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 Venous Stasis Ulcers (VCU) that are chronic or reoccurring. He has over 17 years experience as a certified wound care specialist.
The cost of our outpatient center versus an outpatient wound care center is much less as well.
Las Vegas Vein is an Accredited Outpatient Wound Care Center. We perform all aspects of wound management. This includes a full history and physical, assessment of the wound, and debridement such as mechanical or chemical. All wounds are fully anesthetized before we debride because your comfort is important to us. Your wounds are dressed and we can help with home health or supplies depending on your insurance benefits. Our team can do negative pressure wound therapy (NPWT) or "wound vac" management with supply care. We have relationships with companies that can do skin grafts. Per medical standard of care, we see you weekly so make sure that all is going well and you are satisfied with your care.
Lower Extremity Ultrasound and ABI (if Leg Ulcer)
The Lower Extremity Ultrasound (LEU) is an initial evaluation of your lower extremities using noninvasive ultrasound. This is to determine if you have venous reflux disease (“reflux”). Reflux is when the vein or its valves do not work properly. When that occurs, blood pools in the lower part of the legs and does not return to the heart. Our goal is to correct your venous circulation so that your vein disease is healed.
An arterial-brachial index (ABI) is a noninvasive test that evaluates the blood flow from the top of the legs to the lower aspect. Some wounds are from arterial disease however others are from venous reflux. This initial evaluation helps direct your care. If your ulcer is not a leg ulcer then these ultrasounds do not apply to you.
Vein Treatment (Endovascular Catheter Ablation)
Vein Ablation means that the vein is closed through an IV using technologies that are laser, chemical, or ultrasound. Vein Ablation is absolutely necessary when it comes to wound care as well as limb salvage. Wounds that are venous-based (VSU) will need Herculean efforts to heal and then will likely reopen anyway. With a one time procedure, it will heal and not return. That has been proven.
The entire procedure is performed through a single intravenous (IV) sight. This technology is safe to use on patients that have experienced amputations, chronic wounds, acute wounds due to trauma, and other circulation disorders such as atherosclerosis, heart conditions such as atrial fibrillation, pacemaker placement, and some hematological disorders in which there are vascular lesions. Las Vegas Vein performs these procedures daily on an outpatient basis. If your wound is not vein related this procedure does not apply to you. You may also skip the remaining steps as this applies to venous wounds only.
Microphlebectomy is the removal of small to medium sized veins from the skin. This entails small incisions in the skin layer and the removal of the vein using small tools. The visible vein is tied at each end and removed. The incisions are not stitched and therefore scarring is minimal if visible at all. Your wound may have a larger, surface vein that is refluxing into the wound, delaying your healing. A treatment to that vein can help tremendously with wound healing. This can be done independently of any step.
Ultrasound Guided Foam Sclerotherapy
Sclerotherapy is a treatment of small, visible veins using a fluid that causes the vein to remain closed and then disappear over time. We only use FDA approved fluids (called sclerosants) so you know that our results are safe and effective. At times, there may be veins that are causing your wound. A treatment to a local vein can help a lot with healing. This can be done independently of any step.
Laser Treatment (Cutaneous Skin Surgery)
Nd: YAG Laser Treatment (YLT) is a proven treatment for superficial veins, the treatments emit a laser pulse, which causes the veins to remain closed, and they disappear, much like sclerotherapy. The difference in the treatments is the YLT can remove veins in a non-invasive manner and can also treat much smaller veins that would be very difficult to access with sclerotherapy. This can be done independently of any step.
Costs, such as copays, are greatly reduced by having your care done at our outpatient center rather than a hospital based wound care center, podiatrists, or private office that may claim it's a certified center. #woundcarelasvegas