title: 1.32 microns Nd:YAG laser during neurosurgical procedures experience with about 70 patients operated on with the MC 2100 unit.
abstract: 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.
authors.affiliation: Neurosurgical Department C.H. Sainte-Anne, Paris, France.
authors.forename: F X
authors.initials: FX
authors.lastname: Roux
authors.forename: B
authors.initials: B
authors.lastname: Devaux
authors.forename: L
authors.initials: L
authors.lastname: Merienne
authors.forename: C
authors.initials: C
authors.lastname: Cioloca
authors.forename: J P
authors.initials: JP
authors.lastname: Chodkiewicz
mesh_terms: 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