Recently,
we brought up magnification as an aspect of rodent surgery which is commonly
taken for granted. Illumination/lighting is just as important. Many rodent
surgeons who perform procedures such as jugular or carotid catheterizations perform
them without the assistance of illumination. When a light source is utilized, it
is commonly an incandescent light such as a desk lamp. When performing rodent
surgery it is imperative to ensure a brightly lit operative field. This improves
the visibility for the surgeon, which is especially important during rodent microsurgery
when appropriate illumination decreases eye strain. Eye strain can lead to
fatigue and poor surgical outcomes, particularly when multiple surgeries are
carried out within the same day. It has been demonstrated that surgical time
for vascular anastomoses is shorter when a bright operative field is used in
comparison to a poorly lit operative field.
When
a light source is utilized, it is important to consider factors such as the
type of light source, the intensity, duration, distance of projection and
focusing ability.
Initially
the standard light source for surgery was an incandescent light source. The
halogen light bulb was then introduced followed more recently by the xenon. The
challenge with an incandescent light source is that although it emits
tremendous amount of light, the light accounts for a small percent of their
energy output. The rest of the energy is emitted as heat. The heat can desiccate and cause thermal
damage to tissues. The halogen and xenon lights, when combined with fiber optic
cables, produce less heat and are considered a cold light source. However,
these fiber optic cables only reduce the amount of infrared radiation, which is
usually associated with heat production, with respect to visible light. This
heat reduction is accomplished with special filters or reflectors. Radiation in
the visible and infrared wavelengths enters the fiber optic cable and is
transmitted through the cable. When the light leaves the end of the light
source, the level of infrared radiation is usually reduced to a safe level
through absorption by the optical fibers and through substantial losses at the
cable connections. The advantage of a xenon light source is that it produces a
bright and clear operating field. However it has been reported that a xenon
light at 300 watts at working distances as great as 20 cm with prolonged
exposure can lead to thermal tissue damage. Thermal damage and tissue
desiccation can be prevented by keeping tissue moist.
The
halogen light source which is not as bright as xenon is preferred for
ophthalmologic surgeries since the brightness of the xenon lights can be
phototoxic.
It
is our assertion that illumination during rodent surgery enhances visual acuity
which should be regarded as an asset during any rodent surgical procedure.
Posted by:
admin,
on: December 30, 2009 at 09:43 PM