Francisco Asencio-Arana M.D., Vicente Garcia-Fons M.D., Vicente Torres-Gil M.D., Ernesto Molina-Andreu M.D., Jose Vidal-Martinez M.D., R. Perez-Sarrio, Francisco Martinez-Soriano M.D.
Optical Engineering, Vol. 31, Issue 07, (July 1992) https://doi.org/10.1117/12.58735
TOPICS: Colon, Tissues, Helium neon lasers, Collagen, Wound healing, Surgery, Mercury, Optical fibers, Astatine, Laser therapeutics
Despite technical advances, the incidence of anastomotic leaks in elective colorectal surgery remains around 14%. Recent studies suggest that the use of low-energy lasers may enhance wound healing in different tissues in a selective, nondestructive manner. Based on these findings we have attempted to provide experimental background on the effects of a He-Ne laser during the early stages of healing in 155 colonic anastomoses performed on rats. The irradiation (external or endoscopical) ofthe anastomoses by repeated doses below 4 J/cm2 suggest (1) the laser-induced enhancement of anastomotic healing can be obtained in both healthy colons or in situations in which anastomotic breakdown is more likely, such as colonic obstruction; (2) the photochemical effects observed can be transmitted through optic fibers; (3) energy densities above the range of 4 J/cm2 show no benefit in wound-healing stimulation.