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Laser surgery

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830:, surgical laser applications are most often used to remove pulmonary metastases and tumors of different primary localizations. Other areas of application are surgical sectioning of the parenchyma, anatomic segmental resections, removal of tumors from the thoracic wall and abrasion of the pleura parietalis. Since the introduction of surgical lasers, the amount of potentially surgically resectable pulmonary nodules has significantly increased. Compared to laser surgery, other conventional surgical methods such as segmental or wedge resections with surgical stapling will normally lead to a bigger loss of lung tissue, especially in patients with multiple pulmonary nodules methods. 487:. The laser surgery for dermatology often bypasses the skin surface. The principle of laser surgery for dermatologic problems is based on SPTL (selective photothermolysis). The laser beam penetrates the skin until it encounters chromophore which absorbs the laser beam. After absorption of the laser beam, heat is generated to induce coagulation, necrosis of the targeted tissue, this results in the removal of unwanted tissue by laser surgery. 1927: 146: 43: 447: 84: 419:(photophrin II) is administered which is taken up by the tumor tissue and later irradiated by laser light resulting in highly toxic substances with resultant necrosis of the tumor. Photodynamic therapy is used in palliation of oesophageal and bronchial carcinoma and ablation of mucosal cancers of Gastrointestinal tract and urinary bladder. 818:, despite the fact that it has never been studied in a controlled clinical trial to determine its effectiveness apart from disc decompression. Evidence-based data surrounding the use of lasers in spine surgery is limited and its safety and efficacy were poorly understood as of 2017. 833:
Other advantages of laser surgery compared to conventional methods are that it leads to an improved postoperative lung function and that it gives the additional possibility to histologically analyze the removed material which would otherwise be destroyed through radiation or heat.
371:. There are several different laser wavelengths used in soft tissue surgery. Different laser wavelengths and device settings (such as pulse duration and power) produce different effects on the tissue. Some commonly used lasers types in soft tissue surgery include erbium, 1561:
Rolle A, Pereszlenyi A, Koch R et al. Is surgery for multiple lung metastases reasonable? A total of 328 consecutive patients with multiple-laser metastasectomies with a new 1318-nm :YAG laser. J Thorac Cardiovasc Surg 2006; 131(6):
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is the latest advancement in laser vision correction technology. In SMILE surgery, ZEISS VisuMax femtosecond laser is used to make a small incision and to create a pre-calculated mini lens tissue (or lenticule) inside the cornea.
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Surgical laser systems, sometimes called "laser scalpels", are differentiated not only by the wavelength, but also by the light delivery system: flexible fiber or articulated arm, as well as by other factors.
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Gorman, Jack B. (February 1989). "Clinical Application of the Carbon Dioxide Laser to Podiatric Nail Pathologies: A Definitive Review of the Literature". In Ballow D.P.M., Edward B. (ed.).
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laser in aesthetic plastic surgery. Presented at the XIII Congress of the International Society for Aesthetic Plastic Surgery, New York, NY, Sept. 28-Oct. 1, 1995.
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Mineo TC, Cristino B, Ambrogi V et al. Usefulness of the Nd: YAG laser in parenchyma-sparing resection of pulmonary nodular lesions. Tumori 1994; 80(5):365-369
379:. Erbium lasers are excellent cutters, but provide minimal hemostasis. Diode lasers (hot tip) provide excellent hemostasis, but are slow cutters. CO 1061: 610:. They are used to remove benign and malignant tumors, treat bunions, debride ulcers and burns, excise epidermal nevi, blue rubber bleb nevi, and 1887: 1592: 970: 570:
in which a laser is used to cauterize blood vessels in the eye, to treat various conditions. Lasers can be used to repair tears in the
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under the notion that heating a bulging disc vaporized enough tissue to relieve pressure on the nerves and help alleviate pain.
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Rolle A, Thetter O, Häussinger K. et al. Einsatz des Nd:YAG-Lasers in der Thoraxchirurgie. Herz Gefäß Thorax Chir 1989; 3:85-91
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Inderbitzi R, Rolle A. Palliative surgery for primary and secondary thoracic malignancies. Ther Umsch 2001 Jul;58(7) 435-41
1521:"Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)" 182: 751: 563: 99: 1951: 1852: 1520: 554:, a ring of concentric burns is made in the cornea, which causes its surface to steepen, allowing better near vision. 547: 392: 329: 189: 1160:
Fakhouri, TM; El Tal, AK; Abrou, AE; Mehregan, DA; Barone, F (February 2012). "Laser-assisted lipolysis: a review".
