An Introduction to Lasers

  • Joseph H. Bellina
  • Gaetano Bandieramonte


The tools of surgery did not undergo significant modifications until this century. As the scalpel, scissors, and saw belong to the earliest period of medicine, high-frequency bipolar cautery and cryosurgery are tools of modern medicine, but generally all lack precision of application. The impetus of precise tissue removal and the tendency toward conservative treatments have stimulated innovative surgeons to investigate new surgical modalities— hence, a rapid proliferation of new surgical instruments described as LASERS. What is a laser? What role does the laser play in modern medicine? Will the laser be of benefit to my patient? These questions are being asked each day in medicine in advertisements and courses, and, the public media cry out: Why not use the laser?


Active Medium Spontaneous Emission Laser Surgery Round Trip Excited Level 
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  1. 1.
    Mullins F, Jenning B, McClusky L: Liver resections with the ew carbon dioxide laser: some experimental observations. Am J Surg 34: 717 – 722, 1968.Google Scholar
  2. 2.
    Stellar S, Polanyi TG, Bredemeier HC: Experimental studies of the C02 laser as neurosurgical instrument. Med Biol Eng 8: 549 – 558, 1970.PubMedCrossRefGoogle Scholar
  3. 3.
    Jako GJ: Laser surgery of the vocal cords. An experimental study with C02 laser on dogs. Laryngoscope 82: 2204 – 2216, 1971.CrossRefGoogle Scholar
  4. 4.
    Oosterhuis JW, Verschueren RC, Oldhoff J: Experimental surgery for the Cloudman S91 melanoma with C02 laser. Acta Chir Belg 74: 422 – 429, 1975.PubMedGoogle Scholar
  5. 5.
    Strong MS, Jako GJ, Polanyi TG, et al: Laser surgery in the aerodigestive tract. Am J Surg 126529 – 533, 1973.PubMedCrossRefGoogle Scholar
  6. 6.
    Strong MS, Jako GJ: Laser surgey in the larynx. Am J Otol 81: 791 – 798, 1972.Google Scholar
  7. 7.
    Jako GJ, Polanyi TG: Carbon dioxide laser surgery in otolaryngology, in Kaplan I (ed): Proceedings I International Congress on Laser Surgery. Jerusalem, Jerusalem Academic Press, 1976, pp 149 – 166.Google Scholar
  8. 8.
    Mihashi S, Hirano M: Surgical application of C02 laser in otolaryngology, in Kaplan I, Ascher PW (eds): Proceedings of the 3rd International Congress for Laser Surgery, Graz, OT-PAZ Tel-Aviv, Jerusalem, Academic Press, 1976, pp 293 – 308.Google Scholar
  9. 9.
    Wilpizeski CR: Otological applications of lasers, in Wolbarst ML (ed): Laser Applications in Medicine and Biology, Volume 3. New York, Plenum Press, 1977, p 289.Google Scholar
  10. 10.
    Christensen J: Use of the C02 laser in thoracic surgery, in Koebuez H (ed): Lasers in Medicine, Vol 1. Chichester, John Wiley and Sons, 1980, pp 39 – 45.Google Scholar
  11. 11.
    Goldman L, Naprstek Z, Johnson J: Laser surgery of a digital angiosarcoma. Cancer 39: 1738 – 1742, 1977.PubMedCrossRefGoogle Scholar
  12. 12.
    Levine N, Ger R, Stellar S, Levenson SR: Use of a carbon dioxide laser for the debridement of third degree burns. Ann Surg 179: 246 – 252, 1974.PubMedCrossRefGoogle Scholar
  13. 13.
    Fidler JP, Law E, MacMillan BG, et al: Comparison of C02 laser excision of burns with the thermal knives. Ann NY Acad Sci 267: 254 – 261, 1977.CrossRefGoogle Scholar
