Recently, in gynecology, laser technology has attracted increasing application and interest. A large number of laser equipment has appeared, both invasive and non-invasive, which is successfully used by specialists in gynecology. One of the first lasers, which was actively used in gynecology, was a CO2 laser, and given the specificity of its wavelength (10.6 μm), its use was mainly of a surgical nature of the procedures. However, in addition to carrying out intimate plastic procedures, professional laser technologies in gynecology can be used, at least, for the following procedures:
For each laser procedure, the parameters necessary for the effective conduct of a particular procedure are used, in addition, a large number of handpieces and laser modules produced by manufacturers can confuse even experienced specialists and make it difficult to choose the optimal laser for gynecology. This article discusses the basic laser technologies and tools used in gynecology, as well as the most significant differences between them.
Currently, among the majority of techniques used in laser gynecology, it is advisable to distinguish two main ones:
1)Ablative laser action. This technique is based on damage and subsequent regeneration of the mucous membrane through exposure to laser radiation. For this technique, two types of lasers are most often used – CO2 and Er: YAG laser. Despite the similarity of the effects of radiation on tissues (both erbium and CO2 radiation are very strongly absorbed by water and, as a consequence, by the uppermost layers of tissues), there are a very large number of differences between these lasers for using in gynecology:
2) Warming laser action. Among non-ablative laser techniques, laser technologies in gynecology based on neodymium and non-ablative erbium lasers are currently the most widely used. Moreover, neodymium non-ablative methods, as a rule, are more popular, because the use of non-ablative erbium techniques involves the use of laser energy purely for heat transfer due to the heat conduction mechanism, which significantly limits their effectiveness in certain procedures. Neodymium laser techniques also have significant differences among themselves, because have wide differences among themselves, not only in the levels of energy densities and pulse durations, but even in the length of the laser radiation. The main wavelength of the laser radiation of the Nd: YAG laser used in gynecology is 1320 nm. Unlike the more common wavelength of the Nd: YAG laser – 1064 nm, 1320 nm has a penetration depth of 2-2.5 mm, which is optimal for most gynecological procedures, especially for non-ablative anti-aging procedures. Because the penetration depth of a wavelength of 1064nm is already 3-4mm, which is excessive and even unsafe due to the structural features of female body.
Despite the relative similarities in the design of most laser instruments for gynecology, there are many fundamental differences between them both in design and in technical characteristics, which plays a crucial role for efficiency and safety during procedures:
When opening or expanding a business using the purchase of medical laser equipment, any specialist doctor or the head of a medical institution should, if not thoroughly understand it, then, as a minimum, understand the main differences and fundamental features of using certain laser technologies. Because it is the equipment that determines the safety and efficiency of the procedures and, accordingly, the success of your business.