Most people are able to go home the day oftheir procedure. The acute and longterm adverse effects of shock wave lithotripsy. Shock wave lithotripsy swl has proven to be a highly effective treatment for the removal of kidney stones. Just got back from my little stay in hospital for the ureteroscopy laser zapping on the remaining stones that the lithotripsy failed to deal with.
Eswl procedure is noninvasive and can also be used for removal of stones in the pancreas and saliva. The shock waves break a large stone into smaller stones that will pass through the urinary system. Ppt extracorporeal shock wave lithotripsy market global. Shock wave energy is a key parameter in stone disintegration. Free download kidney stone powerpoint presentation slides. Extracorporeal shock wave lithotripsy eswl is widely used in the treatment of symptomatic renal and ureteral stones, but it is not indicated for asymptomatic small stones.
Mustafa khalil ibrahim tbilisi state medical university 4th year, 1st semester, 2nd group extracorporeal shock wave lithotripsy eswl 2. Yousef college of medical radiologic science, sudan university of science and technology, p. Ppt most advanced laser lithotripsy surgery at world best. It works by sending focused ultrasound energy as shock waves directly to the stone. It is most effective for stones in the renal pelvis and upper ureter, and it is less effective for larger stones 1. This procedure is an alternative to surgery for kidney stones, and it can be very effective, especially in cases where the stones are still in the kidneys. Lithotripsy i slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Before the introduction of shock wave lithotripsy swl to clinical practice in the early 1980s, the vast majority of urinary stones were removed by open surgeryoften via challenging procedures with considerable potential for complications, and frequently involving a long inhospital recovery period. Endoscopy can use lasers, as well as various modes of energy. Apr 24, 2012 the lithotripsy procedure should take about 45 minutes to 1hour. Comparison of general anaesthesia and sedation on the. Pdf eswl still is the least invasive treatment modality for any. Solar energy is a completely free source of energy and it. Extracorporeal shock wave lithotripsy eswl is a procedure used to shatter simple stones in the kidney or upper urinary tract.
Prospective study of the effects of shock wave lithotripsy on renal function. Lithotripsy and ureteroscopy for kidney stones what to expect. For management of middle and distal ureteral calculi. Ppt most advanced laser lithotripsy surgery at world. The shock wave, created by using a highvoltage spark or an electromagnetic impulse, is focused on the stone. When a lithotripsy is ordered, a patient should plan to set aside a few hours. Safety and effectiveness of coronary intravascular.
Find powerpoint presentations and slides using the power of, find. Clinical experience with shockwave lithotripsy using the siemens. Comparison of general anaesthesia and sedation on the stone fragmentation in lithotripsy the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Download free powerpoint themes and powerpoint backgrounds for your presentations. Ultrasonic waves are passed through the body until they strike the dense stones. Lithotripsy and implantable pacemaker and defibrillator systems lithotripsy overview lithotripsy is a noninvasive treatment using ultrasonic shock waves referred to herein as pressure pulses to disintegrate kidney or ureteric stones to allow passage through the urinary tract system with less discomfort to the patient1 figure 1. Numbered 10 instruments of lithotripsy wellcome l0006939. The ability of the piezoelectric lithotripter to deliver shockwaves to a small focus makes extracorporeal shockwave lithotripsy of salivary gland stones potentially safe. It can be mostly observed that the kidney stones cause blood in the urine and discomfort in the abdomen and flank, or in the groin that is the area between the abdomen and the upper thigh on either side of the body. The lithoplasty balloonbased therapy resulted in 98% device success and facilitated100% stent delivery. Ppt most advanced laser lithotripsy surgery at world best hospitals in india powerpoint presentation free to download id. Computed tomography ct information was also modeled for constructing.
Shockwave lithotripsy of salivary duct stones the lancet. Some stones may be located in a part of the urinary tract where lithotripsy cannot be used. If gallstones migrate into the ducts of the biliary tract, the condition is referred to as choledocholithiasis form from the solid constitutes of the bile. Xray, fluoroscopy, lead aprons, thyroid shields and dosimeters. Lithotripters definition of lithotripters by medical. In the past couple of years i have been hospitalized for my overian cysts, had lithotripsy for my stones, and underwent a hysterectomy. Distinct ranges of frequency are availed for examination of distinct parts of body. The great gifts you can give to the patient are your attention, concern, and respect. Lithotripsy is a medical procedure involving the physical destruction of hardened masses like kidney stones, bezoars or gallstones. Mar 21, 2018 ultrasound ppt and pdf for free download. Lithotripter energy source powerpoint ppt presentation. Because of their small size, these pieces can pass from the body along with the urine.
