Moskvin S.V., Geynitz A.V., Askhadulin E.V.
Efficiency of a New Combined Laser Therapy in Patients With Trophic Ulcers of Lower Extremities and Chronic Venous Insufficiency
Sergey Vladimirovich Moskvin1, Aleksandr Vladimirovich Geynitz2, Evgeniy Valer’yevich Askhadulin3
1State Scientific Center of Laser Medicine, Moscow, Russia
2Reaviz Moscow Medical Institute, Moscow, Russia
3Tula E.G. Lasarev Municipal Clinical Hospital №2, Russia
Introduction: Treating patients with trophic ulcers (TUs) of venous etiology (VE) is a complicated socio-medical and economic problem. One of the ways to increase treatment efficiency can be a complex therapy, including combined laser action.
Methods: The objective of this study was a comparative evaluation of the efficiency of traditional treatment methods in patients with chronic venous diseases of C6 class, and combined laser therapy (LT) according to a new method by LASMIK® device. External exposure was conducted on the 1-4 affected area during one session for 2 minutes per zone (pulsed mode, light pulse duration of 100-130 ns, wavelength 635 nm, by a matrix emitter consisting of eight laser diodes with a surface area of 8 cm2, at a distance of up to 7 cm, pulsed power 40 W). Intravenous laser blood illumination (ILBI) was conducted in continuous mode with a wavelength of 365-405 nm (UV-spectrum) and 520-525 nm (green spectrum) alternately, during 12 daily sessions, according to a special scheme.
Results: The new method reduces time periods for wound surface cleansing from purulo-necrotic masses, stimulates proliferation and epithelialization processes by 2-2.7 times, compared with the conventional method.
Conclusion: The high efficiency of a new combined LT has been demonstrated in the treatment of TU of VE in combination with traditional methods of patients’ medical treatment.
Keywords: Trophic ulcer of venous etiology; Low level laser therapy; Venous Insufficiencies; Ulcer.