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Co2 Laser Technique


The Ansanelli Co2 Laser Technique compared to common methods (knife, electric cautery and plasma kinetic cautery) for Breast Cancer Surgery

Introduction to Knife and Cautery Surgery compared to The Ansanelli Co2 Laser Technique

The most common surgical tools utilized in breast cancer surgery and surgery overall are the knife and electric/plasma kinetic cautery. These methods are standardly taught in residency programs to surgeons. This more universal one size fits all approach inspired Vincent Ansanelli M.D., F.A.C.S., to innovate the status quo. Having researched the Co2 laser advantages and capability in surgical practice, he understood that the knife and cautery surgery were severely lacking in surgical application. The Ansanelli Co2 laser technique results have proved far more beneficial both during surgery and in surgical recovery. Here are the reasons why.

Knife and Cautery Surgical Process

A surgical knife cuts tissue while the electric/ plasma kinetic cautery dissects by burning tissue. There are two types of cautery that can be utilized during a breast cancer procedure. The electrocautery, a monopolar instrument, allowing the electro-current not only to transmit in the breast during dissection but also travel throughout the patient’s body. Plasma kinetic cautery is a bipolar instrument. It enables the current to only pass through the tissue between the electrodes of the instrument.

Despite the critical act of dissecting and removing cancer from the breast, these common modalities simultaneously damage the patient’s healthy tissue. This unfortunate complication puts a strain on both the surgeon/team and operative patient. These methods in surgery require more tools and additional processes to counter their inefficiency. More specifically, the tissue damage created during dissection dramatically increases pain level during the surgery. This necessitates the application of heavy narcotics, general anesthesia (requiring a breathing tube down the throat) and nerve blocking to numb the patient. The damage created continues to be present after surgery and increases the patient’s risk of complications. In addition, the patient is vulnerable to the effects and complications that can arise from the pain blocking methods mentioned. This is superimposed on patients who have preconditions. This presents many layers of potential problematic avenues that can be experienced originating from an inefficient method of surgery.

During surgery and post-operatively, blood loss created by knife dissection increases the risk of blood transfusions and complications in recovery. This also presents the opportunity of seeding cancer cells escaping into the blood stream. A common fear and strong reason why many try to avoid surgery altogether. The repercussions from the surgical damage also include pain, slower tissue repair, heavy drainage, hematomas, increased levels of infection, and structural damage that may not repair. Cauterization features of the electric cautery dissection may reduce blood loss compared to knife surgery, but the damage to the tissues remain equally detrimental to the patient. This requires further Rx medications for both pain and infection. This affects the patient in all phases of the surgical experience. (Read further on mastectomy by this method on Procedure Page)

Another complication rarely explored with the use of electricity (electric cautery) as a dissecting tool are the effects on the body’s natural electrical system. Logically the natural electrical rhythms of the heart and organs must be disrupted by another stimulus. The body’s organs are orchestrated to function within a natural electrical rhythm. If the electricity of the cautery is then applied this creates a rhythmic disruption. Prolonged use of electrical tools on a body’s tissue, especially if a patient’s organs are weak from pre-existing conditions, or naturally more sensitized in senior patients, present a potential increased risk for secondary complications. The approach in surgical care should not just be for the moment but should consider the long-term effects the treatment will have on your body. The Ansanelli Co2 Laser Technique has the technical and technological capability of empowering the breast cancer surgical patient unlike any method utilized globally.

Why The Ansanelli Co2 Laser Technique provides Superior Care in Surgery compared to Knife/ Cautery Options

There is NO tissue damage with the Ansanelli Co2 laser technique. This factor alone dramatically simplifies the standard breast cancer surgical model. Every procedure with The Ansanelli Co2 laser technique is under local anesthesia with IV sedation. This includes more advanced surgeries such as stage 4 radical mastectomies with axillary node dissections. Due to the lack of tissue damage and dependence on pain masking methods such as general anesthesia, the patient has an immediate recovery no matter how advanced the procedure. There is little to no pain immediately following surgery. A Tylenol at most is taken for the initial recovery period. Every patient immediately following The Ansanelli Co2 laser surgery can go out for lunch, and resume their day normally. The post-operative care is minimal, requiring one to two post-operative visits to change the dressing.

The sealing and sterilization benefits during surgery with The Ansanelli Co2 Laser Technique dramatically minimizes drainage, nearly eliminates the risk of infections and/or complications. Wound care is minimal. The sealing and sterilization benefits have also proven to reduce cancer cell spread throughout the blood vessels and lymphatics. It has demonstrated to reduce local recurrence in animal studies by 80%. It has additionally reduced local recurrence in Co2 laser patients longer than the national average. Blood transfusions typically common in standard methods are also eliminated. The patient’s immunity is supported by a higher level of care both in surgical method and technologically.

Additional beneficial features unique to Dr. Ansanelli’s Co2 laser work is the ability to laze the surgical bed post tumor removal. This additional damage free sterilization is a tremendous benefit to the patient by removing the microscopic cancer cells remaining in the surgical site. The Ansanelli Co2 laser technique also enables a cosmetic repair. (Read further in Procedure Page). This unique reconstruction is also a damage free process. Additional cosmetic benefits with The Ansanelli Co2 Laser Technique, incisions are bloodless and more finite in comparison to cautery and knife procedures. This lack of cell damage, a unique property of the Co2 laser, enables the healing process to be improved despite the patient's individual healing capabilities. A contrast to the cell-damaging features ensconced by the limitations of typical surgical options with knife and cautery tools.

