The Monadnock, New Hampshire region is entering into a new era. The advancements in laser technology and treatment of various medical conditions have become more efficient, offering the advantage of decreased trauma and healing time. One of the latest additions to medical laser technology is the V-Beam Pulsed Dye Laser System by Candela Corporation, which is now available in the Monadnock region. This system is versatile. It is an advanced laser system capable of treating a wide range of skin conditions. Applications, to list a few, consist of treatment of vascular lesions such as spider veins, plantar warts, hemangiomas, scars and many more. Other applications also include stretch marks, skin wrinkles, and acne. The basic principle is referred to as photothermolysis. At set wavelengths the laser beam can penetrate the skin causing vessel coagulation (clotting). By varying the wavelength between 585 - 600 nm, the energy of the beam can be increased or decreased, allowing the depth of penetration to vary at the doctor's discretion. The V-Beam pulsed dye laser has an added cooling device which applies liquid nitrogen to the skin just prior to each laser pulse for quick and effective cooling. This protects the skin, allowing for coagulation of the deeper blood vessels, and decreases the patient's comfort level during the procedure. The cooling system provides comfort without decreasing the effectiveness of the treatment. The 595 nm wavelength of the laser is clearly optimal for treating vessels on the face and legs, but what really sets the new technology apart from other current available pulsed dye lasers is the longer pulse duration. Existing pulsed dye lasers are highly effective for treating vascular lesions and have become the gold standard in their management. However, post operative purpura (red blotches) remain a limitation of their use. This is believed to be caused by uneven coagulation of vessels caused by a short, abrupt wave pulse. With longer pulse duration found on the new pulsed dye lasers, purpura can be avoided. The ultra-long pulse duration delivers laser energy to targeted blood vessels over longer periods of time, resulting in a gentle heating effect and uniform coagulation. By heating targeted vessels, more gentle, longer pulse duration can avoid problematic purpura seen with earlier version of pulsed dye laser technology.
Dr. Jonathan Pattavina, a staff practitioner at Monadnock Community Hospital, will be using this technology for the treatment of Plantar Warts. With the combined effort between Monadnock Community Hospital and Dr. Pattavina, the goal is to broaden the scope of treatment options available to the Monadnock community region. By making this technology available, hopefully other specialties will be able to apply its versatility to meet the scope of their practice, thus offering twenty-first century treatment options for the many medical conditions plaguing our community.