  14. 14.
    Levine NS, Salisbury RE, Peterson HD, et al: Clinical evaluation of the carbon dioxide laser for burn wound excision. A comparison of the laser, scalpel and electrocautery. J Trauma 15: 800 – 807, 1975.PubMedCrossRefGoogle Scholar
  15. 15.
    Stellar S, Cooper MD, Young J: Recent advance in neurosurgical treatment for the elderly. J Am Geriatric Soc 2: 848 – 860, 1970.Google Scholar
  16. 16.
    Goldman L: Laser surgery for skin cancer. NY State J Med 77: 1897 – 1900, 1977.Google Scholar
  17. 17.
    Bellina JH: Gynecology and the laser. Contemporary Ob/Gyn 4: 24 – 34, 1974.Google Scholar
  18. 18.
    Einstein A: Zur quanten theorie der strahlung. Phys Zeit 68: 121, 1917.Google Scholar
  19. 19.
    Gordon JP, Zeiger HJ, Townes CH: Molecular microwave oscillator and new hyperfine structure in the microwave spectrum of NH3. Phys Rev 95:282, 1954CrossRefGoogle Scholar
  20. 20.
    Basov NG, Prokhorov AM: In Russia. Soviet Phys-JETP 27: 431, 1954.Google Scholar
  21. 21.
    Schawlow AL, Townes CH: Infrared and optical masers. Phys Rev 42: 1940, 1958.CrossRefGoogle Scholar
  22. 22.
    Maiman T: Stimulated optical radiation in ruby masers. Nature 187: 493 – 494, 1960.CrossRefGoogle Scholar
  23. 23.
    Bennett WR, Herriott DR, Javan A: Population inversion and continuous optical maser oscillation in a gas discharge containing a He-Ne mixture. Phys Rev Lett 6: 106 – 110, 1961.CrossRefGoogle Scholar
  24. 24.
    Patel CKN: High power carbon dioxide laser. Sci Am 279: 733, 1968.Google Scholar
  25. 25.
    Polanyi TC, Bredemeier HC: Experimental carbon dioxide surgery of the vocal cords. Eye Ear Nose Throat Mon 52: 171 – 172, 1973.PubMedGoogle Scholar
  26. 26.
    Polanyi T, Tobias I: Principles and Properties of the Laser. Framington Center, Mass., American Optical Corporation Research Division, 1970.Google Scholar
  27. 27.
    Patel CKN: Vibrational energy transfer—an efficient means of selective excitation of molecules, in Kelley PL, Lax B, Tannenwald PE (eds): Physics of Quantum Electronics. New York, McGraw-Hill, 1966, pp 643 – 654.Google Scholar
  28. 28.
    O’Shea DC, Callen WR, Rhodes WT: Introduction to Lasers and Their Applications. Reading, Mass., Addision-Wesley, 1977, p 168.Google Scholar
  29. 29.
    Dougherty TJ, Kaufman JE, Goldford A, et al: Photoradiation therapy for the treatment of malignant tumors. Cancer Res 8: 2628 – 2635, 1978.Google Scholar
  30. 30.
    Doiron, DR, Profio E, Vincent RG, et al: Fluorescence bronchoscopy for detection of lung cancer. Chest 76:27, 1979.PubMedCrossRefGoogle Scholar
  31. 31.
    Ketcham AD, Hoye RD, Riggle GC: A surgeon’s appraisal of the laser. Surg Clin North Am 47: 1249 – 1263, 1967.Google Scholar
  32. 32.
    Hofstetter A, Frank F: The Neodymium-YAG Laser in Urology. Basel, Switzerland, Roche Scientific Service, 1980.Google Scholar

Copyright information

© Plenum Publishing Corporation 1984

Authors and Affiliations

  • Joseph H. Bellina
    • 1
  • Gaetano Bandieramonte
    • 2
  1. 1.Laser Research FoundationNew OrleansUSA
  2. 2.National Cancer Institute of MilanMilanItaly

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