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VETERİNER HEKİMLİKTE LAZERLERİN KULLANIMI

Yıl 2019, Cilt: 10 Sayı: 2, 60 - 70, 21.08.2019

Öz

Son
yıllarda Veteriner hekimlikte tıbbi lazerlerin kullanılmasında bir artış söz
konusudur. İlk zamanlarda lazer cihazlarının çok pahalı olması, özellikle
ülkemizde kullanımını sınırlandıran bir faktör olmuştur. Yaklaşık yirmi yıllık
bir süreç içinde hem kullanımı ile ilgili kolaylıklar ve ön yargıların aşılması
hem de pek çok çalışmanın yapılması ve avantajlarının ortaya konulması,
lazerlerin kullanımında artış sağlamıştır.




Veteriner
hekimlikte lazer kullanımı öncelikli olarak güçlü karbondioksit lazerlerin
lazer cerrahi amaçlı kullanılması üzerine yoğunlaşmıştır. Bu amaçla pek çok
açık ameliyatların yanında kapalı yöntemler ile minimal invaziv cerrahi
amacıyla çok başarılı bir şekilde kullanılmışlardır. Nd: YAG (1064 nm), diyot
(805/980 nm) ve Ho: YAG (2100 nm) lazerleri içeren lazerler hem temaslı hem de
temassız olarak ameliyetlarda kullanılmışlardır.




Düşük
seviyeli lazer terapisi (LLLT) veya lazer biyostimülasyonu veteriner hekimlikte
belirli durumlar için uygulamasında son yıllarda artış görülmektedir. Sınıf 2,
3R, 3B ve 4 lazerler artık LLLT cihazları olarak kullanılmaktadırlar. Veteriner
hekimler LLLT cihazları ilk olarak ağrı yönetimi ve gelişmiş yara iyileşmesi
(kronik ve akut) dahil olmak üzere çeşitli durumların tedavisi için
kullanmışlardır. Bu teknoloji hakkında hala öğrenilecek çok şey var, ancak
şimdi giderek daha fazla veteriner hekim tarafından faydalı bir tedavi yöntemi
olarak kabul edilmektedir. Yine de, bu konuda bilgi birikimini artırmak için
daha kontrollü klinik çalışmalar yapılmalıdır. Bu derlemede ülkemizde veteriner
hekimlikte kullanılan lazer çeşitleri hakkında bilgi vermek amaçlanmıştır.




