Paper
11 September 1989 Laser-Assisted Microvascular Anastomosis
Yoshimochi Kurokawa, Yoshi Taguchi, Itaru Ohara, Shozo Mori
Author Affiliations +
Abstract
A low power carbon dioxide laser was used to perform 110 end-to-end laser-assisted microvasuclar anastomoses of carotid arteries in ginea pigs and rabbits. In 56 of 72 cases which were irradiated with power output 20-40 mW, energy density 1.5-2.5 Joule/mm2, showed patency immediately after surgery with no wound distruption nor thrombus formation. From these results, the optimum condition for anastomosis seemed to be in this range of power output and energy density. The bursting strength of laser-assisted anastomosis (LA) was assessed and compared with conventional suture anastomosis (CA). LA arteries consistently demonstrated lower bursting strength than those of CA. Relatively low bursting strengths at 1 hour and 3 days in the LA with 3 stay sutures may explain the late aneurysm formation. Additional stay suture seemed to prevent such complication. The mean duration of each anastomosis was 13 minutes for the LA repairs compared to an average of 24 minutes for CA repairs. These findings suggest that a low power carbon dioxide laser has potential clinical application for anastomosis of small vessels.
© (1989) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
Yoshimochi Kurokawa, Yoshi Taguchi, Itaru Ohara, and Shozo Mori "Laser-Assisted Microvascular Anastomosis", Proc. SPIE 1066, Laser Surgery: Advanced Characterization, Therapeutics, and Systems, (11 September 1989); https://doi.org/10.1117/12.952034
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CITATIONS
Cited by 7 scholarly publications.
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KEYWORDS
Laser therapeutics

Arteries

Blood vessels

Resistance

Blood circulation

Laser vision correction

Carbon dioxide lasers

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