Prevention of The Development of Postoperative Complications and Their Treatment in The Surgery of Duedenal Purpose

The authors analyze various degrees of physiological anastomositis in 131 patients, and conclude that for the treatment of late anastomositis after surgical interventions on the stomach and duodenum, it is recommended to include the laser action of the anastomosis zone with two types of low-energy lasers in the complex program. The authors argue that the combined use of low-energy laser exposure through endoscopic and percutaneous irradiation will improve the effectiveness of the treatment of late anastomositis.

Assessment of mechanical and biocompatible performance of ultra-large nitinol endovascular devices fabricated via a low-energy laser joining process

Nitinol is an excellent candidate material for developing various self-expanding endovascular devices due to its unique properties such as superelasticity, biocompatibility and shape memory effect. A low-energy laser joining technique suggests a high potential to create various large diameter Nitinol endovascular devices that contain complex geometries. The primary purpose of the study is to investigate the effects of laser joining process parameters with regard to the mechanical and biocompatible performance of Nitinol stents. Both the chemical composition and the microstructure of the laser-welded joints were evaluated using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). In vitro study results on cytotoxicity demonstrated that the joining condition of 8 Hz frequency and 1 kW laser power showed the highest degree of endothelial cell viability after thermal annealing in 500°C for 30 min. Also, in vitro study results showed the highest oxygen content at 0.9 kW laser power, 8 Hz frequency, and 0.3 mm spot size after the thermal annealing. Mechanical performance test results showed that the optimal condition for the highest disconnecting force was found at 1 Hz frequency and 1 kW power with 0.6 mm spot size. Two new endovascular devices have been fabricated using the optimized laser joining parameters, which have demonstrated successful device delivery and retrieval, as well as acute biocompatibility.

Influence of Low-Level Laser Modification and Adhesive Application Mode on the Bonding Efficiency of Universal Adhesives to Er:YAG Laser-Ablated Dentin

Introduction: Erbium laser ablation as a method of tooth preparation and conditioning has shown promising results. Although previous studies have adopted various combinations of different laser parameters and several dentin adhesive systems, very few have investigated combining high-level and low-level ER:YAG lasers with Universal adhesives. This study aimed to assess the impact of using low-energy irradiation on the surface micro-topography and shear bond strength (SBS) of universal adhesive (UA) to the erbium:yttrium-aluminum-garnet (Er:YAG) laser-ablated dentin substrate, bonded in etch-and-rinse or self-etch adhesive mode. Methods: Eighty-seven extracted molars were sectioned to expose flat occlusal dentin surface; 60 teeth were divided equally into three groups according to the surface treatment; bur-cutting (B), Er:YAG high-energy laser cutting (L1 - 200 mJ, 20 Hz, 50 μs pulse), or L1 followed by low-energy laser modification (L1 /L2 - 80 mJ, 10 Hz, 50 μs pulse). Then each group was equally divided into two groups (n=10) according to the mode of application of the universal adhesive; either etch-and-rinse (ER) or self-etching (SE). The samples were subjected to thermocycling (5000 cycle between 5°C and 55°C), and SBS was tested. Two-way ANOVA and Tukey post hoc test were used to analyze the results. The remaining 27 samples were used to investigate the effect of the treatment on the topography of the treated dentin surfaces using a scanning electron microscope (SEM). Results: B/SE recorded the highest SBS (25.48 ± 2.6 MPa) followed by B/ER (23.20 ± 6.8 MPa) and L1 /L2 /SE (22.94 ± 4.1 MPa) and with no statistically significant difference between these groups (P >0.05). The lowest SBS results (P<0.05) were recorded for L1/SE (12.22 ± 3 MPa). No statistical differences were found between the SBS of L1 /L2 /ER and L1 /ER groups or between the SBS of L1 /L2 / ER and L1 /L2 /SE groups. Conclusion: A subsequent treatment of the Er:YAG laser-ablated dentin with low-energy laser modification mode (LMM) enhances the SBS of the tested UA when applied in SE mode.

The application of laser radiation and thermotherapy for neurogenic bladder dysfunction in children (methodological recommendations)

The methodological recommendations are devoted to the application of low-energy laser irradiation (LELI) and thermotherapy for neurogenic bladder dysfunction in children (NBD). As a result of the studies, the high therapeutic efficiency of the combined use of low-energy laser irradiation and thermotherapy for neurogenic bladder dysfunction in children has been proven. For the first time, the scientific substantiation of the complex application of such methods of physiotherapy as laser therapy and thermotherapy for neurogenic dysfunction of the bladder in children is given; the therapeutic effectiveness of these physical factors in the complex treatment of NBD in children is studied. The influence of laser therapy and thermotherapy on the clinical course of NBD in children, the state of urodynamics, and the speed characteristics of the act of urination were revealed. The optimal parameters of the exposure, differentiated indications and contraindications to the method have been developed. The methodological recommendations are intended for physiotherapists, pediatricians, urologists, nephrologists of children’s medical and preventive institutions (hospital, polyclinic, rehabilitation center, health resort institutions).