Surgical Division is global leader in surgical laser technology and medical laser equipment, and considered a pioneer in the field of laser for surgery
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Gynecology

Lumenis Surgical – Gynecological Surgery Laser

Smart CO2 Laser Solutions for Minimally Invasive Gynecological Surgery


The CO2 laser wavelength is the optimal energy for gynecological (GYN) surgery with highly predictable tissue effects1 and low thermal impact to non-target tissue. 


Lumenis’ gynecological solutions extend the use of the AcuPulse™ DUO and AcuPulse™ 40WG CO2 laser systems, allowing you to deliver therapeutic CO2 laser energy with unparalleled precision to a wide variety of GYN applications.

 

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Benefits of CO2 Laser in Minimally Invasive Gynecology
During surgery, the unique, high-precision characteristics of the CO2 laser translate to:

Greater safety: Lumenis Surgical – Gynecology Laser
  • Depth of cutting and tissue ablation is controllable and predictable
  • Superficial effect with bare minimum of thermal damage
  • Reduced risk of complications, such as strictures and adhesions

Higher precision: 

  • Low thermal impact (compared with electrocautery) for minimal tissue disturbance
  • Excellent tissue visualization of surgical plane for precision ablation, excision, and incisions

Smart CO2 Solutions for Laparoscopic Gynecological Surgery 

When it comes to delicate laparoscopic surgeries, optimal thermal control and precision are required for smart tissue management. With unique pulsed and continuous power mode settings, you have optimal control over cutting, ablation, or adequate hemostasis with the least amount of disturbance to adjacent tissue. A clearly visible aiming beam helps you target only the tissue of interest.
 
Lumenis provides the opportunity to choose either fiber or freebeam delivery of precision CO2 laser energy depending on your preference.
 
For freebeam delivery, the SurgiTouch™ scanner and operating system has become an industry benchmark for precision in CO2 laser surgery, assuring reproducible tissue-effects that can be perfectly tailored to patient anatomy. Beam alignment units connect to commonly available operating laparoscopes.

For fiber delivery, advanced CO2 fiber technology used either in robotic surgery or with specially designed GYN Laparoscopic handpieces, feature consistent, high energy transmission and a fiber tip that can be renewed during a procedure. This helps assure predicable results, fast procedure times, and cost effective procedures.

Two handpieces – GYN LAP R and GYN LAP S, are designed to facilitate surgeon technique preference, through a trocar cannula or the suction irrigator, for optimal maneuverability and access to the most difficult to reach disease.
GYN Video
Clinical Applications of CO2 Energy in Gynecological Surgery

Endometriosis

Endometriosis: 2,3,4,5

CO2 laser laparoscopic endometriosis surgery has been shown to be associated with:

  • Less pain
  • Limited thermal damage  
  • Low perioperative morbidity (e.g. blood loss, bladder and bowel injury)
  • Significant improvements in quality of life 
  • High fertility rates 
  • Low recurrent disease rates

Adhesions

Adhesions:

  • Precise, yet hemostatic lysis of adhesions  
  • Minimal thermal damage allows avoidance of injury to neighboring structures.

Myomas

Myomas: 7,8

  • Precision allows removal of pathological tissue, while operating in well-defined surgical planes 
  • Faster tissue healing is reflected by low rates of adhesion formation 

References

1. Nezhat C and Nezhat F, Laparoscopic surgery with a new tuned high-energy pulsed CO2 laser. J Gynecol Surg, 1992;8(4):251-255.
2.  Sutton C, Hill D. Laser laparoscopy in the treatment of endometriosis: A 5-year study. BJOG 1990; 97:181-185
3. Meuleman C et al, Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection. Curr Opin Obstet Gynecol. 2012 Aug;24(4):245-52
4. Nezhat C et al, Laparoscopic Management of Bowel Endometriosis: Predictors of Severe Disease and Recurrence. JSLS 2011;15:431–438.
5.  Schipper, E, Nezhat C; Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability and invasiveness; International Journal
of Women’s Health 2012:4, 383 – 393
6. Albee R. Excision of Endometriosis with the Carbon Dioxide Laser; in Surgical Management of Endometriosis, Edited by David Redwine, Publ. Martin Dunitz, 2004
7.  Starks GC. CO2 laser myomectomy in an infertile population. J Reprod Med. 1988;33(2):184-6
8. McLaughlin DS. Micro-laser myomectomy technique to enhance reproductive potential: a preliminary report. Lasers Surg Med. 1982;2(2):107-27.
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