Phlebology

Phlebology is a science that deals with the treatment of varicose veins, spider veins and phlebitis, as well as the prevention of vascular diseases.

Phlebology is a science that deals with the treatment of varicose veins, spider veins and phlebitis, as well as the prevention of vascular diseases.

Dr. Piotr Suszczewicz

Specialist surgeon, phlebologist, clinical transplantologist and specialist in ultrasound examinations: Doppler of veins and arteries of the lower limbs, carotid and vertebral arteries, abdominal aorta, fistulas for hemodialysis, ultrasound of the abdominal cavity, thyroid, lymph nodes, testicles, soft tissues
Scholarship holder: University Hospital Galway Ireland, Klinikum Grosshadern Munich
Training internship at the University Hospital Ayr in Scotland.

Qualification for surgical treatment:

Laparoscopic inguinal hernia repair using TEP and TAPP
Operations of chronic insufficiency - varicose veins of the lower limbs
Laparoscopic gallbladder removal
Removal of the thyroid gland
Removal of cancerous tumors of the large intestine
Removal of birthmarks, warts, lipomas, atheromas

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Piotr Suszczewicz - ZnanyLekarz.pl

Price list

  • Phlebological consultation
    PLN 250
  • Phlebology consultation + ultrasound
    PLN 300
    • Testicular ultrasound • Abdominal ultrasound • Thyroid ultrasound • Soft tissue ultrasound • Lymph node ultrasound • Salivary gland ultrasound • Pelvic ultrasound
  • Surgical consultation
    PLN 250
  • Surgical consultation + ultrasound
    PLN 350
    • USG/Doppler of the veins of the lower limb • USG/Doppler of both limbs, • USG/Doppler of the carotid and vertebral arteries • USG/Doppler of the abdominal aorta and iliac arteries • USG/Doppler of the portal system and hepatic veins • USG/Doppler of the splanchnic vessels • USG/Doppler kidneys • Liver ultrasound/Doppler
  • Removal of skin lesions around the ears, face and neck (atheromas, fibromas, warts) with histopathological examination
    from PLN 550
  • Sample collection + histopathological examination
    from PLN 350
  • Skin biopsy
    from PLN 550
  • Fine-needle biopsy of thyroid nodules with histopathological evaluation
    from PLN 350
    one puncture, each subsequent puncture + PLN 50

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In recent decades, surgery has undergone a revolution thanks to the introduction of minimally invasive techniques, which have significantly changed the approach to the treatment of many diseases. Methods such as laparoscopic inguinal hernia repairs using TEP (totally extraperitoneal repair) and TAPP (transabdominal preperitoneal repair), laparoscopic removal of the gallbladder, or modern techniques for the treatment of varicose veins of the lower limbs, removal of the thyroid gland, cancerous tumors of the large intestine and skin lesions such as moles, warts , lipomas and atheromas, are currently the gold standard in surgery. These innovative methods offer patients shorter recovery time, less postoperative pain and better cosmetic results, which translates into improved quality of life and satisfaction with treatment.

The development of medical technologies, including advanced laparoscopic tools, precise imaging systems and anesthetic techniques, has enabled surgeons to perform complex procedures with minimal risk to the patient. Thanks to this, it has become possible to effectively treat diseases that a few years ago required open surgery with a long recovery period.

The aim of this article is to present an overview of modern surgical methods used to treat selected diseases. By analyzing available research and clinical findings, this article aims to highlight the importance of technological advances in surgery to improve treatment outcomes and increase patient safety.

An inguinal hernia is one of the most common diseases requiring surgical intervention. Traditional treatment methods, although effective, were often associated with a longer recovery period and greater discomfort for the patient. The introduction of laparoscopic TEP (totally extraperitoneal repair) and TAPP (transabdominal preperitoneal repair) methods has significantly changed the approach to the treatment of this condition.