Kaynakça

  • Boord, M. (2006). Laser in dermatology. Clinical Techniques in Small Animal Practice, 21, 145-149.
  • Brian, P., Darry, L.M., (2005). Therapeutic Laser in Veterinary Medicine. Veterinary Clinics of North America: Small Animal Practice. 45(1), 45-56.
  • Buchholz, J., Waltb, H. (2013). Veterinary photodynamic therapy. Photodiagnosis and Photodynamic Therapy, 10(4), 342-347.
  • Calin, M.A., Coman, T. (2011). The laser in Veterinary Medicine. Türk. J. Anim. Sci. 35(5), 351-357.
  • Dabareiner, R.M., White, N.A, Sullins, K.E. (1997). Comparison of Current Techniques fof Palmar Digital Neurectomy in Horses, American Association of Equine Practitioners,43, 231-232.
  • Dinç, B., Or, E. (2014). Farklı Tipte Lazerlerin Veteriner Hekimlikte Kullanımı. TÜBAV Bilim Dergisi. 7(3), 1-10.
  • Duclos, D. (2006). Lasers in veterinary dermatology. Vet Clin Small Anim, 36, 15-37.
  • Farnworth, M.J., Beausoleil, N.J., Adams, N.J., Barrett, L.A., Stevenson M., Thomas, D.G., Waterland, M.R., Waran, N.K., Stafford, K.J. (2013). Validating the use of a carbon dioxide laser for assesing nociceptive thresholds in adult domestic cats (Felis catus). Applied Animal Behaviour Science, 143 (2-4), 104-109.
  • Gable, P., Tuner, J. (2003). Bone stimulation by low level laser - a theoretical model for the effects. Laser Partner, Clinicxperience-All Volumes, Chapter 67, ISSN 1213-3027.
  • Gilmour, M.A. (2003). Laser applications for corneal disease. Clinical tecniques in small animal practice, 18,3, 199-202.
  • Guesgen, M.J., Beausoleil, N.J., Minot, E.O., Stewart, M., Jones, G., Stafford, K.J. (2011). The effects of age and sex on pain sensitivity in young lambs. Applied Animal Behaviour Science, 135, 12, 51-56.
  • Hardman, C., Stanley, R.G. (2001). Diode laser transscleral cyclophotocoagulation for the treatment of primary glaucoma in 18 dogs: a restrospective study. Veterinary Ophthalmology, 4(3), 209-215.
  • Hawkins, J.F., Couetil, L., Miller, M.A. (2014). Maintenace of arytenoid abduction following carbon dioxide laser debridement of the articular cartilage and joint capsule of the cricoarytenoid joint combined with prosthetic laryngoplasty in horses: An in vivo and in vitro study. The Veterinary Journal, 199 (2), 275-280.
  • Hecht, J. (1999). The Laser Guidebook, 2nd ed, McGraw-Hill Professional, USA p: 8-10.
  • Hernanadez-Divers, S.J. (2002). Diode laser surgery: Principles and application in exotic animals, Seminars in Avian and Exotic Pet Medicine, 11(4),208-220.
  • İlman, A. (2005). Tavşanlarda Kırık İyileşmesinde Helyum-Neon (He-Ne) Ve Galyum-Alüminyum-Arsenit (Ga-Al-As) Lazerin Kallus Formasyonu Ve Mineral Yoğunluğu Üzerine Etkilerinin Deneysel Araştırılması. Bursa, Turkey, Thesis of PhD, UU, diss.
  • Jako, G.J. (1972). Laser surgery of the vocal cords. An experimental study with carbon dioxide lasers on dogs. Laryngoscope, 197 (82); 2204-2216.
  • Jacobs, T.M., Rosen, G.M. (2000). Photodynamic therapy as a treatment for esophageal squamous cell carcinoma in a dog. Journal of the American Animal Hospital Association, 36(3), 257-261.
  • Karu, T.I., Tiphova, O.A., Fedoseyeva, G.E. (1984). Biostimulating action of lowintensity monochromatic visible light: is it possible? Laser Chem, 5, 19-25.
  • Kenneth, B.E. (2019). Use of Lasers in Veterinary Medicine. Erişim: [http://www.laserstoday.com/2013/02/use-of-lasers-in-veterinary-medicine/], Erişim tarihi: 15.06.2019.
  • Keskin, R.T. (2006). Kas İskelet Sistemi Hastalıklarında Düşük Enerjili Lazer Tedavisinin Etkinliği, Diyarbakır, Turkey, Thesis of Master, DU, diss.
  • Knudsen, B.E., Chew, B.H., Tan, A.H., Beiko, D.T., Destedt, J.D., Pautler, S.E. (2010). Assessment of hydrodissection ,Holmium:YAG laser vaporization of renal tissue , and both combinade to facilitate laparoscopic partial nephrectomy in porcine model. Urology, 75, 1209-1212.
  • Lucroy, M.D., Edwards, B.F., Madewell, B.R. (1999). Low-intensity laser light-induced closure of a chronic wound in a dog. Veterinary Surgery, 28, 292-295.
  • Natasha, Z., Rayner, S.G. (2010). Carbon dioxide laser keratectomy as a treatment option for equine corneal stromal abscessation: A comparison to lamellar keratectomy and penetrating keratoplasty. Journal of Equine Veterinary Science, 30 (11), 657-665.
  • Nixon, A.J., Roth, J.E., Krook, L. (1991). Pulsed CO2 laser for intraarticular vaporization and subchondral bone perforation in horses. Progress in biomedical optics. Proceeding of lasers in orthopedic, dental, and veterinary medicine, 1424, 198-208.
  • Overholt, B.F., DeNovo, R.C., Panjehpour, M., Petersen, M.G. (1993). A centering balon fort photodynamic therapy of esophageal cancer tested in a canine model. Gastrointestinal Endoscopy, 39,782-787.
  • Palmer, S.E. (1989). carbondioxide laser removal of a verrucous sarcoid from the ear of a horse. J.Am. Vet.Med.Assoc. 195, 1125-1127.
  • Palmer, S.E., McGill, L.S. (1992). Thermal injury by invitro incision of equine skin with electrosurgery, radiosurgery and carbondioxide laser. Veterinary Surgery, 21, 348-350.
  • Pekiner, T. (2013). Lazerin Endüstriyel Uygulamalarında İş Sağlığı ve Güvenliği. Erişim: [http://www.csgb.gov.tr/csgbPortal/ShowProperty/WLP%20Repository/isggm/dosyalar/27hafta22]. Erişim tarihi: 03.11.2018.
  • Petersen, S.L., Botes, C., Oliveru, A., Guthrie, A.J. (1999). The effect of low lewel laser therapy (LLLT) on wound healing in horses. Equine Vet. J., 31, 228-231.
  • Sapienza, J.S, Woerdt, A. (2005). Combined transscleral diode laser cyclophotocoagulation an Ahmed gonioimplation in dogs with primary glaucoma :52 cases 1996-20043) Veterinary Ophthalmology , 8 (2), 121-127.
  • Silverman, E.B., Read, R.W., Boyle, C.R., Cooper, R., Miller, W.W., Mclaughlin, R.M. (2007). Histologic comparasion of canine skin biopsies collected using monopolar electrosurgery, CO2 laser radiowave radiosurgery, skin biopsy punch, and scalpel. Veterinary Surgery, 36, 50-56.
  • Solares, C.A., Strome, M. (2007). Transoral robot-assisted CO2 laser supraglottic laryngectomy: Experimental and clinical data, Laryngoscope, 117 (5), 817-820.
  • Stratigos, AJ, Dover, J.S. (2000). Overview of lasers and their properties. Dermatologic therapy, 13(1), 2-16.
  • Tate, L.P., Newman, H.C., Cullen, J.M., Sweeney, C. (1986). Neodymium (Nd): YAG laser surgery in the equine larynx: a pilot study. Lasers Surg. Med., 6, 473-476.
  • Tekeli, P.Ö. (2009). Yüz Telanjektazilerinde Nd:Yag Ve Ktp Lazer Tedavilerinin Etkinliği. İstanbul, Turkey, Thesis of Master, T.C. SB diss.
  • Tullners, E.P. (1990). Transendoscopic contact neodymium:yttrium aluminum garnet laser correction of epiglottic entrapment in standing horses. J. Am. Vet. Med. Assoc.,144, 1971-1980.
  • Uysal, D., Güler, Ç. (2012). Diş hekimliğinde lazer: Bir literatür derlemesi laser in dentistry: A literature review. Atatürk Üniv. Diş Hek. Fak. Derg. 6, 44-53.
  • Watanabe, M. (1996a). Laser treatment in small animals. 5. Lasers wounds and inflammation.part 1. Journal of Veterinary Medicine, 49, 417-419.
  • Watanabe, M. (1996b). Laser treatment in small animals. 6. Lasers wounds and inflammation.part 2. Journal of Veterinary Medicine, 49, 513-516.
  • Yanık, K. Veteriner Genel Cerrahi. 1st ed. Malatya, Turkey: Medipres yayıncılık; 2012. p: 161-176.

