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Lactate dehydrogenase in laser incisions: A comparative analysis of skin wounds made with steel scalpel, electrocautery, superpulse—continuous wave mode carbon-dioxide lasers, and contact Nd:YAG laser

✍ Scribed by Jyri Hukki; Jarmo Lipasti; Maaret Castren; Pauli Puolakkainen; Tom Schröder


Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
597 KB
Volume
9
Category
Article
ISSN
0196-8092

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✦ Synopsis


A histochemical method for demonstrating lactate dehydrogenase activity was used in addition to standard Van Gieson stain to study early alterations near wounds made in pig skin by steel scalpel, electrocautery, two modes of COz laser (the rapid superpulse mode and the continuous wave mode), and contact Nd:YAG laser. The enzyme-free zone near the wounds made using the thermal knives appeared to be twice as wide as the necrotic zone observed with Van Gieson stain. In polarized light, the enzymefree area showed two zones of equal width with respect to birefringence of collagen fibers. The zone lacking birefringence correlated well with that observed with Van Gieson stain. The birefringent zone represented functionally damaged tissue with more or less normal structures by light microscopy. The damage to adjacent tissue caused with the thermal knives seems to be considerably larger than has usually been reported.