Abstract
Laser-induced boiling and the associated foaming of biological fluids (aqueous solutions of surfactants, proteins, fluids containing dispersed phase) on laser heaters that convert near-IR laser radiation (0.97 μm, 1.47 μm) into heat are considered. The objects of study were model fluids and biological fluids, sera, as well as recorded ultrasound images of boiling human endocystosis fluid and blood obtained in the process of laser treatment of cysts and veins under ultrasound guidance. In the proposed approach, the modification and destruction of biotissue does not occur via direct laser heating but due to rapid heat delivery by two-phase jet streams that form during bubble boiling of the liquid, on the one hand, and, on the other hand, as a result of the cessation of blood flow caused by occlusion (closing) of vessel foam. During laser surgery in the veins, the blood, in addition to boiling, simultaneously foams under the action of laser heating. There is a previously undescribed effect in which a solution of denatured blood proteins foams upon boiling. The foam that has arisen in the vessel lumen causes a vein occlusion, which leads to the cessation of bleeding (hemostasis).
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Funding
This work was partly supported by the Russian Foundation for Basic Research, project no. 18-02-00165, the Ministry of Science and Higher Education in the framework of the state assignment of the FNITs Crystallography and Photonics of the Russian Academy of Sciences in terms of laser engineering, as well as the themes of the state assignment nos. 0271-2018-0006, 0271-2018-0001, and 0089-2018-0020.
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This study was approved by the Ethics Committee of the Ilyichev Pacific Oceanological Institute, Far East Branch, Russian Academy of Sciences (protocol no. 12 of December 11, 2017).
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Chudnovskii, V.M., Maior, A.Y., Yusupov, V.I. et al. Laser-Induced Boiling of Biological Fluids. High Temp 57, 531–538 (2019). https://doi.org/10.1134/S0018151X19040035
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DOI: https://doi.org/10.1134/S0018151X19040035