By Gunther Bastert, Diethelm Wallwiener, D. Pollmann, S. Rimbach

A synopsis of using lasers in gynecology is gifted during this booklet; it really is supported by way of greater than 10 years of expertise and sponsored up by way of reviews inthe fields of experimental surgical procedure, technical medication and scientific gynecology. The authors exhibit how laser-assisted instruction hasbroadened the spectrum of operative probabilities in gynecology. significant issues of awareness are experimental surgical procedure and simple examine, information of program with recognize to precise symptoms, and destiny strength. additionally, the transparent definition of the chances and barriers of laser expertise places an finish to the hugely stylized view of a patent ask yourself divorced from common operative criteria. Thereis doubtless that clients of laser know-how stand at the threshold of a promising improvement and but, regardless of the current based functions, thefirst steps to adulthood are just now being taken.

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Additional resources for Lasers in Gynecology: Possibilities and Limitations

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The differentiation of urinary calculi from tissue is already possible and has been incorpo- rated in an optical feedback regulation for dye laser lithotripsy as mentioned above. Tissue analysis, especially tumor identification with tumor-selective photosensitizers, is within reach. Photoablation Photoablation, one of the most recent physical principles that has been adapted to medicine, requires strong absorption of ultraviolet radiation with energy densities of several MW / cm 2 (Fig. 4). The ejection of molecules out of the irradiated structure produces an extremely precise, no nt hermal cutting effect.

And intratubal gamete transfer. Experience has shown that each method has its particular indications, but also its limits. Even under ideal conditions pregnancy can be attained in only some 30 % of cases within a collective, through embryo transfer or intratubal gamete transfer [8]. The following constellation is evident when one reviews the success rates of microsurgical tubal correction after postinflammatory distal tubal affection. A live birth rate of approximately 30 % is attained after adhesiolyses and fimbrioplasty; this is accompanied by a 5 % tubal pregnancy rate.

From Ben-Bassat et al. [7] with permission) first and most commonly used laser in gynecology [6,21]. 6 11m laser light is strongly absorbed by water, thus allowing vaporization and precise incision of tissues with minimal thermal damage to adjacent cells (Fig. 3). This is especially relevant in reconstructive surgery, where tissue preservation is essential. Several other lasers have become available for investigational and clinical purposes. 111m holmium laser [22]. Each of these lasers has a unique effect on tissue which depends on a number of factors, including the "color" of the tissue, its water content, the power density, wavelength, and pulse structure of the laser beam.

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