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August 15, 1986, Vol 256, No. 7 >
ARTICLE | August 15, 1986

Lasers in Medicine and Surgery FREE

[+] Author Affiliations

Report D of the Council on Scientific Affairs, adopted by the House of Delegates of the American Medical Association at the Interim Meeting, December 1985.

This report is not intended to be construed or to serve as a standard of medical care Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of the scientific literature as of December 1985.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (William R. Hendee, PhD).


JAMA. 1986;256(7):900-907. doi:10.1001/jama.1986.03380070106029
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References

Clinical applications have been found for lasers in a number of medical and surgical specialties. New applications in current areas of use and extension of laser technology to other medical and surgical specialties will continue to occur as investigational uses are pursued. Lasers produce medical and surgical effects in target tissues by heating them to the point of coagulation or vaporization, by ionizing molecular tissue, and by inducing photochemical effects through a mediating photosensitizer. Increased ability to transmit certain laser beams via fiber optics further extends areas of clinical application. Laser safety programs are essential to safeguard physician operators, ancillary personnel, and patients. Federal regulation, under two laws, deals with (1) the laser radiation safety of devices and (2) controls to ensure that devices reaching the market are reasonably safe and effective for their intended use.

(JAMA 1986;256:900-907)

REFERENCES

1 +
Fuller TA:  The physics of surgical lasers . Lasers Surg Med 1980;;1:5-14.
2 +
Mainster MA:  Finding your way in the photoforest: Laser effects for clinicians . Ophthalmology 1984;;91:886-888.
3 +
Sliney DH, Wolbarsht ML: Safety With Lasers and Other Optical sources New York, Plenum Press, 1980;.
4 +
Hathaway JA, Stern N, Soles EM, et al:  Ocular medical surveillance of microwave and laser workers . J Occup Med 1977;;19:683-688.
5 +
Ossoff RH, Eisenman TS, Duncavage JA, et al:  Comparison of tracheal damage from laser-ignited endotracheal tube fires . Ann Otol Rhinol Laryngol 1983;;92:333-336.
6 +
21 CFR §800-895.
7 +
21 CFR §1000-1010, 1040.10, 1040.11.
8 +
Mainster MA:  Ophthalmic laser surgery: Principles, technology and technique , in New Orleans Academy of Ophthalmology: Symposium on the Laser in Ophthalmology and Glaucoma Update . St Louis, CV Mosby Co, 1984;, pp 81-101.
9 +
Wolbarsht ML:  Ophthalmic uses of lasers , in Hillenkamp F, Sacchi C, Pretesi R (eds): Lasers in Medicine and Biology: A NATO Advanced Study Institute . New York, Plenum Press, 1980;, pp 401-420.
10 +
Wolbarsht ML, Landers MB III:  The rationale of photocoagulation therapy for proliferative diabetic retinopathy: A review and a model . Ophthalmic Surg 1980;;11:235-245.
11 +
Wolbarsht ML:  Ablative laser surgery: CO2 or HF . IEEE J Quantum Electronics 1984;;QE20:1427-1432.
12 +
Parrish JA:  A practical primer of lasers in dermatologic therapy . Dermatologic Capsule Comment 1984;;6:1-3.
13 +
Noe JM, Barsky SH, Geer DE, et al:  Port wine stains and the response to argon laser therapy: Successful treatment and the predictive role of color, age and biopsy . Plast Reconstr Surg 1980;; 65:130-136.
14 +
Dixon JA:  Argon laser treatment of port wine stains , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 109-128.
15 +
Arndt KA, Noe JM:  Lasers in dermatology . Arch Dermatol 1982;;118:293-295.
16 +
Arndt KA:  Argon laser therapy of small cutaneous vascular lesions . Arch Dermatol 1982;; 118:220-224.
17 +
Bailin PL:  Treatment of port wine stains with the CO22 laser: Early results , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 129-136.
