Carbon dioxide laser laparoscopy by means of a 3.0-mm diameter rigid wave guide

Michael S. Baggish, Baggish MS, M S Baggish, Sze E, Eddie H. M. Sze, E Sze, Badawy S, S Badawy, Shawky Z.A. Badawy, J Choe, Choe J, Jung Won Choe, Jung Choe
Fertility and sterility · 1988 · vol. 50(3) , pp. 419–424 · doi:10.1016/s0015-0282(16)60125-5 · PMID:2970405 · W2409856848
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This study evaluated a rigid 3.0-mm diameter carbon dioxide waveguide for operative laparoscopy in rabbits and humans, finding it an effective laser delivery system with controllable power and beam diameter.

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Abstract

Rigid carbon dioxide wave guides measuring 300 to 500 mm in length and 3.0 mm in diameter were evaluated in rabbits and humans. The wave guide provided an effective laser delivery system for operative laparoscopy. The tested guide was introduced into the abdominal cavity alternatively via the operating channel of a 9-mm operating laparoscope, through the central channel of a smoke evacuation/irrigation cannula, or via a 3.25-mm second puncture trocar. In contrast to previously tested flexible guides, the rigid device transmitted a visible helium-neon aiming beam, power up to 50 watts, and a beam diameter of less than 1 mm. The hollow guide was kept free of smoke by-products by continuous purging with carbon dioxide gas flowing at 800 to 1000 cc per minute. All wave guides could be sterilized by ethylene oxide gas or Cidex (Surgikos, Arlington, TX) soaking. Fourteen women with a variety of reproductive disorders underwent laser laparoscopy. The rigid wave guide was fired at distances ranging from less than 1 mm to 30 mm from the target and performed with maximal impact at distances of 3 to 5 mm. Perhaps the greatest advantage of this system is its ability to focus-defocus while directly coupling to the handpiece of standard lasers and requiring no special alignment procedures.

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Condition tags

endometriosis

MeSH descriptors

Carbon Dioxide Carbon Dioxide Genital Diseases, Female Laparoscopy Laparoscopy Laser Therapy Animals Animals Endometriosis Endometriosis Endometriosis Female Female Genital Diseases, Female Genital Diseases, Female Humans Humans Laser Therapy Laser Therapy Ovarian Cysts

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