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