CO2 Laser Vaporization Research Articles

Long Term Postoperative Recurrence Rates and Fertility Outcomes after Endometrioma CO2-Laser Vaporization: A 5 years Follow-up Experience

Although cystectomy remains the gold standard for the surgical treatments of endometriomas, concerns about the negative effect on ovarian reserve are rising. Laser-CO2 vaporization of endometriomas has showed encouraging data on ovarian reserve preservation, postoperative pregnancy rates and recurrency. The aim of this study was to assess postoperative recurrence rate and pregnancy rate in patients with endometriomas managed by CO2 fiber laser vaporization after at least 5 years following surgery. Retrospective study. Italian tertiary center from October 2023 to February 2024. We included women aged >18 years who underwent laparoscopic CO2 fiber laser vaporization for endometriomas. Age ≥ 40 years, previous ovarian surgery, previous salpingectomy or hysterectomy, negative histologic finding for endometriosis or any findings of malignancy at histology were exclusion criteria. Ovarian endometriomas were vaporized through laparoscopic CO2 fiber laser. After surgery, patients were included in a surveillance program with periodic clinical follow-up. Seventy-eight patients were included. The mean age was 33.2±4.6 years, the basal AMH was 2.7 ± 1.9 ng/mL and the median diameter of the endometriomas was 4(3-5)cm. The median duration of follow-up was 72.5 months(67-84.5). After surgery, 65.5%(n=36) of women with reproductive desire achieved a pregnancy, 55.6% spontaneously and 44.4% through Assisted Reproduction Techniques, with a mean time to pregnancy of 17.7±18.1 months. A Kaplan-Meier curve for the 7 patients who experienced an ipsilateral recurrence showed that the median time to recurrence was 26 months and the estimated rate of disease-free patients was 91.03% at 100 months (95% CI 82.10%-95.62%). CO2 fiber laser vaporization is an effective and safe surgical treatment of ovarian endometriomas, combining the advantage of being an ovarian tissue-sparing technique with long-term post-operative recurrence rate comparable with that described in literature for the cystectomy.

Comparative analysis of Paiteling a traditional Chinese medicine (TCM) and CO2 laser therapy for high-risk HPV-associated with LSIL (CIN1) lesions

ObjectivesThis study aims to evaluate the therapeutic outcomes of Paiteling and CO2 laser therapy on high-risk human papillomavirus. MethodsWe retrospectively analyzed the data of 558 patients with HR-HPV low-grade squamous intraepithelial neoplasia (CIN1) from 2021 to 2023. Patients were selected and put into two groups: Paiteling and CO2 laser. Out of the 558 patients who were included in our final study, 239 (42.8 %) were treated with Paiteling, and 319 (57.2 %) were treated with CO2 laser vaporization. The mean age was 49.55 ± 12.10 years old. We observed that 27 (4.83 %) were younger than 30 years and 531 (95.1 %) were older than 30 years. We reviewed the patient’s results at intervals of 3 months, 6 months, 12 months, and 24 months after each therapy. The results of the recurrence rate, effective viral clearance rate, and the effectiveness of both therapies on low-grade cervical lesions were determined using multivariate and univariate cox-regression analysis. The Kaplan-Meier curve was used to determine the HR-HPV conversion rate of each therapy. ResultsThe median time for HR-HPV clearance was 6.00 months (95 % CI: 4.26–6.89) in the Paiteling group and 9.00 months (95 % CI: 15.92–22.67) in the CO2 laser group. There was a significant difference between the two groups (χ2 = 25.118, p-Value = 0.000). The HR-HPV clearance rate during 6–12 months for Paiteling and CO2 laser was 100 (55.6 %) and 80 (44.4 %), respectively. The clearance rate for both therapies from 6 to 18 months was statistically significant (6–12 months: p < 0.010, 12–18 months: p < 0.011). The Paiteling HR-HPV negative rate over 24 months 214 (89.5 %) is higher than CO2 laser 176 (55.2 %). Paiteling has a 5.4 % re-infection rate, which is marginally lower than the 5.6 % rate for CO2 lasers.The clearance rate for both therapies from 12 to 18 months [Paiteling: 20 (4.7 %) to 10 (3.6 %) and CO2 laser: 22 (8.4 %) to 15 (4.2 %)] was also significant (p < 0.011). The percentage of persistent Hr-HPV clearance rate for Paiteling patients was higher than carbon dioxide laser vaporization. No severe side effects were reported by the Paiteling patients compared to laser vaporization. This is due to the fact that Paiteling, as a traditional Chinese medicine, is a topical, non-invasive medicine, thus preserving the integrity of the cervix. ConclusionsPaiteling is an effective noninvasive therapy that can clear persistent HR-HPV associated with cervical low-grade squamous lesions in a relatively shorter period of time compared to CO2 laser ablation.

