own experience with the use of KTP and a neodymium laser for the treatment of vascular lesions.
Rosukhovskiy Dmitry presented a modern and up-to-date report "Laser sclerotherapy and cryostasis" LASTIC ". In the report, Dmitry Alexandrovich told about the essence of the methodology, based on the development of the Brazilian phlebologist Kasuo Miyake CLaCS (Cryo-Laser and Cryo-Sclerotherapy). The very abbreviation "LASTIC" Dmitry Alexandrovich deciphers as Laser Scleroterapy and Cryobesies. The procedure is indicated for patients with vascular "stars" and telangiectases with a small diameter. One of the most important components of the technique is its safety, based on the use of 75% dextrose solution as a sclerosing agent (it does not cause damage to the skin with accidental subcutaneous injection) in combination with external laser action on suboptimal parameters (does not cause skin burns). Dr. Rosukhovsky said that according to his observations the procedure is quite effective and he continues to perform it and recruit patients to the observation group. Nevertheless, like in any new methodology, you need to obtain long-term results for her confident recommendation.
DA Rosukhovskiy's report on the procedure "Eraser"
A guest from abroad, doctor-phlebologist Marek Shumai (Trencin, Slovakia) took part in the conference. He presented several reports at the conference, the first report was devoted to the use of devices for visualization of reticular veins in clinical practice.
Before the coffee break, a master class was performed by Dr. Dmitry Rosukhovsky Dmitry Alexandrovich for combined laser cryosclerosis.
Rosukhovsky DA conducts the procedure "eraser", "erasing" the vascular "stars" from the foot of the grateful patient
The next report by Mr. Marek Schumai, "Mechanochemical ablation (MOCA) and laser coagulation (EVLT)." Comparison of technologies from the point of view of a practicing phlebologist ", was devoted to the use of new techniques of mechano-chemical obliteration and their place in the arsenal of a phlebologist. It should be noted that Marek in his work uses the device Clarivein, the company Vascular Insights, LLC (the headquarters of the company is in Quincy, MA, USA). Mr. Shumai noted the rather high efficiency of the procedure, however, during the answers to the questions, it appeared that in his routine practice he is more inclined to use EVLO, and the MOKA uses in a limited number of cases and only for certain groups of patients (for example , with only a small-diameter stem lesion).
Experienced by a phlebologist from Slovenia Marek Shumai
Our response to foreign phlebologists was expressed by Markin Sergey Mikhailovich (St. Petersburg). In his report "Opportunities for improving the aesthetic results of endovasal laser obliteration of epifascial inflows," Sergei Mikhailovich touched upon an interesting question: how best and more efficiently to remove the epiphasially located inflow or trunk of BPV on the thigh and in the region of the knee joint. At present, 2 techniques are proposed for this task - pin-stripping of this site or EVLO with the creation of a denser cushion of anesthetic under the skin above this site. In his report, Sergey Mikhailovich proposed using a faster fiber pull (1,5 mm / sec) for the epicast phase, with increasing power characteristics of the supplied radiation (10 W). According to his data, this modification of the EVLO procedure allows avoiding skin burn and hyperpigmentation with such anatomical location of the trunk or direct inflow of BPV.
The next report from Elizavetinsky Hospital of St. Petersburg was presented by the cardiovascular surgeon Andrei Kazarenko. The report was devoted to EVLO inconsistent perforating veins. In total, 50 procedures were performed. All operations were performed in combination with EVLO BPV or MPV in this basin. Perforating veins were treated with end-to-end light guides. The results of the study were excellent, there were no recanalizations, all treated patients were discharged with the improvement of the functional class of CVI.
Reported by the doctor cardiovascular surgeon Kazarenko AG.
In the final of the conference, Rosukhovsky Dmitry Alexandrovich summarized and reported on the unresolved problems and prospects for the development of technology of endovasal laser obliteration of the veins. In the report, Dmitry Alexandrovich touched upon the possibilities and future of phlebology, promising developments and ways to solve complex problems.
The final report was presented by Doroshkevich Oleg Stanislavovich, a proctologist (St. Petersburg) who told about the features of surgical treatment of hemorrhoids using a diode laser.