USE OF LASERS IN VETERINARY MEDICINE

Yıl 2019, Cilt: 10 Sayı: 2, 60 - 70, 21.08.2019

Öz



In recent years
there has been an increase in the use of medical lasers in veterinary medicine.
The fact that laser devices are very expensive in the early times has been a
limiting factor, especially in our country. Over the course of nearly twenty
years, both the ease of use and prejudice related to its use, as well as the
fact that many studies and advantages have been demonstrated, have led to an
increase in the use of lasers. In recent years, the use of high-power lasers is
also in question.




The use of lasers
in veterinary medicine has focused primarily on the use of strong carbon
dioxide lasers for laser surgery. For this purpose, they have been used very
successfully with minimally invasive surgery with closed methods as well as
many open surgeries. Lasers containing Nd: YAG (1064 nm), the diode (805/980 nm)
and Ho: YAG (2100 nm) lasers were used in both contact and non-contact
processes.




There has been an
increase in the application of low-level laser therapy (LLLT) or laser
biostimulation for certain conditions in veterinary medicine in recent years.
Class 2, 3R, 3B and 4 lasers are now used as LLLT devices. Veterinarians have
first used LLLT devices for the treatment of various conditions, including pain
management and improved wound healing (chronic and acute). There is still much
to learn about this technology, but it is now increasingly recognized by
veterinarians as a useful treatment. Nevertheless, more controlled clinical
studies should be performed to increase knowledge on this subject.
In
this review, it is aimed to give information about laser types used in veterinary
medicine in Turkey.




