1.32 microns Nd:YAG laser during neurosurgical procedures experience with about 70 patients operated on with the MC 2100 unit.
The authors present their clinical experience with 1.32 microns Nd-YAG Laser. After a series of experimental studies which demonstrated the adaptability of such a wavelength to central nervous surgery, they used such a Laser during current neurosurgical procedures. The MC 2100 unit combines two wavelengths 1.32 microns and 1.06 microns, and two emission modes: continuous wave (c.w.) and pulsed. This Laser has been used during 70 procedures: 54 supra-tentorial, 8 infra-tentorial, 5 intra-spinal, 3 intra-orbital, 600 microns and 400 microns fibers were preferred in most cases, either with a telescopic light handpiece or- less often--with a focussing handpiece. The quality of vaporization--close to that of CO2 Laser- and of haemostasis-close to that of 1.06 microns Nd-YAG Laser-makes this 1.32 microns wavelength very suitable for neurosurgery. The manoeuverability due to the optic fibers is most interesting. Furthermore, such a Laser should have in the near future large applications in stereotactic and/or endoscopic neurosurgery.
Roux
F X
FX
Neurosurgical Department C.H. Sainte-Anne, Paris, France.
Devaux
B
B
Merienne
L
L
Cioloca
C
C
Chodkiewicz
J P
JP
D001932:Brain Neoplasms / Q000556:secondary / Q000601:surgery*; D004867:Equipment Design; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D053685:Laser Therapy / Q000295:instrumentation*; D009918:Orbital Neoplasms / Q000601:surgery*; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D013525:Surgical Instruments