New PDF release: Medical Laser Endoscopy

By David C. Auth (auth.), Dennis M. Jensen M.D., Jean-Marc Brunetaud M.D. (eds.)

ISBN-10: 9400905076

ISBN-13: 9789400905078

ISBN-10: 9401067147

ISBN-13: 9789401067140

There has been magnificent growth over the past decade in healing endoscopy. Such remedies are both more uncomplicated now than ten years in the past or are attainable whilst formerly they have been impossible. those advances have depended upon significant advancements in diagnostic endoscopy for various subspecialties. at the same time, an enormous innovation for therapeutics via endoscopes is the appliance of scientific lasers. This publication is written by way of popular biophysicists and laser endoscopists of alternative sub specialties the place the applying of lasers has revolutionized therapy. now and again remedies which have been no longer formerly attainable are actually regimen. Laser palliation of obstructing tumors in numerous sub specialties is an instance of this. In different situations, resective surgical procedure is obviated by means of the appliance of lasers through endoscopy akin to for the keep watch over of gastrointestinal bleeding. The authors of other scientific or surgical subspecialties which use endoscopic lasers write concerning the pathology and scientific difficulties, their own adventure and effects. besides the fact that, additionally they emphasize their ideas of laser endoscopy via case examples, technical discussions, and coloured illustrations. Their discussions will supply the reader a greater figuring out concerning the position of laser therapy of other stipulations in comparison to regimen clinical or surgical treatment. in different circumstances, randomized managed trials related to clinical lasers have been mentioned during this publication simply because they essentially replaced our knowing of universal difficulties reminiscent of top gastrointestinal bleeding. we expect persevered development in healing endoscopy.

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Example text

Inservice laser safety programs have been established. Criteria and procedures for credentialing are well worked out and operating room personnel are fully acquainted with laser usage. Fragmentation will no longer be the need for many of the centralized functions previously described. At this point, there will likely be certain residual functions left for the central laser unit. Some of these may be: l. There will be the introduction of new laser wavelengths and technology. Well established laser users may feel erroneously prepared to use these modalities.

Approvals by the Institutional Review Board, FDA, and laser manufacturers must be sought in certain cases. Photographic files must be maintained to document patient progress. Clinical assistance is frequently asked of the central unit for liaison with major operating room staffs where it is necessary to transport lasers, set them up, and assist in the laser surgical procedure. Night coverage by staff for emergencies involving lasers likewise must be provided for. The laser unit becomes an important educational resource in many instances.

Step 6: The new fiber tip is inspected using a magnifying lens (Fig. 9) and further cleaned with acetone. Any residual silicone rubber is scrubbed away using acetone (Fig. l0). Fig. 9. Inspection of the fiber tip with a magnifying lens . 23 Fig. 10. Cleaning the fiber tip with lens paper and acetone. Step 7: The metal tip is then reapplied to the distal fiber. It is important that the fiber tip be properly threaded onto the distal fiber (Fig. 11). Fig. 11. The metal tip is threaded onto the distal fiber.

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Medical Laser Endoscopy by David C. Auth (auth.), Dennis M. Jensen M.D., Jean-Marc Brunetaud M.D. (eds.)

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