Frequencies which are between 1 30 mhz are like typical for diagnostic ultrasound. Lithotripsy is a procedure that uses energy shock wave therapy to break up kidney stones calculi, bladder stones, or deposits in the ureter ureter stones when they cause complications or are too large to make their way through the urinary tract without intervention roughly 90 percent of calculi can pass out of the body in urine without treatment. I am so thankful to have medicalhealth insurance at all, but have really been disappointed with their help in this matter. His valuable input and feedback has helped enrich the contents of this article. Ureteroscopic methods use a rigid or flexible scope to reach the stone and direct mechanical or light energy is applied. The need for ureteral stenting during these procedures is controversial. Purpose shockwave lithotripsy swl is accepted as the first line treatment modality for uncomplicated upper urinary tract stones. Extracorporeal shock wave lithotripsy eswl effectiveness and complications in urolithiasis treatment 5 i. In this metaanalysis, we evaluated the benefits and disadvantages of ureteral stents for the treatment of ureteral stones.
Background and aim ureteroscopic lithotripsy url and extracorporeal shock wave lithotripsy eswl are two widely used methods for the treatment of ureteral stones. In this procedure, shock waves are used to break up a large stone into smaller pieces that can then pass through the urinary system. Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in the other organs such as gallblader or liver. For kidney stones that do not pass on their own, a procedure called lithotripsy is often used. Lithotripsy health encyclopedia university of rochester. Forwardviewing endoscope or colonoscope optional 4. This may be done through a small incision in the skin percutaneous nephrolithotomy.
Presentation, american urologic association aua annual meeting. Uses repeated shock waves directed at the gallstones in the gallbladder or cbd to fragment the stones. Extracorporeal shock wave lithotripsy eswl effectiveness. Antiretropulsion devices produce more efficient lithotripsy. After the procedure, you will stay in the recovery room for upto about 2 hours. The lithotripsy procedure should take about 45 minutes to 1hour. Lithotripsy is a procedure used to treat kidney stones that are too large to pass through the urinary tract. Radiation dose assessment and risk estimation during extracorporeal shock wave lithotripsy a. Listing a study does not mean it has been evaluated by.
Ppt eswl powerpoint presentation free to download id. Shock waves sws can be used to break most stone types, and because lithotripsy is the only noninvasive treatment for urinary stones swl. Clinical nomograms to predict stonefree rates after shock. On the downside swl can cause vascular trauma to the kidney and. This paper is a presentation of principles of modeling educational. Extracorporeal shock wave lithotripsy eswl slideshare. The stone pieces then pass out of your body through your urine. In eswl, external shockwaves are focused at the stone to pulverize it. The acute and longterm adverse effects of shock wave. Results also illustrated that an ssd 10 cm was a strong predictor of swl treatment failure.
Endoscopic retrograde cholangiopancreatography ercp. Pictures of kidney procedures and problems lithotripsy. Surgical techniques have also been developed to remove kidney stones. Lithotripsy makes sure that the hardened masses in the different organs are reduced to tiny pieces that can be easily carried by urine outside the body. By eswl extracorporeal shock wave lithotripsy ursl. Kidney stones that are 2 centimeters or more in diameter are too large for lithotripsy to be effective. Radiation dose assessment and risk estimation during. The probability of a man to develop a stone by the age of 70 years is 18 2. Lithotripsy definition lithotripsy is the use of highenergy shock waves to fragment and disintegrate kidney stones. Lithotripsy definition of lithotripsy by the free dictionary. It can be mostly observed that the kidney stones cause blood in the urine and discomfort in the abdomen and flank, or in the groin that is the area between the abdomen and the upper thigh on either side of. Background there are many options for urologists to treat ureteral stones that range from 8 mm to 15 mm, including eswl and ureteroscopic holmium laser lithotripsy. We aimed to develop nomograms predicting sfrs after the first and within the third session of swl.
Extracorporeal shock wave lithotripsy, or eswl, can be described as a specialized treatment for kidney stones with an acoustic pulse. Get started right now by watching this free video presentation. Extracorporeal shock wave lithotripsy is a technique for treating stones in the kidney and ureter that does not require surgery. View and download powerpoint presentations on lithotripsy ppt. Competence is achievable through your knowledge through continuous medical education. Presentation creator create stunning presentation online in just 3 steps. Pdf flexible ureteroscopy and laser lithotripsy for.
