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Updated: May 21, 2026

An “All-laser” Endothelial Transplant
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Ambulatory laser-assisted surgery: a multicenter application and experience.

Adelmo Gubitosi1, Roberto Ruggiero, Rosanna Ortolani

  • 1Second University Naples, Italy. Adelmo.gubitosi@unina2.it

Annali Italiani Di Chirurgia
|June 22, 2012
PubMed
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Surgical lasers offer high patient satisfaction and success rates in dermatologic and aesthetic procedures. While generally safe, some conditions like cutaneous telangiectases show lower efficacy, with aesthetic applications yielding better outcomes.

Area of Science:

  • Dermatologic and Aesthetic Surgery
  • Laser-based Medical Treatments

Background:

  • Surgical lasers are widely adopted in dermatologic and aesthetic surgery due to good patient tolerance.
  • Key benefits include reduced postoperative bleeding, edema, and adverse events, leading to high patient satisfaction.

Purpose of the Study:

  • To evaluate the efficacy and patient satisfaction of various laser treatments.
  • To analyze complication rates and treatment failures across different dermatologic and aesthetic indications.

Main Methods:

  • Retrospective analysis of 1232 patients undergoing laser treatments from 2005 to 2010.
  • Inclusion of diverse indications: fibromas, angiomas, naevi, acne, vascular conditions, facial rejuvenation, tattoo removal.
  • Utilized various lasers (CO2, Er:YAG, diodes, Alexandrite, Ruby, Nd:YAG) with topical anesthesia and cooling.

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Main Results:

  • Overall patient satisfaction was high at 92.4%.
  • General surgical conditions showed higher complication rates and failures, particularly cutaneous telangiectases (36.2% incomplete response).
  • Aesthetic procedures reported lower incomplete results (7.2%) and dissatisfaction (11.8%), with rare complications (0.9%). Tattoo and scar removal had the highest incomplete results in this group.

Conclusions:

  • Laser surgery demonstrates high success rates and patient satisfaction for diverse conditions when performed by experienced professionals.
  • Specific laser types and their applications, including advancements in non-ablative systems for dermal remodeling, are discussed.
  • Careful patient selection and indication are crucial for optimizing outcomes, especially for challenging cases like telangiectases.