دورية أكاديمية
Effect of Ho:YAG laser on kidney tissue with Virtual Basket ™ and Bubble Blast ™ pulse modulation: an experimental ex vivo study.
| العنوان: | Effect of Ho:YAG laser on kidney tissue with Virtual Basket ™ and Bubble Blast ™ pulse modulation: an experimental ex vivo study. |
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| المؤلفون: | Şirin ME; Department of Urology, Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences, Ankara, Turkey., Karaaslan M; Clinic of Urology, Bingol State Hospital, Bingol, Turkey., Ordu M; Faculty of Medicine, Department of Medical Pathology, Aksaray University, Aksaray, Turkey., Yilmaz M; Urology, Asklepios Klinik Triberg, Triberg, Germany. yilmazmehmet88@hotmail.com. |
| المصدر: | World journal of urology [World J Urol] 2023 Nov; Vol. 41 (11), pp. 3091-3095. Date of Electronic Publication: 2023 Aug 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8307716 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-8726 (Electronic) Linking ISSN: 07244983 NLM ISO Abbreviation: World J Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Berlin ; New York] : Springer International, 1983- |
| مواضيع طبية MeSH: | Lasers, Solid-State*/therapeutic use , Laser Therapy*/methods , Lithotripsy, Laser*/methods, Humans ; Animals ; Cattle ; Kidney/surgery ; Kidney/pathology ; Holmium |
| مستخلص: | Purpose: There is a lack of studies in the literature on effects of Virtual Basket ™ (VB) and Bubble Blast ™ (BB) laser pulse modulations of the Ho:YAG laser on tissue. We aimed to compare the effects of standard modulation (SM), VB, and BB pulse modulations of Ho:YAG laser on kidney tissue. Methods: An ex vivo experiment was conducted using veal kidneys. The Quanta System Cyber Ho 100W laser generator with a broad setting spectrum at 15-80 W, 10-40 Hz, 1.5-2 J, and medium pulse duration were tested. Incision depth (ID), vaporization area (VA), coagulation area (CA), and total laser area (TLA = VA + CA) were evaluated. Histopathological measurement outcomes were grouped as a low-power group (15, 20, and 30 W) and a high-power group (40, 60, and 80 W) according to the power outputs used. Results: A total of 108 experiments were performed. In saline and high-power output (40, 60, 80 W), mean VA, TLA, and ID, histopathological measurements were higher in BB pulse modulation than VB and SM pulse modulations (p: 0.03, p: 0.001, and p: 0.003, respectively). In contrast, mean CA and LE measurements were higher in SM than in VB and BB pulse modulations (p < 0.001 and p < 0.001, respectively). There was no statistically significant difference in mean histopathological measurements of VA, CA, TLA, and ID, among SM, VB, and BB pulse modulations in the low-power output group in saline (p > 0.05). Conclusion: VB can allow controlled dissection, as it does not create a large VA during surgical procedures. BB should be used in a controlled manner in soft tissue surgery due to its strong effect on tissues. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Holmium laser; Pulse modulation; Tissue effect |
| المشرفين على المادة: | W1XX32SQN1 (Holmium) |
| تواريخ الأحداث: | Date Created: 20230807 Date Completed: 20231109 Latest Revision: 20231220 |
| رمز التحديث: | 20231220 |
| DOI: | 10.1007/s00345-023-04555-0 |
| PMID: | 37550550 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1433-8726 |
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| DOI: | 10.1007/s00345-023-04555-0 |