1656: 551: 156: 268: 196: 1956: 688: 498: 431:: this property is used for endoscopic control of bleeding e.g. Bleeding peptic ulcers, oesophageal varices 1826: 1646: 1499: 607: 434: 178: 1714: 665: 1292: 1821: 1704: 1692: 1619: 871: 731: 650: 618: 502: 428: 105: 1062:"Ablation and sulcular debridement utilizing the CO2 laser for denture-induced gingival hyperplasia" 703: 94: 1872: 1791: 1731: 1651: 1439:
Snyder, Laura A.; O'Toole, John; Eichholz, Kurt M.; Perez-Cruet, Mick J.; Fessler, Richard (2014).
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are used to treat various skin conditions including scars, vascular and pigmented lesions, and for
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Garoufalis, Matthew G. (February 1989). "Soft Tissue Lesions". In Ballow D.P.M., Edward B. (ed.).
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Garoufalis, Matthew G. (February 1989). "Soft Tissue Lesions". In Ballow D.P.M., Edward B. (ed.).
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Wynn D.P.M., Michael H. (October 1986). "Soft-Tissue Bunion Repair with a CO2 Surgical Laser".
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Laser spine surgery first began seeing clinical use in the 1980s and was primarily used within
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lasers are both efficient at cutting and coagulating. Laser surgery is commonly used on the
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of the lumen is done which allows the patient to resume a soft diet and maintain hydration.
542:, and a laser is used to reshape the layers underneath, is used to treat refractive error. 203: 1930: 1811: 1801: 1612: 875: 699: 673: 626: 497:
of a material are dissolved by a laser, a technique invented by aesthetic plastic surgeon
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Borzabadi-Farahani A (2017). "The Adjunctive Soft-Tissue Diode Laser in Orthodontics".
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as it is reflected by titanium, and thus has been gaining popularity in the field of
658: 638: 494: 396: 1425: 1189: 566:(PTK) in which opacities and surface irregularities are removed from the cornea and 1882: 1751: 1746: 1687: 1265:(First ed.). International Society of Podiatric Laser Surgery. pp. 65–72. 1231:(First ed.). International Society of Podiatric Laser Surgery. pp. 65–72. 887: 784: 772: 352: 340: 325: 1324:"SuperPulse 10.6 µm CO2 laser-assisted, closed flap treatment of peri-implantitis" 814:
Since that time, laser spine surgery has become one of the most marketed forms of
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surgical fields. The primary uses of lasers in soft tissue surgery are to cut,
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Quigley, M. R.; Maroon, J. C. (1994-01-01). "Laser discectomy: a review".
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Soft-tissue laser surgery is used in a variety of applications in humans (
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in the artery is excised. Other applications include laser assisted
1441:"The Technological Development of Minimally Invasive Spine Surgery" 391:, which is used to correct near and far-sightedness in vision, and 1635: 535: 445: 388: 321: 302: 1123:
Roberts, Thomas L III; Lettieri, John T; Ellis, Laura B. (1996).
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Lasers are also used to treat non-refractive conditions, such as
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lasers were the dominant soft-tissue surgical lasers as of 2010.
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Ascher, P. W.; Heppner, F. (1984). "CO2-Laser in neurosurgery".
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A range of lasers such as erbium, dye, Q switch lasers, and CO
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Laser Resurfacing: Recognizing and Minimizing Complications"
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can be achieved by selective photovaporization of the tumor.
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is a variant in which the flap is also cut with a laser. In
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Oral and Maxillofacial Surgery - E-Book: 3-Volume Set
614:, and the removal of hypertrophic scars and tattoos. 1835: 1782: 1670: 1086:
