A utilização do laser de baixa intensidade na cicatrização de ferida em cão / The use of low intensity laser in wound healing in dog

Background: Low-intensity laser is effective in cellular metabolism, analgesia, and tissue repair. The bioelectric, bioenergetic, and biochemical effects of laser therapy stimulate local circulation, collagen formation, and epithelization. The objective of this study was to report the use of gallium-aluminum arsenide (GaAlAs) laser (830 nm) in healing two woundscaused by necrosis in a dog. Case: An 8-year-old bitch, a rescued victim of animal abuse, had tibiotarsal dislocation in the left posterior limb. Orthopedic surgery was performed with the placement of an external fixation device with six pins in the distal third of the left posterior limb. A radiographic examination performed 42 days after the surgery revealed the loss of the tibiotarsal ratio, decreased radiopacity of the carpal bones, edema, inflammation, muscle atrophy, and the rotation of the anatomical axis of the metatarsals and phalanges. It was then decided to perform a second orthopedic surgery, in which a bone graft and arthrodesis with an 8-screw titanium plate were performed. Four of the plate screws were placed proximally to the tibia and four distally to the tarsus in addition to a screw and a pin transfixed through the distal metaphyseal region of the tibia and calcaneus. Traction was felt during suturing in the dermis and epidermis of the limb, suggesting the possibility of dehiscence of the stitches. After 3 h of surgery, the limb was cold and edematous. After 5 days, the tissue of the medial region of the tarsus developed necrosis, exposing a wound 6 cm long, 1.5 cm wide, and 2 mm deep (wound 1). Another necrotic lesion was observed in the dorsal region of the tarsos - 6.5 cm long, 2 cm wide, 3 mm deep, and exposing 5 cm of the titanium plate (wound 2). Therapy with GaAlAs laser was then performed over the entire length of the wounds. In each therapeutic session, the laser was first used in punctual mode at 10 J/cm², 830 nm, 20 s at each point of the length of the lesion and then in scan mode at 10 J/cm², 830 nm, 1000 Hz, and 40 s continuously. Laser therapy sessions were conducted at 2-4 day intervals, with a 12-day interval between the eighth and ninth sessions. During the entire treatment, cleansing and debridement of the wounds were performed every 48 h with saline and chlorhexidine digluconate, using a compression bandage, as described earlier. Wound 1 healed completely after two laser therapy sessions. In wound 2, tissue repair stagnated after the ninth and last laser session, leaving 4 cm of the titanium plate still exposed. The limb could not support the body weight of the patient, and radiographic examination revealed that the anatomical axis of the metatarsals and the phalanges was rotated and bone conformation was poor. Given the anatomical conditions associated with the patient's clinical picture, it was decided to amputate the limb between the femur and tibia. Discussion: Therapeutic lasers act on mitochondrial respiration, increasing respiratory metabolism and stimulating DNA synthesis and tissue proliferation. In the present case, there was a decrease in inflammatory cells, edema, and the size of the wounds. The pathological conditions of the affected site, influence of trauma, and degree of tissue damage affected the results of the laser therapy. Despite the size difference between wounds 1 and 2, the exposed titanium plate was a determining factor for the partial healing of wound 2.

Light-emitting diode stimulates radiodermatitis recovery

Purpose To evaluate the effect of light-emitting diode (LED) in an experimental model of radiodermatitis. Methods Ten male Wistar rats weighing 200250 g were analyzed. Radiation was delivered in a single dose (20 Gy with Strontium-90 dermatological plaques), two areas per animal. After 15 days, they were divided into two groups: control group (n = 5) and LED group (n = 5), which was treated during 21 days later (LED 660 nm, 10 min in alternate days). The endpoints were radiodermatitis scale, histological analysis HE, Picrius Sirius and the gene expression of interleukin-10 (IL-10) and matrix metalloproteinase-9 (MMP-9). Results The LED group showed a higher number of dermal appendages (p = 0.04) and angiogenesis(p = 0.007), a tendency towards higher IL-10 (p = 0.06) and an increase in MMP-9 (p = 0.004) when compared to the control group. Conclusions This study suggested that the use of LED for radiodermatitis increased skin regeneration.(AU)

