2013年5月30日星期四

1210nm Laser Liposculpture

Based on a fat absorption spectrum, tissue was exposed to a range of wavelengths of infrared laser light (800-2600 nanometers) using the Free-Electron Laser facility at Jefferson Lab. The researchers measured how selected wavelengths heated the fat and compared the result to a similar experiment conducted with pure water. At most infrared wavelengths, water is more efficiently heated by infrared light; however, the researchers found three wavelengths – 915, 1210 and 1720 nm – where fat was more efficiently heated than water.
The researchers then exposed fresh, intact pig skin-and-fat tissue samples, about two inches thick, to free-electron laser infrared light centered around the two most promising wavelengths, 1210 and 1720 nm. To imitate potential surgical conditions, the pig skin was placed next to a cold window, which mimicked the application of a cold compress to the skin prior to laser exposure. The researchers zapped samples with beams of infrared laser light ranging from eight to 17 mm wide for about 16 seconds. They found that the 1210 nm wavelength preferentially heated pig fat up to 1 cm deep, without damaging the overlying skin. At 1210 nm, laser-induced heating of fat was more than twice that of the overlying skin; at 1720 nm, it was about 1.7 times that of skin.
Rox Anderson, lead author on the study and a practicing dermatologist at Harvard, says the results provide a proof of principle for the use of selective photothermolysis, selectively heating tissues with light, for several potential medical applications. Dr. Anderson is most excited about the potential for using lasers to target sebaceous glands. “The root cause of acne is a lipid-rich gland, the sebaceous gland, which sits a few millimeters below the surface of the skin,” Anderson says, “We want to be able to selectively target the sebaceous gland, and this research shows that if we can build lasers at this region of the spectrum, we may be able to do that.”

2013年5月29日星期三

1210nm Laser Liposuction

The major innovation of 1210nm laser for liposuction is the preservation of fat cell adintegrum. Therefore, we are referring to a new concept of "disruption" of adipose tissue rather than lipolysis.

This allows the adipose tissue to be used for fat grafting in liposculpture or breast reconstruction. This Technique shows a low complication rate, due to the affinity of this wavelength 1210nm with adipose tissue.  

2013年5月28日星期二

Laser 1210nm in lipolysis

980nm 20W VS 1210nm 5W

Fat preserving by laser 1210-nm

INTRODUCTION:

The 1210-nm wavelength has absorption-affinity for Lipid-Rich Tissue and has demonstrated to stimulate adipocytes and mesenchymal cells of the subcutaneous tissue, with a new concept: Selective Photothermostimulation (SPS). The application in Liposuction of this wavelength is determined by its preservation of the integrity of adipocytes, making possible the use of these materials for fat grafting in Liposculpture, Breast Reconstruction or as filler in Face Rejuvenation, proven that this technique is less traumatic.

MATERIALS AND METHODS:

102 patients diagnosed with lipodystrophy either associated to skin flaccidity or not were applied the 1210-nm diode laser (ORlight®) between June 2010 and August 2011. The protocol was followed and verified through ultrasound imaging. Intraoperative and subcutaneous cellular tissue temperatures were measured. Samples of the aspirated tissue were sent for histological analysis to prove alteration/preservation of adipocytes and connective tissues, including mitochondrial activity.

RESULTS:

Histological analyses revealed 98% preservation of aspirated adipocytes. The 1210-nm diode laser shows affinity for adipose tissue. In addition, the technique poses a reduced trauma level on tissues, allowing for the performance of associated procedures for the body or face. No major complications were observed; and only minor complications, mainly ecchymosis on 2% of the total body surface area, have been recorded. The recovery period is 24 hours. The Liposuction Diode Laser (LSDL) 1210-nm is ideal for Liposculpture.

2013年5月26日星期日

Why Go For Laser Hemorrhoid Surgery?