Feb 03, 2020 lithotripsy is a procedure that uses sound waves to break up stones in the kidney, ureter, or bladder. Evaluation of renal function in children undergoing extracorporeal shock wave lithotripsy. Dec 19, 2015 bladder stones are treated surgically by endoscopic cystolitholapaxy or pneumatic lithotripsy which will transmit mechanical energy via a rigid probe. Media in category lithotripsy the following 11 files are in this category, out of 11 total. Metaanalysis of stenting versus nonstenting for the. Pulses of sonic waves pulverize the stones, which are then more easily passed through the ureter and out of the body in the urine. Jan 23, 2018 extracorporeal shockwave lithotripsy used for nonsurgical fragmentation of gallstones. You may also have bruising and discomfort in your back or abdomen. Patient age, sex, analgesiaanaesthesia, nature of presentation emergency. Above all, you should be honest, straightforward and trustworthy at all times. The patient is advised to inquire and confirm the type of billing, before the lithotripsy shock wave treatment for kidney stones procedure is performed.
Stone size, skintostone distance ssd, and body mass index all have an impact on patients stonefree status after shock wave lithotripsy swl. Urolithiasis is the process stones formation in the kidney, bladder, andor urethra. While both eswl and ureteroscopy are effective and minimally invasive procedures, there is still controversy over which one is more suitable for ureteral stones. Yag lithotripsy varies as pulse energy settings vary. Pdf flexible ureteroscopy and laser lithotripsy for stones. Lithotripsy is a procedure that uses energy shock wave therapy to break up kidney stones calculi, bladder stones, or deposits in the ureter ureter stones when they cause complications or are too large to make their way through the urinary tract without intervention. Surgical extirpation of the affected gland has been necessary for cases of sialolithiasis in which the stone cannot be removed by dilatation or dissection of the salivary duct.
State of knowledge urolithiasis is a disease known since ancient times, the prevalence of the disease is between 2% and 3% 1. Secured medical imaging over the internet pptshock wave lithotripsy. The disrupt cad i study disrupt coronary artery disease demonstrated the feasibility of intravascular lithotripsy in humans for the first time. Lithotripsy is a procedure in which kidney stones are broken up with shock waves so that a patient can pass them when he or she urinates. The eq determines the stonefree rate in relation to repeat lithotripsy, as well the. Conclusions the disrupt cad study successfully enrolled a population with complex, calcified, obstructive coronary disease. The main advantages in favor of intracorporeal lithotripsy is a very high stone free rate near 9097% 43, 44, treatments of stones of up to 3 cm possible 45, effective treatment of. Lithotripsy is a procedure that uses shock waves to break up kidney stones into smaller pieces so they can pass out of the body through the urethra. Objective to perform a retrospective study to compare.
Lithotripsy is a procedure that uses sound waves to break up stones in the kidney, ureter, or bladder. Find powerpoint presentations and slides using the power of, find free presentations research about lithotripsy ppt. Intravascular lithotripsy is a novel technology, based on an established treatment strategy for renal calculi, delivered via a traditional catheter used to circumferentially modify vascular calcium. Jun 12, 2016 extracorporeal shock wave lithotripsy eswl 1. A free powerpoint ppt presentation displayed as a flash slide show on id. Intracorporeal endoscopic lithotripsy laser lithotripsy. The shock waves break a large stone into smaller stones that. The disrupt cad study successfully enrolled a population with complex, calcified, obstructive coronary disease. This shock wave shatters the stone and this allows the fragments to pass through the urinary system.
A free powerpoint ppt presentation displayed as a flash slide show on. Ppt lithotripter energy source powerpoint presentation. These newer devices feature a water bathfree environment, a reduced anesthesia. May 02, 2019 the patient is advised to inquire and confirm the type of billing, before the lithotripsy shock wave treatment for kidney stones procedure is performed. Bladder stones are treated surgically by endoscopic cystolitholapaxy or pneumatic lithotripsy which will transmit mechanical energy via a. Comparison of eswl and ureteroscopic holmium laser.
Displaying powerpoint presentation on lithotripsy available to view or download. Lithotripsy makes sure that the hardened masses in the different organs are reduced to tiny pieces that can be easily carried by urine outside the body many people develop stones in their kidneys, gall bladders and ureters. Lithotripsy is a medical routine in which shock waves are used to break the kidney stones, gall bladder stones or the stones that are formed in the ureter. Ultrasound ppt and pdf for free download study mafia. Shock waves sws can be used to break most stone types, and because lithotripsy is the only noninvasive treatment for urinary stones swl is particularly attractive. Lithotripsy replaced lithotrites as the most common treatment beginning in the mid1980s. Patients with stones 2 cm are less apt to be rendered stone free. Ultrasound is a term which is used to explain sound of frequencies above 20,000 hertz hz. You may have blood in your urine for 1 to 2 days after the procedure. Instead, high energy shock waves are passed through the body and used to break stones into pieces as small as grains of sand. View lithotripsy ppts online, safely and virus free.
1451 597 133 742 1073 766 703 870 69 1438 1275 135 683 1333 1259 386 361 259 435 941 1441 602 1180 1212 726 613 540 35 1154 400 224 164 633 695 797 703 1080 111 71 651 890 1142 1033 1061 1422