donna@gigaalaser.com
www.gigaalaser.com
2015年2月26日星期四
Equine Tendnitis Laser Therapy
Clinical Application:
Gbox15A diode laser for equine tendinitis therapy from GIGAALASERClinic
Explanation:
Equine tendinitis is inflammation of a tendon. It is usually involves disruption of the tenderfibers. Excessive strain on a tendon can damage its collagen fibers.Tendinitis is commonly recognized in racing horses. Laser therapy is to decreaseinflammation and swelling, promote restoration of normal tendon structure and function assoon as possible.
Related Keywords:Equine, laser, tendinitis
Medical device:Cheese15W, 810nmMode: CW modeOperation power: 8-12W
Accessories:VET handpiece
Operation procedure:
1. Diagnosis: detection of the lesion in the SDFT (superficial digital flexor tendon) byultrasonography
2. Keep the equine in standing and quiet condition
3. Connecting the handpiece with device, starting device and setting parameters.
4. Wearing the safety goggles, focus the VET handpiece and irradiate injured tendon.The irradiation time is suggested in 5-10 mins.
5. Irradiation the lesion once a day and for ten days.
Advantage:
* The therapeutic effects are including: increase of protein synthesis, improved blood flow,lymphatic regeneration, pain relief, improved cellular phagocytic activity, fibroblastproliferation, and collagen production.
* Make healing process more quickly
Notice:During the therapy operation, please keep the horse in stalls and controlled it exercise.(hand-walked twice daily for 15 minutes)
PS: Therapeutic applications which have shown promising results include:
* Arthritis
* Enhances Lymphatic Drainage
* Releases Tight Muscles
* Soft tissue injuries, including sprains and strains, tendonitis and haematomas
* Chronic Pain
* Neuropathy Musculoskeletal Pain
* Myofascial Pain
* Sports Injuries
* Wound Healing (Speeds Healing)
donna@gigaalaser.com
www.gigaalaser.com
2015年2月12日星期四
High-power diode laser versus electrocautery surgery on human papillomavirus lesion treatment.
The use of high-power lasers has facilitated and improved human papillomavirus (HPV) treatment protocols and has also become very popular in recent years. This application has been more frequently used in hospitals, especially in gynecology. The present study aimed to evaluate the effects of high-power diode laser to remove oral lesions caused by HPV and the consequent effects on virus load following the wound tissue healing process compared with one of the most conventional surgical techniques involving electrocautery. Surgeries were performed on 5 patients who had 2 distinct lesions caused by HPV. All patients were submitted to both electrocautery and high-power diode laser. Following a 20-day period, when the area was healed, sample material was collected through curettage for virus load quantitative analysis.Observation verified the presence of virus in all the samples; however, surgeries performed with the laser also revealed a significant reduction in virus load per cell compared with those performed with electrocautery. The ease when handling the diode laser, because of the flexibility of its fibers and precision of its energy delivery system, provides high-accuracy surgery, which facilitates the treatment of large and/or multifocal lesions. The use of high-power diode laser is more effective in treatment protocols of lesions caused by HPV.
Procedures for Women
Laser conization is used to treat cervical dysplasia by using a laser. Conization is the excision of a cone-shaped or cylindrical wedge from the cervix. A highly concentrated ray of light emits heat with the ability to scrape off the tissue housing abnormal cells, the Cleveland Clinic explains. The process is of a longer duration than the other procedures and is usually combined with treatments such as the cold-knife method, which reduces the length of the surgery
HPV related lesions (genital warts) that have been screened as pre-malignant and do not extend into the endocervical canal are treated with vaporization conization, another type of laser treatment, according to Nyirjesy.
Cold-knife conization utilizes a scalpel to remove abnormal cells. The disadvantage is that it usually leads to more amounts of bleeding than other treatments available.
Procedures for Men
In men, genital warts caused by HPV are known to be precursors to cancer because they usually develop from the high-risk strands of HPV. It is advised that the genital warts are removed as a precautionary step against the possible development of cancer. Even removing the HPV-related lesions does not guarantee that there won't be a recurrence, because there is no cure for HPV.
Laser vaporization is also used for men in order to rid the body of the genital warts.
Certain creams and/ or injections of interferon alpha are administered by doctors as a treatment for the lesions.
Cryotherapy is used to freeze the genital warts off.
Electrocautery is a treatment that essentially burns off warts with an electric current.
Read more : http://www.ehow.com/about_5472517_hpv-laser-treatment.html
2015年2月11日星期三
Endovenous Vein Laser
ELA procedure for through the sheath laser fiber kits
- Perform preprocedural DUS for mapping of the venous segments to be treated. Mark the course of the vein(s) to be treated and important anatomical landmarks associated with the ablation on the skin, including the proposed venous access site(s) and deep vein junctions. The access site is ideally at the inferior end of the incompetent segment or segments of the treated vein. In most cases, the entire incompetent segment(s) can be treated with 1 puncture. If microphlebectomy will be performed along with ELA, the veins to be removed should be marked at this time as well.
- Prepare the operative tray and equipment. Aside from the thermal ablation device and a venous access kit, only basic supplies such as gauze, a sterilizing solution, sterile barriers, and the tumescent solution, with delivery syringes and needle and an ultrasound probe cover, are needed.
