Dr. Jianu Ştefan

Dr. Jianu Ştefan
Centrul Medical “ProEstetica” Bucureşti

Sclerotherapia in Boala venoasa cronica- indicatii si rezultate
Autori: Stefan Jianu, Eduard Ursuleanu

Obiectivul studiului a fost sa evalueze locul scleroterapiei in tratamentul Bolii venoase cronice stadiul C1 (CEAP)- vene reticulare si telangiectazii, comparand rezultatele cu cele ale laserului transcutan.
Incepand din 1994 utilizam scleroterapia cu lichid (initial) si cu spuma (in ultimii ani) pentru a trata vene reticulare si telangiectazii. Din 2001 am inceput sa folosim deasemenea diferite tipuri de lasere pentru a trata vase reticulare si telangiectazii- laser cu Argon, laser cu Dioda 810 nm si 980 nm- cu sau fara racire, Nd-Yag si IPL, ca tratamente unice sau asociate cu scleroterapie. Am analizat retrospectiv un grup de 3620 de pacienti cu cel putin un tratament pentru venule reticulare si telangiectazii si am incercat sa-i contactam pentru o evaluare telefonica sau pentru un control clinic gratuit. In final am obtinut trei subgrupuri, unul de 2134 pacienti cu scleroterapie ca unic tratament, unul de 1037 pacienti cu laser transcutan ca unic tratament si unul-cel mai mic – de 449 pacienti cu ambele tratamente asociata- scleroterapie si laser transcutan.
Am obtinut rezultate mai bune in tratarea venulelor reticulare si a telangiectaziilor cu scleroterapia, care a fost nu doar mai eficace ci si mai putin costisitoare decat laserul transcutan. Surpriza a fost ca am obtinut rezultate mai bune decat scleroterapia ca unic tratament prin asocierea cu laser transcutan, la un timp dupa scleroterapie.
In concluzie recomandam scleroterapia ca prima optiune in tratamentul venulelor reticulare si al telangiectaziilor dar subliniem posibilitatea obtinerii de rezultate mai bune prin asocierea cu laser vascular transcutan.

Sclerotherapy in Chronic venous disease- indications and results
Authors: Stefan Jianu, Eduard Ursuleanu

The objective of the study was to evaluate the place of sclerotherapy in the treatment of Chronic venous disease stage C1- telangiectasia and reticular veins, comparing the results with the treatment with transcutaneous lasers.
Since 1994 we utilized sclerotherapy with liquid (initially) or foam (in the last years) for treating reticular veins and telangiectasia. Since 2001 we began to use also different types of lasers for the treatment of reticular veins and telangiectasia- Argon laser, Diode laser 810 nm and 980 nm-with or without cooling, Nd-Yag and IPL, as single treatments or associated with sclerotherapy .We analyzed retrospectively a group of 3620 patients which had at least one treatment for reticular veins or telangiectasia and we tried to contact them for a phone selfevaluation or to meet them in the consultation room for a free reevaluation .We had finnaly 3 subgroups, one of 2134 patients with only sclerotherapy, one of 1037 patients with only lasertherapy and the smallest group of 449 with both, sclerotherapy and lasertherapy.
We obtained statistically significant better results, aesthetic and functional, for reticular veins and telangiectasia with only sclerotherapy than lasertherapy; sclerotherapy was more effective than the vascular laser in the majority of the cases, being also a less expensive treatment. The surprise was that better than sclerotherapy alone were the results in the group with associated treatment- sclerotherapy and after a while-laser.
In conclusion we are recommending sclerotherapy as the first option of treatment for reticular veins and telangiectasia but with the possibility of obtaining better results when associating the vascular lasers .

Scurt CV

Functii:
-Doctor in medicina
-Medic primar chirurgie generala, competenta in chirurgie laparoscopica

Educatie :
1977-1981 Liceul Sf.Sava,Bucuresti ,Diploma de Bacalaureat cu media 10
1981-1982 Stagiul militar cu termen redus,Vanatori de munte,sublocotenent in rezerva
1982-1988 Universitatea de Medicina şi Farmacie Carol Davila Bucuresti,Facultatea de Medicina Generala, media generala 10
1994-2000 Doctorat in medicina,UMF Bucuresti
2001 – Doctor in medicina cu teza “Traumatismele duodenale-diagnostic si atitudine terapeutica”
2004 – Studii postuniversitare Academia de Stiinte Economice Bucuresti-Management Sanitar
2009-2011 – Executive Master in Business Administration- Wien University of business and economics-EMBA

Profesie :
1988-1993 – Stagiatura si secundariatul in Chirurgie generala ,Spitalul de Urgenta Bucuresti
1993 – Medic specialist chirurg
1994-1998 – Medic specialist chirurg,Clinica aII-a,Spitalul Clinic de Urgenta Bucuresti
1998 – Medic primar chirurg
1998-2009 – Medic primar chirurg,sef echipa de garda-Spitalul Clinic de Urgenta
2000 – Competenta in chirurgie laparoscopica
2001 – Doctor in Medicina,UMF Bucuresti
1994 – prezent Medic primar chirurg si Sef department chirurgie generala si flebologie al Clinicii ProEstetica

Lucrari stiintifice –peste 100 prezentari la Congrese si Conferinte nationale si internationale,cu publicari in Revista romana de flebologie, in Revista romana de chirurgie, in Hernia, in British journal of surgery, International angiology etc

Autor si coautor:
-“Traumatismele abdominale”-edit.Athena,1998,Bucuresti
-« Ghid de urgente in chirurgia generala »-edit.Scripta,1998,Bucuresti
-« Ghidul sanatatii si frumusetii dumneavoastra »-edit.Roteh, 2005, Bucuresti
-“Ghidul insuficientei venoase cronice”-edit.med.Antaeus,2007,Bucuresti
-“Dictionar de flebologie si limfologie”-edit. Napoca Star, 2011
-“Flebopatologie ”- edit. Academiei, 2011

Membru al urmatoarelor societati medicale:
-Societatea romana de chirurgie
-Societatea romana de flebologie
-Societatea romana de chirurgie estetica
-Colegiul american de flebologie
-Societatea franceza de flebologie
-Societatea europeana de hernie
-Federatia internationala de chirurgie bariatrica si metabolica
-Asociatia de chirurgie robotica si miniinvaziva
-Asociatia romana de chirurgie endoscopica
-Asociatia europeana de chirurgie endoscopica