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Year 2018 Vol. 26 No 1


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Belarusian Medical Academy of Post-Graduate Education, Minsk,
The Republic of Belarus

Objective. To estimate the prospects of surgical technologies of adipose tissue laser destruction by the analysis of literary data about the mechanisms, technical potential and areas of practical application.
Methods. Using the literature data, the comparative analysis of the main fields of application, mechanisms and efficiency of the modern laser lipolysis technologies was performed. The database of medical and biological publications PubMed (section biotechnology of National medical library of the USA) through NCBI-Entrez access was used. The analysis of more than 300 sources of medical literature was carried out.
Results. Laser lipolysis is the complex of surgical technologies aimed at thermal destruction of adipose tissue by laser radiation. Along the thermal destruction of adipocytes, use of the laser radiation of certain parameters effects collagen, promoting adipose cells destruction and skin lifting.
Diode laser lipolysis by the wavelength of 980 nanometers is characterized by less destructive action on the tissues and shorter rehabilitation period than traditional methods of liposuction. At present there are researches based on using the laser radiation of several sources of different power with various combinations of wavelength.
According to literature, the most widespread laser technologies of adipose tissue destruction are used for adipose tissue elimination by plastic and esthetic surgery, minimally-invasive excision of adipose tissue tumors (lipomas), and also for treatment of gynecomastia, hyperhidrosis, osmidrosis, cellulitis and some other conditions.
Conclusions. The literature analysis shows that numerous descriptions of laser lipolysis methods contain various, sometimes contradictory data on technology, efficiency, safety for a patient. Interest in this field is due to relevance of minimally-invasive technologies for correction of the most widespread surgical diseases in out-patient and short-term stays conditions.

Keywords: laser lipolysis, liposuction, lipoma, adipose tissue, minimally-invasive surgery
p. 72-81 of the original issue
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Address for correspondence:
220013, The Republic of Belarus,
Minsk, P.Brovka Str., 3,
Belarusian Medical Academy
of Post-Graduate Education,
Emergent Surgery Department,
Tel. office: +375 17-225-88-10,
Gain Mikhail Y.
Information about the authors:
Gain Mikhail Y., PhD, Senior Lecturer of the Emergent Surgery Department, Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus.
Shakhrai Siarhei V., MD, Associate Professor, Professor of the Emergent Surgery Department, Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus.
Gain Yuri M., MD, Professor, Vice-Rector for Scientific Work, Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus.
Kudrytski Dzmitry V., Post-Graduate Student of the Emergent Surgery Department, Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus.
Contacts | ©Vitebsk State Medical University, 2007