Effect of Ho:YAG laser on kidney tissue with Virtual Basket™ and Bubble Blast™ pulse modulation: an experimental ex vivo study

dc.authorid0000-0003-3774-9982
dc.contributor.authorŞirin, Mehmet Emin
dc.contributor.authorKaraaslan, Mustafa
dc.contributor.authorOrdu, Melike
dc.contributor.authorYılmaz, Mehmet
dc.date.accessioned2023-10-10T06:00:31Z
dc.date.available2023-10-10T06:00:31Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractThere is a lack of studies in the literature on effects of Virtual Basket™ (VB) and Bubble Blast™ (BB) laser pulse modulations of the Ho:YAG laser on tissue. We aimed to compare the effects of standard modulation (SM), VB, and BB pulse modulations of Ho:YAG laser on kidney tissue. Methods: An ex vivo experiment was conducted using veal kidneys. The Quanta System Cyber Ho 100W laser generator with a broad setting spectrum at 15–80 W, 10–40 Hz, 1.5–2 J, and medium pulse duration were tested. Incision depth (ID), vaporization area (VA), coagulation area (CA), and total laser area (TLA = VA + CA) were evaluated. Histopathological measurement outcomes were grouped as a low-power group (15, 20, and 30 W) and a high-power group (40, 60, and 80 W) according to the power outputs used. Results: A total of 108 experiments were performed. In saline and high-power output (40, 60, 80 W), mean VA, TLA, and ID, histopathological measurements were higher in BB pulse modulation than VB and SM pulse modulations (p: 0.03, p: 0.001, and p: 0.003, respectively). In contrast, mean CA and LE measurements were higher in SM than in VB and BB pulse modulations (p < 0.001 and p < 0.001, respectively). There was no statistically significant difference in mean histopathological measurements of VA, CA, TLA, and ID, among SM, VB, and BB pulse modulations in the low-power output group in saline (p > 0.05). Conclusion: VB can allow controlled dissection, as it does not create a large VA during surgical procedures. BB should be used in a controlled manner in soft tissue surgery due to its strong effect on tissues.
dc.identifier.doi10.1007/s00345-023-04555-0
dc.identifier.issn0724-4983
dc.identifier.pmid37550550
dc.identifier.scopusqualityQ1
dc.identifier.urihttps:/dx.doi.org10.1007/s00345-023-04555-0
dc.identifier.urihttps://hdl.handle.net/20.500.12451/11109
dc.identifier.wosWOS:001043637300001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofWorld Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHolmium Laser
dc.subjectPulse Modulation
dc.subjectTissue Effect
dc.titleEffect of Ho:YAG laser on kidney tissue with Virtual Basket™ and Bubble Blast™ pulse modulation: an experimental ex vivo study
dc.typeArticle

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