Complex and Chronic Wounds: The New Laser Strategy

Ljubljana University Hospital has conducted a clinical trial of the LINLINE treatment methods (Erbium laser debridement and RecoSMA) for wounds that have not responded to standard care. The results from treating a diverse group of patients with non-healing wounds—including venous, diabetic, and post-burn ulcers—demonstrated the effectiveness of this approach. Notable advantages include: method's simplicity, rapid treatment process, absence of consumables.

The introduction of the LINLINE Multiline laser platform (Linline Medical Systems, Riga, Latvia) in our Vascular Surgery Department has provided a promising approach to treating long-standing, non-healing wounds. The ability to perform wound debridement without anesthesia, combined with stimulation, allows for the conversion of chronic wounds to an acute phase, which may accelerate healing.

In a recent clinical study involving patients with non-healing wounds—including diabetic foot ulcers, venous ulcers, traumatic wounds, and post-operative wounds, the Erbium-YAG laser from LINLINE Medical Systems delivered highly positive results.
Key Benefits: promotes revascularization and collagen synthesis; minimizes chronic pain; enhances tissue repair; ensures complete wound sanitation.

I am writing to recommend the RecoSMA laser technology developed by LINLINE Medical Systems, which has been extensively utilized and validated at the Department of Plastic and Reconstructive Surgery at Henri Mondor Hospital. I highly recommend RecoSMA technology to enhance clinical offerings and improve patient outcomes.

The European Laser Association (ELA) oversees the use of lasers in medical treatments and closely follows the innovative work of LINLINE Medical Systems in developing Er:YAG laser technology, particularly RecoSMA methodology for chronic lower extremity ulcers (CLEUs).

Key Scientific Findings:

• RecoSMA technology stimulates tissue regeneration and accelerates wound healing.
• Reduces pain during treatment, making it an alternative to sharp debridement methods.
• Promotes collagen remodeling, enhancing wound healing.

I have been using the RecoSMA laser platform from LINLINE over the last 2 years. And I can wholeheartedly accept that it has made a huge difference to my practice and to my clinical outcomes. It is one and only laser which has shown remarkable effect on wound healing. I have noticed a significant reduction in the healing time of wounds with the laser treatment. I have also used the laser in several unusual situations including intra-operatively, with excellent results.

The management of chronic leg ulcers that do not respond to standard treatments is a real challenge in terms of public health due to the significant costs generated and considerably alters the quality of life of patients. The YAG/Er RecoSMA Laser is a very promising solution in this indication because it allows the biofilm to be effectively removed thanks to the effect of the laser ablation and its mechanical-acoustic effect promotes cell regeneration. Combined with the usual treatments for leg ulcers, it can restart the healing of ulcers that are difficult to heal.

RecoSMA technology, which utilizes the precision and power of the laser, has shown remarkable success in treating hard-to-heal diabetic ulcers.
In our study involving 59 patients, published in 2023 in the Journal of Wound Care (UK), we observed a significant reduction in the average number of sessions required for wound closure. The mean wound surface area at baseline was 25.7 cm², and the average number of sessions required was just 4.41, ranging from 1 to 11 sessions.
What sets RecoSMA apart is its ability to treat the wound surface and deeper tissues simultaneously, promoting faster and more effective healing. This technology not only aids in debridement but also stimulates the body's natural healing processes, enhancing revascularisation and supporting collagen synthesis. The result is a more natural and robust healing process, significantly reducing the risk of recurrence. The procedure is minimally invasive, can be performed on an outpatient basis, and is well-tolerated by patients.

RecoSMA laser is regenerative Laser. I have documented regeneration of planter skin. Wound 5 cm X 3.5 cm on heal will not heal by wound contraction. Obviously it is possible only by tissue proliferation. How this will happen? Regeneration of different tissue by stimulation of stem cells. If this laser is stimulating epithelial stem cells then it should stimulate other stem cells also. That is how I started work on Hair regrowth. In female patients results are promising. This not only controls & stops hair fall but also shows improvement in texture of hairs leading to fullness. Hair regrowth in male patients are convincing & promising. Other problems besides non healing wounds where RecoSMA laser is very useful are Elimination of scars, Keloid, Hypertrophic scars & stretch mark.

Amazing laser technology. Patients suffering from chronic wounds do dressings for months. The RecoSMA laser technology for wound healing can be considered a near miracle. The problem with laser wound healing is that heat is detrimental to wounds, but LINLINE has achieved the perfect balance in the amount of Laser heat which stimulates wound healing. This low photothermal effect is the precise reason why RecoSMA laser treatment works in two of the most challenging treatment scenarios: chronic wounds and Keloids. My patients are getting immensely benefiting from RecoSMA laser treatment . Thanks