Bursting pressures of CO2 laser-welded rabbit ileum.

In this study, the short-term bond strength of laser-welded New Zealand white rabbit ileum was examined. Forty-eight longitudinally oriented 0.5-cm transmural, scalpel incisions were reanastomosed solely through the use of the CO2 continuous wave laser at low energy levels. Random power levels of 250, 500, 750, or 1,000 mW were delivered to weld sites by either continuous application for 30 seconds or a pulsating application (ie, 0.5 seconds on, 0.5 seconds off) for 60 seconds. This provided 53.6, 107.1, 160.7, and 214.3 J/cm2, respectively. With the aid of a plexiglass clamp and pressure monitored infusion system, each type of weld was tested six times to determine the intraluminal hydrostatic pressure required to burst the welded seam 1 minute after completing the weld. For the welds made with 107.1, 160.7, and 214.3 J/cm2 in both lasing modes, the mean bursting pressure was 40.7 mmHg (SD +/- 24.9) with no statistically significant difference in weld strengths at these energy densities. There was also no difference between continuous and pulsating delivery methods. However, the energy density of 53.6 J/cm2 in either method produced a mean bursting pressure significantly lower than those produced by the higher energy densities tested and below the estimated basal ileal intraluminal pressure of approximately 9 mmHg. Since 107.1 J/cm2 energy density caused the minimal gross tissue changes while producing an equally strong bond and since continuous is faster than pulsating, 500 mW of continuous delivery was considered the optimal setting for the CO2 laser welding of rabbit ileum.