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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
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
Dew DK (1983c) Nd:YAG and CO2 laser closure of rat skin incisions. Lasers in Surgery and Medicine 3:109
Dew DK (1983b) Laser microsurgical repair of soft tissue: an update and review. Lasers in Surgery and Medicine 3:134
Dew DK (1986b) Review and status report on laser tissue fusion. Lasers in Medicine, SPIE 712:255–257
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
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
Dew DK, Supik L, Darrow CR, Price GF (1993) Tissue repair using lasers: a review. Orthopaedics 16:581–587
Dew DK (1990) Review and status report on laser tissue sealing. International Society of Optical Engineering SPIE 1200:38–49
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
Gomes OM, Macrus R, Armelin et al., (1983) Vascular anastomosis by argon laser beam. Texas Heart Institute Journal 10:145
Gorisch W, Boergen KP (1982) Heat-induced contraction of blood vessels. Lasers in Surg and Med 2:1–13
Hall RR, Beach AD, Baker E, Morison PCA (1971) Incision of tissue by carbon dioxide laser/Nature 232:131–132
Jain KK (1984) Sutureless microvascular extra-intracranial anastomosis with nd:YAG laser. Lasers in Surgery and Medicine 3:322
Jain KK (1980) Sutureless microvascular anastomosis using a neodymium: YAG laser. Journal of Microsurgery 1:436–688
Jain KK and Gorisch W (1979) Repair of small blood vessels with the neodymium-YAG laser: a preliminary report. Surgery 85:684
Jain KK and Gorisch W (1979) Microvascular repair with neodymium:YAG laser. Acta Neurochir (Wien) 28 (suppl.):260
Johnson DL (1993) Personal communication. Lake Mary, FL
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
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
Rosemberg SK, Elson L, Nathan LE (1985) Carbon dioxide laser microsurgical vasovasostomy. Urology 25:53–56
Sigel B and Acevedo FJ (1963) Electrocoaptive union of blood vessels: a preliminary study. J Surg Res 3:90–96
Sigel B and Dunn MR (1965) The mechanism of blood vessel closure by high frequency electrocoagulation. Surgery, Obstetrics and Gynecology 121:823–831
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
Stryer L (1981) Biochemistry. Second Edition, WH Freeman & Co., p. 191
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
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
Wintermantel E (1981) The thermic vascular anastomosis (tva). Acta Nurochirurgica 56:5–24
Yahr WZ, Strully KJ, Hurwill ES (1964) Non-occlusive small arterial anastomosis with neodymium laser. Surgical Forum 15:224–226
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
Editor information
Editors and Affiliations
Rights 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