The CO2 laser in arthroscopy: potential problems and solutions.

The CO2 laser is the most commonly used laser in arthroscopic surgery. This device offers enhanced precision in both cutting and ablation, as well as improved accessibility of difficult to reach structures. However, the use of energy rather than mechanical devices, the lack of tactile feedback, and the necessary use of a gaseous environment can result in problems not encountered in conventional arthroscopic surgery. This article presents these problems and suggests solutions.

[1]  T. Whipple,et al.  Laser Subtotal Meniscectomy in Rabbits , 1984, Lasers in surgery and medicine.

[2]  T. Whipple,et al.  Laser energy in arthroscopic meniscectomy. , 1983, Orthopedics.

[3]  R. Shupak,et al.  Airway emergency in a patient during CO2 arthroscopy. , 1984, Anesthesiology.

[4]  L. V. Sutter,et al.  The carbon dioxide laser. A potential tool for orthopedic surgery. , 1989, Clinical orthopaedics and related research.

[5]  D. J. Maylahn,et al.  The effect of technique on histology of arthroscopic partial meniscectomy with electrosurgery. , 1987, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[6]  G. Waylonis,et al.  Electromyographic changes in postmeniscectomy patients. Role of the pneumatic tourniquet. , 1979, Journal of the American Medical Association (JAMA).

[7]  Absten Gt The neodymium:yttrium aluminum garnet (Nd:Yag) laser. , 1990 .

[8]  T. Whipple,et al.  Synovial Response to Laser Induced Carbon Ash Residue , 1984, Lasers in surgery and medicine.

[9]  T. Whipple,et al.  Arthroscopic laser meniscectomy in a gas medium. , 1985, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.