Principles and Practice of Laser Dentistry - E-Book
267: 262: 170:. Unsourced material may be challenged and removed. 1109:Roberts, Thomas L III. The emerging role of the CO 771:for virtually all soft-tissue procedures, such as 683:provided they are less than 4 cm and without 415:: clinically referred to as photodynamic therapy. 1204:"ReLEx SMILE Surgery & Procedures in Toronto" 530:Various types of laser surgery are used to treat 538:, in which a knife is used to cut a flap in the 1581:Donald J. Coluzzi; Robert A. Convissar (2007). 959:Noel A. Berger; Peter H. Eeg (9 January 2008). 912:American Society for Laser Medicine and Surgery 716:to relieve obstruction and to control bleeding. 994:. Elsevier Health Sciences. pp. 327–354. 791:. The laser may also be effective in treating 694:Palliative laser therapy is given in advanced 687:involvement. Lasers are also used in treating 679:Lasers can be effectively used to treat early 606:Lasers are used to treat several disorders in 1620: 8: 962:Veterinary Laser Surgery: A Practical Guide 71:Learn how and when to remove these messages 1627: 1613: 1605: 1474: 1456: 1244:The Journal of Current Podiatric Medicine 1144: 783:10,600 nm wavelength is safe around 248:Learn how and when to remove this message 230:Learn how and when to remove this message 128:Learn how and when to remove this message 1584:Atlas of Laser Applications in Dentistry 512:Lasers are also used for laser-assisted 454:laser used for soft-tissue laser surgery 1888:Multiple-prism grating laser oscillator 899: 1291:Levine, Robert; Vitruk, Peter (2015). 399:to remove a small amount of the human 259: 7: 1322:Linden, Eric; Vitruk, Peter (2015). 1034:. Surgical Clinics of North America. 1030:Schwesinger, WH; Hunter, JG (1992). 526:Eye surgery § Laser eye surgery 168:adding citations to reliable sources 1587:. Quintessence Publishing Company. 1500:"Lasers in Spine Surgery: A Review" 1083:Convissar, Robert A. (2010-05-19). 280: 27:Medical use of laser to cut tissues 1045:Morris, Peter J; Wood, William C. 586:is a technique in which an entire 437:: used in intraluminal lithotripsy 25: 1060:Rosenlicht, J; Vitruk, P (2015). 842:Lasers are used to cut or ablate 316:Types of surgical lasers include 52:This article has multiple issues. 1926: 1925: 1359:10.1097/00007632-199401000-00010 1174:10.1111/j.1524-4725.2011.02168.x 990:. In Fonseca, Raymond J. (ed.). 816:minimally invasive spine surgery 750:is a safer modality compared to 144: 108:has been specified. Please help 82: 41: 475:Dermatology and plastic surgery 155:needs additional citations for 60:or discuss these issues on the 1797:Amplified spontaneous emission 1293:"Laser-Assisted Operculectomy" 986:Strauss, Robert (2017-03-08). 625:) is used in surgery to treat 357:oral and maxillofacial surgery 1: 1445:BioMed Research International 1146:10.1016/S1090-820X(96)70038-9 1019:(4 ed.). pp. 62–65. 779:, and operculectomies. The CO 1498:Stern, Jack (October 2009). 1089:. Elsevier Health Sciences. 752:electrohydraulic lithotripsy 712:therapy is used in advanced 594:and laser-assisted vascular 564:phototherapeutic keratectomy 1853:Chirped pulse amplification 548:photorefractive keratectomy 393:photorefractive keratectomy 330:potassium titanyl phosphate 1978: 1657:List of laser applications 1208:Clearview Vision Institute 1047:Oxford Textbook of Surgery 767:laser is used in oral and 552:laser thermal keratoplasty 523: 387:. Techniques used include 98:to meet Knowledge (XXG)'s 29: 1921: 1642: 1278:Laser Surgery of the Foot 1263:Laser Surgery of the Foot 1229:Laser Surgery of the Foot 1133:Aesthetic Surgery Journal 965:. John Wiley & Sons. 281: 1297:Compend Contin Educ Dent 1032:Laser in General Surgery 934:Compend Contin Educ Dent 493:is a technique in which 305:(in contrast to using a 30:Not to be confused with 759:Oral and dental surgery 689:oral submucous fibrosis 645:Gastro-intestinal tract 1647:List of laser articles 1015:Cuscheri; et al. 866:laser is also used in 719:Laser surgery used in 666:vascular malformations 637:(rams horn nail), and 608:foot and ankle surgery 602:Foot and ankle surgery 499:Thomas L. Roberts, III 455: 435:Photomechanical effect 1525:providers.bcidaho.com 775:, vestibuloplasties, 730:have been done using 726:Laser-assisted liver 449: 1822:Population inversion 1390:Neurosurgical Review 1162:Dermatologic Surgery 940:(eBook 5): e18–e31. 