Combined CO2 Laser Vaporization and Bleomycin Injection to Treat Huge Adult Laryngeal Vascular Anomalies: Innovative Application of CO2 Laser in Otolaryngology.

The aim of this study was to assess the value of CO2 laser vaporization in treating huge adult laryngeal vascular anomalies (HALVAs) by combining it with bleomycin injection. This study retrospectively reviewed the records of 13 adult patients who underwent 18 different procedures. Methods to treatHALVAs include traditional bleomycin injectionand CO2 laser vaporization combined with bleomycin injection between September 2009 andJanuary 2023. Treatment results were evaluatedby the grade of lumen constriction. A total of five males and eight females, with an average age of 46.3 years (range, 22-66 years), were included in the study. The huge adult laryngeal vascular anomalies in our study were greater than 1633.71 mm3, and the long diameters of the bases were longer than 15 mm. Compared with the bleomycin injection-only group, the results with the CO2 laser vaporization and bleomycin injection combined were better. Both bleomycin injection and CO2 laser vaporization are safe treatment methods. Their combination may produce better results for huge adult laryngeal vascular anomalies.

Laser synthesis of oxide nanoparticles with controlled gas condensation

In this work, the oxide nanopowders of Al2O3, ZrO2, Y2O3, Gd2O3, CeO2, and SiO2 were synthesized by CW CO2 laser vaporization technique with controlled gas condensation in an inert atmosphere. Methods for controlling the size of the resulting nanoparticles by adjusting the gas composition and pressure during the vaporization process have been demonstrated. The potential for producing ultrasmall oxide nanoparticles with dimensions less than 5 nm has been shown. The size distribution of nanoparticles taken from different parts of the evaporation-condensation tract was studied using scanning (SEM) and transmission (TEM) electron microscopy methods. The effect of synthesis conditions (pressure and composition of the inert gas) on characteristics of the nanoparticles is discussed. Using a wide class of simple oxides as the example, it is shown that the powders synthesized by the laser method consist of three types of particles: target spherical particles with a diameter of 3–20 nm (more than 98%), larger spherical particles with a diameter of 50–200 nm, and shapeless large particles with sizes more than 200 nm. The possibility of separating large particles from the main particles using the original labyrinth system for gas pumping is shown. The obtained particles with controlled sizes can be effectively used in various applications, in particular, for the preparation of catalysts and adsorbents.

A nomogram to predict anal condyloma acuminatum recurrence in HIV-negative patients following photodynamic therapy: A decade-long retrospective clinical study at a single tertiary hospital

BackgroundAnal condyloma acuminatum (CA) is marked by its thorny treatment and high recurrence rate. Although 5-aminolevulinic acid photodynamic therapy (ALA-PDT) demonstrates significant efficacy and safety in treating anal CA, it does not completely prevent recurrence. This study aimed to develop and validate a nomogram model in predicting the risk of relapse in HIV-negative patients with anal CA following treatment with ALA-PDT. MethodsA retrospective analysis was conducted on patients diagnosed with anal CA who received combined CO2 laser vaporization and ALA-PDT between January 2013 and May 2023. Patients were divided into recurrence and non-recurrence groups. A nomogram was developed based on factors showing statistical significance in multivariable logistic regression analysis. The discriminative ability and clinical utility of the nomogram were assessed via ROC curves and decision curve analysis, with internal validation performed through bootstrap resampling. ResultsAmong the 176 patients included, 33 (18.75 %) experienced recurrence, while 143 did not. Independent predictors for recurrence included HPV types, history of anal intercourse, and the number of CO2 laser treatments received. Incorporating these predictors, the nomogram demonstrated a superior diagnostic performance (area under the curve = 0.881, 95 % CI: 0.818–0.935) and a significant net benefit in decision curve analysis. ConclusionsThe nomogram accurately predicts the risk of recurrence in HIV-negative patients with anal CA following ALA-PDT. It offers a valuable tool for guiding preoperative clinical decision-making and establishing personalized treatment strategies to minimize the risk of relapse.