  1. The process is not too painful for the sufferer
  2. Almost in all the cases hospitalization is not required for laser hemorrhoid surgery; the patient can be discharged the same day.
  3. The process does not involve any steam or smoke so there is no sparking, making it safer too.
  4. Using laser ensures that the bleeding during surgery is minimal. in fact the blood vessels are sealed by the laser.
  5. The tissues around the hemorrhoid are also not damaged. This ensures that there is no tissue death, which when happens can lead to further complications. Thus laser hemorrhoid surgery can actually avoid other medical complications.
  6. Using a wide beam laser, a large swathe tissue can be killed, and a narrow band can be used for cutting. Thus the options are many.
  7. Laser hemorrhoid surgery eases the work of the doctor who is operating.
  8. Laser hemorrhoid surgery also usually leads to the wound healing faster.
www.gigaalaser.com
donna@gigaalaser.com

Great Saphenous Vein (GSV) ablation Using 1470 nm LASER

http://www.youtube.com/watch?v=bBWY7rqeBGE

This movie was recorded at the Pontiac Catholic University in Porto Alegre, Brazil. Shows step by step the ablation of the GSV using a 1470nm LASER delivered with a radial Emission Fibre.

PS: from you tube

PLDD – Percutaneous Laser Disc Decompression

Percutaneous laser disc decompression (PLDD) is a type of surgery in which a laser probe is inserted into the intervertebral disc space and laser energy applied for achieving decompression and neuromodulation thereby relieving the pain. PLDD is a minimally invasive procedure that falls into the category of percutaneous intervertebral surgeries with the aim to significantly reduce the patient’s pain and recover neurological deficit. It is performed under local anesthesia. By a specially designed laser, with a coefficient of absorbing energy adjusted for soft discus tissue, specific amount of heat is sent to achieve the evaporation of the water from the disc without additional thermal damage thus achieving decompression and creation of a stable intradiscal scar that will prevent herniation from reoccurring.
If you suffer from agonizing back or neck pain as a result of a herniated disc, PLDD (Percutaneous Laser Disc Decompression) offers quick relief without surgery.



Approved by the FDA and recognized by the AMA, PLDD is a minimally invasive laser treatment performed on an outpatient basis using only local anesthesia. During the procedure, a laser beam vaporizes a tiny portion of the disc, decompressing it. Patients typically get off the table and go home. There is no hospital stay, no long recovery period, and PLDD costs many thousands of dollars less than surgery.

PLDD
 is the minimally-invasive medical procedure developed by Dr. Daniel S.J. Choy in 1986 that uses a laser beam to treat back and neck pain caused by a herniated disc. A herniated disc is like a balloon with a weak spot. Inflating it will cause a bulge (herniation). Pain results from the bulge pressing against nerves in the spinal column.

The PLDD treatment 
is performed on an outpatient basis using only local anesthesia. During the procedure, a thin needle is inserted into the herniated disc under x-ray guidance. An optical fiber is inserted through the needle and laser energy is sent through the fiber, vaporizing a tiny portion of the disc nucleus. This creates a partial vacuum which draws the herniation away from the nerve root, thereby relieving the pain. The effect usually is immediate.

Patients get off the table with just a small adhesive bandage and return home for 24 hours of bed rest. Then patients begin progressive ambulation, walking up to a mile. Most return to work in four to five days.

Because
 only a thin needle is used, there is no cutting and no scarring. Since only a tiny amount of disc is vaporized, there is no subsequent spinal instability. PLDD is different from open lumbar disc surgery because there is no damage to the back muscle, no bone removal or large skin incision. Most of the complications that may occur with open surgery are eliminated with the PLDD procedure.

Who should consider PLDD?

  • This procedure is specifically designed for patients with disc problems accompanied by the following:
  • Severe leg, arm, neck or lower back pain.
  • Pain that has not responded to six weeks of conservative treatments- rest, meds or physical therapy.
  • Herniated lumbar discs confirmed by x-ray studies that may include one or more of the following: Magnetic Resonance Imaging (MRI), CAT Scanning, Myelography, Discography.
www.gigaalaser.com
donna@gigaalaser.com

2013年5月20日星期一

LASER – ENT SURGERY


The laser techniques are widely used in ENT pathologies.

Thus, in the pathology of the ear, benign tumors of the pavilion of the ear and external auditive duct can be removed by laser vaporization. The serous otitis can be solved by a laser myringotomy intervention, which is the creation of a tympanum outlet, drainage and aspiration of the tympanum.

In the pathology of the larynx a great part of the benign tumors (vocal nodules, vocal cords polyps, laryngeal papillomatosis) and even the malignant tumors (generally, in an early stage) can be solved by endolaryngeal laser surgery.

