Today we discover with Dr Longobardi what is the DEKA SmartXide2 (square) CO2 Laser that recently became part of the wounds treatments to be used at the Ravenna Hyperbaric Centre.
Dr Longobardi, can you tell us the story of a patient treated with the SmartXide2 Laser at the Ravenna Hyperbaric Centre?
In order to better understand the usefulness and the potentiality of the laser, I tell you the story of a patient affected by arteriopathy: Ms B.A. She was taken charge by the Wound Care Centre of the Ravenna Hyperbaric Centre with left leg amputation proposal (below the knee). The woman had already been amputated the right forefoot. By integrating the treatments to a few laser sessions, we managed to save the limb and therefore to avoid the proposed amputation. You may imagine her joy.
Obviously, apart from the important benefit for the patient, there is also a great cost-saving factor for the community. To give you an idea, an amputation costs nearly 36,000 euros per year (source NICE UK clinical guideline 147/2012 «Lower Limb Peripheral Arterial Disease: costing report») in charge of the National Health System, not to mention the indirect costs that the relatives must sustain.
Dr Longobardi, can you tell us what are the SmartXide2 CO2 Laser and the Giotto Touch method?
SmartXide2 CO2 Laser is an innovative and really adaptable device, created by DEKA for the Wound Care Sector. By properly selecting the laser emission parameters (such as power, pulse shape, frequency and scanning functions), the doctor can carry out important and necessary actions to activate the healing processes. For instance, he can remove the dead, damaged or infected tissue from the wound (debridement) and stimulate the tissue regeneration. Moreover, it is possible to operate on the bones, although at a greater power, thus stimulating the repair cells regrowth. The used technique includes the wound “painting” through the laser handpiece. Hence the name “Giotto Touch Method”, in honour of the great Italian artist.
Why does the Ravenna Hyperbaric Centre decide to purchase the SmartXide2 CO2 Laser and what is its purpose?
Non-healing wounds are a widespread and continuously growing condition. In Europe, the wound occurrence on population varies from 240 to 370 for every 100,000 inhabitants (2015 figures). These wounds can arise due to several factors, such as neuropathy, vascular insufficiency and patient’s low healing capacity. Wounds have devastating effects on people’s daily lives with severe pain, reduced mobility and reduced working capacity, in addition to a community significant cost.
The protocol used by the Wound Care Centre of the Ravenna Hyperbaric Centre includes a basic procedure with simple techniques, such as dressings, bandages and wound area measuring. The patient must answer this therapy and the wound is to be reduced within four weeks. If this occurs, the wound heals in the next few weeks. Sometimes, there are comorbidities, that are other diseases such as diabetes, liver or rheumatic problems, circulatory failure and infections that delay healing.
As a consequence, the wound doesn’t tend to heal in the pre-set deadlines. In certain cases, there is the risk to amputate the interested limb. Therefore, it is necessary to add other techniques to try to bring the wound healing trajectory back to the regular one. The first step is to clean well the wound. In order to do this, at the Wound Care Centre we use several advanced techniques: one of these is the SmartXide2 CO2 Laser.
The Ravenna Hyperbaric Centre decided to purchase the SmartXide2 CO2 Laser because it is indicated for all those patients affected by painful and non-healing skin ulcers, with debilitating diseases such as diabetes, rheumatic diseases or the presence of more associated diseases. All this allows us to enforce the treatments we can offer to our patients.
What are the SmartXide2 CO2 Laser benefits?
The benefits of the SmartXide2 CO2 Laser are many. Since the very first session pain and healing times are considerably reduced. It also fosters and accelerates the new tissue growth. It allows us to surgically operate on the wound “contact-less”, that is to say, we don’t exert any pressure on the tissues exposed to the treatment. The strong antibacterial/antimicrobial effect of the contactless laser allows the skin grafts to better attach.
Such a cutting-edge device with not already totally expressed potentialities, allows us to treat hard-to-heal wounds with a more and more efficient multidisciplinary approach.