Character, occurrence and severity of clinical manifestations after interstitial laser obliteration of Baker cysts

Purpose: in the last decade, interstitial or intracavital laser surgery has been applied in such pathologies as hygroma, osteoarthritis, joint instability. Adverse events of interstitial laser surgery in orthopedics are not much discussed in literature. The aim of the present study was to assess character, occurrence and severity of adverse events in patients who underwent interstitial laser obliteration for Baker cysts. Materials and methods: patients with Baker cysts were taken into the study. All patients with synovial cavital formations in the popliteal region had sonographic examination. Then under the sonographic control a cyst was punctured with a needle through which a sterile quartz optic laser fiber was inserted. Formation of hyperechoic shadows which filled the entire cyst cavity indicated the end of the treatment session. Clinical effectiveness of the studied technique was evaluated analyzing the dynamics of some clinical symptoms and using a score scale. Results: In 2-3 days after laser obliteration the researchers could mostly observe local manifestations looking like local swelling and ecchymoses and having a moderate form of severity. Pain syndrome was mild; no pareses and paresthesias. In 7-10 days after the exposure local and pain symptoms became similar by occurrence and markedness; they had completely regressed in one month. Neurological and serious adverse events were not registered.

киста Бейкера, лазерная облитерация, сонографический контроль, осложнения, Baker cyst, laser obliteration, sonographic control, adverse events

1. Ануфриева С.С., Бордуновский В.Н., Куренков Е.Л. Лазериндуцированная склеротерапия кист молочных желез // Вест. Южно-Уральс. гос. универ. Серия: Образование, здравоохранение, физическая культура. 2010. № 19 (195).

2. Иванников С.В., Оганесян О.В., Шестерня Н.А. Лазерная артроскопическая хирургия // М.: Медицина, 2002. 160 с.

3. Кованов В.В. и др. Оперативная хирургия и топографическая анатомия // М.: Медицина, 2001. Т. 6. 408 с.

4. Лазко Ф.Л., Загородний Н.В., Степанов А.Б. Артроскопическое лечение гипермобильности капсулы плечевого сустава с помощью гольмиевого лазера // Вест. Рос. ун-та дружбы народов. Сер. Эксп. профилакт. и троп. медицина. 2000. № 3. С. 165-166.

5. Макушин В.Д. и др. Дифференциальная диагностика и лечение кист подколенной области // Гений ортопедии. 1998. № 2. С. 29-33.

6. Плужников М.С., Рябова М.А., Карпищенко С.А. Контактная лазерная хирургия воздушных кист гортани // Russian Otorhinolaryngology. С. 131.

7. Рахимжанова Р.И., Туганбеков Т.У., Садуакасова А.Б. Хирургическое лазерное лечение доброкачественных узловых образований молочной железы // Кантар-Наурыз. 2002. С. 95.

8. Юсупов А.С. Способ лечения синовиального ганглиона // Патент на изобретение № 2302840 от 20.11.2005 г. Патент РФ.