18 +
Bailin PL:  Non-PWS cutaneous use of the CO2 laser for lesions , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 187-199.
19 +
Arndt KA:  Treatment techniques in argon laser therapy: Comparison of pulsed and continuous exposures . J Am Acad Dermatol 1984;;11:9097.
20 +
Abela GS, Normann S, Cohen D, et al:  Laser recanalization of occluded atherosclerotic arteries: An in vivo and in vitro study . Circulation 1985;; 71:403-411.
21 +
Abela GS, Normann S, Cohen D, et al:  Effects of carbon dioxide, Nd:YAG and argon laser radiation on coronary atheromatous plaques . Am J Cardiol 1982;;50:1199-1204.
22 +
Swain CP:  Endoscopic Nd:YAG laser control of gastrointestinal bleeding , in Neodymium:YAG Lasers in Medicine and Surgery . New York, Elsevier Science Publishing Co Inc, 1983;.
23 +
Dixon JA: Surgical Applications of Lasers . Chicago, Year Book Medical Publishers, 1983;.
24 +
Baggish MS:  Laser management of cervical intraepithelial neoplasia . Clin Obstet Gynecol 1983;; 26:980.
25 +
Baggish MS:  Improved laser techniques for the elimination of genital and extragenital warts . Am J Obstet Gynecol 1985;;153:543.
26 +
Baggish MS, Chong AP:  Intra-abdominal surgery with the CO22 laser . J Reprod Med 1983;; 28:269.
27 +
Baggish MS:  Comparison of electronically superpulsed and continuous wave CO22 laser on the rat uterine horn . Fertil Steril , in press.
28 +
Baggish MS:  Intra-abdominal use in gynecology , in Andrews AH, Polanyi TG (eds): Microscopic and Endoscopic Surgery With the CO2 Laser . Boston, John Wright-PSG Inc, 1982;.
29 +
Cerullo LJ:  Use of the laser in neurosurgery . Surg Clin North Am 1984;;64:995-1000.
30 +
Cerullo LJ:  Laser neurosurgery: Past, present and future . IEEE J Quantum Electronics 1984;; QE-20:1397-1400.
31 +
Dumon JF, Shapshay SM, Bourcereau J, et al:  Principles for safety in application of Neodymium-YAG laser in bronchology . Chest 1984;;86:163-168.
32 +
Duncavage JA, Ossoff RH, Toohill RJ:  CO22 laser management of laryngeal stenosis . Ann Otol Rhinol Laryngol 1984;;94:565-569.
33 +
Ossoff RH, Sisson GA, Duncavage JA, et al:  Endoscopic laser arytenoidectomy for the treatment of bilateral vocal cord paralysis . Laryngoscope 1984;;94:1293-1297.
34 +
Ossoff RH, Sisson GA, Shapshay SM:  Endoscopic management of selected early vocal cord cancer . Ann Otol Rhinol Laryngol 1985;;94:560-564.
35 +
Ossoff RH, Karlan MS, Duncavage JA, et al:  The universal endoscopic coupler for bronchoscopic carbon dioxide laser surgery: A multi-institutional clinical trial . Otolaryngol Head Neck Surg 1985;;93:824-830.
36 +
Smith JA (ed): Lasers in Urologic Surgery . Chicago, Year Book Medical Publishers Inc, 1985;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Fuller TA:  The physics of surgical lasers . Lasers Surg Med 1980;;1:5-14.
2 +
Mainster MA:  Finding your way in the photoforest: Laser effects for clinicians . Ophthalmology 1984;;91:886-888.
3 +
Sliney DH, Wolbarsht ML: Safety With Lasers and Other Optical sources New York, Plenum Press, 1980;.
4 +
Hathaway JA, Stern N, Soles EM, et al:  Ocular medical surveillance of microwave and laser workers . J Occup Med 1977;;19:683-688.
5 +
Ossoff RH, Eisenman TS, Duncavage JA, et al:  Comparison of tracheal damage from laser-ignited endotracheal tube fires . Ann Otol Rhinol Laryngol 1983;;92:333-336.
6 +
21 CFR §800-895.
7 +
21 CFR §1000-1010, 1040.10, 1040.11.
8 +
Mainster MA:  Ophthalmic laser surgery: Principles, technology and technique , in New Orleans Academy of Ophthalmology: Symposium on the Laser in Ophthalmology and Glaucoma Update . St Louis, CV Mosby Co, 1984;, pp 81-101.
9 +
Wolbarsht ML:  Ophthalmic uses of lasers , in Hillenkamp F, Sacchi C, Pretesi R (eds): Lasers in Medicine and Biology: A NATO Advanced Study Institute . New York, Plenum Press, 1980;, pp 401-420.
10 +