Links to information on Electro surgery, and natural electrical features in the body.


How The Ansanelli Co2 Laser Technique differs from Ablation

Educate yourself on the different laser options for breast cancer surgery and what they are providing you.
You may have heard about lasers for breast cancer surgery. It is important that you educate yourself on the differences between methods. Just because they sound the same doesn’t mean they are providing your breast cancer with the same care. There are specifically two different forms of laser surgical care. One, is The Ansanelli Co2 Laser Technique and the more commonly known version is Laser Ablation. They both differ technologically and in surgical application. Here are the reasons why.

Laser lights are NOT all the same. They can function on different wavelengths

The Ansanelli Co2 laser technique uses a completely different form of laser light than Laser or Ablation. These variant types of laser lights affect the body’s tissues differently because they are functioning at different wavelengths. In result, each type of laser demonstrates a completely different surgical application to the bodies tissues in surgical removal.

What is happening during surgery? How do these two laser methods affect tissue so differently?

The Ansanelli Co2 Laser Technique
The Ansanelli Co2 laser - light dissects tissue through vaporization. More specifically, the Co2 light is absorbed and vaporizes the water in the cell. This thermal reaction creates a plume of vapor. Uniquely this Co2 light does not damage the tissue. Instead, the remaining tissue forms a sealant without there being any residual damage; no burning, or charring. The remaining tissue presents itself unharmed. Dr. Ansanelli’s Co2 laser technique enables the tumor to be excised (in its entirety from the body) in this method, rather than being vaporized within the body. Dr. Ansanelli’s Co2 laser light simultaneously seals and sterilizes the surrounding blood vessels and lymphatics while excising the tumor. This sterile process reduces and nearly eliminates the chance of cancer cell spread, local recurrence, and infections because there is no residual or necrotic tissue remaining in the surgical field. The surgical capabilities enable the Ansanelli Co2 laser technique to uniquely perform EVERY standard breast cancer procedure. The Ansanelli Co2 Laser Technique also has the unique capability of removing EVERY tumor size, including tumors growing out of the breast. ALL stages of cancer can be treated. This enables EVERY breast cancer patient to be a candidate with The Ansanelli Co2 Laser Technique.

Laser Ablation

In Laser Ablation, the pulsating Nd: YAG laser light approaches tumor removal by means of vaporization and burning all within the body. This “less invasive” approach presents many challenges and limitations to the patient. This method is restrictive as to what size tumors can be ablated and only for specific stages of cancer. Not all patients are candidates. Within this limited grouping, there are still multiple challenges. These ablative methods leave residual tissue damage in the body which is often painful, typically prolonging recovery, increasing pain and risk of potential complications. This painful residual necrotic tissue can require a separate operation by the knife and/or electric cautery to excise from the body. This extra process also increases tissue damage, pain and provides a risk for possible infections, ultimately requiring Rx medications. Overall, this process can be prolonged extending in multiple courses of treatment. More importantly, the pathological confirmation that all the margins are free of cancer is quite uncertain. For this reason, many critics are skeptical of this method. Tumor analysis can only be achieved through a separate procedure by tissue sampling by needle biopsy, or by knife and cautery surgery. Patients can also be can be advised into radiation treatment to make up for an excisional procedure confirming that the margins are free of cancer. Radiation may not be the desired route for every patient.

The Ansanelli Co2 Laser Technique capabilities enabling a thorough confirmation for Pathological Analysis

In comparison, The Ansanelli Co2 laser technique is more complete in every procedural step to ensure the patient of an effective and safe result. This method doesn’t provide just a tissue sampling for chemical analysis. Instead, the Ansanelli Co2 laser removes the ENTIRE tumor like in standard surgery, providing all the technological advancements of the CO2 laser. This important complete and thorough tumor analysis provides confirmation that all margins are free of cancer cells. There are no necrotic tumor cells created by this laser or left behind to be reabsorbed by the body like in ablation. This thorough testing simultaneously provides a complete analysis of the entire tumor. The Ansanelli Co2 laser technique uniquely enables the entire removal by laser instead of further sampling with other modalities (needle/knife biopsy) to provide confirmation. This process does not require radiation treatment to ensure clear margins.

Further Benefits

Once the cancer is removed, Dr. Ansanelli sterilizes the surgical field again without dissecting any further tissue. This beneficial process eliminates any potential cancer cells remaining in the surgical field after the tumor removal. This feature is highly beneficial to addressing the active microscopic activity of the cancer cells. Animal studies have proven 80% less local recurrence with the Co2 laser.

The Ansanelli Co2 laser technique additionally eliminates heavy drainage, infections, and hematomas. This supports the already Rx medication free experience in addition to the painless surgery. At most a Tylenol is needed in the initial recovery period. This also applies for post-radical mastectomies and axillary node dissections.

Other Ablative Methods- Cryo and Radiofrequency

Other Methods of Ablation are Cryo by freezing, and Radiofrequency through electrical current. These other forms of ablation look to provide alternatives to standard surgical procedures. They are restricted by the types of tumors and stages of cancers that they can specifically treat. Pathological confirmation of remaining floating cancer cells in the region is in question. These patients are also sent for radiation as a follow-up step after treatment to eliminate any surgical resection. Radiation may not be the desired route for every patient.

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