698:with obstruction of 651:Peptic ulcer disease 619:carbon dioxide laser 578:Endovascular surgery 423:Photoablative effect 413:Photochemical effect 164:improve this article 110:improve this article 1873:Laser beam profiler 1792:Active laser medium 1732:Free-electron laser 1652:List of laser types 1458:10.1155/2014/293582 1328:Implant Practice US 1066:Implant Practice US 880:otorhinolaryngology 809:lumbar disc disease 696:oesophageal cancers 655:oesophageal varices 588:atheromatous plaque 429:Photothermal effect 1952:Laser applications 1402:10.1007/bf01780695 734:and Nd:YAG lasers. 714:colorectal cancers 456: 32:laser hair removal 1939: 1938: 1893:Optical amplifier 1742:Solid-state laser 1594:978-0-86715-476-4 972:978-0-470-34412-5 908:"General Surgery" 748:laser lithotripsy 629:(ingrown nails), 568:laser coagulation 491:Laser resurfacing 485:photorejuvenation 292: 291: 258: 257: 250: 240: 239: 232: 214: 138: 137: 130: 100:quality standards 91:This article may 75: 16:(Redirected from 1969: 1929: 1928: 1903:Optical isolator 1868:Injection seeder 1848:Beam homogenizer 1827:Ultrashort pulse 1817:Lasing threshold 1629: 1622: 1615: 1606: 1599: 1598: 1578: 1572: 1569: 1563: 1559: 1553: 1550: 1544: 1541: 1535: 1534: 1532: 1531: 1517: 1511: 1510: 1504: 1495: 1489: 1488: 1478: 1460: 1436: 1430: 1429: 1396:(2–3): 123–133. 1385: 1379: 1378: 1342: 1336: 1335: 1319: 1313: 1312: 1288: 1282: 1281: 1273: 1267: 1266: 1258: 1252: 1251: 1239: 1233: 1232: 1224: 1218: 1217: 1215: 1214: 1200: 1194: 1193: 1157: 1151: 1150: 1148: 1120: 1114: 1107: 1101: 1100: 1080: 1074: 1073: 1057: 1051: 1050: 1042: 1036: 1035: 1027: 1021: 1020: 1012: 1006: 1005: 983: 977: 976: 956: 950: 949: 929: 923: 922: 920: 919: 904: 828:thoracic surgery 822:Thoracic surgery 793:peri-implantitis 737:The ablation of 721:hemorrhoidectomy 532:refractive error 367:, vaporize, and 332:, among others. 285:edit on Wikidata 277: 260: 253: 246: 235: 228: 224: 221: 215: 213: 172: 148: 140: 133: 126: 122: 119: 113: 86: 85: 78: 67: 45: 44: 37: 21: 1977: 1976: 1972: 1971: 1970: 1968: 1967: 1966: 1942: 1941: 1940: 1935: 1917: 1831: 1812:Laser linewidth 1802:Continuous wave 1778: 1671:Types of lasers 1666: 1638: 1633: 1603: 1602: 1595: 1580: 1579: 1575: 1570: 1566: 1560: 1556: 1551: 1547: 1542: 1538: 1529: 1527: 1519: 1518: 1514: 1502: 1497: 1496: 1492: 1438: 1437: 1433: 1387: 1386: 1382: 1344: 1343: 1339: 1321: 1320: 1316: 1290: 1289: 1285: 1275: 1274: 1270: 1260: 1259: 1255: 1241: 1240: 1236: 1226: 1225: 1221: 1212: 1210: 1202: 1201: 1197: 1159: 1158: 1154: 1128: 1122: 1121: 1117: 1112: 1108: 1104: 1097: 1082: 1081: 1077: 1059: 1058: 1054: 1044: 1043: 1039: 1029: 1028: 1024: 1014: 1013: 1009: 1002: 985: 984: 980: 973: 958: 957: 953: 931: 930: 926: 917: 915: 906: 905: 901: 896: 876:general surgery 865: 860: 840: 824: 801: 782: 766: 761: 681:gastric cancers 664:Coagulation of 647: 641:(fungus nail). 627:onychocryptosis 624: 604: 580: 528: 522: 506: 482: 477: 472: 465: 453: 444: 417:Photosensitizer 409: 382: 378: 337:general surgery 288: 273: 254: 243: 242: 241: 236: 225: 219: 216: 179:"Laser surgery" 173: 171: 161: 149: 134: 123: 117: 114: 103: 87: 83: 46: 42: 35: 28: 23: 22: 15: 12: 11: 5: 1975: 1973: 1965: 1964: 1959: 1957:Laser medicine 1954: 1944: 1943: 1937: 1936: 1934: 1933: 1922: 1919: 1918: 1916: 1915: 1910: 1908:Output coupler 1905: 1900: 1898:Optical cavity 1895: 1890: 1885: 1880: 1875: 1870: 1865: 1860: 1858:Gain-switching 1855: 1850: 1845: 1839: 1837: 1833: 1832: 1830: 1829: 1824: 1819: 1814: 1809: 1807:Laser ablation 1804: 1799: 1794: 1788: 1786: 1780: 1779: 1777: 1776: 1771: 1770: 1769: 1764: 1759: 1754: 1749: 1739: 1734: 1729: 1728: 1727: 1722: 1717: 1712: 1707: 1705:Carbon dioxide 1697: 1696: 1695: 1693:Liquid-crystal 1690: 1680: 1678:Chemical laser 1674: 1672: 1668: 1667: 1665: 1664: 1662:Laser acronyms 1659: 1654: 1649: 1643: 1640: 1639: 1634: 1632: 1631: 1624: 1617: 1609: 1601: 1600: 1593: 1573: 1564: 1554: 1545: 1536: 1512: 1490: 1431: 1380: 1337: 1314: 1303:(8): 561–567. 1283: 1268: 1253: 1234: 1219: 1195: 1152: 1126: 1115: 1110: 1102: 1096:978-0323079891 1095: 1075: 1052: 1049:. 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