Ciera, Cirrissa, Kimberly, Luis, Raegan, & Tiffanie
1960 - First laser made
1962 - Leon Goldman first used the laser
1963 - McGuff first used laser for experimental ablation
1983 – Allowed for time for new development and tests and the first
clinical applications
Since the first use of lasers in surgery by Goldman, lasers have now
become a huge part of modern medicine.
L. A. S. E. R.
Process of converting energy into light energy
Uses laser light to remove diseased tissues, treat bleeding blood vessels, and
restore skin
Uses laser beam to make bloodless cuts
Differ in ability to cut, clot or vaporize tissue
Eye injuries
Most common injury
Direct or reflected laser beams can cause damage
Laser smoke pumes
Occur when cautery is contacting the tissue
Smoke can cause health hazards
Fires
About 10% of reported surgical fires involve lasers as the ignition source
Oxygen and nitrous oxide can enter the SS and increase the risk of flammability
Electricity
High voltage electric current can lead to electric shock or death
Provide a backstop
Check for non reflective instruments
Careful while transporting lasers
Clean, handle, and store lasers contact tips
Aligning the lasers optical system
Clean laser protective eyewear and other laser components
Provide a basin of sterile water
Be trained in laser equipment
Argon Laser CO2 Laser
Uses Nobel gas argon as the active medium Most effective laser that produces a beam of
Precise cutting with minimal damage to infrared light.
surrounding tissues Seals lymphatics as it cuts, which decreases
Applications include: spread of malignant cells.
Retinal photocoagulation Applications include:
Arterial recanalization Soft tissue procedures because less bleeding, and
shorter surgery time.
DYE laser Gynecological, dentistry, and maxillofacial
Uses organic dye as a medium procedures
Dye can be used for much wider range of Nd: YAG Laser
wavelength allowing it to be suitable for tunable Most widely used in medical field with a high
lasers or pulsed lasers. penetration time greater than 5mm
Applications include:
Mechanism: Photo coagulation
Dermatology – skin even
Applications include:
Port wine stain
Coagulate bladder tumor
Scars and kidney stones
Remove skin cancer
Tattoo Removal
Prostate surgery
Holmium YAG Laser DIODE Laser Excimer Laser
Solid state laser YAG Semiconductor device that Also called an Exciplex
crystals are dropped with emits laser light as electric Laser
rare earth holmium ions current passes through Uses noble gases as its
Treats tissue in liquid filled them laser medium
environment (blood and Tunable laser
saline) Ability to oscillate at an
Fiberoptic delivery system exceptionally high
Endoscopic lasers
Application: efficiency.
Application includes:
Hair removal Application includes:
Ablation of tissues,
urology, prostatic Ophthalmology to vaporize
surgery orthopedic part of the surface layer of
laser used in cornea which reshapes the
arthroscopy. cornea (nearsightedness),
Dermatology to treat
psoriasis and vitiligo
Used since 1960
The shorter the wave length, the higher the energy
More dangerous to humans
Cannot be seen in space
1974 – lasers were used in grocery store
Worlds most powerful laser – Nitrogen Bomb
Twin-to-Twin Transfusion Syndrome Procedure
[Link]
syndrome-endoscopic-laser-ablation-surgical-footage
CO2 Laser Surgery
[Link]
Urinary Stone Treatment
[Link]