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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Application of Novel CO
<sub>2</sub>
Laser-Suction Device</title>
<author>
<name sortKey="Straus, David" sort="Straus, David" uniqKey="Straus D" first="David" last="Straus">David Straus</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moftakhar, Roham" sort="Moftakhar, Roham" uniqKey="Moftakhar R" first="Roham" last="Moftakhar">Roham Moftakhar</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
<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>
</nlm:aff>
</affiliation>
</author>
<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>
</affiliation>
</author>
<author>
<name sortKey="Byrne, Richard W" sort="Byrne, Richard W" uniqKey="Byrne R" first="Richard W." last="Byrne">Richard W. Byrne</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">24436938</idno>
<idno type="pmc">3866789</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866789</idno>
<idno type="RBID">PMC:3866789</idno>
<idno type="doi">10.1055/s-0033-1347373</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">000004</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000004</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Application of Novel CO
<sub>2</sub>
Laser-Suction Device</title>
<author>
<name sortKey="Straus, David" sort="Straus, David" uniqKey="Straus D" first="David" last="Straus">David Straus</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moftakhar, Roham" sort="Moftakhar, Roham" uniqKey="Moftakhar R" first="Roham" last="Moftakhar">Roham Moftakhar</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
<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>
</nlm:aff>
</affiliation>
</author>
<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>
</affiliation>
</author>
<author>
<name sortKey="Byrne, Richard W" sort="Byrne, Richard W" uniqKey="Byrne R" first="Richard W." last="Byrne">Richard W. Byrne</name>
<affiliation>
<nlm:aff id="AF120161-1">
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of Neurological Surgery. Part B, Skull Base</title>
<idno type="ISSN">2193-6331</idno>
<idno type="eISSN">2193-634X</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<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>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Neurol Surg B Skull Base</journal-id>
<journal-id journal-id-type="iso-abbrev">J Neurol Surg B Skull Base</journal-id>
<journal-title-group>
<journal-title>Journal of Neurological Surgery. Part B, Skull Base</journal-title>
</journal-title-group>
<issn pub-type="ppub">2193-6331</issn>
<issn pub-type="epub">2193-634X</issn>
<publisher>
<publisher-name>Georg Thieme Verlag KG</publisher-name>
<publisher-loc>Stuttgart · New York</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24436938</article-id>
<article-id pub-id-type="pmc">3866789</article-id>
<article-id pub-id-type="doi">10.1055/s-0033-1347373</article-id>
<article-id pub-id-type="publisher-id">120161</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Application of Novel CO
<sub>2</sub>
Laser-Suction Device</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Straus</surname>
<given-names>David</given-names>
</name>
<xref rid="AF120161-1" ref-type="aff">1</xref>
<xref rid="CO120161-1" ref-type="author-notes"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moftakhar</surname>
<given-names>Roham</given-names>
</name>
<xref rid="AF120161-1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fink</surname>
<given-names>Yoel</given-names>
</name>
<xref rid="AF120161-2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Patel</surname>
<given-names>Deval</given-names>
</name>
<xref rid="AF120161-3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Byrne</surname>
<given-names>Richard W.</given-names>
</name>
<xref rid="AF120161-1" ref-type="aff">1</xref>
</contrib>
</contrib-group>
<aff id="AF120161-1">
<label>1</label>
<institution>Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, United States</institution>
</aff>
<aff id="AF120161-2">
<label>2</label>
<institution>Massachusetts Institute of Technology, Cambridge, Massachusetts, United States</institution>
</aff>
<aff id="AF120161-3">
<label>3</label>
<institution>St. Louis University, St. Louis, Missouri, United States</institution>
</aff>
<author-notes>
<corresp id="CO120161-1">
<bold>Address for correspondence </bold>
David Straus, MD
<institution>Department of Neurological Surgery, Rush University Medical Center</institution>
<addr-line>1725 W. Harrison St, Professional Building Suite 855, Chicago, IL, 60612</addr-line>
<country>United States</country>
<email>david_straus@rush.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>5</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2013</year>
</pub-date>
<volume>74</volume>
<issue>6</issue>
<fpage>358</fpage>
<lpage>363</lpage>
<history>
<date date-type="received">
<day>17</day>
<month>11</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>3</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>© Thieme Medical Publishers</copyright-statement>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>laser surgery</kwd>
<kwd>carbon dioxide laser</kwd>
<kwd>neurosurgical procedure</kwd>
<kwd>omniguide</kwd>
<kwd>microsurgery</kwd>
<kwd>laser suction</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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