By Noel Berger, DVM, MS; Martin Kaplan, DMD; and Peter Vitruk, PhD For The Education Center Originally Published In Veterinary Practice News, September 2018 –Download as a PDF Surgical lasers…
We all understand that in a veterinary clinic, time is money, and this is where the CO2 laser comes in so handy. The concept of minimizing oozing and bleeding allowing for better visualization of tissue planes and the surgical field has maximized my efficiency as a new surgeon.
Chinese shar pei suffering from stenotic nares as well as a severe bilateral entropion of both upper and lower eyelids and from the very heavy and excessive facial folds on her scalp.
This article shows a successful cherry eye procedure using a CO2 laser in a modified version of Morgan’s (1993) pocket technique that has a reported 95 percent success rate. This is one more adaptation of a surgical CO2 laser used in an accepted surgical technique that improves upon existing surgical standards to provide even better patient care.
In this article, a surgical CO2 laser was used to treat a dog’s elbow follicular cysts. Follicular cysts are caused by keratin trapped in a hair follicle, and they are often associated with swelling, inflammation, pain, and secondary infection. This laser procedure can ablate multiple layers of cysts and adjacent hair follicles with minimal bleeding and minimal thermal damage to the surrounding healthy tissue.
Three months prior to the surgery described here, a 10-year-old female spayed tortoiseshell cat was presented for a large swelling in the neck. Approximately 300 cc of clear, thin, amber fluid was aspirated, and a representative sample was sent to an outside diagnostic laboratory for fluid analysis, the results of which were unremarkable.
11-year-old male miniature schnauzer, was presented for chronic inflammation, severe swelling and ulceration of P3 on the right forelimb, digit 3. It appeared that the claw on the affected digit caused the patient significant discomfort and pain, provoking him to constantly bite and lick the site, aggravating the inflammation…
The CO2 laser provides the surgeon with the superior ability to control the fluence by easily changing spot sizes, power settings and to switch between continuous wave to SuperPulse modes; because of this the surgeon has excellent control to remove abnormal tissue and to avoid unnecessary damage to healthy adjacent structures. This laser benefit is especially prominent in delicate areas, such as eyelids.
David D. Duclos, DVM, a board-certified veterinary dermatologist, has more than 20 years of experience with CO2 laser surgery. As the first veterinarian who has used VetScalpel, the newest 45 Watt surgical CO2 laser system with 30 Watts of SuperPulse, Dr. Duclos shares his unique insight.
One of the primary benefits of the CO2 laser procedure includes a virtual elimination of bleeding, which allows for full visualization of the large masses, obtaining wide and appropriate surgical margins and providing a cosmetically pleasing, limb sparing procedure.