TEP vs. TAPP: Comparison of Methods

The TEP method involves introducing surgical instruments into the preperitoneal space without opening the peritoneal cavity, which minimizes the risk of complications and accelerates recovery. In turn, the TAPP method, although it requires opening the peritoneal cavity, offers the surgeon a better view of anatomical structures, which may be beneficial in the case of complicated hernias.

Both methods are characterized by high effectiveness and low hernia recurrence rate, while reducing postoperative pain and shortening the hospital stay compared to traditional surgical methods. The choice between TEP and TAPP depends on the surgeon's experience, the specifics of the case and the patient's preferences.

Advantages of laparoscopy

Laparoscopic inguinal hernia repairs offer many advantages, including:

  • Less postoperative pain and faster return to daily activities.
  • Lower risk of infection and postoperative complications.
  • Better cosmetic results thanks to smaller incisions.

Conclusions from the Procedures

Clinical trials and meta-analyses confirm that both TEP and TAPP are safe and effective in the treatment of inguinal hernias. The choice of the appropriate method should be adapted to the individual needs of the patient and the experience of the surgical team.

Laparoscopic methods of treating inguinal hernias are currently the gold standard in surgery, offering patients effective treatment with minimal discomfort and a quick return to full function.

Varicose veins of the lower limbs are a common condition that not only causes aesthetic discomfort, but can also lead to serious health complications, such as pain, swelling and even ulcers. Modern varicose vein treatment methods, including sclerotherapy, thermal ablation and laser surgery, offer patients effective and safe treatment options.

Sclerotherapy: A Minimally Invasive Alternative

Sclerotherapy is a procedure in which a sclerosing substance is injected into a vein, causing it to close. This method is especially recommended for patients with small varicose veins or spider veins. The advantage of sclerotherapy is its minimal invasiveness and the possibility of performing the procedure on an outpatient basis.

Thermal Ablation: Heat vs. Varicose Veins

Thermal ablation, which uses radio or laser energy to close the diseased vein, is another effective method of treating varicose veins. This procedure is recommended for patients with larger varicose veins, offering a quick recovery and minimal risk of complications.

Laser Operations: Precision and Efficiency

Laser surgeries, which are one of the most modern methods of treating varicose veins, enable precise removal of the affected veins with minimal damage to the surrounding tissues. This method is recommended for patients with advanced varicose veins, ensuring good aesthetic results and a low recurrence rate.

Comparison of Methods

All mentioned methods of treating varicose veins have their advantages and can be adapted to the individual needs of the patient. The choice of method depends on the size and location of varicose veins, the patient's general health condition and preferences. It is important that the decision to choose a treatment method is made after consultation with a specialist who will assess which method will be the most appropriate.

Wnioski

Modern methods of treating varicose veins of the lower limbs offer patients effective solutions, minimizing the discomfort associated with the procedure and the recovery time. Thanks to technological progress, patients can enjoy a better quality of life while avoiding complications related to venous insufficiency.

Removal of the thyroid gland, known as thyroidectomy, is a surgical procedure used to treat a variety of thyroid conditions, including benign tumors, thyroid cancer, and some forms of hyperthyroidism. Depending on the diagnosis and spread of the disease, removal of the entire thyroid gland (total thyroidectomy) or part of it (partial thyroidectomy) may be performed.

Indications for Thyroidectomy

  • Thyroid Cancer: Removal of the thyroid gland is the standard treatment for most types of thyroid cancer.
  • Benign Tumors: For tumors that cause compressive or aesthetic symptoms, removal of the thyroid gland or part of it may be recommended.
  • Hyperthyroidism: In some cases, when drug treatment is ineffective, removal of the thyroid gland may be necessary.

Procedure

Thyroidectomy can be performed using traditional open surgery or, in some cases, minimally invasive methods. The choice of method depends on many factors, including the size of the thyroid gland, the presence of tumors, and the patient's preferences and the experience of the surgeon.

Wnioski

Removal of the thyroid gland is an important treatment option for patients with a variety of thyroid conditions. Although this procedure may require lifelong thyroid hormone supplementation, for many patients it is an effective solution to improve the quality of life and, in the case of thyroid cancer, increase the chances of cure.

