Lnaser Welding of Venotomies

Rodney A. White, MD; R. Patrick Abergel, MD; Stanley R. Klein, MD; George Kopchok; Richard M. Dwyer, MD; Jouni Uitto, MD, PhD
Arch Surg. 1986;121(8):905-907. doi:10.1001/archsurg.1986.01400080047008.
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• We investigated the histologic and biochemical effects of carbon dioxide and neodymium (Nd)-YAG laser welding on the healing of venotomies. Ten canine femoral venotomies 2 cm in length were approximated and welded with 10 600-nm wavelength, 1-W power over 20 to 25 s for CO2 laser, and 1060-nm wavelength, 1-W power over 30 to 40 s for Nd-YAG laser. On removal at one to three weeks, all veins (4/4 welded by CO2 and 6/6 by Nd-YAG) were patent without hematomas. Histologic and biochemical analyses of the venous tissues demonstrated active healing at the venotomy sites. We conclude that the CO2 and Nd-YAG lasers can be used successfully to weld venotomies and may provide an alternative to conventional suture techniques for repair of vascular lesions.

(Arch Surg 1986;121:905-907)


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