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Contact diode laser microvascular anastomosis
Author(s) -
Lewis William John,
Uribe Alexander
Publication year - 1993
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199308000-00004
Subject(s) - anastomosis , laser , diode , materials science , biomedical engineering , laser diode , fibronectin , immunoperoxidase , optics , sapphire , optoelectronics , chemistry , surgery , medicine , biochemistry , physics , immunology , antibody , monoclonal antibody , extracellular matrix
Contact diode laser microvascular anastomosis appears to be a valuable technique for anastomosing small arteries and veins. Significantly less foreign body reaction and markedly decreased operative time has been shown to be a major advantage of using contact diode laser technology. The authors have found that contact diode laser anastomosis can be performed in vessels as small as 1 mm in size using a 200‐μm flat tip synthetic sapphire probe. Light microscopy has shown a significant decrease in foreign body reaction at the level of the anastomosis using laser techniques as compared to standard vessel anastomosis with 10‐0 nylon sutures. The role of fibronectin and changes in collagen associated with laser anastomosis were also explored. Light microscopic electron‐microscopic results as well as biotin‐avidin immunoperoxidase fibronectin studies will be discussed.