Initial Wound Care Consultation, Second Opinion Consultations, and Routine Wound Care including NPWT (Wound Vac), Decubitus, Leg Ulcers, Diabetic Ulcers, and Venous Stasis Ulcers
Dr. Parisi specializes in the treatment of Venous Stasis Ulcers (VSU) that are chronic or recurring. He has over 20 years of experience as a certified wound care specialist.
The cost of care at our outpatient center is significantly lower compared to traditional outpatient wound care centers.
First Step:
Wound Management
Las Vegas Vein is an Accredited Outpatient Wound Care Center, offering comprehensive wound management services. This includes a full history and physical, thorough wound assessment, and debridement, which may be mechanical or chemical. To ensure your comfort, all wounds are fully anesthetized prior to debridement.
After your procedure, your wounds will be properly dressed, and we can assist with home health services or supplies, depending on your insurance benefits. Our team is experienced in negative pressure wound therapy (NPWT), also known as "wound vac" management, including supply coordination. Additionally, we have partnerships with companies that specialize in skin grafts.
Following medical standards of care, we see you weekly to monitor progress, ensure your treatment is effective, and confirm your satisfaction with our care.
Second Step:
Lower Extremity Ultrasound and ABI (if Leg Ulcer)
The Lower Extremity Ultrasound (LEU) is a noninvasive evaluation of your lower extremities to determine whether you have venous reflux disease (“reflux”). Reflux occurs when the veins or their valves do not function properly, causing blood to pool in the lower part of the legs instead of returning to the heart. Our goal is to correct your venous circulation and promote the healing of your vein disease.
An Arterial-Brachial Index (ABI) is another noninvasive test that measures blood flow from the upper legs to the lower legs. While some wounds are caused by arterial disease, others may result from venous reflux. This initial evaluation helps us determine the root cause of your condition and guide your care plan accordingly.
If your ulcer is not located on your leg, these ultrasound evaluations may not apply to your case.
Third Step:
Vein Treatment (Endovascular Catheter Ablation)
Vein ablation is a procedure that involves closing a vein through an IV using laser, chemical, or ultrasound technologies. Vein ablation is absolutely necessary for effective wound care and limb salvage, particularly in cases of venous-based wounds (VSU). These types of wounds often require significant effort to heal and are likely to reopen without treatment. With a one-time vein ablation procedure, the wound can heal permanently and not return—this has been clinically proven.
The entire procedure is performed through a single intravenous (IV) site. This technology is safe for patients with a variety of conditions, including:
- Amputations
- Chronic or acute wounds (including those caused by trauma)
- Circulation disorders such as atherosclerosis
- Heart conditions, including atrial fibrillation and pacemaker placement
- Hematological disorders involving vascular lesions
At Las Vegas Vein, we perform these procedures daily on an outpatient basis. If your wound is not venous in origin, this procedure does not apply to you, and you may skip the remaining steps, as they pertain specifically to venous wounds.
Fourth Step:
Microphlebectomy
Microphlebectomy involves the removal of small to medium-sized veins from the skin. This procedure requires small incisions in the skin’s surface, followed by the removal of the vein using specialized tools. The visible vein is tied at both ends and then removed. Because the incisions are not stitched, scarring is minimal and often not visible at all.
In some cases, a larger surface vein may be refluxing into your wound, delaying the healing process. Treating that vein can significantly improve wound healing.
This procedure can be performed independently of any other step.
Fifth Step:
Ultrasound Guided Foam Sclerotherapy
Sclerotherapy is a procedure used to treat small, visible veins by injecting a fluid that causes the vein to close and gradually disappear over time. We use only FDA-approved fluids (called sclerosants), ensuring that our treatments are both safe and effective.
In some cases, a nearby vein may be contributing to your wound. Treating that vein with sclerotherapy can significantly aid in the healing process.
This procedure can be performed independently of any other step.
Sixth Step:
Laser Treatment (Cutaneous Skin Surgery)
Nd: YAG Laser Treatment (YLT) is a proven method for treating superficial veins. This procedure emits a laser pulse that causes the veins to close and gradually disappear, much like sclerotherapy.
The key difference is that YLT removes veins in a completely non-invasive manner and can effectively treat much smaller veins that are difficult to access with sclerotherapy.
This procedure can be performed independently of any other step.
Cost
Costs, such as copays, are significantly reduced when receiving care at our outpatient center compared to a hospital-based wound care center, podiatrist, or private office that may claim to be a certified center.
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Email [email protected] or Call (702) 898-9191 for an appointment.