Reduction of collateral thermal impact of diode laser irradiation on soft tissue due to modified application parameters.

Abstract:

:The aim of this study was to investigate the effect of different working modes (pulsed and micropulsed) and power settings of a standardized 980-nm diode laser on collateral thermal soft-tissue damage. A total of 108 bovine liver samples were cut with a diode laser at various settings in pulsed and micropulsed mode and histologically assessed to determine the area and depth of carbonization, necrosis and reversible tissue damage, as well as incision depth and width. Incision depth and width and the area and depth of carbonization, necrosis and reversible damage were correlated strongly with cutting speed. The area and depth of reversible damage were correlated with average power. The micropulsed mode produced a smaller zone of carbonization and necrosis and a smaller incision width. Setting the laser parameters in accordance with the absorption characteristics of the tissue reduced collateral thermal tissue damage while maintaining an acceptable cutting ability. Reducing collateral thermal damage from diode laser incisions is clinically relevant for promoting wound healing.

journal_name

Lasers Med Sci

authors

Beer F,Körpert W,Passow H,Steidler A,Meinl A,Buchmair AG,Moritz A

doi

10.1007/s10103-011-1007-x

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

917-21

issue

5

eissn

0268-8921

issn

1435-604X

journal_volume

27

pub_type

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