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CRYOSURGERY

INTRODUCTION
• Def=use of extreme cold in surgery to destroy
abnormal or diseased tissue.
• Meaning = cryo - surgery
• || ||
• " icy cold " " hand work "
USES
• (1)benign & malignant skin condition
• Warts ,moles, skin tags ,samll skin cancers
• (2) some internal disorders
• Liver cancer
• Prostate cancer
• Lung cancer
• Oral cancer
(3)soft tissue condition
Fibroma
Planter fascitis ( jogger's heel )
• (4) cancer treatment
• Is also used to treat internal and external tumors
• As well as tumors in bone.
• Internal tumor -hollow instrument used - cryo
probe - contact with tumor
• Argon carbon dioxide passed through cryoprobe
METHOD
•(1) liquid nitrogen
•-196 °c
•Cold liquid sprayed on diseased tissue
•Dabbed with cotton.
•(2) carbon dioxide
•Same as following liquid nitrogen. (add aceton)
• (3) argon
• Recent advantage in technology
• Principle - joule thomson effect
• Cryo needle 17 guage
ADVANTAGE
• Minimal invasive
• Minimal pain
• Minimal scaring
• Minimal cost
DISADVANTAGE
• Erythema
• Blister formation
• Hemorrhage
• Infection
• Pyogenic granuloma
HEALING TIME
• Face = 5-10 days
• Hand=3 weeks
• Leg= 2-3 month
• Temperature
• tissue destruction -10- -20°c
• Malignant cell kill-40- -50°c