An In Vitro Histological Study of Human Skin Wound Soldering Using 980 nm Diode Laser in Continuous versus Pulsed Modes.

Abstract

Laser skin wound soldering offers many distinct advantages over conventional closure and laser welding techniques. Objective : to compare the histological effects of human skin wound soldering using 50 % human albumin solder and compound charcoal photosensitiser with 980 nm diode laser acting in various modes of action and parameters. Study Design/Materials and Methods: In this in vitro experimental study , Multiple 3-4 cm long full thickness incisions in a specimen of human skin were soldered using a 4 mm spot diameter beam of 980 nm diode laser(at different laser parameters and modes of action) with 50 % human albumin solder mixed with the compound charcoal at 5 % W/V concentration .After obtaining a successful wound soldering , the wound edge were excised and then studied histologically. Results: Although a single pulse per shot , spot by spot soldering technique has resulted in a weaker soldering of the wound experimentally, yet it was less tissue harmful than the continuous mode laser, inspite that the later had resulted in a stronger wound soldering. A strong wound closure didn't happen using repetitive pulsed laser mode at any of the tested parameters or action modes. Conclusion: A single spot by spot , pulsed 980 nm laser wound soldering is less tissue harmful than the continuous mode laser soldering although it has resulted in a weaker soldered wound initial tensile strength.