Kaynakça

  • Boord, M. (2006). Laser in dermatology. Clinical Techniques in Small Animal Practice, 21, 145-149.
  • Brian, P., Darry, L.M., (2005). Therapeutic Laser in Veterinary Medicine. Veterinary Clinics of North America: Small Animal Practice. 45(1), 45-56.
  • Buchholz, J., Waltb, H. (2013). Veterinary photodynamic therapy. Photodiagnosis and Photodynamic Therapy, 10(4), 342-347.
  • Calin, M.A., Coman, T. (2011). The laser in Veterinary Medicine. Türk. J. Anim. Sci. 35(5), 351-357.
  • Dabareiner, R.M., White, N.A, Sullins, K.E. (1997). Comparison of Current Techniques fof Palmar Digital Neurectomy in Horses, American Association of Equine Practitioners,43, 231-232.
  • Dinç, B., Or, E. (2014). Farklı Tipte Lazerlerin Veteriner Hekimlikte Kullanımı. TÜBAV Bilim Dergisi. 7(3), 1-10.
  • Duclos, D. (2006). Lasers in veterinary dermatology. Vet Clin Small Anim, 36, 15-37.
  • Farnworth, M.J., Beausoleil, N.J., Adams, N.J., Barrett, L.A., Stevenson M., Thomas, D.G., Waterland, M.R., Waran, N.K., Stafford, K.J. (2013). Validating the use of a carbon dioxide laser for assesing nociceptive thresholds in adult domestic cats (Felis catus). Applied Animal Behaviour Science, 143 (2-4), 104-109.
  • Gable, P., Tuner, J. (2003). Bone stimulation by low level laser - a theoretical model for the effects. Laser Partner, Clinicxperience-All Volumes, Chapter 67, ISSN 1213-3027.
  • Gilmour, M.A. (2003). Laser applications for corneal disease. Clinical tecniques in small animal practice, 18,3, 199-202.
  • Guesgen, M.J., Beausoleil, N.J., Minot, E.O., Stewart, M., Jones, G., Stafford, K.J. (2011). The effects of age and sex on pain sensitivity in young lambs. Applied Animal Behaviour Science, 135, 12, 51-56.
  • Hardman, C., Stanley, R.G. (2001). Diode laser transscleral cyclophotocoagulation for the treatment of primary glaucoma in 18 dogs: a restrospective study. Veterinary Ophthalmology, 4(3), 209-215.
  • Hawkins, J.F., Couetil, L., Miller, M.A. (2014). Maintenace of arytenoid abduction following carbon dioxide laser debridement of the articular cartilage and joint capsule of the cricoarytenoid joint combined with prosthetic laryngoplasty in horses: An in vivo and in vitro study. The Veterinary Journal, 199 (2), 275-280.
  • Hecht, J. (1999). The Laser Guidebook, 2nd ed, McGraw-Hill Professional, USA p: 8-10.
  • Hernanadez-Divers, S.J. (2002). Diode laser surgery: Principles and application in exotic animals, Seminars in Avian and Exotic Pet Medicine, 11(4),208-220.
  • İlman, A. (2005). Tavşanlarda Kırık İyileşmesinde Helyum-Neon (He-Ne) Ve Galyum-Alüminyum-Arsenit (Ga-Al-As) Lazerin Kallus Formasyonu Ve Mineral Yoğunluğu Üzerine Etkilerinin Deneysel Araştırılması. Bursa, Turkey, Thesis of PhD, UU, diss.
  • Jako, G.J. (1972). Laser surgery of the vocal cords. An experimental study with carbon dioxide lasers on dogs. Laryngoscope, 197 (82); 2204-2216.
  • Jacobs, T.M., Rosen, G.M. (2000). Photodynamic therapy as a treatment for esophageal squamous cell carcinoma in a dog. Journal of the American Animal Hospital Association, 36(3), 257-261.
  • Karu, T.I., Tiphova, O.A., Fedoseyeva, G.E. (1984). Biostimulating action of lowintensity monochromatic visible light: is it possible? Laser Chem, 5, 19-25.
  • Kenneth, B.E. (2019). Use of Lasers in Veterinary Medicine. Erişim: [http://www.laserstoday.com/2013/02/use-of-lasers-in-veterinary-medicine/], Erişim tarihi: 15.06.2019.
  • Keskin, R.T. (2006). Kas İskelet Sistemi Hastalıklarında Düşük Enerjili Lazer Tedavisinin Etkinliği, Diyarbakır, Turkey, Thesis of Master, DU, diss.
  • Knudsen, B.E., Chew, B.H., Tan, A.H., Beiko, D.T., Destedt, J.D., Pautler, S.E. (2010). Assessment of hydrodissection ,Holmium:YAG laser vaporization of renal tissue , and both combinade to facilitate laparoscopic partial nephrectomy in porcine model. Urology, 75, 1209-1212.
