Efficiency of a new combined laser therapy in patients with trophic ulcers of lower extremities and chronic venous insufficiency

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.