WWW.PILOTLASER.

COM
DIODE LASER

MADE IN AMERICA

toll free 1-877-877-9778 phone 1-801-256-9282 fax 1-801-256-9287 YHW#FDRJURXSFRP CAO GROUP 4628 W. Skyhawk Drive West Jordan, UT 84084 www.pilotlaser.com

PILOT VETERINARY DIODE LASER

FELINE SURGICAL PROCEDURES
TOP 10 FELINE SURGICAL PROCEDURES
Conditions
1. Tooth Extraction 2. Skin Abscess, Inflammation, or Pressure Ulcer 3. Benign Skin Mass 4. Bladder Stones 5. Cancer of the Abdominal Wall 6. Malignant Skin Mass 7. Multiple Bite Wounds 8. Cancer of the Liver 9. Cancer of the Mouth 10. Cancer of the Nasal Cavity

Average Vet Cost

$923.65 $458.27 $290.51 $985.30 $812.66 $1,507.96 $266.13 $778.89 $1,101.52 $926.89

CLINICAL BENEFITS OF LASER SURGERY

Laser surgery, in addition to improving results and recovery times when procedures are needed, can also be used for a wide variety of feline surgical procedures. These procedures include the surgical excision of a tumor mass; ear, nose, and throat surgery, gastrointestInal surgery; soft palate resection, humane declawing, and other wide-ranging beneficial procedures. In addition, arthroscopic (most commonly knee, shoulder, and elbow joints), laparoscopic (abdomen such as gall bladder removal in people), and thorascopic (chest and lung) surgery are all now possible with the Pilot Veterinary Diode Laser.

BENEFITS OF LASER VS. STANDARD SURGICAL PROCEDURES

Reduced Pain: The Pilot Diode Laser seals nerve endings as it cuts through tissue; this reduces the amount of pain the patient feels during and after surgery. Reduced Bleeding: The Pilot Diode Laser cauterizes and seals small blood vessels as it cuts; this laser energy achieves hemostasis and provides the surgeon with a bloodless surgical field in most procedures. Reduced Swelling: Diode laser surgery is minimally invasive, eliminating the tearing and bruising of tissue associated with traditional surgical methods; lymphatic vessels are also sealed. Reduced Infection: Laser energy acts as an antibacterial agent by producing high temperatures, effectively eliminating microorganisms. Quicker Recovery: Laser surgery provides much quicker recovery times by reducing swelling, lessening the chance of infection, reducing pain, and preventing blood loss.

BENEFITS TO THE PATIENT

Less Pain: The animal feels less pain after laser surgery because the Pilot Diode Laser seals the nerve endings as it cuts. Less Bleeding: Since the Pilot Diode Laser seals small blood vessels during surgery, it can reduce the amount of time required for surgery and anesthesia, thereby reducing the risk of complications. Less Swelling: The Pilot Diode Laser can precisely remove diseased or unhealthy tissue without being as invasive to surrounding healthy tissue as in traditional surgery. Reduced Risk of Infection: the Pilot Diode Laser offer a reduced risk of infection because they seal the skin as they cut, thereby reducing the chance of bacterial infection. Quicker Recovery: Because there is less pain, bleeding, and swelling with laser surgery, this leads to quicker recovery than with traditional surgery.

BENEFITS TO THE SURGEON

Multiple Surgical Capabilities: Laser surgery improves many surgical procedures by making them simpler and reducing risk. This enables surgeries that are not practical with conventional methods. Enhanced Visibility of the Surgical Field: The Pilot Diode Laser seals capillaries and small blood vessels as it cuts, thereby dramatically reducing bleeding. This results in a much clearer and drier surgical site. Increased Precision and Control: The focal spot size of the beam may be adjusted down to a small fraction of a millimeter or expanded for a much wider coverage. The Pilot Diode Laser may be set for rapid removal of relatively large tissue amounts, or adjusted to remove only one cell layer at a time. Reduction of Surgery Time: The hemostatic effect of the Pilot Diode Laser and the improved visibility of the surgical field often reduce the duration of the surgery. Reduced Risk of Infection: Lasers offer a reduced risk of infection because they seal the skin as they cut, thereby reducing the chance of bacterial infection. Quicker Recovery: Because there is less pain, bleeding, and swelling with laser surgery, this leads to quicker recovery than with traditional surgery.

BENEFITS TO THE PET OWNER

Pets recover more quickly from laser surgery than they do from standard surgical procedures. Laser surgery is less invasive than standard surgery, resulting in reduced bleeding as well as reduced risk of infection. As a result, pets go home to their families much sooner and in much better condition, which makes pet owners as well as their pets much happier.

