Comparison of the effects of Ho: YAG laser virtual Basket™ pulse modulation and Thulium fiber laser on kidney tissue – an ex vivo experimental study

dc.authorid0000-0003-3774-9982
dc.contributor.authorEmin Şirin, Mehmet
dc.contributor.authorKaraaslan, Mustafa
dc.contributor.authorOrdu, Melike
dc.contributor.authorYılmaz, Mehmet
dc.date.accessioned2024-08-01T07:01:20Z
dc.date.available2024-08-01T07:01:20Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractThrough an ex vivo experimental study, we aimed to compare the effects of the Ho: YAG laser Virtual Basket (VB™) modulation and a Thulium fiber laser (TFL) on kidney tissue in different environments and using laser configurations. The 100 W Ho: YAG (Cyber Ho, Quanta System, Italy) and 60 W TFL (Fiber Dust, Quanta System, Italy) laser devices were used. The following laser settings were selected: power in the range of 10–60 W, frequency of 20–40 Hz, and energy of 0.5–1–1.5 J. A medium pulse duration of 600 µsec was used for VB™, while short (spdTFL; 50 µsec) and long (lpdTFL; 15,000 µsec) were used for TFL. The tissue’s incision depth (ID), vaporization area (VA), coagulation area (CA), total laser area (TLA = VA + CA), surface section (SS), and lateral effect (LE) were measured. In total, 108 experiments were conducted. No statistically significant difference in mean VA, TLA, ID, LE, or SS was observed between VB™, spdTFL, and lpdTFL in the low-power output group in saline (p > 0.05). However, the mean CA was statistically significantly higher for VB™ (p = 0.005). In saline and high-power output group, the mean VA, CA, TLA, LE, and ID were higher when using lpdTFL than other pulse durations (p = 0.001, p = 0.001, p = 0.001, p = 0.006, and p = 0.001, respectively). Similar to lpdTFL, VB™ may provide controlled dissection and incision as well as haemostasis. At different laser settings, the individual effects of laser properties (such as pulse length, energy and frequency) on tissue may be more significant.
dc.identifier.doi10.1007/s10103-024-04137-5
dc.identifier.issn0268-8921
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ1
dc.identifier.urihttps:/dx.doi.org/10.1007/s10103-024-04137-5
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12272
dc.identifier.volume39en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofLasers in Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHolmium Laser
dc.subjectPulse Modulation
dc.subjectThulium Fiber Laser
dc.subjectTissue Effect
dc.subjectVirtual Basket
dc.titleComparison of the effects of Ho: YAG laser virtual Basket™ pulse modulation and Thulium fiber laser on kidney tissue – an ex vivo experimental study
dc.typeArticle

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