scholarly journals Usefulness of Thulium-Doped Fiber Laser and Diode Laser in Zero Ischemia Kidney Surgery—Comparative Study in Pig Model

Materials ◽  
2021 ◽  
Vol 14 (8) ◽  
pp. 2000
Author(s):  
Bogusława Żywicka ◽  
Jolanta Bujok ◽  
Maciej Janeczek ◽  
Albert Czerski ◽  
Maria Szymonowicz ◽  
...  
Keyword(s):  
Comparative Study ◽  
Fiber Laser ◽  
Diode Laser ◽  
Thermal Damage ◽  
Model Material ◽  
Pig Model ◽  
Superficial Zone ◽  
Kidney Surgery ◽  
Zero Ischemia ◽  
Damage Depth

Background: The aim of this study was to evaluate the usefulness of a thulium-doped fiber laser and a diode laser in zero ischemia kidney surgery, by carrying out a comparative study in a pig model. Material and methods: Research was carried out on 12 pigs weighing 30 kg each. A thulium-doped fiber laser (TDFL) and a diode laser (DL) operating at wavelengths of 1940 and 1470 nm, respectively, were used. The cut sites were assessed both macroscopically and microscopically. The zone of thermal damage visible in the histopathological preparations was divided into superficial and total areas. Results: During partial nephrectomy, moderate to minimal bleeding was observed, which did not require additional hemostatic measures. All animals survived the procedure. On day 0, the total thermal damage depth was 837.8 µm for the TDFL and 1175.0 µm for the DL. On day 7, the depths were 1556.2 and 2301.7 µm, respectively. On day 14, the overall thermal damage depth for the DL was the greatest (6800 µm). The width of the superficial zone was significantly reduced on days 7 and 14 after TDFL application. Conclusion: Both lasers are suitable for partial wedge nephrectomy without ischemia in pigs. The TDFL produced similar or better hemostasis than the DL, with a smaller zone of thermal damage and, therefore, seems more suitable for application in human medicine.

scholarly journals Local Effects of a 1940 nm Thulium-Doped Fiber Laser and a 1470 nm Diode Laser on the Pulmonary Parenchyma: An Experimental Study in a Pig Model

Materials ◽  
2021 ◽  
Vol 14 (18) ◽  
pp. 5457
Author(s):  
Maciej Janeczek ◽  
Zbigniew Rybak ◽  
Anna Lipińska ◽  
Jolanta Bujok ◽  
Albert Czerski ◽  
...  
Keyword(s):  
Fiber Laser ◽  
Diode Laser ◽  
Cell Activation ◽  
Thermal Damage ◽  
Postoperative Bleeding ◽  
Pig Model ◽  
Histopathological Analysis ◽  
Total Width ◽  
Superficial Zone ◽  
Term Survival

The lungs are a common site of metastases from malignant tumors. Their removal with a minimal but safe tissue margin is essential for the long-term survival of patients. The aim of this study was to evaluate the usefulness of a 1940 nm thulium-doped fiber laser (TDFL) and a 1470 nm diode laser (DL) in a pig model of lung surgery that involved the incision and excision of lung tissue. Histopathological analysis was performed on days 0 and 7 after surgery. Neither TDFL nor DL caused significant perioperative or postoperative bleeding. Histological analysis revealed the presence of carbonized necrotic tissue, mixed fibrin–cellular exudate in the superficial zone of thermal damage and bands of deeper thermal changes. The mean total width of thermal damage on day 0 was 499.46 ± 61.44 and 937.39 ± 109.65 µm for TDFL and DL, respectively. On day 7, cell activation and repair processes were visible. The total width of thermal damage was 2615.74 ± 487.17 µm for TDFL vs. 6500.34 ±1118.02 µm for DL. The superficial zone of thermal damage was narrower for TDFL on both days 0 and 7. The results confirm the effectiveness of both types of laser in cutting and providing hemostasis in the lungs. TDFL caused less thermal damage to the lung parenchyma than DL.

scholarly journals Comparison of A 1940 nm Thulium-Doped Fiber Laser and A 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in A Pig Model of Spleen Surgery

Materials ◽  
2020 ◽  
Vol 13 (5) ◽  
pp. 1167
Author(s):  
Bogusława Żywicka ◽  
Zbigniew Rybak ◽  
Maciej Janeczek ◽  
Albert Czerski ◽  
Jolanta Bujok ◽  
...  
Keyword(s):  
Fiber Laser ◽  
Diode Laser ◽  
Thermal Damage ◽  
Giant Cells ◽  
Pig Model ◽  
Delayed Bleeding ◽  
Thermal Changes ◽  
Thermal Tissue Damage ◽  
Cutting Efficacy ◽  
Laser Devices

