Iraqi Journal of Laser

laser welding techniques. Objective : to compare the histological effects of human skin wound soldering using 50 % human albumin solder and compound charcoal photosensitiser with 980 nm diode laser acting in various modes of action and parameters. Study Design/Materials and Methods: In this in vitro experimental study , Multiple 3-4 cm long full thickness incisions in a specimen of human skin were soldered using a 4 mm spot diameter beam of 980 nm diode laser(at different laser parameters and modes of action) with 50 % human albumin solder mixed with the compound charcoal at 5 % W/V concentration .After obtaining a successful wound soldering , the wound edge were excised and then studied histologically. Results: Although a single pulse per shot , spot by spot soldering technique has resulted in a weaker soldering of the wound experimentally, yet it was less tissue harmful than the continuous mode laser, inspite that the later had resulted in a stronger wound soldering. A strong wound closure didn't happen using repetitive pulsed laser mode at any of the tested parameters or action modes. Conclusion: A single spot by spot , pulsed 980 nm laser wound soldering is less tissue harmful than the continuous mode laser soldering although it has resulted in a weaker soldered wound initial tensile strength.

The effect of 532nm Diode Pumped Solid State (DPSS) laser at power density of 5.234 W/cm2 on the growth of Gram-negative Pseudomonas aeruginosa and Gram-positive Staphylococcus aureus was evaluated. These bacteria were isolated from samples taken from burn and infected wound areas of 55 patients admitted to the burn-wound unit in Al-Kindy teaching hospital in Baghdad during the period from October 2012 to March 2013. Each isolate was identified using microscopic, cultural and biochemical methods. A standard bacterial suspension was prepared for each isolate. Serial dilutions were then prepared and a dilution of 10-5 was selected. Irradiation experiments included four groups: (L-P-) bacterial suspension in saline solution, (L-P+) bacterial suspension in the presence of 0.1mg/ml photosensitizer (safranin O), (L+P-) bacterial suspension treated with laser radiation only and finally (L+P+) bacterial suspension treated with laser radiation in the presence of the photosensitizer. After irradiation, Cetrimide agar (P. aeruginosa) and Mannitol salt agar (S.aureus) were used. Seven replicates were used for each experimental group. Different times of exposure were applied for irradiated groups. The results revealed that twenty two isolates out of 70 samples were positive for P. aeruginosa (31%) and fifteen isolates out of 35 samples were positive for S. aureus (42%). The combined effect of DPSS laser and safranine O was significantly effective in reducing the number of Colony Forming Units per milliliter (CFU/ml) of P. aeruginosa and S. aureus compared with control groups. Almost a complete bacterial mortality achieved at 25 and 5 minutes of exposing to laser light in the presence of safranin O for P. aeruginosa and S. aureus respectively, suggesting that singlet oxygen (O2*) and/or reactive oxygen species (ROS) were involved in the killing of the bacteria.

and more precise and difficult surgeries are done. Tissue welding using laser is a promising technique that might help in more advancement of the surgical practice. Objectives: To study the ability of laser in joining tissues and the optimum parameters for yielding good welding of tissues. Methods: An in-vitro study, done at the Institute of Laser, Baghdad University during the period from October 2008 to February 2009. Diode and Nd-YAG lasers were applied, using different sessions, on sheep small intestine with or without solder to obtain welding of a 2-mm length full thickness incision. Different powers and energies were used to get maximum effect. Results: Welding of sheep intestine had been achieved by Nd-YAG laser 1064 nm at 400 and 500 mJ and PRR 4Hz, using human albumin 20% as a solder. Welding failed using the diode laser 4W for 10 min with albumin and indocyanine green. Conclusion: Laser may be useful tool in certain condition for joining tissue and wound closure. This is important because in certain circumstances no other technique is feasible for wound closure.

CO2 Laser (10600nm) is the recent method in the management of challenging skin scar resulting from trauma, burn and surgical wound. The aim of this study was to evaluate the efficacy & safety of fractional CO2 laser (10600nm) in treatment of skin scar. Materials and Methods:Twenty patients with different types of scars treated with fractional CO2 (10600nm) laser, (10 patients) were given additional intralesional Triamcinolone. Results: All of the twenty patients included in this study showed some sort of improvements in scar texture, height and pliability and all of the ten patients who received intralesional Triamcinolone after laser show complete satisfaction. Conclusion:Fractional CO2 (10600nm) laser can be used as alternative, effective, safe and less side effects method to other conventional method in treatment of scar specially when combined with intralesional Triamcinolone.

Background: The current standard for treating pilonidal sinus (PNS) is surgical intervention with excision of the sinus. Recurrence of PNS can be controlled with good hygiene and regular shaving of the natal cleft, laser treatment is a useful adjunct to prevent recurrence. Carbon dioxide (CO2) laser is a gold standard of soft tissue surgical laser due to its wavelength (10600 nm) thin depth (0.03mm) and collateral thermal zone (150mic).It effectively seals blood vessels, lymphatic, and nerve endings, Moreover wound is rendered sterile by effect of laser. Aim of this study was to apply and assess the clinical usefulness of CO2 10600nm laser in pilonidal sinus excision and decrease chance of recurrence. Design: For 10 patients, between 18 and 39 year old (28.5 ± 6.02), PNS excision under local anesthesia, using CO2 laser continuous mode, power 10 W, all cases closed primarily. Using laser system (KLS MARTIN 50plus, 10600nm). Results: no pain during operation but mild during first week, the operative field was dry, mild edema in 80% in 1st. Week, infection in one case, its excellent overall satisfaction throughout 2-4 weeks postoperative follow-up. Conclusion: The CO2 laser offers the following benefits; almost bloodless surgery; reduced risk of infection; less scarring; precisely controlled surgery, often faster than conventional approaches and therefore achieving short hospital stays.