Colposcopic-Magnified Scan-Aided CO2 Laser Vaporization for Genital Warts in Pregnancy: a Propsective Descriptive Evaluation of Safety in a Tertiary Care Obstetrical Hospital

Colposcopic-Magnified Scan-Aided CO2 Laser Vaporization for Genital Warts in Pregnancy: a Propsective Descriptive Evaluation of Safety in a Tertiary Care Obstetrical Hospital

CO2 laser vaporisation in treating oral lichen planus: A split-mouth randomised clinical trial.

This study aimed to compare the effectiveness of carbon dioxide (CO2) laser vaporisation versus intralesional injection of triamcinolone acetonide (TA) in the management of oral lichen planus (OLP). A randomised clinical trial with a split-mouth design was conducted on 16 patients with bilateral symptomatic OLP lesions. One side was treated with CO2 laser vaporisation, and the counterpart was treated with TA intralesional injection. The reticular-erythematous-ulcerative (REU) score, Thongprasom sign scoring (TSS), visual analogue scale (VAS) and lesion area were used to evaluate the lesions at weeks 0, 4 and 9. All participants were followed up for 9 months. Reduction in the REU, TSS scores and lesion area from baseline to the end of treatment was significantly greater in the CO2 group than in the TA group (p values were 0.001, 0.002 and 0.048 respectively). However, the reduction in VAS score did not differ between the two groups (p = 0.54). The recurrence rate was significantly higher in the TA group than in the CO2 group (75% vs. 31.1%; p = 0.016). CO2 laser vaporisation was more effective than TA intralesional injection in managing OLP and decreased recurrence rates.

Clinical outcomes of laser vaporization for vaginal intraepithelial neoplasia – A 20-year retrospective review

ObjectivesThe purpose of our study is to evaluate clinical outcomes of CO2 laser vaporization in patients with high-grade vaginal intraepithelial neoplasia (VAIN), and analyze potential risk factors for unfavourable outcome. Study designA retrospective cohort study was carried out on all patients with high-grade VAIN treated by laser vaporization from Jan 2001 to Dec 2020 in a gynae-oncology training centre in Hong Kong. ResultsA total of 116 women underwent laser therapy for high-grade VAIN during the study period and the median follow-up time was 49.5 months. Disease regression was achieved in 75% of patients after first laser treatment. However, 23% of them had disease recurrence after initial regression. Regression rate declined significantly at subsequent laser treatment for disease persistence or recurrence, from 75% after the first laser, to 52.9% after the second laser and 26.5% after the third or more laser (p < 0.001). Eleven patients (9.4%) had disease progression to cancer during subsequent follow-ups. VAIN 3 was the only independent risk factor for unfavourable outcome after multivariable logistic regression (OR = 2.86, 95% CI 1.16–7.06, p = 0.023). ConclusionCO2 laser vaporization is a safe and effective treatment modality for high-grade VAIN, but with high recurrence rate. Patients should be carefully counselled about treatment failure, recurrence risk, and the need for long-term surveillance for any progression to cancer. Alternative treatment modalities should be considered in patients who failed to regress after two episodes of laser treatment.

Synthesis, Spectroscopic and Catalytic Properties of FeOx/Al2O3 Nanopowders Prepared by CO2 Laser Vaporization

Synthesis, Spectroscopic and Catalytic Properties of FeOx/Al2O3 Nanopowders Prepared by CO2 Laser Vaporization

Importance of the vaporization margin during CO2 laser treatment of oral leukoplakia: A survival study.

The main purpose of this study was to assess the response of oral leukoplakia to CO2 laser vaporization treatment, as well as determining possible factors that may affect recurrence of lesions. A retrospective study was conducted, in which the medical records of patients who had been clinically and histologically diagnosed with oral leukoplakia and treated with CO2 laser between 1996 and 2019 at the Oral Medicine Teaching Unit of the Faculty of Dentistry of the University of Santiago de Compostela were reviewed. Fifty-eight patients were included: 36 female and 22 male subjects, with a mean age of 63.7 years old (SD ±13.1). The average follow-up time was 57.5 months (SD ±57.9). A relapse rate of 52.6% was determined. Of all the studied variables, the margin was the only one for which a statistically significant association with recurrence of lesions was demonstrated (p < 0.05). The vaporization of lesions using CO2 laser with a safety margin of at least 3 mm from the clinical limits of OL is a key factor in preventing recurrence.

