By Kazuhiko Atsumi (auth.), Stephen N. Joffe M.D., F.A.C.S., F.R.C.S., Yanao Oguro M.D. (eds.)
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Either editors are energetic responsibility officials and surgeons within the U. S. military. Dr. Martin is a fellowship educated trauma health care professional who's at the moment the Trauma clinical Director at Madigan military clinical middle. He has served because the leader of surgical procedure with the forty seventh wrestle help clinic (CSH) in Tikrit, Iraq in 2005 to 2006, and so much lately because the leader of Trauma and common surgical procedure with the twenty eighth CSH in Baghdad, Iraq in 2007 to 2008.
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Access should be restricted to personnel who have been suitably informed about the relevant safety measures. Protective eyewear, equipped with sideguards and rated as suitable for use with the Nd:YAG laser, must be worn by all personnel present in the room during a laser operation, and appropriate protective eyepieces must be used when 29 performing endoscopic procedures. The patient should be given complete protection. Care should be taken to avoid the use of combustible gases or inflammable materials in the vicinity of the laser.
Several centers in Europe, Japan, and the United States 33 are currently evaluating the contact endoprobes in both upper and lower GI surgery. Physical compress~on of the vessel walls allows a more effective form of closure with coagulation, known as coaptation. The noncontact Nd: YAG laser may be less effective than either of the other techniques, as pressure cannot be applied to tissue without burning and melting the fiber tip, making coaptation impossible. In order to stop bleeding from moderately large vessels, substantial amounts of energy must be applied to the tissue with the non contact method, causing significant damage and occasionally even precipitating further bleeding.
39. Hofstetter AG, Staehler G, Keiditsch E, Frank F: Lokale Laser-Bestrahlung eines Peniskarzinoms. Fortschr Med 96:369-371, 1978. 40. Frank F, Bailer P, Beck OJ, et al: Instrumentation and safety aspects for the surgical application of the Nd:YAG laser. In Joffe SN, Muckerheid M, Goldman L (eds): Neodymium-YAG Laser in Medicine and Surgery. Elsevier, New York, 1983, 205-214. 41. Beck OJ, Frank F: ND-YAG-Laser in der Neurochirurgie. Munch Med Wochenschr (or) MMW 126:109-113, 1984. 42. Oeckler RCT, Beck OJ, Frank F: Erfahrungen mit dem N d-Y AG-Laser in der chirurgischen Behand lung intra- und supraselliirer Tumoren.
Advances in Nd:YAG Laser Surgery by Kazuhiko Atsumi (auth.), Stephen N. Joffe M.D., F.A.C.S., F.R.C.S., Yanao Oguro M.D. (eds.)