Evaluation of the effects of diode laser application on experimental orthodontic tooth movements in rats: histopathological analysis

Purpose: To evaluate the effect of diode laser use on experimental orthodontic tooth movements. Methods: Thirty Rattus norvegicus albinus Wistar were divided into three equal groups (n = 10), two experimentals and one control. Applying 20 g orthodontic force were attached to the maxillary incisors of the rats in all groups. Low dose laser was applied to the surrounding tissues of the maxillary incisors of the rats in the experimental groups. Two exposure times for laser irradiation were used for seven days: t = 12 min (energy dose = 72 J) and t = 9 min (energy dose = 54 J) by a 0.1 W DEKA brand diode laser with wavelength of 980 nm. Results: Osteoclastic activation increased in the 72 J group when compared to control group and decreased in comparison to the 54 J group. Osteoblastic activation was decreased in the 72 J group when compared to the control group and increased in comparison to the 54 J group. Conclusions: Applying 54 J laser energy has been found effective to accelerate the orthodontic tooth movement.(AU)

Effect Of Gallium Arsenide Low-Level Laser Therapy On The Inflammatory Phase Of Skin Wound Healing In Rats

The use of low-level laser therapy (LLLT) has shown promising results for the inflammatory modulation of tissue repair. This study aimed to evaluate the anti-inflammatory potential of gallium arsenide (GaAs) LLLT in skin wound healing via (1) measurement of the temperature on the surface of the skin wound; (2) white blood cell count; and (3) histopathological examination. Skin lesions were induced on the dorsum of 20 Wistar rats, after which the animals were divided into two groups: a treatment group, subjected to GaAs LLLT, and a control group. Thermography was performed daily in all of the study animals until the end of the experiment. On the fourth day after lesion induction, whole blood was collected (white blood cell count), animals were euthanized, and skin lesions were biopsied (histopathological examination). There were no differences in the number of leukocytes and in the histopathological evaluations between the groups; however, the thermography analysis indicated an increase in temperature in the treated group. The anti-inflammatory activity of GaAs LLLT was not confirmed. The increase in temperature on the surface of the skin lesions after LLLT requires further elucidation because this result could not be justified by the direct action of LLLT.

Effect Of Gallium Arsenide Low-Level Laser Therapy On The Inflammatory Phase Of Skin Wound Healing In Rats

The use of low-level laser therapy (LLLT) has shown promising results for the inflammatory modulation of tissue repair. This study aimed to evaluate the anti-inflammatory potential of gallium arsenide (GaAs) LLLT in skin wound healing via (1) measurement of the temperature on the surface of the skin wound; (2) white blood cell count; and (3) histopathological examination. Skin lesions were induced on the dorsum of 20 Wistar rats, after which the animals were divided into two groups: a treatment group, subjected to GaAs LLLT, and a control group. Thermography was performed daily in all of the study animals until the end of the experiment. On the fourth day after lesion induction, whole blood was collected (white blood cell count), animals were euthanized, and skin lesions were biopsied (histopathological examination). There were no differences in the number of leukocytes and in the histopathological evaluations between the groups; however, the thermography analysis indicated an increase in temperature in the treated group. The anti-inflammatory activity of GaAs LLLT was not confirmed. The increase in temperature on the surface of the skin lesions after LLLT requires further elucidation because this result could not be justified by the direct action of LLLT.(AU)

The influence of low-level laser irradiation on spinal cord injuries following ischemia- reperfusion in rats

To investigate if low level laser therapy (LLLT) can decrease spinal cord injuries after temporary induced spinal cord ischemia-reperfusion in rats because of its anti-inflammatory effects. Forty eight rats were randomized into two study groups of 24 rats each. In group I, ischemic-reperfusion (I-R) injury was induced without any treatment. Group II, was irradiated four times about 20 minutes for the following three days. The lesion site directly was irradiated transcutaneously to the spinal direction with 810 nm diode laser with output power of 150 mW. Functional recovery, immunohistochemical and histopathological changes were assessed. The average functional recovery scores of group II were significantly higher than that the score of group I (2.86 ± 0.68, vs 1.38 ± 0.09; p<0.05). Histopathologic evaluations in group II were showed a mild changes in compare with group I, that suggested this group survived from I-R consequences. Moreover, as seen from TUNEL results, LLLT also protected neurons from I-R-induced apoptosis in rats. Low level laser therapy was be able to minimize the damage to the rat spinal cord of reperfusion-induced injury.(AU)

Light-emitting diode effects on combined decellularization of tracheae. A novel approach to obtain biological scaffolds

PURPOSE: To obtain a decellularized tracheal scaffold associating traditional approaches with the novel light-emitting diode (LED) proposal. METHODS: This study was performed with New Zealand adult rabbits weighing 3.0 - 4.0 kg. Different protocols (22) were used combining physical (agitation and LED irradiation), chemical (SDS and Triton X-100 detergents), and enzymatic methods (DNase and RNase). RESULTS: Generally, the cells surrounding soft tissues were successfully removed, but none protocol removed cells from the tracheal cartilage. However, longer protocols were more effective. The cost-benefits relation of the enzymatic processes was not favorable. It was possible to find out that the cartilaginous tissue submitted to the irradiation with LED 630nm and 475 nm showed an increased number of gaps without cells, but several cells were observed to be still present. CONCLUSION: The light-emitting diode is a promising tool for decellularization of soft tissues.(AU)

Uso da terapia fotodinâmica empregando azul de metileno a 2% como agente fotossensibilizante para o controle de crescimento tumoral em calopsita (Nynphicus hollandicus) portador de sarcoma / Use of photodynamic therapy using methylene blue 2% as photosensitizing agent to control tumor growthin a cockatiel (Nynphicus hollandicus) carrier sarcoma

Os sarcomas são neoplasias de origem mesenquimal. Os sarcomas são neoplasias de origem mesenquimal, sendo considerados tumores agressivos que frequentemente gerammetástases e rápida debilidade. A indicação terapêutica é a exérese tumoral enquanto ainda não houver metástases. A terapiafotodinâmica tem sido utilizada para o tratamento de neoplasias tanto em humanos quanto em animais e muitos estudos têm sidodesenvolvidos de maneira a aprimorar e avaliar a efetividade da técnica. Uma calopsita (Nynphycus hollandicus) foi levada paraatendimento no Hospital Veterinário Professor Firmino Mársico Filho (HUVET-UFF) apresentando nódulo em região escapuloumeral.O diagnóstico citopatológico concluiu sarcoma. Devido à localização e impossibilidade de exérese cirúrgica, optou-sepela realização da terapia fotodinâmica utilizando-se o azul de metileno a 2% como agente fotossensibilizador e fonte de luz laserdiodo (Vetlight®). A terapia fotodinâmica empregando o azul de metileno como agente fotossensibilizante foi eficaz no controle docrescimento tumoral até os 30 dias posteriores observados.(AU)

Sarcoma are tumors of mesenchymal origin. They are aggressive tumors that frequently metastasize and rapid weakness. Thetherapeutic indication is the resection while there is still no metastasis. Photodynamic therapy has been used for the treatment ofcancer in both humans and animals and many studies have been developed in order to improve and enhance the effectivenessof the techniques. A Nynphycus hollandicus was brought to HUVET-UFF clinical service presenting a lump in scapulohumeralregion. The citological exam had a diagnosis of sarcoma. Due to its location and inability to surgical excision, was decided bythe completion of photodynamic therapy using methylene blue at 2% as a phosensitizing agent and laser diode light source(Vetlight®). Photodynamic therapy using methylene blue as photosensitizing agent was effective in controlling growth up to 30days later observed.(AU)

Uso da terapia fotodinâmica empregando azul de metileno a 2% como agente fotossensibilizante para o controle de crescimento tumoral em calopsita (Nynphicus hollandicus) portador de sarcoma / Use of photodynamic therapy using methylene blue 2% as photosensitizing agent to control tumor growthin a cockatiel (Nynphicus hollandicus) carrier sarcoma

Os sarcomas são neoplasias de origem mesenquimal. Os sarcomas são neoplasias de origem mesenquimal, sendo considerados tumores agressivos que frequentemente gerammetástases e rápida debilidade. A indicação terapêutica é a exérese tumoral enquanto ainda não houver metástases. A terapiafotodinâmica tem sido utilizada para o tratamento de neoplasias tanto em humanos quanto em animais e muitos estudos têm sidodesenvolvidos de maneira a aprimorar e avaliar a efetividade da técnica. Uma calopsita (Nynphycus hollandicus) foi levada paraatendimento no Hospital Veterinário Professor Firmino Mársico Filho (HUVET-UFF) apresentando nódulo em região escapuloumeral.O diagnóstico citopatológico concluiu sarcoma. Devido à localização e impossibilidade de exérese cirúrgica, optou-sepela realização da terapia fotodinâmica utilizando-se o azul de metileno a 2% como agente fotossensibilizador e fonte de luz laserdiodo (Vetlight®). A terapia fotodinâmica empregando o azul de metileno como agente fotossensibilizante foi eficaz no controle docrescimento tumoral até os 30 dias posteriores observados.

Sarcoma are tumors of mesenchymal origin. They are aggressive tumors that frequently metastasize and rapid weakness. Thetherapeutic indication is the resection while there is still no metastasis. Photodynamic therapy has been used for the treatment ofcancer in both humans and animals and many studies have been developed in order to improve and enhance the effectivenessof the techniques. A Nynphycus hollandicus was brought to HUVET-UFF clinical service presenting a lump in scapulohumeralregion. The citological exam had a diagnosis of sarcoma. Due to its location and inability to surgical excision, was decided bythe completion of photodynamic therapy using methylene blue at 2% as a phosensitizing agent and laser diode light source(Vetlight®). Photodynamic therapy using methylene blue as photosensitizing agent was effective in controlling growth up to 30days later observed.

The effects of different doses of 670 nm diode laser on skin flap survival in rats / O efeito de diferentes doses de laser de diodo 670 nm na viabilidade de retalho cutâneo randômico em ratos

PURPOSE: To investigate the effects of different low-level laser therapy (LLLT) doses on random skin flap rats. METHODS: Forty Wistar rats were randomly divided in four groups. The control group (CG) was not irradiated. The experimental groups were irradiated with a diode laser 670 nm with different energies per point: group 2 (G2) with 0.06 J; group 3 (G3) 0.15 J and group 4 (G4) 0.57 J. The three groups were irradiated in 12 equally distributed points in the cranial skin flap portion. They were submitted to the irradiation during the immediate, first and second postoperative days. The necrosis area was evaluated in the seventh postoperative day. RESULTS: The CG shows 49.35 percent of necrosis area in the skin flap; G2, 39.14 percent; G3, 47.01 percent and G4, 29.17 percent respectively. There was a significantly difference when G4 was compared with CG`s skin flap necrosis area. CONCLUSION: The low-level laser therapy diode 670 nm with 0.57 J energy per point increases the survival in randomic skin flap rats.(AU)

OBJETIVO: Investigar os efeitos de diferentes doses de laserterapia de baixa intensidade na viabilidade de retalhos cutâneos randômicos em ratos. MÉTODOS: Quarenta ratos Wistar foram randomizadamente distribuídos em quatro grupos. O grupo controle (GC) não foi irradiado. Os animais dos grupos experimentais foram irradiados por laser de diodo (670 nm) com as seguintes energias ofertadas por ponto: grupo 2 (G2) 0,06J; grupo 3 (G3) 0,15 J e grupo 4 (G4) 0,57 J. Os três grupos foram irradiados em 12 pontos igualmente distribuídos na porção cranial do retalho cutâneo. Todos os animais dos grupos 2, 3 e 4 foram submetidos ao protocolo de irradiação por três dias consecutivos, iniciando no pós-operatório imediato. A área necrótica foi avaliada no sétimo dia pós-operatório. RESULTADOS: A porcentagem de área necrótica apresentou-se da seguinte forma, nos diferentes grupos: GC= 49,35 por cento, G2= 39,14 por cento, G3= 47,01 e G4= 29,17 por cento. Foi encontrada diferença estatisticamente significante quando se compararam os dados entre GC e G4. CONCLUSÃO: A irradiação com laser de diodo (670 nm) de baixa intensidade, com oferta de 0,57 J de energia por ponto influenciou positivamente a viabilidade de retalhos cutâneos randômicos em ratos.(AU)

