Pathology of laser tissue welding

Sharon L. Thomsen*, John Austin, Inci F. Cilesiz, Eric K. Chan, John A. Pearce, Ashley J. Welch, Thomas Menovsky

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

4 Citations (Scopus)

Abstract

Laser tissue welding has been applied successfully to several tissues using microscopic and macroscopic surgical techniques. The advantages of laser tissue welding include the formation of fluid tight bonds, decreased foreign body (suture) reaction scar formation, decreased anastomotic time and growth of the bond. The disadvantages compared to conventional suture and stapling techniques include decreased initial mechanical strengths, poor reproducibility and inadequate control of bond formation. These disadvantages have prevented general acceptance of laser-welding techniques by the general and specialty surgeon. Recently, several laboratories have introduced modified techniques to improve laser tissue welding. These include the use of exogenous dyes and bonding materials to make stronger bonds and computer driven temperature and optical feed-back systems to control bond formation. The advantages provided by the no-touch, fiberoptic delivery of precisely controlled laser light energy to limited endoscopic surgical fields are added reasons to reconsider the usefulness of laser tissue welding.

Original languageEnglish
Title of host publicationLaser Interaction with Hard and Soft Tissue II
EditorsThomas H. Meier, Hans Joerg Albrecht, Martin J. C. van Gemert, Rudolf W. Steiner, Lars Othar Svaasand, Guy P. Delacretaz
PublisherSPIE
Pages103-109
Number of pages7
ISBN (Electronic)9780819416568
DOIs
Publication statusPublished - 18 Jan 1995
Externally publishedYes
EventLaser Interaction with Hard and Soft Tissue II 1994 - Lille, France
Duration: 6 Sept 199410 Sept 1994

Publication series

NameProceedings of SPIE - The International Society for Optical Engineering
Volume2323
ISSN (Print)0277-786X
ISSN (Electronic)1996-756X

Conference

ConferenceLaser Interaction with Hard and Soft Tissue II 1994
Country/TerritoryFrance
CityLille
Period6/09/9410/09/94

Bibliographical note

Publisher Copyright:
© COPYRIGHT SPIE.

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