ADVANCED DIODE LASER WITH SPECIALIZED BEAM-DELIVERY INSTRUMENT IN MINI INVASIVE LASER TREATMENT OF ANORECTAL VASCULAR PATHOLOGY

Abstract

As the wavelength range of diode lasers expands, they become increasingly attractive for laser medicine because they are compact, allow the use of convenient fiber delivery systems, and are relatively inexpensive and long-lived. Russian diode lasers are based on world-level achievements in nanotechnologies used in their production. The paper presents the results of clinical application of an improved diode laser apparatus ACT model of a domestic company “Uricon Group” equipped with unique multifunctional instruments which enable to minimize mucous lesion in treating vascular pathology of the anorectal zone. A dual-frequency apparatus generating at wavelengths of 980 and 1470 nm permitted the development of a combined technique, which was verified by practical clinical application. The study was aimed at improving the mini-invasive method of surgical treatment of vascular anorectal pathology to ensure maximum efficiency of surgery at any stage of the disease, reducing the duration of surgery, minimizing pain during and after surgery. The technique of laser mini-invasive transdermal and subdermal-submucosal destruction, applied in treatment of 362 patients using the diode laser of ACT model and the developed specialized instrument, has shown its effectiveness. All patients returned to daily activities 2-3 days after surgery. Economic effect of the developed treatment technology is provided by low price of the equipment and absence of necessity of the patient’s stay in the clinic in the postoperative period.