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Operative Technique in Neonates and Infants

  • Conference proceedings
  • © 1990

Overview

Editors:
  1. Thomas A. Angerpointner

    1. Munich 2, Federal Republic of Germany

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Part of the book series: Progress in Pediatric Surgery (PEDIATRIC, volume 25)

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Table of contents (16 papers)

  1. Front Matter

    Pages I-VIII
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  2. Dedication: In Honor of Professor Waldemar Christian Hecker

    • Thomas A. Angerpointner
    Pages 1-3

  3. Lasers in Pediatric Surgery

    • H. P. Berlien, G. Müller, J. Waldschmidt
    Pages 5-22

  4. The Neodymium YAG Laser in Surgery of Parenchymatous Organs in Childhood

    • P. P. Schmittenbecher
    Pages 23-31

  5. Haemostasis in Injuries of Parenchymatous Organs by Infrared Contact Coagulation

    • T. A. Angerpointner, K. L. Lauterjung, A. Hoffecker
    Pages 32-38

  6. The Shaw Haemostatic Scalpel in Paediatric Surgery: Clinical Report on 3000 Operations

    • U. G. Stauffer
    Pages 39-47

  7. Liver Resection with the Sonocut Ultrasonic Knife

    • B. Thomasson, L. Hedenborg, H. Wiksell
    Pages 48-57

  8. Electroresection with a New Endotracheally Applicable Resectoscope

    • W. Geissler, K. Körner, P. Wurnig
    Pages 58-67

  9. Experimental Studies on Caustic Burns of the Stomach by Aggressive Chemicals

    • J. Wit, L. Noack, K. Gdanietz, K. Vorpahl
    Pages 68-70

  10. Intraperitoneal Application of Fibrinogen Gluing in the Rat for Adhesions Prophylaxis

    • J. L. Koltai, A. Gerhard
    Pages 71-80

  11. Surgical Techniques in Short Bowel Syndrome

    • K. L. Waag, K. Heller
    Pages 81-89

  12. Small Bowel Transplantation: Report of a Clinical Case

    • E. Deltz, W. Mengel, H. Hamelmann
    Pages 90-96

  13. Deep Anterior Resection with Circular Stapled Anastomosis of Congenital Megacolon: Clinical Results

    • P. Dohrmann, W. Mengel, H. Schaube
    Pages 97-102

  14. Secondary Sagittal Posterior Anorectoplasty

    • A. M. Holschneider
    Pages 103-117

  15. Total Correction of Complete Atrioventricular Canal: Surgical Technique and Analysis of Long-Term Results

    • A. E. Urban
    Pages 118-122

  16. Nonosseous Lesions of the Anterior Cruciate Ligaments in Childhood and Adolescence

    • R. Kellenberger, L. von Laer
    Pages 123-131

  17. Treatment of Achalasia by the Endoscopic-Pneumatic Dilatation Method

    • P. Dohrmann, W. Mengel
    Pages 132-137

  18. Back Matter

    Pages 139-143
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Keywords

About this book

In conventional partial resection of parenchymatous organs significant bleeding is one of the main problems, especially in neonates and infants. The patients rapidly lose considerable amounts of their small blood volume. Laser light leads to photo­ thermal effects in tissue and causes coagulation, drying up, carbonization and evaporization, depending on the temperature. The neodymium Y AG laser emits nonvisible light in the near infrared with a wavelength of l. 0611m. This wavelength implies a relatively deep penetration into the tissue. This laser system, properly a coagulation laser, achieves its cutting effect by its high power density [9]. Because of thermal radiation in all directions, both sides of the section plane are coagulated as a positive side effect. Thus, in parenchymatous organs a combination of resection and sealing of the cut vessels and ducts, up to a limited diameter, is obtained. Laser Instruments We use a neodymium-YAG laser mediLas 2 (MBB-Medizintechnik, D-8012 Ottobrunn, Federal Republic of Germany), wavelength l. 0611m, maximal power output around 110 W (Fig. 1). Normally we prefer to work without tissue contact, Fig. l. The Nd-YAG laser system mediLas 2 with maximal power output around 100 W The Neodymium Y AG Laser in Surgery of Parenchymatous Organs 25 Fig. 2. The focusing handpiece with focal distance of 50 mm 1cm Fig. 3.

Editors and Affiliations

  • Munich 2, Federal Republic of Germany

    Thomas A. Angerpointner

Bibliographic Information

  • Book Title: Operative Technique in Neonates and Infants

  • Editors: Thomas A. Angerpointner

  • Series Title: Progress in Pediatric Surgery

  • DOI: https://doi.org/10.1007/978-3-642-87707-0

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1990

  • Softcover ISBN: 978-3-642-87709-4Published: 17 April 2014

  • eBook ISBN: 978-3-642-87707-0Published: 11 December 2013

  • Series ISSN: 0079-6654

  • Edition Number: 1

  • Number of Pages: VIII, 141

  • Number of Illustrations: 81 b/w illustrations, 6 illustrations in colour

  • Topics: Pediatric Surgery, Pediatrics, General Surgery

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