ADVANTAGES AND LIMITS OF CO2-LASER UTILIZATION IN NEUROSURGERY - REFLECTION ABOUT A FRENCH EXPERIENCE

  • 1 January 1984
    • journal article
    • research article
    • Vol. 30  (5) , 335-339
Abstract
The advantages and limits of routine use of a French 80W. CO2 Laser unit are discussed in light of the 1st 26 intracranial and intraspinal operations carried on with it. The main and wellknown qualities of CO2 Laser are: the ease of the hemostatsis of the tumor and of the surgical cavity, and the absence of traction on the sane tissue. The coupling of CO2 Laser with the operating microscope appeared very useful, and it made deep tumor excision safer, particularly that of the posterior fossa such as neurinomas and meningiomas. It was also quite efficient for intra-orbital tumors. The manageability of the hand piece was increased by the use of oblique mirror (45.degree. and 60.degree.) fixed at its extremity. The incision of skin, subcutaneous and muscular layers was not simplified by CO2 Laser. This apparatus increased the operatory duration and was responsible for a healing time extension.

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