Similar long-term recurrence rates with cystectomy and CO2 laser vaporization for endometrioma: a retrospective study

Research questionIs there a difference in recurrence rate of endometrioma(s) after cystectomy versus CO2 laser vaporization of the cyst wall? DesignThis single-centre retrospective study included 270 patients undergoing laparoscopic surgery for endometriomas between January 2010 and December 2014, stratified according to the surgical technique used. All 270 included patients underwent complete laparoscopic surgery for endometrioma(s): 155 underwent cystectomy, 63 complete CO2 laser vaporization of the cyst wall and 52 a mixed technique. The primary outcome studied was the difference in recurrence rate between the cystectomy group and the CO2 laser vaporization group. ResultsThe mean duration of follow-up was 58 (±34) months. Imaging-based recurrence (any cyst size) was reported in 9.9% of patients (n = 12/121) treated with cystectomy and in 13.3% of patients (n = 6/45) who underwent a vaporization (P = 0.577). The need for reintervention for endometrioma(s) was also similar in both groups, with a rate of 3.2% (n = 5/155) after cystectomy and 4.8% (n = 3/63) after vaporization (P = 0.476). Of 160 women who wanted to conceive immediately after surgery, 73.8% became pregnant (72.6% [77/106] in the cystectomy group and 75.9% [41/54] in the vaporization group [P = 0.310]). Conception occurred mostly by assisted reproductive technology (57.1% [44/77] in the cystectomy group and 70.7% [29/41] in the vaporization group [P = 0.074]). ConclusionsSimilar rates of recurrence for endometrioma(s) were observed after cystectomy versus CO2 laser vaporization. As other studies have suggested that CO2 laser vaporization may be less harmful to the normal ovarian tissue, it can be considered as a safe alternative for cystectomy in women wishing to preserve their reproductive potential.

Preparation of SrTiO3 nanocubes by CO2 laser vaporization (LAVA) and hydrothermal maturation.

SrTiO3 is of particular interest for numerous applications such as photocatalytic water splitting, as an electrode material for thermoelectrics or as piezoceramics for sensors. Here we report on an advanced CO2 laser vaporization (LAVA) method for the production of faceted, single-phase SrTiO3 nanoparticles with an average particle size of 35 nm. Starting from a coarse SrTiO3 raw powder, spherical SrTiO3 nanoparticles were obtained by a laser-induced gas-phase condensation process. The composition of the nanoparticles corresponds to that of the starting powder, as XRD and FT-IR measurements show. Further hydrothermal treatment at 275 °C for 4 hours leads to the formation of faceted nanocubes with increasing crystallite size, as demonstrated by TEM, HR-TEM and XRD measurements. During a final washing step in 0.1 M HCl, SrCO3 impurities were dissolved and thus single-phase SrTiO3 nanocubes were successfully obtained, as shown by FT-IR, XRD and TEM analyses. The presented process facilitates the production of single-phase, highly crystalline SrTiO3 nanopowders in sufficient quantities for subsequent use in a variety of applications, in particular for hydrogen production by photocatalytic water splitting.

Spectroscopic properties of CrOx/Al2O3 nanopowders synthesized by cw CO2 laser vaporization

Nanosized 5.0 wt% Cr/nano-Al2O3 powders with the particle size of ca. 15 nm were synthesized via laser vaporization using irradiation by a cw CO2 laser in different gas atmospheres – Ar, Ar+O2, Ar+H2. All the investigated nanopowders were studied by XRF, XRD, TEM, UV-vis DRS and PL spectroscopy methods. The nanopowders were found to contain the Cr6+ ions located on the surface of Al2O3 nanoparticles and two types of Cr3+ sites. One type is Cr3+ ions located in the bulk (Cr3+ b-sites) of Al2O3 matrix in a strong crystal field. The second type is represented by Cr3+ sites residing near the surface (Cr3+ s-sites) of CrOx/Al2O3 nanoparticles in a weak crystal field. It was shown that varying the composition of the buffer gas (Ar, Ar+O2, Ar+H2) during laser vaporization makes it possible to control the properties of the obtained 5.0 wt% Cr/nano-Al2O3 nanopowders with a change in Cr6+/Cr3+ ratio in the bulk and on the surface of alumina support.

