Читать книгу Complications in Equine Surgery - Группа авторов - Страница 189

Lesions on the inner pinna of the ear are good illustrations. A 4‐mm sarcoid can easily be ablated with either CO₂ or near infrared lasers. The CO₂ laser will efficiently ablate the mass (no matter what color it is) and care must be taken not to overheat the underlying cartilage. Noncontact Nd:YAG/diode lasers will also ablate the mass but less efficiently and dark skin on the other side of the ear can swell, slough or change color. Holding an ice pack on the opposite side of the ear is a helpful safety measure.

Pooled liquefied fat can aerosolize causing a flash fire due to the diesel effect. The surgical field should be kept clean and dry with surgical suction and sponges [32].

If surgical sites are to be closed, the sutures should be placed an additional 2–3 mm from the lased edge to reduce the possibility of dehiscence.