- Carry out sterile preparation and draping of the leg to be treated. Preprocedural antibiotics are not necessary in almost all circumstances as the procedure is performed sterilely and is considered clean.
- Visualize the access site with DUS. Placing the patient in a reverse Trendelenburg or partly sitting position prior to the venous puncture keeps the vein more distended and may facilitate venous access.
- Anesthetize the access site. Nick the skin just large enough to facilitate entry of the sheath through the skin.
- Insert the access needle into the great saphenous vein (GSV) under sonographic guidance. Use of a 21G puncture set, as discussed previously, is preferred particularly when the target vein is < 4 mm in diameter when supine. Cutdown is rarely needed and usually only if percutaneous access fails.
- Place a 0.035-in guidewire into the vein.
- Confirm intravenous placement with ultrasonography.
- Place the introducer sheath over the wire.
- Position the sheath for ELA to the starting point for ablation. Some physicians typically advance the ELA sheath beyond the starting point and later withdraw it with the laser fiber to the starting spot. The movement of withdrawal helps in to accurately identify the tip and position it at the starting point.
- Remove the wire and its dilator if one is used with the sheath. Check for venous return by aspirating the syringe attached to the sheath and flush. Recognize that the sheath tip may be against the vein wall and may not aspirate freely. Also realize that when flushing, microbubbles of air introduced into the vein may produce an acoustic shadow that may limit the ability to see venous detail and device positions.
- Introduce the laser fiber into the sheath so that the fiber reaches the sheath tip. There is generally a mark on the fiber to show this. Then fix the laser fiber and carefully pull back the sheath to expose about 2–3 cm of fiber. Then withdraw the entire sheath-laser fiber to the ablation starting spot. Fine tune the location of the tip of the laser fiber to just below the superficial epigastric vein, anterior accessory GSV (AAGSV), or other large normal junctional vein for the GSV, and just below the thigh extension junction with the short saphenous vein (SSV) for SSV ablations. Some operators choose to position the laser fiber 1-3 cm below the saphenofemoral junction (SFJ) without consideration of the position of the junctional branches. No data support superiority of any of the above procedures in terms of ablation success, junctional recurrences, or common femoral vein thrombosis post procedure. See the image below.Longitudinal (sagittal) duplex ultrasound image of the saphenofemoral junction during the positioning of the tip of a laser fiber during an endovenous laser ablation. The laser tip is in the greater saphenous vein (GSV) just beyond the superficial epigastric vein (SEV) origin and is marked by the arrow. FV=femoral vein.
- Connect the laser fiber to its generator and confirm that the tip is in the correct general location by viewing the visible light aiming beam that can be delivered into the laser fiber tip and visualized through the skin. This is an additional way to ensure that the tip of the laser is being visualized accurately and that the laser connections were made appropriately. If the light is not seen in the expected location, troubleshoot the position of the laser or the connection to the laser to understand why.
- Administer tumescent anesthesia with ultrasound guidance after the patient has been placed into the Trendelenburg position to help drain the vein.
- Place appropriate laser safety goggles on everyone in the procedure room and use other appropriate laser safety measures. Connect the laser fiber to the laser and verify proper laser settings. Setting recommendations vary, but aim to deliver at least 70–80 J/cm length of vein treated: at 14 W this is achieved with a pullback rate of 2 mm/s.
- Set the laser to continuous mode and select the power to be used. Re-verify placement of the laser tip with ultrasound.
- Activate the laser and withdraw the fiber and sheath at the speed that is dependent on the amount of energy you wish to deliver at the power setting selected with the laser in continuous mode. Many operators deliver 70-100 J/cm at 14 W in continuous mode at 810 nm throughout the length of the abnormal vein. For the GSV and AAGSV, the author uses more energy for the first 10-12 cm (140 J/cm) and less as the laser tip progresses lower down the leg (100 J/cm to the knee and 70 J/cm below the knee). This is done to ensure closure of the proximal vein segment just below the deep vein junction, where failure occurs most, and to decrease the risk of nerve injuries lower in the leg. For the SSV, the author uses about 112 J/cm for the first 3-4 cm, then 100 J/cm for the next 3-4 cm, and then 70 J/cm for the remaining vein.
- Stop laser energy delivery at the distal aspect of the vein and place the laser in standby mode.
- Remove the fiber/sheath from the vein. Be sure the entire fiber is removed to exclude the possibility of a fracture of the device intravascularly.
- Record the watts, laser on-time, total joules delivered, and length of the segment treated. Calculate the withdrawal rate and joules delivered per cm to ensure you have reached the targets for successful ablation.
Welcome To Visit Gigaa Laser At IDS 2015.
The 36th International Dental Show(IDS) will be held at Cologne Exhibition Centre, we are looking forward to meet you during IDS 2015, please visit our booth at Hall 2.2 C-072.
Come and see our modern dental laser solutions.
Come and see our modern dental laser solutions.
2015年2月10日星期二
GIGAA LASER-Training Course
New Laser Dentistry Training Course in India
Gigaa Laser EVLA training course in UK
Diode Laser in Urology Training Course for Bahrain
Laser lipolisis Training for Colombia
......
donna@gigaalaser.com
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