Photomedicine and laser surgery
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Photomed Laser Surg · Apr 2013
Comparative StudyEfficacy evaluation of percutaneous laser disc decompression in the treatment of lumbar disc herniation.
The purpose of this study was to evaluate the efficacy of percutaneous laser disc decompression (PLDD) in the treatment of lumbar disc herniation (LDH) and identify the relationship between PLDD efficacy and age. ⋯ The clinical outcome of PLDD improved significantly within 3 months, and can maintain a higher level in 3 years. The efficacy of treatment with PLDD is fairly good for both selected younger and older patients.
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Photomed Laser Surg · Oct 2012
Usefulness of carbon dioxide laser for recurrent lumbar disc herniation.
During revision microdiscectomy for recurrent lumbar disc herniation (rLDH), the major concerns are approach-related complications, including dural tear and nerve root injury, because of adhesion scars and granulation tissue along the previous laminotomy site. In revision microdiscectomy of rLDH, carbon dioxide (CO2) laser can enable precise dissection and removal of adhesion scar. The purpose of this study was to evaluate the clinical usefulness of CO2 laser dissection in patients who had undergone revision microdisectomy of rLDH. ⋯ Our results demonstrate that CO2 laser could be a useful surgical tool during revision microdisectomy of rLDH.
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Photomed Laser Surg · Sep 2012
Laser-assisted posterior cervical foraminotomy and discectomy for lateral and foraminal cervical disc herniation.
Posterior cervical foraminotomy and discectomy (PCFD) is regarded as an effective treatment option for cervical radiculopathy. However, limited exposure of the disc space is one of its major disadvantages. To address this problem, we used a CO(2) laser for sophisticated decompression. The purpose of this study was to demonstrate the clinical outcomes of laser-assisted PCFD and to discuss the benefits of laser use. ⋯ Laser-assisted PCFD is an efficacious surgical option for treating lateral cervical disc herniation. The pinpoint accuracy of the laser scalpel facilitates sophisticated decompression within a limited surgical field, and may reduce the risk of intraoperative bleeding and neural damage.
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Photomed Laser Surg · Feb 2012
Treatment of lumbar intervertebral disc herniation using C-arm fluoroscopy guided target percutaneous laser disc decompression.
To evaluate the safety and therapeutic efficacy of target percutaneous laser disc decompression (T-PLDD) for the treatment of lumbar disc herniation. ⋯ T-PLDD can significantly decrease pain and improve function of patients who have extruded but nonsequestered lumbar intervertebral disc herniation.