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1950-nm diode laser-assisted microanastomoses (LAMA): an innovative surgical tool for hand surgery emergencies

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Details

Original languageEnglish
Pages (from-to)1269-1273
Number of pages5
JournalLASERS IN MEDICAL SCIENCE
Volume30
Issue number4
DOIs
Publication statusPublished - 1 May 2015
Publication typeA1 Journal article-refereed

Abstract

Based on previous observations, the 1950-nm diode laser seems to be an ideal wavelength for laser microvascular anastomoses. The data presented here, part of a larger ongoing study, assess its use in emergency hand surgery. Between 2011 and 2014, 11 patients were operated on for hand trauma with laser-assisted microanastomoses (LAMA) and prospectively analysed. LAMA was performed with a 1950-nm diode laser after placement of equidistant stitches. For vessel size 2 (spot duration 1/0.9 s). Mean operating time for arterial and venous microanastomoses was 7.3 ± 1.4 and 8.7 ± 1.0 min, respectively. Three anastomoses required a secondary laser application. Arterial and venous patency rates were 100 % at the time of surgery. The success rate for the 11 procedures assessed clinically and with the Doppler was 100 %. The technique is compared to the current literature. The 1950-nm LAMA is a reliable tool with excellent results in emergency hand surgery. The system is very compact and transportable for utilization in the emergency operating room.

ASJC Scopus subject areas

Keywords

  • Free flap, LAMA, Laser, Laser microanastomoses, Microanastomoses, Microsurgery