Application of cavitation on a laser heating element in surgery

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

The article discusses the phenomenon of laser cavitation initiated at the tip of an optical fiber immersed in a liquid under the action of continuous laser radiation. The properties of flooded cumulative jets arising from the collapse of cavitation bubbles are investigated. It is shown that in free space, jets transfer heat through a liquid, and in the case of cavitation inside a tube filled with liquid, they lead to an inversion motion of the liquid. The practical use of the identified effects in medicine allows for effective surgical treatment of vascular diseases, cysts, acute and chronic infected wounds.

全文:

受限制的访问

作者简介

Mikhail Guzev

Institute for Applied Mathematics of the Far Eastern Branch of the Russian Academy of Sciences

编辑信件的主要联系方式.
Email: guzev@iam.dvo.ru

академик РАН, директор

俄罗斯联邦, Vladivostok

Vladimir Chudnovsk

Ilyichev Pacific Oceanological Institute of the Far Eastern Branch of the Russian Academy of Sciences

Email: vm53@mail.ru

доктор биологических наук, ведущий научный сотрудник

俄罗斯联邦, Vladivostok

Ivan Abushkin

South Ural State Medical University

Email: ivanabushkin@mail.ru

доктор медицинских наук, профессор кафедры общей и детской хирургии

俄罗斯联邦, Chelyabinsk

参考

  1. Sinibaldi G., Occhicone A., Alves Pereira F. et al. Laser induced cavitation: Plasma generation and breakdown shockwave // Phys. Fluids. 2019, vol. 31 (10), 103302.
  2. Koch M., Rosselló J.M., Lechner C. et al. Dynamics of a Laser-Induced Bubble above the Flat Top of a Solid Cylinder – Mushroom-Shaped Bubbles and the Fast Jet // Fluids. 2022, vol. 7 (1), 2.
  3. Ohl C.D., Arora M., Dijkink R. et al. Surface cleaning from laser-induced cavitation bubbles // Applied physics letters. 2006, vol. 89, 074102.
  4. Dular M., Požar T., Zevnik J., Petkovšek R. High speed observation of damage created by a collapse of a single cavitation bubble // Wear. 2019, vol. 418–419, pp. 13–23.
  5. Hu J., Dirie N.I., Yang J. et al. Percutaneous Ureteroscopy Laser Unroofing – A Minimally Invasive Approach for Renal Cyst Treatment // Sci. Rep. 2017, vol. 7, 14445.
  6. Dowlatshahi K., Francescatti D.S., Bloom K.J. Laser Therapy for Small Breast Cancers // Am. J. Surg. 2002, vol. 184, pp. 359–363.
  7. Tontini G.E., Neumann H., Pastorelli L. et al. Thulium Laser in Interventional Endoscopy: Animal and Human Studies // Endoscopy. 2017, vol. 49, pp. 365–370.
  8. Беликов А.В. Оптотермические волоконные конвертеры для лазерной медицины. СПб: Университет ИТМО, 2020. Belikov A.V. Optothermal fiber converters for laser medicine. St. Petersburg: ITMO University, 2020. (In Russ.)
  9. Yusupov V.I., Chudnovskii V.M., Bagratashvili V.N. Laser-induced hydrodynamics in water and biotissues nearby optical fiber tip // INTECH Open Access Publisher. 2011, pp. 95−118. doi: 10.13140/2.1.4838.9122.
  10. Yusupov V.I., Chudnovskii V.M., Bagratashvili V.N. Laser-induced hydrodynamics in water-saturated biotissues. 1. Generation of bubbles in liquid // Laser Physics. 2010, vol. 20, no. 7, pp. 1641–1646.
  11. Kulik A.V., Mokrin S.N., Kraevskii A.M. et al. Features of dynamics of a jet flow generated on a laser heater by surface boiling of liquid // Technical Physics Letters. 2022, vol. 48, no. 1, pp. 60–63.
  12. Mokrin S.N., Tereshko D.A., Kulik A.V. et al. Selective Laser Heating of Closed Cavity Shells Filled with Liquid // Doklady Physics. 2022, vol. 67, no. 12, pp. 491–494.
  13. Mokrin S.N., Tereshko D.A., Kulik A.V. et al. Physical mechanisms of laser thermotherapy of cysts // Heat Transfer Research. 2023, vol. 54 (4), pp. 11–24.
  14. Чудновский В.М., Гузев М.А., Дац Е.П., Кулик А.В. Эффект ускоренного всасывания жидкости в трубке при лазерной кавитации на лазерном нагревательном элементе // Доклады РАН. Физика, технические науки. 2023. Т. 513. С. 41–47. Chudnovskii V.M., Guzev M.A., Dats E.P., Kulik A.V. The effect of accelerated absorption of liquid in a tube during laser cavitation on a laser heating element // Reports of the Russian Academy of Sciences. Physics, Technical Sciences. 2023, vol. 513, pp. 41–47. (In Russ.)
  15. Гузев М.А., Василевский Ю.В., Дац Е.П. и др. Лазерная кавитация в трубке, погружённой в ограниченный объём, заполненный жидкостью // Доклады РАН. Физика, технические науки. 2024. Т. 519. С. 19–25. Guzev M.A., Vassilevski Yu.V., Dats E.P. et al. Laser cavitation in a tube immersed in a confined volume filled with liquid // Reports of the Russian Academy of Sciences. Physics, Technical Sciences. 2023, vol. 519, pp. 19–25. (In Russ.)
  16. Abushkin I.A., Privalov V.A., Lappa A.V., Minaev V.P. Fiber 1.56–1.9 μm lasers in treatment of vascular malformations in children and adults Progress in Biomedical Optics and Imaging // Proceedings of SPIE. 2013, vol. 8565, 85650V.
  17. Meire M., De Moor R.J.G. Principle and antimicrobial efficacy of laser-activated irrigation: A narrative review // International Endodontic Journal. 2024, no. 7 (57), pp. 841–860.

