Effects of electrocautery, CO<sub>2</sub> laser, and contact Nd:YAG laser scalpel on the healing of intestinal incision

Puolakkainen, Pauli; Brackett, Kim A.; Sankar, M. Y.; Joffe, S N; Schröder, T

doi:10.1002/lsm.1900070613

Cited by 16 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We are also concerned with the effects of the light that is scattered and diffusive and does not cause ablation but can cause thermal damage to the surrounding tissue. Changes in tissue and tissue characteristics have been observed at a range of intensities and with a wide range of lasers [9,12,16,18]. In particular, the wound healing process has been shown to be different between scalpel incisions and laser ablation [19][20][21],…”

Section: Discussionmentioning

confidence: 99%

Sub ablation effects of the KTP laser on wound healing

et al. 1993

View full text Add to dashboard Cite

The KTP laser (wavelength 532 nm) was used in a sub ablative format to determine the effect of low energy density irradiation on the normal healing by primary intention of scalpel skin incisions in rats. Two longitudinal lased strips were created by a 1 cm diameter defocused beam on the shaved, cleaned dorsal epidermis of 32 Sprague-Dawley rates; one strip was produced with a 2.0 W beam (54 J, or 18 J/cm2 total dose), and the other with a 3.5 W beam (94.5 J or 31.5 J/cm2, total dose). Scalpel incisions were made longitudinally within the irradiated zones, using contra lateral scalpel incisions on unirradiated skin as controls. Tensiometric analysis of wound strength was performed at 3, 7, 14, and 23 days following surgery. The data from fresh tissue tensiometry indicate that KTP laser irradiation of skin incisions results in a lower tensile strength for the wound at 7 and 14 days. The decrease in tensile strength is proportional to the total energy density of the exposure. At day 3 and 23, the tensile strength of the wound was independent of the sub ablative laser exposure. The results are in general agreement with studies of the healing process of laser incisions and may help us to understand the details of the healing process from laser incisions.

show abstract

Section: Discussionmentioning

confidence: 99%

Sub ablation effects of the KTP laser on wound healing

et al. 1993

View full text Add to dashboard Cite

show abstract

“…ES's effects have been studied extensively in the eye, 15 , 16 upper aerodigestive tract, 17–20 chest, 21–23 abdomen, 4,24,25 and gastrointestinal 26 , 27 and female genitourinary tracts 28 , 29 . Arnaud and Adloff, 26 in 1980, examined the bursting strength and histology of gastrointestinal tract anastomoses using ES and a scalpel.…”

Section: Literature Reviewmentioning

confidence: 99%

Sharp Dissection, Electrosurgery, and Argon‐Enhanced Electrosurgery in Porcine Skin Flaps

Bateman

Noorily

McGuff

1996

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Sharp scalpel dissection, electrosurgery, and argon-enhanced electrosurgery (argon beam coagulation) were used to elevate random pedicled skin flaps in a randomized, blinded fashion with a porcine model. A total of 72 flaps on 9 pigs were examined. Flap survival was quantified, and histology was also reviewed 2 and 6 weeks after surgery. No significant difference among the three techniques was noted in terms of area or length of surviving flaps. There were also no histologic differences noted with regard to fibrosis, inflammatory infiltrate, or necrosis. We conclude that the use of electrosurgery during surgical dissection of random pedicled skin flaps is not detrimental to wound healing or tissue survival, and it provides benefits such as decreased blood loss, absence of the need for sharp instruments in the surgical field, and faster operative times.

show abstract

A Prospective Study of Incisional Time, Blood Loss, Pain, and Healing With Carbon Dioxide Laser, Scalpel, and Electrosurgery

Pearlman

Stiegmann²,

Vance³

et al. 1991

Arch Surg

View full text Add to dashboard Cite

Carbon dioxide laser incisions are reported to be less painful, less bloody, and less prone to seroma formation and to heal better than scalpel or electrosurgical incisions. We compared all three modalities in a prospective randomized study of cholecystectomy incisions. Time required for the incision and incisional blood loss was less with electrosurgery than with the carbon dioxide laser or scalpel. Postoperative pain and wound healing, however, were the same for all three techniques. The carbon dioxide laser appears to offer no advantage over conventional means of making a standard incision.

show abstract

Effects of electrocautery, CO₂ laser, and contact Nd:YAG laser scalpel on the healing of intestinal incision

Cited by 16 publications

References 20 publications

Sub ablation effects of the KTP laser on wound healing

Sub ablation effects of the KTP laser on wound healing

Sharp Dissection, Electrosurgery, and Argon‐Enhanced Electrosurgery in Porcine Skin Flaps

A Prospective Study of Incisional Time, Blood Loss, Pain, and Healing With Carbon Dioxide Laser, Scalpel, and Electrosurgery

Contact Info

Product

Resources

About

Effects of electrocautery, CO2 laser, and contact Nd:YAG laser scalpel on the healing of intestinal incision

Cited by 16 publications

References 20 publications

Sub ablation effects of the KTP laser on wound healing

Sub ablation effects of the KTP laser on wound healing

Sharp Dissection, Electrosurgery, and Argon‐Enhanced Electrosurgery in Porcine Skin Flaps

A Prospective Study of Incisional Time, Blood Loss, Pain, and Healing With Carbon Dioxide Laser, Scalpel, and Electrosurgery

Contact Info

Product

Resources

About

Effects of electrocautery, CO₂ laser, and contact Nd:YAG laser scalpel on the healing of intestinal incision