  • Lucroy, M.D., Edwards, B.F., Madewell, B.R. (1999). Low-intensity laser light-induced closure of a chronic wound in a dog. Veterinary Surgery, 28, 292-295.
  • Natasha, Z., Rayner, S.G. (2010). Carbon dioxide laser keratectomy as a treatment option for equine corneal stromal abscessation: A comparison to lamellar keratectomy and penetrating keratoplasty. Journal of Equine Veterinary Science, 30 (11), 657-665.
  • Nixon, A.J., Roth, J.E., Krook, L. (1991). Pulsed CO2 laser for intraarticular vaporization and subchondral bone perforation in horses. Progress in biomedical optics. Proceeding of lasers in orthopedic, dental, and veterinary medicine, 1424, 198-208.
  • Overholt, B.F., DeNovo, R.C., Panjehpour, M., Petersen, M.G. (1993). A centering balon fort photodynamic therapy of esophageal cancer tested in a canine model. Gastrointestinal Endoscopy, 39,782-787.
  • Palmer, S.E. (1989). carbondioxide laser removal of a verrucous sarcoid from the ear of a horse. J.Am. Vet.Med.Assoc. 195, 1125-1127.
  • Palmer, S.E., McGill, L.S. (1992). Thermal injury by invitro incision of equine skin with electrosurgery, radiosurgery and carbondioxide laser. Veterinary Surgery, 21, 348-350.
  • Pekiner, T. (2013). Lazerin Endüstriyel Uygulamalarında İş Sağlığı ve Güvenliği. Erişim: [http://www.csgb.gov.tr/csgbPortal/ShowProperty/WLP%20Repository/isggm/dosyalar/27hafta22]. Erişim tarihi: 03.11.2018.
  • Petersen, S.L., Botes, C., Oliveru, A., Guthrie, A.J. (1999). The effect of low lewel laser therapy (LLLT) on wound healing in horses. Equine Vet. J., 31, 228-231.
  • Sapienza, J.S, Woerdt, A. (2005). Combined transscleral diode laser cyclophotocoagulation an Ahmed gonioimplation in dogs with primary glaucoma :52 cases 1996-20043) Veterinary Ophthalmology , 8 (2), 121-127.
  • Silverman, E.B., Read, R.W., Boyle, C.R., Cooper, R., Miller, W.W., Mclaughlin, R.M. (2007). Histologic comparasion of canine skin biopsies collected using monopolar electrosurgery, CO2 laser radiowave radiosurgery, skin biopsy punch, and scalpel. Veterinary Surgery, 36, 50-56.
  • Solares, C.A., Strome, M. (2007). Transoral robot-assisted CO2 laser supraglottic laryngectomy: Experimental and clinical data, Laryngoscope, 117 (5), 817-820.
  • Stratigos, AJ, Dover, J.S. (2000). Overview of lasers and their properties. Dermatologic therapy, 13(1), 2-16.
  • Tate, L.P., Newman, H.C., Cullen, J.M., Sweeney, C. (1986). Neodymium (Nd): YAG laser surgery in the equine larynx: a pilot study. Lasers Surg. Med., 6, 473-476.
  • Tekeli, P.Ö. (2009). Yüz Telanjektazilerinde Nd:Yag Ve Ktp Lazer Tedavilerinin Etkinliği. İstanbul, Turkey, Thesis of Master, T.C. SB diss.
  • Tullners, E.P. (1990). Transendoscopic contact neodymium:yttrium aluminum garnet laser correction of epiglottic entrapment in standing horses. J. Am. Vet. Med. Assoc.,144, 1971-1980.
  • Uysal, D., Güler, Ç. (2012). Diş hekimliğinde lazer: Bir literatür derlemesi laser in dentistry: A literature review. Atatürk Üniv. Diş Hek. Fak. Derg. 6, 44-53.
  • Watanabe, M. (1996a). Laser treatment in small animals. 5. Lasers wounds and inflammation.part 1. Journal of Veterinary Medicine, 49, 417-419.
  • Watanabe, M. (1996b). Laser treatment in small animals. 6. Lasers wounds and inflammation.part 2. Journal of Veterinary Medicine, 49, 513-516.
  • Yanık, K. Veteriner Genel Cerrahi. 1st ed. Malatya, Turkey: Medipres yayıncılık; 2012. p: 161-176.
Toplam 41 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Veteriner Bilimleri
Bölüm Derleme
Yazarlar

Zekeriya Öcal Bu kişi benim 0000-0002-4566-1043

Ali Kumandaş 0000-0002-7679-2126

Yayımlanma Tarihi 21 Ağustos 2019
Kabul Tarihi 16 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 10 Sayı: 2

Kaynak Göster

APA Öcal, Z., & Kumandaş, A. (2019). VETERİNER HEKİMLİKTE LAZERLERİN KULLANIMI. Veteriner Farmakoloji Ve Toksikoloji Derneği Bülteni, 10(2), 60-70.