Skip to main content

Tissue Repair Using Lasers: Arthroscopic Applications

  • Chapter
Arthroscopic Laser Surgery

Abstract

Numerous attempts have been made to use heating to effect an anastomotic union of severed tissue edges. Improvements in electrocautery and lasers have made experimental tissue anastomosis feasible; but clinical application of tissue welding has undergone only limited clinical trials. Using heat to anastomose tissue is fraught with complications. The technique’s limitations and the factors that lead to successful tissue welding are reviewed.

Reprinted in part by permission from Orthopedics 16:581–587, 1993.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Arndt KA, Noe JM, Northam DBC, Itzkan T (1981) Laser therapy: basic concepts and nomenclature. Journal of the American Academy of Dermatology 5:649–654

    Article  PubMed  CAS  Google Scholar 

  • Dew DK (1983c) Nd:YAG and CO2 laser closure of rat skin incisions. Lasers in Surgery and Medicine 3:109

    Google Scholar 

  • Dew DK (1983b) Laser microsurgical repair of soft tissue: an update and review. Lasers in Surgery and Medicine 3:134

    Google Scholar 

  • Dew DK (1986b) Review and status report on laser tissue fusion. Lasers in Medicine, SPIE 712:255–257

    Google Scholar 

  • Dew DK, Verdeja JC, Shebert R et al., (1982) Carbon dioxide laser is successful in the repair of the transected rat sciatic nerves. Neurology 32:132

    Google Scholar 

  • Dew DK, Hsu LS, Halpern SJ, et al. (1986a) Development of a software driven medical laser system for tissue fusion at 1.32 μm. International Society of Optical Engineering, SPIE 712:32–33

    Google Scholar 

  • Dew DK, Supik L, Darrow CR, Price GF (1993) Tissue repair using lasers: a review. Orthopaedics 16:581–587

    CAS  Google Scholar 

  • Dew DK (1990) Review and status report on laser tissue sealing. International Society of Optical Engineering SPIE 1200:38–49

    Google Scholar 

  • Dew DK, Lo HK (1983a) Carbon dioxide laser microsurgical repair of soft tissue: preliminary observations. Transactions of the American Society for Laser Medicine and Surgery, New Orleans, LA, Jan. 10–12

    Google Scholar 

  • Gomes OM, Macrus R, Armelin et al., (1983) Vascular anastomosis by argon laser beam. Texas Heart Institute Journal 10:145

    PubMed  CAS  Google Scholar 

  • Gorisch W, Boergen KP (1982) Heat-induced contraction of blood vessels. Lasers in Surg and Med 2:1–13

    CAS  Google Scholar 

  • Hall RR, Beach AD, Baker E, Morison PCA (1971) Incision of tissue by carbon dioxide laser/Nature 232:131–132

    CAS  Google Scholar 

  • Jain KK (1984) Sutureless microvascular extra-intracranial anastomosis with nd:YAG laser. Lasers in Surgery and Medicine 3:322

    Google Scholar 

  • Jain KK (1980) Sutureless microvascular anastomosis using a neodymium: YAG laser. Journal of Microsurgery 1:436–688

    Article  PubMed  CAS  Google Scholar 

  • Jain KK and Gorisch W (1979) Repair of small blood vessels with the neodymium-YAG laser: a preliminary report. Surgery 85:684

    PubMed  CAS  Google Scholar 

  • Jain KK and Gorisch W (1979) Microvascular repair with neodymium:YAG laser. Acta Neurochir (Wien) 28 (suppl.):260

    CAS  Google Scholar 

  • Johnson DL (1993) Personal communication. Lake Mary, FL

    Google Scholar 

  • LoCicero J, Frederikson JW, Hartz RS, Kaufman MW, Michaelis LL (1985) Experimental air leaks in lung sealed by low-energy carbon dioxide laser irradiation. Chest 87: 820–822

    Article  PubMed  Google Scholar 

  • Quigley MR, Baues JE, Kwaan HC, Cerullo LJ, Brown JT (1986) Aneurysm formation after low power carbon dioxide laser assisted vascular anastomosis. Neurosurgery 18:292–299

    Article  PubMed  CAS  Google Scholar 

  • Rosemberg SK, Elson L, Nathan LE (1985) Carbon dioxide laser microsurgical vasovasostomy. Urology 25:53–56

    Article  PubMed  CAS  Google Scholar 

  • Sigel B and Acevedo FJ (1963) Electrocoaptive union of blood vessels: a preliminary study. J Surg Res 3:90–96

    Article  Google Scholar 

  • Sigel B and Dunn MR (1965) The mechanism of blood vessel closure by high frequency electrocoagulation. Surgery, Obstetrics and Gynecology 121:823–831

    CAS  Google Scholar 

  • Stokes LS, Auth DC, Tanaka D, Gray JL, Gulacsik C (1981) Biomedical utility of 1.3 micrometer nd:YAG laser radiation. IEEE Trans Biomedical Engineering 28:287–299

    Article  Google Scholar 

  • Stryer L (1981) Biochemistry. Second Edition, WH Freeman & Co., p. 191

    Google Scholar 

  • White RA, Kopchok G, Donayre C, Abergel RP, Lyons R, Klein SR, Dwyer RM, Uitto J (1986) Comparison of laser-welded and sutured arteriotomies. Arch Surg 121:1133–1135

    PubMed  CAS  Google Scholar 

  • White RA, White GH, Fujitani RM, et al. (1989) Initial human evaluation of argon laser assisted vascular anastomoses. Journal of Vascular Surgery 9:542–547

    PubMed  CAS  Google Scholar 

  • Wintermantel E (1981) The thermic vascular anastomosis (tva). Acta Nurochirurgica 56:5–24

    Article  CAS  Google Scholar 

  • Yahr WZ, Strully KJ, Hurwill ES (1964) Non-occlusive small arterial anastomosis with neodymium laser. Surgical Forum 15:224–226

    PubMed  CAS  Google Scholar 

  • Yahr WZ and Strully KJ (1966) Blood vessel anastomosis by laser and other biomedical applications. Journal of the Assoc. Adv. in Medical Instrumentation 1:28

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Dew, D.K., Supik, L., Darrow, C.R. (1995). Tissue Repair Using Lasers: Arthroscopic Applications. In: Brillhart, A.T. (eds) Arthroscopic Laser Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2468-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-2468-6_10

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7550-3

  • Online ISBN: 978-1-4612-2468-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics