To evaluate the stone ablation rate and thermal injury specifically comparing burst and steady-state lasing techniques in vitro.
Key Findings:
Thulium fiber laser (TFL) shows potential advantages over Ho:YAG lasers in lithotripsy, particularly in reducing thermal injury.
Burst lasing may reduce thermal injury compared to steady-state lasing, suggesting a safer approach.
High-power settings can lead to increased intraoperative complications and ureteral strictures, highlighting the need for careful power management.
Interpretation:
The study suggests that burst lasing may enhance safety by reducing thermal damage while maintaining effective stone ablation rates, indicating a potential shift in clinical practice.
Limitations:
The study was conducted in vitro, which may not fully replicate in vivo conditions, potentially limiting the applicability of results.
Limited sample size with only ten participants, which may affect the statistical power and generalizability of the findings.
Conclusion:
Burst lasing techniques may offer a safer alternative to steady-state lasing in thulium fiber laser applications for lithotripsy, warranting further investigation.
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