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1950-nm diode laser-assisted microanastomoses (LAMA): an innovative surgical tool for hand surgery emergencies

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Abstract

Based on previous observations, the 1950-nm diode laser seems to be an ideal wavelength for laser microvascular anastomoses. The data presented here, part of a larger ongoing study, assess its use in emergency hand surgery. Between 2011 and 2014, 11 patients were operated on for hand trauma with laser-assisted microanastomoses (LAMA) and prospectively analysed. LAMA was performed with a 1950-nm diode laser after placement of equidistant stitches. For vessel size <1.5 mm, the following laser parameters were used: spot size 400 μm, five spots for each wall, power 125 mW, and arterial/venous fluence 100/90 J/cm2 (spot duration 1/0.9 s). Mean operating time for arterial and venous microanastomoses was 7.3 ± 1.4 and 8.7 ± 1.0 min, respectively. Three anastomoses required a secondary laser application. Arterial and venous patency rates were 100 % at the time of surgery. The success rate for the 11 procedures assessed clinically and with the Doppler was 100 %. The technique is compared to the current literature. The 1950-nm LAMA is a reliable tool with excellent results in emergency hand surgery. The system is very compact and transportable for utilization in the emergency operating room.

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References

  1. Germain MA, Legagneux J (2001) Vascular microsurgery and progress of free flap surgery. Ann Chir 126:960–968

    Article  CAS  PubMed  Google Scholar 

  2. Jain KK, Gorisch W (1979) Repair of small blood vessels with the neodymium-Yag laser: a preliminary report. Surgery 85:684–688

    CAS  PubMed  Google Scholar 

  3. Mordon S, Martinot VVM (1995) End-to-end anastomoses with a 1.9-microm diode laser. J Clin Laser Med Surg 13:357–361

    Google Scholar 

  4. Mordon S, Schoofs M, Martinot V, Buys B, Patenotre P, Lesage, JC.et al. 1.9 mm diode laser assisted anastomoses in reconstructive microsurgery: Preliminary results in 12 patients. In: Delacretaz G, Laser-Tissue Interaction, Tissue Optics and Laser Welding, Vol 3195 SPIE: Bellingham 2001:2–8

  5. Leclère FM, Schoofs M, Buys B, Mordon SR (2009) Outcomes after 1.9-microm diode laser-assisted anastomosis in reconstructive microsurgery: results in 27 patients. Plast Reconstr Surg 125:1167–1175

    Google Scholar 

  6. Leclère FM, Schoofs M, Buys B, Mordon SR (2011) 1.9-μm diode laser-assisted vascular microanastomoses: experience in 40 clinical procedures. Lasers Surg Med 43:293–297

    Article  PubMed  Google Scholar 

  7. Leclère FM, Schoofs M, Buys B, Germain M, Mordon S (2010) Outcomes after 1.9-microm diode laser-assisted anastomosis in reconstructive microsurgery: from animal model to patients. e-mémoires de l′Académie Nationale de Chirurgie 9:63–68

    Google Scholar 

  8. Leclère FM, Schoofs M, Auger F, Buys B, Mordon S (2011) Blood flow assessment with magnetic resonance imaging after 1.9-μm diode laser-assisted arterial micronastomoses. Ann Chir Plast Esthet 56:540–547

    Article  PubMed  Google Scholar 

  9. Leclère FM, Schoofs M, Auger F, Buys B, Mordon SR. Blood flow assessment with magnetic resonance imaging after 1.9 microm diode laser-assisted microvascular anastomosis. Lasers Surg Med 42:299–305

  10. Nakata S, Campbell CD, Pick R, Reploge RL (1989) End-to-side and end-to-end vascular anastomoses with a carbon dioxide laser. J Thorac Cardiovasc Surg 98:57–62

    CAS  PubMed  Google Scholar 

  11. Martinot VL, Mitchell VA, Mordon SR, Schoofs M, Pellerin PN, Brunetaud JM (1995) Sixty argon laser-assisted anastomoses in rats: macroscopic and histological studies. Microsurgery 16:803–807

    Article  CAS  PubMed  Google Scholar 

  12. Leclère FM, Schoofs M, Auger F, Buys B, Mordon S (2011) Blood flow assessment with magnetic resonance imaging after 1.9 μm diode laser assisted arterial micronastomoses. Ann Chir Plast Esthet 56:540–547

    Article  PubMed  Google Scholar 

  13. Leclère FM, Schoofs M, Auger F, Buys B, Mordon SR (2010) Blood flow assessment with magnetic resonance imaging after 1.9 microm diode laser-assisted microvascular anastomosis. Lasers Surg Med 42:299–305

    Article  PubMed  Google Scholar 

  14. Leclère FM, Schoofs M, Vogt PM, Casoli V, Auger F, Mordon SR. Current laser applications in reconstructive microsurgery: a review of the literature. In Review

  15. Okada M, Shimizu K, Ikuta H, Horii H, Nakamura K (1987) An alternative method of vascular anastomosis by laser: experimental and clinical study. Lasers Surg Med 7:240–248

    Article  CAS  PubMed  Google Scholar 

  16. Jain KK (1984) Sutureless extra-intracranial anastomosis by laser. Lancet 2:816–817

    Article  CAS  PubMed  Google Scholar 

  17. White RA, White GH, Fujitani RM, Vlasak JW, Donayre CE, Kopchok GE, Peng SK (1989) Initial human evaluation of argon laser-assisted vascular anastomoses. J Vasc Surg 9:542–547

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Transsexual Surgery, Burn Surgery, Hand Surgery, CHU University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, Place Amélie-Raba-Léon, 33076, Bordeaux, France

    Franck Marie Leclère & Vincent Casoli

  2. Department of Plastic Surgery, MHH, Hannover Medical School, Hannover, Germany

    Franck Marie Leclère & Peter Vogt

  3. INSERM U703, University of Lille, Lille, France

    Franck Marie Leclère, Michel Schoofs & Serge Mordon

Authors
  1. Franck Marie Leclère
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  2. Michel Schoofs
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  3. Peter Vogt
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  4. Vincent Casoli
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  5. Serge Mordon
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Correspondence to Franck Marie Leclère.

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Leclère, F.M., Schoofs, M., Vogt, P. et al. 1950-nm diode laser-assisted microanastomoses (LAMA): an innovative surgical tool for hand surgery emergencies. Lasers Med Sci 30, 1269–1273 (2015). https://doi.org/10.1007/s10103-015-1711-z

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  • DOI: https://doi.org/10.1007/s10103-015-1711-z

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