scholarly journals Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

Nd YAG Laser ◽  
10.5772/36448 ◽  
2012 ◽  
Author(s):  
Ezzat A.
Keyword(s):  
Pilonidal Sinus ◽  
Nd:Yag Laser

Nd:YAG laser epilation to prevent recurrences after pilonidal sinus surgery

2013 ◽  
Vol 11 (12) ◽  
pp. 1203-1205 ◽  
Author(s):  
Franziska Brehmer ◽  
Markus Zutt ◽  
Anike Lockmann ◽  
Michael P. Schön ◽  
Kai-Martin Thoms
Keyword(s):  
Pilonidal Sinus ◽  
Nd:Yag Laser ◽  
Sinus Surgery ◽  
Laser Epilation

Bipolar radiofrequency induced thermotherapy and 1064 nm Nd:Yag laser in endovenous occlusion of insufficient veins: short term follow up results

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Krnic ◽  
Sucic
Keyword(s):  
Side Effects ◽  
Success Rate ◽  
Nd:Yag Laser ◽  
Main Stem ◽  
Short Term ◽  
Main Trunk ◽  
Bipolar Radiofrequency ◽  
Saphenous Veins ◽  
Skin Redness ◽  
Complete Failure

Background: The aim of this study is to report our results in main stem vein closure using the bipolar radiofrequency induced thermotherapy (RFITT) system and the 1064nm Nd:Yag laser. Patients and methods: 44 incompetent main stem veins (37 great saphenous veins, one lesser saphenous vein, and 6 anterior accessory saphenous veins) in 29 patients were treated using RFITT. 53 incompetent main stem veins (45 great saphenous veins, 4 lesser saphenous veins, and 4 anterior accessory saphenous veins) in 43 patients were treated endovenously with 1064 nm Nd:Yag laser. All patients underwent postoperative duplex scanning within a month after procedure, as well as a short interview regarding postoperative discomfort. Results: In main stem veins treated with RFITT, the success rate within the first month was 86,4 % (38 out of 44 veins). Complete failure rate was 13,6 % (6 out of 44 veins). In 53 main stem veins treated by 1064 nm Nd:Yag laser, the success rate was 100 %, consisting of 98,1 % complete success (52/53 veins), and 1,9 % partial success (1/53 veins). None of the patients treated with RFITT experienced postoperative adverse effects, whereas 13/43 (30,2 %) patients treated with laser had to use oral analgesics after the treatment, and 21/43 (48,8 %) patients reported transient skin changes, such as bruising or skin redness. Conclusions: RFITT system was fairly efficient in the short term for closure of main trunk veins, whereas longer term results are still scarce. Postoperative side effects of RFITT were minimal. 1064nm Nd:Yag laser, according to short term results, proved to be very effective for main stem vein closure. Postoperative side effects related to 1064 nm Nd:Yag endovenous laser treatment proved to be minor, transient, and acceptable.

Pilonidal Sinus: How to Choose Between Excision and Open Granulation Versus Excision and Primary Closure?

Swiss Surgery ◽  
2002 ◽  
Vol 8 (6) ◽  
pp. 255-258 ◽  
Author(s):  
Perruchoud ◽  
Vuilleumier ◽  
Givel
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Healing Time ◽  
Incision And Drainage ◽  
The Mean ◽  
Primary Healing

Aims: The purpose of this study was to evaluate excision and open granulation versus excision and primary closure as treatments for pilonidal sinus. Subjects and methods: We evaluated a group of 141 patients operated on for a pilonidal sinus between 1991 and 1995. Ninety patients were treated by excision and open granulation, 34 patients by excision and primary closure and 17 patients by incision and drainage, as a unique treatment of an infected pilonidal sinus. Results: The first group, receiving treatment of excision and open granulation, experienced the following outcomes: average length of hospital stay, four days; average healing time; 72 days; average number of post-operative ambulatory visits, 40; average off-work delay, 38 days; and average follow-up time, 43 months. There were five recurrences (6%) in this group during the follow-up period. For the second group treated by excision and primary closure, the corresponding outcome measurements were as follows: average length of hospital stay, four days; average healing time, 23 days; primary healing failure rate, 9%; average number of post-operative ambulatory visits, 6; average off-work delay, 21 days. The average follow-up time was 34 months, and two recurrences (6%) were observed during the follow-up period. In the third group, seventeen patients benefited from an incision and drainage as unique treatment. The mean follow-up was 37 months. Five recurrences (29%) were noticed, requiring a new operation in all the cases. Discussion and conclusion: This series of 141 patients is too limited to permit final conclusions to be drawn concerning significant advantages of one form of treatment compared to the other. Nevertheless, primary closure offers the advantages of quicker healing time, fewer post-operative visits and shorter time off work. When a primary closure can be carried out, it should be routinely considered for socio-economical and comfort reasons.

