Endoscopic Laser Surgery Handbook

This book is concerned primarily with operative endoscopy utilizing lasers, presenting proved and future endoscopic applications of lasers in medicine. It includes new concepts of cancer therapy, such as photodynamic therapy, because of the laser's endoscopic application.

Written by recognized leaders within the field, this practical text is useful primarily to the clinical gynecologist who performs laser surgery in the lower female genital tract and intra abdominally where applicable. The initial chapters pertain to the basic understanding and applications of laser physics and safety for the clinician. The next section focuses on "how to do it", and the final chapters deal with photodynamic therapy in gynecology, credentialing, and how to establish a laser program. A glossary in the back of the book contains laser terminology as well as scientific notation.

Learn how to use a powerful medical advance in head and neck oncology – from the masters of the technique! The name Wolfgang Steiner is synonymous with transoral laser microsurgery for head and neck cancer. He has tirelessly promoted this innovative technique throughout the world and his clinic is considered the pioneering center in Europe. Thousands of students and practitioners have benefited from his teaching and lectures, allowing them to treat selected patients more safely and effectively than ever thought possible. Now for the first time, you have at your fingertips Dr. Steiner's detailed, step-by-step techniques for transoral laser microsurgery of the head and neck, showing how to excise tumors, preserve the larynx and other key structures, and dramatically decrease mortality. You will learn the insights and technical refinements that allow you to tailor your surgery to the extent of the cancer, even eradicating it in certain localized areas. You will see how to work in a fraction of the time, avoid complex throat and neck reconstructions, preserve voice structures, and greatly enhance the patient's quality of life. Special features of this landmark book include: Written by the developers of this innovative, minimally invasive technique 300 endoscopic color images and explanatory drawings illustrate the diagnostic and surgical procedures on a step-by-step basis Ideal for students as well as for practitioners seeking to broaden their treatment options Offers an introduction to a rapidly growing standard in the field of head and neck oncology For the beginner as well as the experienced surgeon, this book offers masterful guidance on using modern laser technology to perform conservative laryngeal and other head and neck cancer surgeries, resulting in well-documented, lower morbidity rates. It will upgrade and enrich your skills and open a wide range of treatment options that you can offer your patients. Stay up-to-date with new technology; reserve your copy today! "To those who believe, no explanation is necessary, but the Steiner book delivers technical refinements and insights that will expand the surgeon's skill. To those who are skeptical, the book addresses the basic principles of...a great adventure and probably the major positive change in head and neck oncology of the last three or four decades."—From the Foreword by Lawrence W. Desanto, MD, Professor Emeritus, Mayo Medical School, Rochester, Minnesota

There has been incredible progress over the last decade in therapeutic endoscopy. Such therapies are either easier now than ten years ago or are possible when previously they were inconceivable. These advances have depended upon major improvements in diagnostic endoscopy for different subspecialties. Simultaneously, a major innovation for therapeutics through endoscopes is the application of medical lasers. This book is written by renowned biophysicists and laser endoscopists of different sub specialties where the application of lasers has revolutionized medical care. In some cases treatments which were not previously possible are now routine. Laser palliation of obstructing tumors in different sub specialties is an example of this. In other cases, resective surgery is obviated by the application of lasers via endoscopy such as for the control of gastrointestinal bleeding. The authors of different medical or surgical subspecialties which use endoscopic lasers write about the pathology and clinical problems, their personal experience and results. However, they also emphasize their techniques of laser endoscopy through case examples, technical discussions, and colored illustrations. Their discussions will give the reader a better understanding about the role of laser treatment of different conditions compared to routine medical or surgical therapy. In several instances, randomized controlled trials involving medical lasers were discussed in this book because they fundamentally changed our understanding of common problems such as upper gastrointestinal bleeding. We predict continued progress in therapeutic endoscopy.

