Destructive methods of treatment
Physical destructive methods
Surgical excising. Now it is applied infrequently, basically it is used at treatment of malignant neoplasms when wide excising is necessary. The given method can demand hospitalization because at excising carrying out there can be strong enough bleeding, and the long postoperative period will demand special therapy.
Electrosurgical methods. To them can be carried an electrocoagulation, electroacoustic, electrosurgical excising (electro scission) with electro knife use. Not so long ago in medicine began to use plasma. The scientists had been developed an original plasma coagulator. Temperature measurements in plasma have shown that it can reach up to 2000-2500°С. Such high value of temperature, in turn, provides possibility to work in non-contact regimen, essentially decreases operation time and by that the necrosis zone decreases. Besides, at such influence the painful threshold in most cases isn’t exceeded. The given temperature regimen provides almost full burning of neoplasms.
Advantages of the given method:
* high enough efficiency;
* application possibility in out-patient conditions;
* danger of bleedings is lowered.
* necessity of anesthesia
* at use of the given method there is an allocation of infectious DNA HPV together with a formed smoke, creation of adequate conditions for work — vacuum-ex-traction of a smoke, application of protective masks therefore is necessary.
Laser excising. It is effective enough and safe method of excising of warts by means of the laser. At use of laser surrounding tissues are less damaged, and the laser gives the best hemostatic effect. Besides that the laser physically deletes lesions, researches have shown that laser radiation renders on HPV toxic action.
For performance of procedures well trained personnel is required. At use of lasers anesthesia — more often it is enough local or local anesthesia that allows carrying out procedures in out-patient conditions. Laser excising and surgical methods are approximately equally effective. Laser therapy can be applied to treatment of the widespread condylomas steady against another therapy successfully. It allows stopping relapse cases approximately at 40 % of patients. Researches have shown that so ineffective result is bound by that laser is noneffective when it is a question of genome elimination from the lesions steady against treatment.
Use of laser represents a choice method at treatment. Relapses are observed at 2 % of patients. A soft method of laser therapy is the vaporization which is not causing almost any complications. Laser vaporization is successfully applied at treatment of low degree. Relapses are observed at 4 % of patients.
Laser therapy is successfully used for treatment peaked warts at pregnant women. There are reports on treatment of pregnant women on 28-35th week of pregnancy. At the majority of patients treatment came after the first session. Any complications in sorts or at newborns are not observed. Laser therapy isn’t used widely enough in connection with high cost of the equipment and necessity of preparation of the skilled personnel.
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