The most widely used laser surgery procedures, with an optimum applicability in a private practice are those that target oropharyngeal pathology and nose pathology.

Chronic cryptic tonsillitis, so widely encountered in the medical practice and the therapeutic solution of which is too commonly thought to be tonsillectomy (removal of tonsils), can be treated by laser surgery – laser tonsil cryptolysis, that is the destruction of the pathological areas in the tonsils and maintenance of the normal areas with a well-known immune role. It is worth mentioning that the therapeutic solution can be achieved by performing 3 – 4 laser interventions per year and the intervention lasts approximately 10 – 15 minutes, without intra- or post-operative pain and does not require hospital admission or cessation of the professional activity. Nevertheless, complicated forms of chronic tonsillitis (focal disease with heart, kidney or joint impairment) do not have therapeutic benefits from the laser surgery, in this case tonsillectomy is indicated.

Laser surgery is the most widely used procedure in the nose pathology, especially in nasal obstruction. Most of the time patients who complain they are not able to breathe through their nose show either a nasal septum deviation or a form of rhinitis (hypertrophic chronic rhinitis, vasomotor rhinitis or allergic rhinitis).

Only some nasal septum deviations (unique septal crest, without an antero-posterior trajectory) can benefit from laser surgery.

The nasal cornets are endonasal structures found on the lateral parts of the nasal cavities. The rhinitis forms previously mentioned are accompanied by increased cornets, decreased respiratory space and a sensation of nasal obstruction.

Laser vaporization of nasal cornets (with or without endoscopic control) determine a decrease of their volume, subsequently ensuring suitable breathing. It is an intervention that is performed on the consultation chair, with local contact anesthesia (not by injection), which lasts approximately 10 minutes for each cavity and which does not require nasal bandage. The patient can go home after approximately 45 minutes with suitable breathing and he/she needs to return for a nose check-up in the following 24 – 72 hours without having to interrupt his/her usual activitie

Laser surgery, so widely spread in ENT clinics and private practice in the whole world, ensures the requirements of each patient: short, pain-free surgical interventions, with local anesthesia, without hospital admission and without impairing the day-to-day social and family activities.

ENT unit – for the doctor this is a complex diagnosis and treatment device and in the same time it is extremely comfortable for the patient; the clinic is provided with a strong>FIBROSCOP, manufactured by STORZ, state-of-the-art equipment, a non-aggressive investigation method of the ENT region, which can determine the diagnosis with a great accuracy.

Laser Treatments of Unwanted Blood Vessels

Various lasers are used to lighten or remove unwanted or abnormal blood vessels in the skin. They work by flashing a brief pulse of light on the skin that is strongly absorbed by vascular lesions. The targeted vessels are microscopically heated by this process and the body reacts by eliminating the intentionally injured vessels, reabsorbing them over a period of days to weeks. This type of treatment specifically minimizes unwanted blood vessels without harming the surrounding healthy skin.


BENEFITS OF LASER THERAPY


Laser Therapy accelerates the body’s natural healing process through photo-bio-modulation. Laser therapy provides tangible benefits to your patients, your clients, and your practice. Laser therapy is effective in treating chronic conditions, acute conditions, and post- surgical pain and inflammation
Clinical Benefits
→  Non-pharmacologic pain relief
→  Effective for difficult conditions
→  Alternative to surgery
→  Fast treatment times
→  Easy, comfortable, non-invasive treatment
→  Scientifically-proven
→  Intelligent dosage delivery with SmartCoat+™ software to provide your patients with the right dose every time
→  Comprehensive training and certification ensure that you and your staff administer the most effective treatments possible
→  LiteCure is the brand of laser preferred by professional athletic trainers in the NHL, NFL, MLB, NBA, FIFA and the Olympics
→  Provides a treatment modality that will help you attract more referrals
→  Provides an alternative or supplement to prescription drugs and surgery
→  Increase revenue with this versatile modality


Lip vascular malformation

http://www.gigaa-laser.com/cheese/lip_vascular_malformation.html

www.gigaalaser.com
donna@gigaalaser.com

2013年5月14日星期二

Pain Management with High Power Laser


Successes in Pain Management with High Power Laser Medicine

Drug Free, Side-Effect Free, Non-Invasive, Painless, and No Surgery!