Partial and total splenectomies are associated with a high risk of substantial blood loss. Lasers operating at wavelengths strongly absorbed by water have the potential to improve hemostasis and cut while providing a narrow zone of thermal damage. The aim of this study is to compare a thulium-doped fiber laser (TDFL) emitting a wavelength of 1940 nm and a diode laser (DL) operating at 1470 nm for spleen surgery in a pig model. A partial splenectomy and spleen incisions were made in 12 animals using the two laser devices. The hemostasis was evaluated visually during surgeries. Post-mortem and histopathological evaluations were done on days 0, 7, and 14 following surgery. Neither TDFL nor DL caused bleeding on day 0 or delayed bleeding. On day 14, pale streaks at the site of incision were slightly wider after cutting with DL than with TDFL. Histological analysis revealed a carbonized zone with exudation and a deeper zone of thermal tissue damage on day 0. The width of the thermal changes was 655.26 ± 107.70 μm for TDFL and 1413.37 ± 111.85 μm for DL. On day 7, a proliferation of fibroblasts and splenocytes was visible, as well as a formation of multinucleated giant cells adjacent to the residues of carbonization. The zone of thermal damage was broader for DL (1157.5 ± 262.77 μm) than for TDFL (682.22 ± 116.58 μm). On day 14, cutting sites were filled with connective and granulation tissues with the residues of carbonization. The zone of thermal damage was narrower for TDFL (761.65 ± 34.3 μm) than for DL (1609.82 ± 202.22 μm). Thus, both lasers are efficient in spleen surgery, providing good hemostasis. However, TDFL produces a narrower zone of thermal damage, which suggests its better efficiency for spleen surgery, especially when performing more precise procedures.

scholarly journals Addendum: Żywicka, B., et al. Comparison of a 1940 nm Thulium-Doped Fiber Laser and a 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in a Pig Model of Spleen Surgery. Materials 2020, 13, 1167

Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 966
Author(s):  
Bogusława Żywicka ◽  
Zbigniew Rybak ◽  
Maciej Janeczek ◽  
Albert Czerski ◽  
Jolanta Bujok ◽  
...  
Keyword(s):  
Fiber Laser ◽  
Diode Laser ◽  
Pig Model ◽  
Cutting Efficacy

The authors would like to add the following sentence to the “Funding” section of their article [...]

Effectiveness of Diode Laser versus Intense Pulsed Light in Hirsutism: A Prospective and Comparative Study in Samawa City

2020 ◽  
Vol 24 (02) ◽  
pp. 2111-2117
Author(s):  
Arwaa A. Abdul-hussein ◽  
Safa Azhar Razzaq ◽  
Haidar Hamid Shak
Keyword(s):  
Comparative Study ◽  
Diode Laser ◽  
Intense Pulsed Light ◽  
Pulsed Light

Diode-laser-pumped tunable 896–9395-nm neodymium-doped fiber laser with 43-mW output power

1998 ◽  
Vol 37 (15) ◽  
pp. 3276 ◽  
Author(s):  
Anthony L. Cook ◽  
Herbert D. Hendricks
Keyword(s):  
Fiber Laser ◽  
Diode Laser ◽  
Output Power

Study on laser welding of copper material by hybrid light source of blue diode laser and fiber laser

2021 ◽  
Vol 33 (3) ◽  
pp. 032018
Author(s):  
Hang Yang ◽  
Xiahui Tang ◽  
Chong Hu ◽  
Songjia Liu ◽  
Yuanchao Fan ◽  
...  
Keyword(s):  
Laser Welding ◽  
Fiber Laser ◽  
Diode Laser ◽  
Light Source ◽  
Copper Material ◽  
Blue Diode Laser

Operation of diode laser pumped Tm/sup 3+/ ZBLAN upconversion fiber laser at 482 nm

1996 ◽  
Vol 32 (1) ◽  
pp. 118-123 ◽  
Author(s):  
I.J. Booth ◽  
C.J. Mackechnie ◽  
B.F. Ventrudo
Keyword(s):  
Fiber Laser ◽  
Diode Laser

A comparative study of transcanalicular diode laser supported endoscopic dacryocystorhinostomy and non-laser endoscopic dacryocystorhinostomy

2016 ◽  
Vol 37 (6) ◽  
pp. 497-501 ◽  
Author(s):  
Gültekin Övet ◽  
Yasar Sakarya ◽  
Mehmet Şentürk
Keyword(s):  
Comparative Study ◽  
Diode Laser ◽  
Endoscopic Dacryocystorhinostomy

Comparative study between intrahemorrhoidal diode laser treatment and Milligan–Morgan hemorrhoidectomy

2019 ◽  
Vol 32 (2) ◽  
pp. 560 ◽  
Author(s):  
IbrahimEI Salem ◽  
AllaA Alsisy ◽  
YahiaM Alkhateep
Keyword(s):  
Comparative Study ◽  
Laser Treatment ◽  
Diode Laser
Sign in / Sign up

Export Citation Format

Share Document