Experimental confirmation of the promising selective use of "green" laser radiation for photothermolysis of hemoglobin-containing tissues.

To date, the problem of treating pathological subepithelial capillary structures, in particular, capillary angiodysplasia of the skin, remains. One of the promising methods for its elimination is photothermolysis by laser radiation of the yellow-green spectral range due to the selective absorption of blood by hemoglobin in blood vessels and, subsequently, their sclerosis and regression. In experimental work in vitro on model objects, chilled liver and skin samples from minipigs of the Svetlogorsk population, a comparison was made based on morphological studies of the results of the green laser radiation effect with a wavelength of 525 nm on these objects. In the case of a combined object (the liver under the skin), the green laser radiation that is little absorbed by the skin passes through it, which provides an effect on the underlying liver, where more pronounced thermal changes are formed compared to the skin. The results of the experimental study confirmed the selectivity of the laser radiation effect with a wavelength of 525 nm on hemoglobin-containing tissues. This fact is promising for selective photothermolysis of pathological subepithelial capillary structures, which will ensure the precision of treatment with minimal damage to skin tissues.

Experimental modeling of selective photodestruction of skin angiodysplasia by laser radiation with a wavelength of 525 nm.

Until now, the problem of effective treatment of skin angiodysplasia remains relevant. To solve it and improve the results of the treatment of this vascular pathology of the skin, photodestruction by laser radiation is considered, which provides a selective effect on the skin with minimal damage to the surrounding tissues. For selective photodestruction in the treatment of angiodysplasia of the skin, one can consider laser radiation with a wavelength of 520 ± 5 nm in the "green" spectral range, located close to the absorption peaks of hemoglobin and oxyhemoglobin chromophores. An experimental study in vivo on the combs of live white chickens was carried out to clarify the features of damage and the regeneration process in the zone of exposure to this radiation. We used an experimental sample of a solid-state laser apparatus based on semiconductor diodes, generating laser radiation with a wavelength of 520 ± 5 nm. The results of an experimental study in vivo confirmed the selectivity of the effect of "green" laser radiation of 520 ± 5 nm on subepithelial vascular structures with minimal damage to the epithelium, including the area of its growth. In irradiated areas, one could see whitening and smoothing of the surface due to closure of vessel lumens in the subepithelial zone and formation of collagenosis layer there, as well as epithelialization of wound surface in physiological term without any formation of cicatricial deformation of the skin. The prospect of using "green" laser radiation of 520 ± 5 nm for the purposes of selective photodestruction of angiodysplasia of the skin, which should ensure the achievement of a good clinical and aesthetic result of treatment, has been effective for selective destruction of angiodysplasia.