Background The safety and efficacy of the 980-nm diode laser for laser lipolysis were evaluated in different body areas.Methods From June 2005 to June 2007, 334 subjects underwent laser lipolysis. The treatment was performed using a 980-nm diode laser (OSYRIS, Hellemmes, France). After tumescent anesthesia, a 1-mm-diameter microcannula housing a 600-lm optical fiber was inserted into the subcutaneous fat. The cannula was moved back and forth in a predetermined manner to get a homogeneous distribution of energy at the treated area. Laser settings (power and cumulative energy) were selected in relation to individual body areas: 6 W (chin, arm, knee), 10 W (abdomen, back), and 15 W (thigh, hips, buttock). Patient satisfaction was evaluated and side effects were recorded. The laser energy counter incrementally counted the energy used; then the cumulative energy used for each treatment was recorded. Ultrasound imaging was used to control tumescent anesthesia infiltration, cannula position prior to laser emission,and postoperative fat liquefaction. Results Five hundred thirty-four (534) laser lipolysis procedures were performed on 334 patients. Different areas were treated: hips (197), inner thighs (86), abdomen (86), knees (61), flanks (57), buttocks (28), chin (22), arms (18), back (4). Mean cumulative energy was area-dependent, ranging from a minimum of 2200 J (knee) to a maximum of 51,000 J (abdomen). Contour correction and skin retraction were observed almost immediately in most patients. There was no scarring, infection, burns, hypopigmentation, bruising, swelling, or edema. Ecchymoses were observed in almost all patients but resolved in under 1 week for 322 patients. Patient satisfaction was very high. Because laser lipolysis is an outpatient procedure, patients were able to resume normal daily activities after 24 h. Ultrasound imaging confirmed that the thermal effect generated by the laser results in melting and rupture of the collagenous and subdermal bands. Conclusion This clinical study demonstrates that the removal of small volumes of fat with concurrent subdermal tissue contraction can be performed safely and effectively using a 980-nm diode laser. Additional benefits include excellent patient tolerance and quick recovery time. This study also confirms that enough accumulated energy must be delivered to achieve sufficient lipolysis throughout different fat layers.Keywords Laser lipolysis Á Diode laser, 980 nm Á Adipocyte Á Fat Liposuction has become increasingly popular over the last decade and now stands among the most popular bodysculpting procedures. This increasing popularity is associated with the evolution of techniques and equipment for fat removal and body reshaping. Besides traditional suctionassisted lipoplasty, other options include ultrasound-assisted and external ultrasound-assisted liposuction, power-assisted liposuction, and laser lipolysis. Efforts in the search for J. P. Reynaud Á M. Skibinski

With laser lipolysis, thermal elevation of a given volume can be obtained provided that the penetration depth remains in this nominal range. This explains why similar end results can be obtained using 920 nm, 980 nm, 1064 nm, and 1320 nm. Thermal build-up is the main factor behind adipocytolysis and skin contraction. Successful outcomes are dependent on the movement of the optical fiber inside the tissue and even and stable delivery of energy.

"Slow" vessel heating which is now proposed as the optimal mechanism for permanent vessel closure should be reconsidered in terms of our results. In that particular case, the optical coefficients of blood could be different from those expected. In case of a large blood vessel, this could be an advantage since a "temporary" higher transmission of light could lead to a more homogeneous heating of the blood vessel. In case of a small blood vessel, this phenomenon could lead to a collateral damage of the skin.

Our purpose is to evaluate intramucosal gastric pH video imaging by 2('),7(')-bis(carboxyethyl)-5,6-carboxyfluorescein (BCECF) fluorescence ratio techniques. We use a video endoscopic imaging system and BCECF as the pH fluorescent probe. Systemic in vivo pH variations are studied in 10 pigs: five in the control group and five with respiratory acidosis induced through rebreathing. The intramucosal pH of the gastric wall is measured every 5 s and the results demonstrate a good correlation (pearson correlation=0.832) between blood gases pH measurements and pH measured with the video endocopic imaging system. Our results confirm the feasibility of using BCECF fluorescence pH imaging to measure intramucosal pH in vivo.

Abstract-This study aimed to compare MR thermal mapping during Laser-induced Interstitial Thermal Therapy (LITT) to thermal lesions observed macroscopically, in order to estimate the 3D size of the coagulative necrosis. Laser irradiation was performed ex-vivo with a 980 nm laser in pig liver in a open low-magnetic field (0.2T) scanner. The laser light was transmitted through a 1040/600 μm (outer/core diameter) bare-tip silica fiber. The laser energy was applied on a pulsed mode (10 s laser-on, 10 s laser-off) for 12 minutes, power: 6W, energy: 2160 J. MR thermal mapping used T1 method for its simplicity and its efficiency at low magnetic field.

Background and Objectives: Thermal preconditioning prior to injury induces a cytoprotective effect on soft tissues and promotes their recovery. Lasers are an adequate tool to generate controlled and reproducible heat. X-ray irradiation induces a chronic antiangiogenic effect on bone, affecting its healing and remodeling processes. The aim of this study was to investigate the effect of laser preconditioning on the re-vascularization of X-ray irradiated bone. Materials and Methods: A bone chamber was implanted onto the calvaria of rabbits to study the vascularization process. Digital pictures were taken of the vascular plexus at the target bone site using a modified digital camera. Vascular density (VD) was determined using image processing. It was defined as the ratio of blood vessel pixels to the total number of pixels to the region of interest. Laser preconditioning was performed with a diode laser (810 nm, 2 W, 3 seconds, 48 J/cm 2 , 4 mm). A 12-week follow-up study was performed on 20 rabbits divided into four groups: #1: control group (n ¼ 5); #2: laser irradiation alone (n ¼ 5). #3: X-ray radiation (18.75 Gy) alone (n ¼ 5), #4: laser preconditioning 24 hours prior to X-ray radiation (n ¼ 5). Results: VD remained stable during the 12-week follow up for group #1. No significant difference was observed between laser irradiation group (#2) and control group (#1) (P > 0.5). The angiolytic action of X-ray radiation was confirmed in groups #3 and #4, which were statistically different from group #1 (P<0.001). However, the decrease of the vascularization was limited in group #4 highlighting a different evolution between group #3 and #4 (P<0.05). These results were confirmed by histological analysis. Discussion and Conclusion: The bone chamber is an effective reproducible method for the longitudinal analysis of the dynamics of vascularization. Our findings have shown that laser preconditioning is capable of preserving vascularization in an X-ray irradiated bone site, thus suggesting a novel approach for promoting the healing of bone tissue in which the vascular supply has been damaged.

A simple electromagnic method using an induction transducer for recording directly and automatically velocity-time curves of a glider on an air track (AIP).

Two hypotheses can be proposed: (i) fat elimination is so gradual that an increase in circulating lipid levels is not measurable; (ii) the damaged adipocytes are undergoing apoptosis and being removed by phagocytosis, presumably via activated macrophages.