P–303 Similar long term recurrence rates with cystectomy and CO2-laser vaporization for endometrioma: a retrospective study

Abstract Study question Is there a difference in recurrence rate of endometrioma(s) after cystectomy versus CO2-laser vaporization of the cyst wall? Summary answer Similar rates of imaging based recurrence or need for reintervention for endometrioma were observed after cystectomy versus CO2-laser vaporization. What is known already Surgical treatment of endometrioma(s) is mainly performed by 2 types of procedures: cystectomy and ablation. When performing surgery for endometrioma(s), a balance should be made between minimal destruction of normal ovarian cortex and maximal completeness to avoid (early) recurrence. Previous studies have shown that cyst recurrence rates were higher with ablation using bipolar current than after cystectomy. However, only 2 groups have evaluated recurrence rates after cystectomy versus CO2 laser vaporization and found no difference with extended follow-up. Furthermore, ablation with CO2 laser may be less invasive than conventional cystectomy with increased preservation of antral follicles in favor of ablation. Study design, size, duration Single-center retrospective study on data of 271 patients operated between January 2010 and December 2014. Participants/materials, setting, methods Women of reproductive age (18–45 years), undergoing CO2 laser laparoscopic excision of any rAFS-stage endometriosis with at least one endometrioma, were eligible for the study. All 271 included patients were treated in a tertiary referral center for endometriosis of a University Hospital, and underwent complete CO2-laser laparoscopic surgery for endometrioma(s). 155 underwent cystectomy, 77 CO2 laser vaporization, and 46 a mixed technique. Main results and the role of chance The mean duration of follow-up was 58 months. Primary outcome studied was the comparison of recurrence rates between cystectomy and vaporization; secondary outcomes included pregnancy rate and ovarian reserve testing. Recurrence was defined as either imaging based (i.e. cyst recurrence identified at ultrasound and/or MRI) or need for reintervention for suspected cyst recurrence. Imaging based recurrence was reported in 9.92% of patients (n = 12/121) treated with cystectomy and in 11.76% of patients (n = 6/51) who underwent a CO2 laser vaporization (p = .62). The need for reintervention for endometrioma(s) was also similar in both groups, with a rate of 3.23% (n = 5/155) after cystectomy and 4.29% (n = 3/70) after CO2 laser vaporization (p = .567). No difference was seen regarding AMH drop pre- versus postoperatively (p=.233). The 2 study groups were similar, except for the mean cyst diameter, which was higher in the cystectomy group (42.36 ± 25.49 mm) compared to the CO2 laser vaporization group (31.7 ± 26.98 mm) (p = &amp;lt;.001). This suggests that smaller endometriomas might be more likely to undergo CO2 laser vaporization. Limitations, reasons for caution The retrospective character of the study may induce information bias concerning the registration of recurrence. Moreover, regarding the evaluation of imaging-based recurrence, a selection bias cannot be excluded, because most likely only patients complaining about pain would be referred for an ultrasound or planned for a reintervention. Wider implications of the findings: In this study, similar rates of recurrence for endometrioma(s) were observed after cystectomy versus CO2-laser vaporization. Since previous studies suggested that CO2-laser vaporization may cause less damage to the adjacent ovarian tissue, we consider this a valuable alternative technique, especially for women with a future child wish. Trial registration number S59032

Synthesis, structure and photoluminescent properties of Eu:Gd2O3 nanophosphor synthesized by cw CO2 laser vaporization