WWW.PILOTLASER.COM
DIODE LASER

MADE IN AMERICA

toll free 1-877-877-9778 phone 1-801-256-9282 fax 1-801-256-9287 YHW#FDRJURXSFRP CAO GROUP 4628 W. Skyhawk Drive West Jordan, UT 84084 www.pilotlaser.com

PILOT VETERINARY DIODE LASER

FELINE SURGICAL PROCEDURES COMMON FELINE LASER SURGERY PROCEDURES:

PROCEDURE: FELINE CASTRATION ANESTHESIA: Local anesthesia at the surgical site EQUIPMENT: Pilot Diode Laser set at 7.5 W Continuous Mode TECHNIQUE: Patient was immobilized, shaved and prepped. The laser was set at 1 watt, and several slow passes over the intended incision site were made, producing collagen contraction with vascular constriction and effective hemostasis (Figure 1). The laser was then set at 7 watts and used as a scalpel with very light surface contact to create a full-thickness skin incision (Figure 2). Several passes were made to penetrate the layers of tissue and membranes. The first testicle was removed and then the laser was used to surgically access the second testicle (Figure 3). Testicle removal was completed per standard protocol. TIME: 1 hr. 12 minutes PROCEDURE: SKIN TUMOR REMOVAL ANESTHESIA: Local anesthesia at the surgical site EQUIPMENT: Pilot Diode Laser set at 7W Pulse Mode TECHNIQUE: The laser was used to ablate, vaporize, and excise the tumors and excise the tumor. The laser tip was held 2 mm distance from the tumor, painting the entire area very slowly until the tumor vaporizes leaving a small divot around the margin of the tumor. An additional tumor was excised using the laser tip with no bleeding. The residual remnant of the tumor tissue around the margin was ablated. The laser was used post-op on the larger excision at .5 distance to contract the tissue to about of the size before applying Solviden Cream and a patch. No suture was required. PROCEDURE: ENDOSCOPICALLY-GUIDED TUMOR ABLATION ANESTHESIA: Induction with an intravenous injection of Propofol and maintenance with isoflurane via oxygen and an endotracheal tube EQUIPMENT: Pilot Veterinary Diode Laser set at 5-Watts, Pentax 6 mm diameter flexible video endoscope TECHNIQUE: The endoscope was passed through the mouth and retroflexed above the soft palate; it was then guided anteriorly to the level of the internal nasal choanae to allow visualization of the mass. The laser fiber was passed through the working channel of the endoscope and the mass was visualized (Figure 1). The laser was set at 0.5 watt at pulsed mode and near contact with the tip of the optical fiber in very close quarters (Figure 2). The laser was then fired for only a few seconds at a time, and the smoke plume was evacuated using suction to allow visual evaluation. (An 8 French red rubber catheter was placed into the nares and inserted to the level of the choanae. Suction was applied to the catheter to remove the smoke produced in the confined area of the nose. The ablation was completed (Figure 3). COMMENTS: The confined nature of the cats nasal passages renders aiming of the laser fiber difficult; however, with persistence most of the tumor mass was ablated. FOLLOW-UP: Two months after the initial procedure, nasal obstruction recurred due to re-growth of the mass; the tumor was then ablated a second time. PROCEDURE: ORAL MASS REMOVAL ANESTHESIA: General anesthesia with morphine ketamine-valium and isoflurane EQUIPMENT: Pilot Diode Laser at various settings TECHNIQUE: Patient was immobilized, and the ventral surface of the tongue raised tissue mass was surgically prepped The laser was set at 4.0 watt, and several slow passes over the intended incision site were made, producing collagen contraction with conspicuous localized blanching of the surrounding tissue indicating vascular constriction producing an effective hemostasis. Closure of the Excisional wound was completed with three individual sutures using 4-0 Monocryl as a precautionary measure. The laser was then set at 2 watts and used to bio-stimulate the entire ventral surface of the tongue. COMMENTS: Keeping in mind that the rate of ablation varies with the composition of the tissue at the surgical site, the clinician should be careful not to tear any structures but rather allow the laser energy to do all the work. Although open excisional wounds utilizing the Pilot diode laser generally do not bleed, it is always a good idea to gently close all open mucosal wounds as a precautionary measure. Immediate post-operative laser therapy seems to improve not only the rate of healing, but demonstrates marked residual post operative reduction of oral discomfort. The patient healed uneventfully. PROCEDURE: FELINE ONYCHECTOMY (DECLAW) ANESTHESIA: The cat was placed under general anesthesia for the surgery (Figure 1). EQUIPMENT: Pilot Veterinary Diode Laser set at 7.5 Watts TECHNIQUE: The laser was set at 7.5Watts and was used as a scalpel, with very light surface contact. There was no carbonization (char) on the tip of the optical fiber. The fiber tip was maintained in gentle contact at the cartilaginous tissue margin, following the contour of the joint to precisely dissect the third phalanx and facilitate the coagulation of the associated vascular structures (Figure 2). The laser was used without any other surgical instruments. Several passes were required to complete the amputation (Figure 3). COMMENTS: The diode laser performed very similar to the CO2 laser, except the laser tip is in contact mode almost as though one were using a scalpel to incise the tissue. The technique, hand speed, fiber tip orientation, etc. was described by the surgeon as exactly as a scalpel would be used. The incision was clean with very little charring, except for an occasional hair. No bleeding was present along the margins, and there was no need to deal with stray bleeders. The procedure progressed very swiftly, with a timely closure and clean-up. CLOSURE: Closure was completed with a surgical cyanoacrylate adhesive.

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