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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Urology
  Gynecology


360° of delicate and precise approach to gynecological health

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

 

CO2 laser has the smallest zone of thermal spread in comparison with all other energy based devices and other wavelengths therefore the unprecedented ability to operate near critical structures and delicate anatomy which are the common characteristics for all GYN and Pelvic anatomical structures.

 

Dr. Ceana Nezhat, Atlanta, GA

“Of the various lasers available, the Lumenis CO2 laser is the most versatile and is extremely safe, in my experience, because of its limited depth of penetration and minimal lateral thermal damage. This allows for use of the CO2 laser in delicate areas where Electrosurgery would be unsafe, such as the bladder, lateral side wall near the ureter, nerves, major vessels, and bowel serosa”

Benefits of CO2 Laser in Minimally Invasive Gynecological Surgery

 

When it comes to delicate laparoscopic surgeries, optimal thermal control and precision are required for smart tissue management. In many cases pathology is located in close proximity to important intra-abdominal structures such as the bowel, ureters, urinary bladder and major blood vessels for which thermal damage to non-target tissue should be avoided. A comparative study assessing the macro and microscopic characteristics of the most commonly used energy sources applied on the ureter, bladder and bowel in a laparoscopic setting (in-vivo porcine model) showed that CO2 laser energy was associated with the least deep tissue damage.

 

Excellent tissue visualization of surgical plane, Minimal disturbance to the tissue and precise management of the disorder are associated with:

 

  • Maintenance of healthy tissue
  • Increased fertility preservation
  • Slower recurrence disease rates
  • Low perioperative morbidity (e.g. blood loss, bladder and bowel injury)
  • Low post operational complications such as adhesions
  • Significant reduction of pain symptoms and improvement in quality of life

 


Benefits of CO2 Laser in Colposcopy

AcuPulse CO2 laser

 

A new dimension in the treatment of lower tract disease is advocated with the Lumenis CO2 lasers that offer smart and reproducible tissue management. CO2 laser is a synonym for precision.  Adding scanning capabilities to the field of CO2 laser colposcopy offers comprehensive synergy between adequate visualization and precise tissue management.

 

The Lumenis advanced laser systems and designated GYN accessories and surgical tools allow for differentiated tissue treatment capabilities, especially targeted to work on and around delicate tissue surfaces, such as the cervix, vulva and lower genital tract.

 

Excellent tissue visualization of surgical plane, minimal disturbance to the tissue and precise management of the disorder are associated with:

 

  • Preserving cervical volume and structure
  • Potential for minimized cervical stenosis
  • Potential for minimized cervical incompetence
  • Precise conization with identification of margins
  • Very little scarring

 


Clinical Indications

 

Lumenis’ gynecological solutions extend the use of the AcuPulse™ DUO and UltraPulse DUO CO2 laser systems, allowing you to maximize the utilization of the delicate and precise CO2 laser energy to a wide variety of GYN applications. The Lumenis CO2 Lasers product line is indicated for laser incision, excision, ablation, and/or vaporization of soft tissue in the pelvic and vaginal anatomies. A partial list of indications and procedures are included:

 

Laparoscopy:

  • Endometriosis
  • Adhesions
  • Myomas/ Fibroids
  • Cysts
  • Hysterectomy

Colposcopy

  • Cervical Intreapithlial Neoplasia (CIN)
  • Conization of the cervix, cervical dysplasia
  • Vulvar Intraepithelial Neoplasia (VIN)
  • Genital & Anal - Benign & Malignant tumors

Gynecological Indications

  • Vulvar cosmetic procedures
  • Lichen planus
  • Lichen sclerosis
Resources

 

PB-2007896 Rev A
 

 
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