  • Neuropathy
  • Arthritis 
  • Achy/Stiff Joints 
  • Neck & Back Injuries 
  • Shoulder Pain 
  • Tennis Elbow 
  • Muscle & Ligament Tears 
  • Knee & Hip Pain 
  • Trigger Points & Muscle Spasms
  • Sprains/Strains 
  • Carpal Tunnel Syndrome 
  • Rotator Cuff Tear 
  • Sciatica (Leg Pain) 
  • Arch Pain
  •  Pain & Healing Following Surgery 
  • Herniated Discs 
  • Foot/Ankle Arthritis 
  • Plantar Fasciitis 
  • Morton’s Neuroma 
  • Ankle Sprains 
  • Achilles Tendinitis 
  • Shin Splints 
  • Poor Circulation 
  • Stress Fractures 
  • Bunion Pain 
  • Nerve Pain 
  • Non-healing Wounds
www.gigaalaser.com

2013年5月3日星期五

Diode laser treatment of human prostates

Objectives
Laser-assisted vaporization of prostate tissue by means of the KTP laser is in clinical use. Alternative laser sources are available but are lacking clinical experience. In this study, the capability, feasibility, and post-operative outcome of vaporization of prostate by means of a diode laser were investigated.

Methods
The light (λ=1470 nm, 50 W) of a diode laser was fed into a side-fire fiber introduced through a 24F continuous-flow cystoscope and thus transmitted to prostate tissue. Normal saline was used for irrigation with additive of 1% ethanol for observation of TUR syndrome. The study includes 10 men suffering from bladder outlet obstruction due to benign prostatic hyperplasia (BPH) (prostate volume range: 35–78 ml). The prostatic lobes were vaporized within the prostatic capsule. Depending on the vaporized tissue the exposure time was in the range of 1220–4000 s (mean: 2397±757 s) during which a mean of 121±38 kJ (range: 61–200 kJ) of energy was delivered. Post-operative outcome and voiding were evaluated during a follow-up of 6 months.

Results
During surgery no significant blood loss or any fluid absorption occurred. Catheters were removed in the mean after 50 h (range: 18–168 h). All patients excepted two, were satisfied with their voiding outcome. After removing the catheter the mean peak urine flow rate significantly (p=0.05) increased from 8.9±2.9 ml/s pre-operatively to 15.7±5 ml/s post-operatively. No evidence of urgency, dysuria, hematuria, or incontinence was observed. Two patients required re-catheterization and consecutive TURP. After 1 month as well as after 6-month follow-up, 8/10 patients are still satisfied with the outcome.

Conclusion
This first and limited experience showed that 50 W-1470 nm-diode-laser vaporization prostatectomy is feasible and appears to be safe and effective for quickly relieving bladder outlet obstruction due to BPH. Long-term efficacy and durability should be evaluated in a randomized clinical trial with long-term follow-up.

www.gigaalaser.com

2013年5月1日星期三

Gigaa Laser EVLA Training Course

Course Director Dr David West MB ChB FRCR EBIR Consultant Interventional Radiologist
 
About the course
This course is based on individual one to one tuition in a specialist vein clinic. Didactic teaching using prepared and distributed literature and opportunities to question the experts will be followed by observation of live cases in the operating room.

Course objectives
At the end of the course the participants will:
Understand the basics of laser safety
Understand the indications and contraindications of EVLA
Know how to establish an outpatient based varicose vein treatment service
Understand how to apply their understanding to their own clinical practice.

Topics
The following topics will be covered
Our results with EVLA
Lasers for EVLA
Laser physics and safety
Room requirements
Case videos on USB to take away.
Theatre and nursing issues
Discussion how to start up, get good results and avoid complications

Assessment and Certification
Assessment is done by a short MCQ exam and on completion the participants will be given Certificates of Training in EVLA using the Gigaa Laser
 
Contact:
Dr David West
Consultant Interventional Radiologist
Veincentre Ltd
Unit 6
Lyne Vale Court
Stoke on Trent
UK
ST4 6NW
Email: davidwest@veincentre.com
Tel:+86-27-67848871 67848872
Fax:+86-27-67848873
Email: info@gigaalaser.com

http://www.gigaalaser.com/content/evlt_training.htm