Das Management von Glaskörpertrübungen

2020 ◽  
Vol 10 (03) ◽  
pp. 243-254
Author(s):  
Albrecht Lommatzsch
Keyword(s):  
Nd:Yag Laser ◽  
Randomisierte Studien

ZusammenfassungDas Management von symptomatischen Glaskörpertrübungen stellt sich in der täglichen Praxis oft als kompliziert dar. Die Nd:YAG-Laser-Vitreolyse rückt als weitere therapeutische Option immer mehr in den Fokus. Vergleichende randomisierte Studien zur Vitrektomie, Nd:YAG-Laser-Vitreolyse und einer abwartenden Vorgehensweise zum Spontanverlauf gibt es leider nicht. Dieser Beitrag versucht, zu dieser Problematik einen Überblick zu geben.

Erfolgreiche Entfernung des OTSC®-Systems durch Destruktion mittels Nd:YAG-Laser

2010 ◽  
Vol 48 (08) ◽  
Author(s):  
M Fähndrich ◽  
M Sandmann ◽  
M Heike
Keyword(s):  
Nd:Yag Laser

Diagnostik und minimal invasive Therapie von Epiglottiserkrankungen beim Pferd

2003 ◽  
Vol 31 (05) ◽  
pp. 273-279
Author(s):  
E. Deegen ◽  
B. Ohnesorge
Keyword(s):  
Nd:Yag Laser ◽  
Minimal Invasive ◽  
Minimal Invasiv

ZusammenfassungIn der Zeit von 1993 bis 2001 wurden in der Klinik für Pferde der Tierärztlichen Hochschule Hannover 21 Pferde mit einem Epiglottisentrapment vorgestellt, davon 29% (6/21) Vollblutpferde. Drei der 21 Tiere wiesen zusätzlich eine Subepiglottiszyste auf. Im Rahmen der klinischen und endoskopischen Diagnostik wurden Entrapmentfalten in unterschiedlicher Größe, in einem Fall auch ein habituelles Entrapment festgestellt. Die verlagerte Schleimhautfalte, die in 24% (5/21) der Fälle ulzerativ verändert war, führte bei 52% (11/21) der Pferde zu einem Atemgeräusch bei Belastung, 38% (8/21) der Pferde zeigten Husten und 14% (3/21) die Symptome einer Dysphagie. Weitere Befunde waren Epiglottishypoplasie bzw. -deformation (5/21) und Dorsalverlagerung des Gaumensegels (6/21), sodass insgesamt 38% (8/21) der Pferde zusätzlich erhebliche morphologische oder funktionelle Abweichungen im Laryngopharynx aufwiesen. Die Behandlung des Entrapments erfolgte minimal invasiv transendoskopisch unter Anwendung unterschiedlicher Methoden. So wurde die Schleimhautfalte in Narkose oder beim sedierten Pferd transnasal entweder mittels eines hakenförmig gebogenen Hochfrequenzpapillotoms oder laserchirurgisch mit dem Nd:YAG-Laser und einer Barefiber median gespalten. Verbliebene Schleimhaut wurde falls erforderlich mit einer Hochfrequenz-Polypektomieschlinge reseziert. Letzteres Verfahren kam auch zur Resektion von subepiglottaler Schleimhaut im Fall des habituellen Entrapments zur Anwendung. Bei 80% (8/10) der Patienten ohne komplizierende Epiglottisveränderung oder Gaumensegelverlagerung gelang eine zufrieden stellende Therapie, wobei ein Rezidiv nachbehandelt wurde. Als besonders geeignet erwies sich die Operation mit dem gebogenen Hochfrequenzpapillotom am sedierten Pferd. Bei allen Patienten mit Entrapment und gleichzeitiger Subepiglottiszyste verlief die Behandlung erfolgreich (3/3). Im Gegensatz dazu zeigten nur 25% (2/8) der Pferde mit anderen komplizierenden Erkrankungen postoperativ keine Beeinträchtigungen.

Sign in / Sign up

Export Citation Format

Share Document