Wolbarsht ML, Landers MB III:  The rationale of photocoagulation therapy for proliferative diabetic retinopathy: A review and a model . Ophthalmic Surg 1980;;11:235-245.
11 +
Wolbarsht ML:  Ablative laser surgery: CO2 or HF . IEEE J Quantum Electronics 1984;;QE20:1427-1432.
12 +
Parrish JA:  A practical primer of lasers in dermatologic therapy . Dermatologic Capsule Comment 1984;;6:1-3.
13 +
Noe JM, Barsky SH, Geer DE, et al:  Port wine stains and the response to argon laser therapy: Successful treatment and the predictive role of color, age and biopsy . Plast Reconstr Surg 1980;; 65:130-136.
14 +
Dixon JA:  Argon laser treatment of port wine stains , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 109-128.
15 +
Arndt KA, Noe JM:  Lasers in dermatology . Arch Dermatol 1982;;118:293-295.
16 +
Arndt KA:  Argon laser therapy of small cutaneous vascular lesions . Arch Dermatol 1982;; 118:220-224.
17 +
Bailin PL:  Treatment of port wine stains with the CO22 laser: Early results , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 129-136.
18 +
Bailin PL:  Non-PWS cutaneous use of the CO2 laser for lesions , in Arndt KA, Noe JM, Rosen S (eds): Cutaneous Laser Therapy . New York, John Wiley & Sons Inc, 1983;, pp 187-199.
19 +
Arndt KA:  Treatment techniques in argon laser therapy: Comparison of pulsed and continuous exposures . J Am Acad Dermatol 1984;;11:9097.
20 +
Abela GS, Normann S, Cohen D, et al:  Laser recanalization of occluded atherosclerotic arteries: An in vivo and in vitro study . Circulation 1985;; 71:403-411.
21 +
Abela GS, Normann S, Cohen D, et al:  Effects of carbon dioxide, Nd:YAG and argon laser radiation on coronary atheromatous plaques . Am J Cardiol 1982;;50:1199-1204.
22 +
Swain CP:  Endoscopic Nd:YAG laser control of gastrointestinal bleeding , in Neodymium:YAG Lasers in Medicine and Surgery . New York, Elsevier Science Publishing Co Inc, 1983;.
23 +
Dixon JA: Surgical Applications of Lasers . Chicago, Year Book Medical Publishers, 1983;.
24 +
Baggish MS:  Laser management of cervical intraepithelial neoplasia . Clin Obstet Gynecol 1983;; 26:980.
25 +
Baggish MS:  Improved laser techniques for the elimination of genital and extragenital warts . Am J Obstet Gynecol 1985;;153:543.
26 +
Baggish MS, Chong AP:  Intra-abdominal surgery with the CO22 laser . J Reprod Med 1983;; 28:269.
27 +
Baggish MS:  Comparison of electronically superpulsed and continuous wave CO22 laser on the rat uterine horn . Fertil Steril , in press.
28 +
Baggish MS:  Intra-abdominal use in gynecology , in Andrews AH, Polanyi TG (eds): Microscopic and Endoscopic Surgery With the CO2 Laser . Boston, John Wright-PSG Inc, 1982;.
29 +
Cerullo LJ:  Use of the laser in neurosurgery . Surg Clin North Am 1984;;64:995-1000.
30 +
Cerullo LJ:  Laser neurosurgery: Past, present and future . IEEE J Quantum Electronics 1984;; QE-20:1397-1400.
31 +
Dumon JF, Shapshay SM, Bourcereau J, et al:  Principles for safety in application of Neodymium-YAG laser in bronchology . Chest 1984;;86:163-168.
32 +
Duncavage JA, Ossoff RH, Toohill RJ:  CO22 laser management of laryngeal stenosis . Ann Otol Rhinol Laryngol 1984;;94:565-569.
33 +
Ossoff RH, Sisson GA, Duncavage JA, et al:  Endoscopic laser arytenoidectomy for the treatment of bilateral vocal cord paralysis . Laryngoscope 1984;;94:1293-1297.
34 +
Ossoff RH, Sisson GA, Shapshay SM:  Endoscopic management of selected early vocal cord cancer . Ann Otol Rhinol Laryngol 1985;;94:560-564.
35 +
Ossoff RH, Karlan MS, Duncavage JA, et al:  The universal endoscopic coupler for bronchoscopic carbon dioxide laser surgery: A multi-institutional clinical trial . Otolaryngol Head Neck Surg 1985;;93:824-830.
36 +
Smith JA (ed): Lasers in Urologic Surgery . Chicago, Year Book Medical Publishers Inc, 1985;.

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