Surgical and therapeutic use of lasers began in human medicine in the early 1960s. Technology and equipment advanced rapidly. Over the last ten years veterinarians have been exploring the many potential advantages that various lasers provide their patients. Because laser light energy can be applied directly to target tissue or administered to distant lesions at a remote site through fiberoptic components, laser surgery has become an invaluable and growing veterinary surgical resource. Unlike many medical technologies, the size, reliability, and portability of lasers have improved so rapidly that they are now both economically and practically feasible for the general and specialty veterinarian. Routine laser use in veterinary medicine stands poised to gain large-scale general acceptance for everyday routine and specialty procedures. Written by experts in the field, Veterinary Laser Surgery: A Practical Guide strives to help general and specialty veterinary practitioners understand, implement and expand the use of laser energy in safe and rational ways for both surgical and therapeutic procedures to further improvement the veterinarians ability to enhance the patient’s quality of life. PRACTICAL PICTORIAL GUIDE / ATLAS feature that includes 31 case studies of the most common laser surgery procedures. Broad spectrum of specific laser information, including chapters covering basic laser physics through specific laser surgery techniques and pain management. Special sections on CO2 and Diode laser wavelengths. Provides veterinarians with skills and techniques to improve the comfort and quality of patients’ lives through appropriate laser use. User-friendly format makes referencing easy. A practical reference for specialty and general veterinarians.

Foreword In this era's informational paradigm, while pondering the considerations to be penned in this foreword, the relevance of a text such as this emerged progressively as the focal point. After all, for years, one established source for accessing large amounts of valuable information had been the Encyclopaedia Britannica, a printed tome, which is no longer relevant. Instant access to the latest scientific information is freely available to all with an internet. So, what can this text provide that cannot be readily accessed? In contemplating given topics, the Editors, as most certainly occurred in this publication, chose clinical authorities to author chapters in their areas of expertise. The experienced clinician often finds such a forum a unique opportunity to reflect on years of knowledge acquisition and then render an insightful discourse on the lineage of his/her current understanding of the topic. On the other side of the coin, the reader instantly acquires a knowledge base, which was validated with an exhaustive literature search and gains the senior authors' perspective of it. A less experienced author will benefit from thoroughly reviewing the currently available science and technology and moreover, gain experience in scientific writing. In the latter scenario the senior author is at once mentor and expert. Under ordinary circumstances, from the concept outline submission to a publisher, the time line to completion of the text is approximately one and a half to two years. Recruiting and assigning authors, awaiting late manuscript submissions and editing are unquestionably time consuming. Yet a passionate, dedicated Editor will take seemingly varied submissions and script them into a worthy finished product. Such was the case with this publication. The end result is a superbly structured text covering most of the concepts relating to the topic in a format that is both logical and intuitive. At the risk of some redundancy, I share with you my thoughts on some of the significant number of new additions and improvements made to this second edition. The chapter on risk management is a welcome contribution. The rationale for the shift in the current decision tree for laryngeal cancer as it relates to macro versus micro margins, improvements in voice quality and the choice of initial therapeutic considerations are appropriately vetted. The rethinking of HPV associated malignancies is a new and most important addition. Zeitels' presentation of angiolytic lasers for benign and malignant pathology is state of the art. I particularly enjoyed reading about lasers and the association with tropical diseases. The chapters on robotic surgery, non-invasive cartilage reshaping and photo-diagnostics puts the latest technical innovation in our discipline into perspective. The excellent illustrations and photographs are a bonus. There are other areas that could be mentioned e.g. paediatrics, however, the aforementioned has more than adequately established the tenor of the text. n their quest to provide a one-stop knowledge base of a reference quality, it is inescapable that the size of the final proof would surpass the typical numbers of between four and five hundred pages for the hard bound volume. Tightening the text by removing some peripheral material would deprive the book its very objective of a reference quality publication. The obvious solution was to present the work in a set of two volumes, and the editors and the publishers have to be congratulated in achieving this seamlessly. The natural anatomical split provides the reader with a convenience of picking up the volume of relevance for the task at hand. An unusual feature is the inclusion of MCQs after each chapter, to serve as a test for recall of knowledge, the result of which can be assessed simply by going back to the chapter! The Editors and the publishers have exploited the now ubiquitous electronic media network to their advantage. Operating on various platforms a dedicated website will complement the book with updates, operative videos, and means of communication to share the knowledge globally. It was the focus of this brief foreword to explore the relevance of this text in the current informational climate. It provides the essential foundation for informed thought on this topic. Agree or disagree with the information contained within, the reader has acquired the knowledge to be able to do such. With this text you will be rewarded for sitting in your most comfortable chair, thumbing through the pages and sensing the new print. Immediately understood will be the time and effort it took to complete a text of this calibre. Read the chapters first that initially appeal to you and then without question you will read the remainder. This book should be in the library of any serious student of the subject. I feel privileged to have been asked to write the foreword. Marshall Strome