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Flooded jet of heated liquid propagating from the end of an optical fibre with a quartz diameter of 0.6 mm, on which a carbon layer absorbing laser radiation with a wavelength of 0.97 µm has been applied (illumination by green radiation from a pilot laser)

下载 (150KB)
索引源数据
3. Fig. 2. Shadow photo of flooded hot liquid jets inside the cuvette at laser powers of 7, 5, 3, and 1.5 W (top) and the position of the hot jet at different time points at 3 W (bottom)

下载 (166KB)
索引源数据
4. Fig. 3. Images of growth and collapse of a vapour bubble in the vicinity of the tip of an optical fibre placed in a glass tube

下载 (104KB)
索引源数据
5. Fig. 4. Dynamics of the vapour phase of the cavitation bubble and liquid flows

下载 (654KB)
索引源数据
6. Fig. 5. External view of venous malformation of the right foot of a 16-year-old patient

下载 (178KB)
索引源数据
7. Fig. 6. Echogram of the initial venous malformation of the right foot (top) and during intrathecal laser thermotherapy (bottom)

下载 (296KB)
索引源数据
8. Fig. 7. External appearance of the foot after intrathecal laser photocoagulation and fragment of the echogram of the pathological area

下载 (328KB)
索引源数据
9. Fig. 8. Radiographs of a 10-year-old child with an aneurysmal cyst of the proximal part of the left fibula

下载 (255KB)
索引源数据
10. Fig. 9. Bone radiograph of the left tibia (a) and its appearance two years after laser thermotherapy (b)

下载 (372KB)
索引源数据
11. Fig. 10. Necrosis of the skin flap on the anterior surface of the right tibia of a 12-year-old child after excision of an extensive melanocytic nevus (a) and the wound on the 6th day after necrotomy (b)

下载 (251KB)
索引源数据
12. Fig. 11. Wound 14 days after necratomy (a), after 9 sessions of laser cavitation on the day of plasty with a free dermatome perforated skin flap (b) and on the 6th day after skin plasty (c)

下载 (340KB)
索引源数据
13. Fig. 12. Ulcer of the left tibia of a 77-year-old patient at the time of admission (a), 20 days later and after 14 sessions of laser cavitation (b), with applied dermatome flaps on the day of skin grafting (c) and 5 months after discharge from hospital (d)

下载 (533KB)
索引源数据
14. Fig. 13. Purification of a purulent wound using laser cavitation in a tube placed in a cavity filled with physiological solution. 1 - medical laser; 2 - optical fibre; 3 - tube with inserted optical fibre

下载 (114KB)
索引源数据

版权所有 © Russian academy of sciences, 2025