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Application of Novel CO2 Laser-Suction Device

Identifieur interne : 000527 ( Main/Exploration ); précédent : 000526; suivant : 000528

Application of Novel CO2 Laser-Suction Device

Auteurs : David Straus ; Roham Moftakhar ; Yoel Fink ; Deval Patel ; Richard W. Byrne

Source :

Journal of Neurological Surgery. Part B, Skull Base [ 2193-6331 ] ; 2013.

RBID : PMC:3866789

Abstract

Background Development of the flexible CO₂ fiber has presented new opportunities for the use of precision laser cutting in cranial procedures. The efficacy of the CO₂ scalpel is further enhanced by combining it with a fluid removal suction capability.

Objectives We report our experience with a novel CO₂laser-suction device.

Methods The novel laser-suction device was designed in conjunction with OmniGuide Inc. (Cambridge, Massachusetts, USA). We performed a case review of its use in firm tumors that were resistant to resection by bipolar, suction, and ultrasonic aspirator.

Results The laser-suction device was applied in three tumors where resection with ultrasonic aspiration failed. Tumor resection using the laser-suction device was successful in all three cases. There were no complications related to the laser-suction device. There were no instances of intraoperative device malfunction.

Discussion The CO₂ laser combined with suction is a useful instrument for resection of firm tumors that prove to be resistant to ultrasonic aspiration. We also find it to be useful in settings where precise tissue incisions are desired with minimal manipulation. In our experience, the surgical efficiency of the CO₂ laser is improved by the laser-suction device. This device allows the surgeon to utilize a suction device and laser in a single hand and enables concurrent use of bipolar electrocautery without repeated instrument changes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866789

DOI: 10.1055/s-0033-1347373
PubMed: 24436938
PubMed Central: 3866789

Affiliations:

Le document en format XML

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<author><name sortKey="Straus, David" sort="Straus, David" uniqKey="Straus D" first="David" last="Straus">David Straus</name>
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<author><name sortKey="Moftakhar, Roham" sort="Moftakhar, Roham" uniqKey="Moftakhar R" first="Roham" last="Moftakhar">Roham Moftakhar</name>
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<author><name sortKey="Fink, Yoel" sort="Fink, Yoel" uniqKey="Fink Y" first="Yoel" last="Fink">Yoel Fink</name>
<affiliation><nlm:aff id="AF120161-2"><institution>Massachusetts Institute of Technology, Cambridge, Massachusetts, United States</institution>
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<author><name sortKey="Patel, Deval" sort="Patel, Deval" uniqKey="Patel D" first="Deval" last="Patel">Deval Patel</name>
<affiliation><nlm:aff id="AF120161-3"><institution>St. Louis University, St. Louis, Missouri, United States</institution>
</nlm:aff>
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<author><name sortKey="Byrne, Richard W" sort="Byrne, Richard W" uniqKey="Byrne R" first="Richard W." last="Byrne">Richard W. Byrne</name>
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<author><name sortKey="Patel, Deval" sort="Patel, Deval" uniqKey="Patel D" first="Deval" last="Patel">Deval Patel</name>
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<author><name sortKey="Byrne, Richard W" sort="Byrne, Richard W" uniqKey="Byrne R" first="Richard W." last="Byrne">Richard W. Byrne</name>
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<series><title level="j">Journal of Neurological Surgery. Part B, Skull Base</title>
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<front><div type="abstract" xml:lang="en"><p><bold>Background</bold>
 Development of the flexible CO<sub>2</sub> fiber has
presented new opportunities for the use of precision laser cutting in
cranial procedures. The efficacy of the CO<sub>2</sub> scalpel is further
enhanced by combining it with a fluid removal suction capability.</p>
<p><bold>Objectives</bold>
 We report our experience with a novel CO<sub>2</sub>
laser-suction device.</p>
<p><bold>Methods</bold> The novel laser-suction device was designed in conjunction
with OmniGuide Inc. (Cambridge, Massachusetts, USA). We performed a case
review of its use in firm tumors that were resistant to resection by
bipolar, suction, and ultrasonic aspirator.</p>
<p><bold>Results</bold> The laser-suction device was applied in three tumors where
resection with ultrasonic aspiration failed. Tumor resection using the
laser-suction device was successful in all three cases. There were no
complications related to the laser-suction device. There were no instances
of intraoperative device malfunction.</p>
<p><bold>Discussion</bold>
 The CO<sub>2</sub> laser combined with suction is a useful
instrument for resection of firm tumors that prove to be resistant to
ultrasonic aspiration. We also find it to be useful in settings where
precise tissue incisions are desired with minimal manipulation. In our
experience, the surgical efficiency of the CO<sub>2</sub> laser is improved
by the laser-suction device. This device allows the surgeon to utilize a
suction device and laser in a single hand and enables concurrent use of
bipolar electrocautery without repeated instrument changes.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Byrne, Richard W" sort="Byrne, Richard W" uniqKey="Byrne R" first="Richard W." last="Byrne">Richard W. Byrne</name>
<name sortKey="Fink, Yoel" sort="Fink, Yoel" uniqKey="Fink Y" first="Yoel" last="Fink">Yoel Fink</name>
<name sortKey="Moftakhar, Roham" sort="Moftakhar, Roham" uniqKey="Moftakhar R" first="Roham" last="Moftakhar">Roham Moftakhar</name>
<name sortKey="Patel, Deval" sort="Patel, Deval" uniqKey="Patel D" first="Deval" last="Patel">Deval Patel</name>
<name sortKey="Straus, David" sort="Straus, David" uniqKey="Straus D" first="David" last="Straus">David Straus</name>
</noCountry>
</tree>
</affiliations>
</record>

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Application of Novel CO2 Laser-Suction Device

Application of Novel CO2 Laser-Suction Device

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