The effect of the pulse repetition rate on ablation performance was evaluated ex vivo at various fiber sweeping speeds for an effective 532-nm laser prostatectomy. Three pulse repetition rates (7.5, 15, and 30 kHz) at 100 W were delivered to bovine liver tissue at three sweeping speeds (2, 4, and 6 mm/s) to achieve bulky tissue removal. Ablation performance was quantitatively compared in terms of the ablation volume and the coagulation thickness. The lowest pulse repetition rate of 7.5 kHz attained the highest ablation volume (101.5 ± 12.0 mm 3 ) and the thinnest coagulation (0.7 ± 0.1 mm) along with superficial carbonization. The highest pulse repetition rate of 30 kHz was associated with the least tissue removal (65.8 ± 5.0 mm 3 ) and the deepest thermal denaturation (1.1 ± 0.2 mm). Quantitative evaluations of laser parameters can be instrumental in facilitating ablation efficiency and maintaining hemostatic coagulation during treatment of large-sized benign prostate hyperplasia.
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Hyun Wook Kang (2016) studied this question.
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