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A novel, non-ablative method for removing common warts with a 1470 nm diode laser is described. The treatment involves a single application of energy to the wart. Initial outcomes with small and medium -size warts (diameter up to 6 mm, elevation up to 2 mm above the skin surface) seem very encouraging. The use of a laser allows for more precise destruction, compared to cryosurgery or topical anti-wart treatments. Using a 1470 nm diode laser (Swing, Metrum Cryoflex, Poland) with power set at 40 W and spot diameter set at 3 mm, the typical effective treatment consists of one pulse lasting from 80–100 ms (total energy density 45.3–56.6 J/cm 2 , corresponding with 3.2–4.0 Joules of energy per wart in a single dose). The pain caused by the treatment is moderate and short-lasting, the patients comparing it to the sensation caused by a drop of hot oil splashing from frying pan. Therefore, anesthesia does not seem necessary, except for people with a very low pain tolerance. The coagulated tissue of the wart remains on-site, thus ensuring the continuity of the integument (‘natural dressing’), and becomes only slowly demarcated, allowing for the formation of a cosmetic scar beneath it. In most cases, the treated area heals completely within 2–4 weeks. In contrast to traditional ablative methods of laser wart removal, this method is based on the principle of on-site coagulation without evaporation of the tissue, which prevents the formation of bioaerosols that may spread in the air, posing a substantial risk of infection to the treating doctor. The follow-up of the first two patients treated with the proposed method confirmed a complete effect, with no recurrences within 18 months after the single treatment. In the presented article, the first outcomes with this novel, non-ablative method of therapy of common warts are described, together with photographic documentation of the treatment results.

Bezpieczna, nieablacyjna metoda usuwania brodawek zwykłych za pomocą lasera diodowego 1470 nm: Wyniki półtorarocznej obserwacji pierwszych pacjentów