Europium doped Gd2O3 sphere-like nanoparticles with dm = 9.3 ± 3.5 nm were synthesized by cw CO2 laser vaporization technique in a flowing mixture of argon and oxygen. According to XRD data, the Eu:Gd2O3 nanoparticles crystallize in the monoclinic symmetry class (C2/m space group). High-resolution luminescence spectroscopy study showed that the ultra-narrow 5D0 → 7F0 transition of Eu3+ demonstrates only two peaks corresponding to two inequivalent Cs positions of Eu3+ ion in monoclinic Gd2O3 lattice that is explained by the peculiarities of local environment of Eu3+ ion at these sites. The hypersensitive transition 5D0 → 7F2 dominates in the spectrum and is expanded to the red part of the spectrum in comparison with cubic Eu:Gd2O3 due to intense transitions terminating at higher-lying components of the crystal-field-split 7F2 state. In the luminescence spectrum, an additional weak band with the maximum at 407 nm corresponding to the electronic transitions 4f65 d1(7FJ) → 4f7(8S7/2) of Eu2+ was detected. The obtained values of chromaticity coordinates and absolute quantum yield are (0.644; 0.325) and ca. 1%, respectively. The phase transformations have been investigated using differential scanning calorimetry and thermogravimetry (50–1400 °C). After annealing in air at 700 °C, the monoclinic symmetry class of the Eu:Gd2O3 nanoparticles is preserved and the particle size increases to dm= 17.8 ± 6.1 nm. After annealing, the chromaticity coordinates (0.659; 0.334) and absolute quantum yield (ca. 4%) can be obtained using red phosphor based on monoclinic Gd2O3:Eu3+. The lifetime of the excited 5D0 state of Eu3+ in the annealed nanoparticles is longer than that in the as-synthesized nanoparticles, due to the suppression of nonradiative decay after annealing.

APAMARGAKSHARA IN THE MANAGEMENT OF CERVICAL EROSION – A PHARMACOLOGICAL REVIEW

Cervical erosion happens when cells that line the inside of cervix grow on the outside of cervix. That means the squamous epithelium of the cervix is replaced by columnar epithelium. Nowadays it is very common among women in reproductive age. The women with cervical erosion complaints of vaginal discharge, vulval itching, dyspareunia, low back ache etc. In the parallel medical field it is managed by electrocautery, cryotherapy and CO2 laser vaporization. This condition can be correlated with Garbhashayamukhagata Vrana or Karnini Yonivyapada. In Ayurveda, it is treated by Ksharakarma along with internal medications. Ksharakarma itself is sufficient to clear the wound and to promote the healing process. This reviewing is done to know the pharmacological effect of Ksharakarma using Apamarga Kshara. It concluded that the procedure (Ksharakarma) and the drug used to perform the procedure (Apamarga) have the capacity to enhance the reduction of severity of the condition and gradually lead to the complete cure of the same. It is due to the efficacy of Ksharakarma to clear the unhealthy epithelial cells and the presence of wound healing components like tannins, flavonoids, antioxidants etc. in Apamarga. In effect it has equivalent result as modern management, cost effective, easy procedure, brief procedure, no or less complications, less chances for the recurrence of the same.

Bloodless Outpatient Surgical Treatment of Rectocele and Cystocele under Local Anesthesia

Background: Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies have evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals. Objective: The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. Materials and Methods: Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO2 laser vaporization or electrocauterization of the posterior and/or anterior vaginal epithelium, followed by plication of the edges of the triangle with 0 polygalactin suture. A perineorrhaphy was always performed concomitantly with rectocele repair, and a transobturator sling was performed in women presenting with concomitant stress urinary incontinence. Postoperative evaluation included POP-Q measurement for each patient six months after the procedure, and resolution of prolapse was considered when anterior and/or posterior vaginal wall presented as stage 0 or 1. Pre and postoperative POP-Q measurements were analyzed using Wilcoxon signed-rank test. Results: The mean operating time was 21 minutes (range: 14 - 38 minutes). All patients tolerated the procedure well and were discharged immediately afterwards. There were no intraoperative or postoperative complications, and all patients had satisfactory healing of the vaginal mucosa. Bleeding from the rectocele and/or cystocele repair was minimal, and nobody required extra-anesthesia or transfer to a hospital surgical theater. At six month follow-up, pre and postoperative POP-Q measurements of points Ap, Bp, Aa and Ba were all statistically significant (Ap 1.6 ± 1.2 × -2.4 ± 0.9, Bp 2.6 ± 1.6 × -2.7 ± 1.4, Aa 1.4 ± 1.1 × -2.3 ± 0.8, and Ba 2.4 ± 1.5 × -2.5 ± 1.2) respectively, revealing satisfactory resolution of both rectocele and cystocele. Conclusion: Our initial results suggest that rectocele and cystocele may be safely and effectively treated under local anesthesia in an outpatient setting using this new technique.

