Veineo review by Dr Sabrina Speybrouck

Ablation using radiofrequency (F Care Systems) is a safe and minimally invasive procedure. The catheter can easily be localised using ultrasound and followed from ankle to groin. The procedure is usually done on an outpatient basis, under local anaesthesia and completed within an hour. Only a small nick in the skin is required to insert the catheter which does not need stitches. This procedure leaves virtually no scars. Cosmetic result is much appreciated by patients. Actual closure of the vein with heat is not painful. After treatment patients wear compression stockings but they may resume their normal activity immediately. Most ablation catheters cannot easily pass through a vessel with many turns and bends but the F Care Systems Veineo® catheters can take a turn without perforating the vein. On top of that the tip of the catheter can be bent to navigate through the vessel when a stenosis or a turn needs to be passed.  Especially for the perforator vein ablation, the versatility and suppleness of the catheter is a great asset. 

Dr. Sabrina Speybrouck, vascular surgeon, Aalst, Belgium

I have suffered with hemorrhoids for the last 5 years and was too embarrassed to discuss it with anyone. Hemorrhoids are not a topic that often comes up in casual conversation. The symptoms were intolerable. I was suffering so bad I didn’t go to the bathroom at some times. I was beyond relieved when my family doctor informed me about radio frequency ablation therapy with Rafaelo®, which I found to be incredible. No more itching, no more pain! I would tell anyone suffering, don’t wait, this treatment is truly amazing and it is life altering.

Aimee B., Kent, United Kingdom

After I gave birth to a beautiful girl, I suffered with daily bleeding, and pain. This lasted for 6 years. I tried creams and suppositories to get rid of my hemorrhoids, but nothing would help. I had heard stories about surgery and banding procedure from relatives that would not recommend these treatments. Then one day I was talking to another friend who told me about this radiofrequency treatment. At first I thought this is too good to be true, but it was true what he said about it. It was not painful at all and I was able to just walk home after the treatment. The Rafaelo treatment eliminated my hemorrhoids completely and I no longer suffer. I would highly recommend this treatment and cannot believe I suffered so long and did not find out about this sooner.

Charlotte E., Montpellier, France

I was referred to a general surgeon specialised in the “rubber band” method of destroying hemorrhoids. The treatment was painful, and bleeding and pain remained after it. I dreaded going through the procedure again. I needed to try another method to improve my symptoms. Radio frequency ablation with the Rafaelo procedure turned out to be painless and with no side effects. I was able to resume my daily work after the treatment. I would recommend this treatment to anyone who is suffering with hemorrhoids.

Moritz S., Cologne, Germany

The continuous/pulsed low-frequency ultrasound technique has been the starting point of Alizonne Therapy, contouring weight reduction. It is searching for a needle in the haystack to find an ultrasound device with sufficient transducer plates, thereby making the constant effect of the treatment independent of the therapist’s hands. With the application of the Viridex®US, local subcutaneous fat deposits can be emptied very selectively, allowing proper contouring. The advantage of this stable cavitation, compared to implosive cavitation or even liposuction, is that the underlying fat tissue remains intact and maintains an even skin surface.

Dr. Claudia Van Der Lugt, Cosmetic medicine, Alizonne, Vlijmen, the Netherlands

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Radiofrequency in the treatment of anal fistulas: a (good) alternative to fistulotomy?

My personal results in recent years with the Fistura procedure:
60% prolonged closure (at least 12 months follow-up), on clinical assessment for crypto-glandular fistulas and on clinical and MRI assessment for Crohn’s disease related anal fistulas. It is therefore a procedure of choice among sphincter-sparing techniques but at the price of a precise selection of patients…

My indications?
Fistulas with a direct route, long (≥50 mm) and narrow (in practice, we just pass the 9 fr probe, i.e. about 3 mm) with an internal orifice that is not too wide, i.e. we can suture without too much tension without a connected diverticulum of more than 5 mm for Crohn’s fistulas.

Note that in case of Crohn’s disease, if the fistula is well dried out, and if all the clinical and MRI inflammatory signals are green, I don’t have the impression that the results are less good than for crypto-glandular fistulas. I therefore tend to propose RF before simple removal when the fistula has the above characteristics.

Dr. Dominique Bouchard, MD Procotologist, Head of the Proctology Unit, Maison de Santé Protestante Bagatelle, Talence, France

I have been working with Rafaelo for four years. Minimally invasive, with few complications and highly effective – from my point of view a highly useful addition in the treatment of haemorrhoids of all stages.

Priv.-Doz. Dr. med. Robert Eisele, Doctor, specialist in general surgery, visceral surgeon, Oranienburg, Germany

Treating patients with third-degree haemorrhoids with little pain and under local anaesthetic in the daily practice routine – the Rafaelo procedure now offers the possibility of a safe and reliable method!

Dr. Christian Lorz, MVZ for Surgery and Orthopaedics, Vincentinum, Augsburg, Germany