Laser arseneto de gálio (AsGa) como auxílio no reparode fratura umeral em pombos domésticos (Columba livia) / Laser gallium arsenide (GaAs) as an aid in the repair of humeral fracture in pigeons(Columba livia)

Com o aumento no atendimento de animais selvagens, em especial as aves, nos deparamos com numerosas enfermidades nesses animais, tendo as fraturas como as lesões mais frequentes no atendimento clínico-cirúrgico veterinário. O objetivo desse estudo foi de avaliar a utilização da radiação laser Arsenetode Gálio (AsGa) no reparo de fratura umeral em pombos domésticos. Foram utilizados 32 pombos divididos em dois grupos, formados por 16 animais cada, dispostos de forma aleatória. Os animais de ambos os grupos foram submetidos à osteossíntese de úmero, sendo que o Grupo I (GI) não recebeu nenhum tratamento adicional, enquanto que o Grupo II (GII) foi submetido a tratamento com radiação laser AsGa. Cada grupo foi subdividido em quatro subgrupos conforme o período de avaliação (8, 15, 30 e 60dias). As aves foram avaliadas clinicamente, radiologicamente e avaliação histológica. Na histologia não houve diferença significativa entre os grupos estudados. No exame radiográfico a formação de calo ósseo só foi observada na avaliação de 30 dias. Clinicamente as aves apresentaram uso funcional do membro,ausência de edema, secreção ou sinais de infecção. No teste de voo, todos os animais do GII alcançaram voo até 19 dias de pós-operatório, enquanto que o GI até 23 dias de pós-operatório. É possível concluir que a terapia com radiação laser AsGa com dosimetria de 4 J/cm², aplicado em quatro pontos, diminui o tempo para o restabelecimento do voo.AU

With the increase in the care of wildlife, especially birds are faced with numerous diseases in these animals, with fractures as the most frequent injuries in clinical care and surgical veterinarian. The aim of this study was to evaluate the use of laser radiation Gallium Arsenide (GaAs) in the repair of humeral fracture in domestic pigeons. We used 32 pigeons were divided into two groups consistingof 16 animals each in aleatory form. Animals from both groups underwent osteosynthesis ofthe humerus, with Group I (GI) received no additional treatment current, while the Group II (GII) underwent treatment with laser radiation of Gallium Arsenide (GaAs). Each group was subdivided into four subgroups according to the evaluation period (8, 15, 30 and 60 days). The birds were evaluated clinical, radiological and histological evaluation. Histologically there was no significant difference between groups. In radiographic callus formation was observed only in 30-day trial. Clinically,the birds showed functional use of the limb, absence of edema, discharge or signs of infection.In flight test, all animals reached the IGI flight until 19 days after surgery, while the GI until 23 daysafter surgery. It was concluded that radiation therapy laser Gallium Arsenide (GaAs) with dosimetryof 4 J/cm2 was applied at four points, decreases the time for t he resumption of flight.AU

Laser arseneto de gálio (AsGa) como auxílio no reparode fratura umeral em pombos domésticos (Columba livia) / Laser gallium arsenide (GaAs) as an aid in the repair of humeral fracture in pigeons(Columba livia)

Com o aumento no atendimento de animais selvagens, em especial as aves, nos deparamos com numerosas enfermidades nesses animais, tendo as fraturas como as lesões mais frequentes no atendimento clínico-cirúrgico veterinário. O objetivo desse estudo foi de avaliar a utilização da radiação laser Arsenetode Gálio (AsGa) no reparo de fratura umeral em pombos domésticos. Foram utilizados 32 pombos divididos em dois grupos, formados por 16 animais cada, dispostos de forma aleatória. Os animais de ambos os grupos foram submetidos à osteossíntese de úmero, sendo que o Grupo I (GI) não recebeu nenhum tratamento adicional, enquanto que o Grupo II (GII) foi submetido a tratamento com radiação laser AsGa. Cada grupo foi subdividido em quatro subgrupos conforme o período de avaliação (8, 15, 30 e 60dias). As aves foram avaliadas clinicamente, radiologicamente e avaliação histológica. Na histologia não houve diferença significativa entre os grupos estudados. No exame radiográfico a formação de calo ósseo só foi observada na avaliação de 30 dias. Clinicamente as aves apresentaram uso funcional do membro,ausência de edema, secreção ou sinais de infecção. No teste de voo, todos os animais do GII alcançaram voo até 19 dias de pós-operatório, enquanto que o GI até 23 dias de pós-operatório. É possível concluir que a terapia com radiação laser AsGa com dosimetria de 4 J/cm², aplicado em quatro pontos, diminui o tempo para o restabelecimento do voo.