Luminescent properties of Al2O3:Tb3+ nanoparticles obtained by cw CO2 laser vaporization

The synthesis of Al 2 O 3 :Tb 3+ (0.019–0.62 mol%) nanoparticles by laser vaporization of α-Al 2 O 3 :Tb 3+ ceramic targets using a cw CO 2 laser in flowing helium at a pressure of 0.1 bar is reported. HRTEM, XRD and BET studies revealed that under the indicated conditions the produced Al 2 O 3 :Tb 3+ nanoparticles have faceted and nearly a spherical shape with the average size below 10 nm. As shown by XRD, the phase composition of the synthesized nanoparticles is represented mostly by the low-temperature γ-Al 2 O 3 . Photoluminescence (PL) spectra were obtained for Tb 3+ ions in γ-Al 2 O 3 nanoparticles upon excitation to the 4f 8 → 4f 7 5d (λ ex = 230 nm), 7 F 6 → 5 H 7 (λ ex = 315 nm) and 5 D 3 → 7 F 3 (λ ex = 458 nm) transitions, and PL excitation spectra – for the most intense 5 D 4 → 7 F 5 ( λ max = 543 nm) transition. The lifetime of the excited 5 D 4 state was found to be ca. 2.9 ms. The obtained values of the chromaticity coordinate and absolute quantum yield were (0.299, 0.509) and 12.6% at λ ex = 315 nm, respectively. • Terbium doped Al 2 O 3 nanoparticles were obtained via laser vaporization. • Al 2 O 3 :Tb 3+ nanophosphor with photoluminescent properties was achieved. • CIE coordinates and high QY are suitable for use Al 2 O 3 :Tb 3+ as a green phosphor.

Role of carbon dioxide laser in the treatment of oral leukoplakia

The aim of the present study is to evaluate the treatment results of carbon dioxide (CO2) laser vaporisation in the well-defined cohort patients with oral leukoplakia. The group consisted of 20 patients. Before treatment, a clinical photograph and an incisional biopsy were performed in all the cases. Also, post treatment results were documented with clinical photographs. The mean follow-up period was 12 months. 18 out of 20 patients treated for cure (90%) achieved local control after one treatment. The remaining 2 patients required (10%) 2nd and 3rd vaporisations. The rate of malignant transformation after CO2 laser treatment is found to be 2.27% which is comparable to the other studies. CO2 laser vaporisation in the treatment of oral leukoplakia lesions is an excellent procedure in not only preventing the local recurrence and the malignant transformation but also in preventing the post-operative dysfunction. It is a time saving procedure with a negligible intra operative bleeding. The wound healing procedure after CO2 laser is extremely good causing the least post procedure morbidity.

Fertility Outcome after CO2 Laser Vaporization versus Cystectomy in Women with Ovarian Endometrioma: A Comparative Study

To assess the postoperative likelihood of conception in patients with endometriomas managed by either CO2 laser vaporization or cystectomy. A retrospective study with prospective recording of data. University hospital. One hundred and forty-two patients with symptomatic endometriomas. Patients underwent a standardized laparoscopic stripping technique (Group 1) or cyst vaporization with CO2 fiber laser (Group 2). Patients wishing to become pregnant were allowed to attempt a spontaneous conception after surgery. If spontaneous conception failed, patients were referred for in vitro fertilization (IVF). The primary objective was to compare pregnancy rates between the 2 groups. The secondary objective was the identification of independent predictors of pregnancy. Thirty-nine women in Group 1 (53.4%) and 39 women in Group 2 (56.5%) desired to conceive after surgery. Three patients (7.7%) in Group 1 became pregnant following donor-IVF and were excluded. Pregnancies were recorded in 72.2% of patients treated with cystectomy and in 74.3% of those managed with CO2 fiber laser (p = .83). Twenty patients (55.6%) in Group 1 and 14 patients (35.9%) in Group 2 conceived spontaneously (p = .08). Among patients who failed spontaneous conception, 21 patients (28%) achieved pregnancy through IVF (Group 1: n = 6, 16.7%; Group 2: n = 15, 38.5%; p = .08). Twenty patients (26.7%) never became pregnant. Age at the time of surgery (odds ratio (OR) = 0.86; 95% Confidence intervals (CI): 0.78-0.96, p = .002) and duration of infertility (OR=0.80; 95% CI: 0.69-0.92, p = .006) were identified as independent indicators for pregnancy. CO2laser-treated endometrioma is associated withpregnancy ratesequalto those observed after cystectomy and favorable IVF outcomes. The one step CO2fiber laser technique may represent a viable alternative to cystectomy.