Surgery to remove cancerous tumors of the large intestine is a key element of the treatment of colorectal cancer, one of the most frequently diagnosed cancers in the world. Advances in minimally invasive surgery, including laparoscopy, have significantly improved treatment outcomes by reducing patient discomfort and speeding their recovery.

Laparoscopy in the Treatment of Colorectal Cancer

Offering smaller incisions than traditional open methods, laparoscopy has become the preferred technique for many colorectal cancer cases. This minimally invasive method allows for precise removal of the tumor and lymph nodes with less damage to surrounding tissues and organs.

Advantages of laparoscopy

  • Faster Recovery: After laparoscopy, patients experience a shorter hospital stay and return to daily activities faster.
  • Less Post-operative Pain: Smaller laparoscopic incisions are associated with less post-operative pain and less need for painkillers.
  • Better Cosmetic Results: Smaller laparoscopy scars are less visible, which has a positive impact on patients' well-being.

Conclusions from the Procedures

Studies comparing laparoscopy with open surgery in the treatment of colorectal cancer indicate that laparoscopy may offer comparable oncological outcomes while reducing patient burden. This is particularly important in the context of striving to improve the quality of life of cancer patients.

Challenges and Prospects

Although laparoscopy is a promising method, it requires specialized training and surgical experience. Further development of minimally invasive and robotic techniques may further reduce the invasiveness of procedures and improve treatment outcomes for colorectal cancer.

Removal of skin lesions such as moles, warts, lipomas and atheromas is often performed for aesthetic or diagnostic reasons. Modern surgical methods, including laser therapy, cryotherapy and minimally invasive surgery, offer effective and safe treatment options.

Methods of Removing Skin Lesions

  • Laser therapy: Uses concentrated light to precisely remove skin lesions with minimal damage to the surrounding skin.
  • Cryotherapy: It involves freezing the lesions using liquid nitrogen, which leads to their death and rejection by the body.
  • Minimally Invasive Surgery: Allows removal of larger skin lesions with less risk of scarring and shorter healing time.

Advantages of Modern Methods

These methods feature short treatment times, minimal patient discomfort, and rapid healing, making them attractive options for those seeking treatment for skin lesions.

Wnioski

The choice of treatment method for skin lesions depends on the type and size of the lesion, as well as the patient's preferences. Modern treatment methods offer high effectiveness while maintaining aesthetics and minimizing patient discomfort.

Modern surgery offers a wide range of modern treatment methods that significantly improve therapeutic results and patient comfort. From laparoscopic inguinal hernia repairs, through minimally invasive treatment of varicose veins of the lower limbs, to advanced techniques for removing skin lesions - progress in surgical techniques enables more effective and safer treatment of many diseases.

Laparoscopic methods such as TEP and TAPP in the treatment of inguinal hernias and laparoscopic cholecystectomy offer patients a shorter recovery time and less post-operative pain compared to traditional open surgery. Similarly, modern approaches to treating varicose veins, including sclerotherapy and thermal ablation, provide effective solutions with minimal discomfort to the patient.

In the field of oncology, laparoscopic removal of colorectal cancer tumors represents an important advance, offering patients better oncological outcomes while reducing surgical burden. Similarly, modern surgical techniques used to remove the thyroid gland, moles, warts, lipomas and atheromas ensure effective treatment while maintaining aesthetics and minimizing the risk of complications.

The key to the success of these methods is not only technological progress, but also the skills and experience of surgeons, who must constantly improve their techniques in a rapidly changing medical environment. Further research and development in the field of minimally invasive surgery and surgical techniques will continue to improve patient care, offering even better treatment outcomes while reducing risk and discomfort.

The conclusions drawn from the analysis of modern surgical methods emphasize their importance in improving the quality of life of patients and indicate the need for further development and adaptation of these techniques in clinical practice.

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