With the increase in the care of wildlife, especially birds are faced with numerous diseases in these animals, with fractures as the most frequent injuries in clinical care and surgical veterinarian. The aim of this study was to evaluate the use of laser radiation Gallium Arsenide (GaAs) in the repair of humeral fracture in domestic pigeons. We used 32 pigeons were divided into two groups consistingof 16 animals each in aleatory form. Animals from both groups underwent osteosynthesis ofthe humerus, with Group I (GI) received no additional treatment current, while the Group II (GII) underwent treatment with laser radiation of Gallium Arsenide (GaAs). Each group was subdivided into four subgroups according to the evaluation period (8, 15, 30 and 60 days). The birds were evaluated clinical, radiological and histological evaluation. Histologically there was no significant difference between groups. In radiographic callus formation was observed only in 30-day trial. Clinically,the birds showed functional use of the limb, absence of edema, discharge or signs of infection.In flight test, all animals reached the IGI flight until 19 days after surgery, while the GI until 23 daysafter surgery. It was concluded that radiation therapy laser Gallium Arsenide (GaAs) with dosimetryof 4 J/cm2 was applied at four points, decreases the time for t he resumption of flight.

New photonic technologies for the treatment and diagnosis of hepatic diseases: an overview of the experimental work performed in collaboration, between Physics Institute of São Carlos and Ribeirão Preto Faculty of Medicine of the University of São Paulo / Novas tecnologias fotônicas no tratamento e diagnóstico de doenças hepáticas: uma revisão dos trabalhos experimentais realizados em colaboração, entre o Instituto de Física de São Carlos e a Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo

Recent advances in optical techniques have created a great range of possibilities for diagnosis and therapeutics in liver related diseases. With the uses of efficient light sources like lasers and LEDs (Light Emitting Diodes) it is possible to employ the light-tissue interaction to promote hepatic tissue regeneration after partial hepatectomy, to detect hepatocarcinoma and steatosis by utilizing optical fluorescence, to evaluate the metabolism of the liver during hepatic transplantation as well as to treat liver tumors. We present here an overview of the technique presently in development at the Ribeirâo Preto Faculty of Medicine - USP in cooperation with the Physics Institute of São Carlos -USP. The results obtained so far have been the subject of a list of publications and are here presented as an overview. A new perspective for modern application of optical techniques in different medical practices related to the liver is presented.(AU)

Recentes avanços em técnicas ópticas têm propiciado vasto campo de possibilidades tanto para o diagnóstico quanto para a terapêutica de doenças hepáticas.Com o uso de eficientes fontes de luz como o laser e Light emitting diodes (LED) é possível utilizar a interação luz-tecido para promover a regeneração hepática após hepatectomias parciais,detectar hepatocarcinoma, esteatose e outras alterações do fígado pelo uso da fluorescência óptica,para avaliar o metabolismo hepático durante o transplante de fígado e na abordagem diagnóstica e terapêutica de alterações hepatocelulares. Os autores apresentam uma ampla revisão de técnicas atualmente em desenvolvimento na Divisão de Gastroenterologia Cirúrgica da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo num trabalho cooperativo com o Instituto de Física de São Carlos da USP. Os resultados obtidos até agora têm sido motivo de lista de publicações que são aqui apresentados em forma de revisão. Uma nova perspectiva de moderna aplicação de técnicas ópticas em várias situações clínico-cirúrgicas relacionadas com o fígado é apresentada e amplamente discutida.(AU)