Shock Wave Lithotripsy 2: Urinary and Biliary Lithotripsy by Gary S. Karlin M.D., Morton Urivetsky Ph.D., Arthur D. Smith PDF

By Gary S. Karlin M.D., Morton Urivetsky Ph.D., Arthur D. Smith M.D. (auth.), James E. Lingeman M.D., Daniel M. Newman M.D. (eds.)

In the years on account that its improvement in West Gennany and especially when you consider that its arrival within the usa, extracorporeal surprise wave lithotripsy (ESWL') has turn into the remedy of selection for many instances of urinary lithiasis. the 1st surprise wave lithotripsy sufferer within the U.S. was once taken care of with a Domier HM3 in February of 1984 on the Methodist clinic of Indiana. according to the nice enthusiasm generated through this new remedy modality, the subsequent yr the MHI awarded its fIrst symposium on surprise wave lithotripsy. every year the assembly generated progressively more curiosity. Following the 1988 symposium, the shows have been released in a publication entitled surprise Wave Lithotripsy: state-of-the-art. Following at the heels of the good fortune of kidney stone therapy with ESWL, the hot box of biliary lithotripsy quickly used to be gaining momentum. in line with the good curiosity generated through this extra program of the expertise, the 1989 assembly concentrated targeted consciousness in this new approach to treating gallstones. Methodist Hospital's fifth Symposium on surprise Wave Lithotripsy, which was once provided in March of 1989, had the most important attendance ever, with over six hundred physicians from forty two states and 20 international locations. The ebook of the complaints of this assembly was once made attainable via beneficiant academic delivers from Domier clinical structures, Inc., Marietta, Georgia, and the Methodist medical institution of Indiana. the first goal of the booklet of the court cases of this symposium is educational.

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Extra info for Shock Wave Lithotripsy 2: Urinary and Biliary Lithotripsy

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DornierHM3 Wolf Piezolith 156 mm 300mm Focal size 12 mm x50 mm 4mmx8 mm Anesthesia 100% general none Aperture 32 Shock Wave Lilhotripsy I1: Urinary and Biliary mechanisms of shock wave generation (spark gap v piezoelectric elements). Second, the aperture of the Dornier HM3 is 156 mm utilizing an ellipsoid focusing device to produce a focal region of 12 mm by 50 mm, as opposed to the Wolf Piezolith 2300 which has a spherical focusing apparatus (aperture 300 mm) which produces a focal point of 4 mm by 8 mm (Table 7-2).

9-12 Evidence of injury includes hemorrhage, edema, hematomas (subcapsular and perirenal) and interstitial edema. Tubular injury has been noted in regions of the renal parenchyma adjacent to the focal point of the shock wave (F2). There is only one study in the literature that has established a correlation between the degree of tissue damage (disruption of thin-walled veins) and the number of shock waves administered. 12 The occurrence of chronic changes following ESWL has not been thoroughly examined in experimental animals.

Wilson WT, Miller G, Morris JS, et al: Morphologie renal ehanges following piezoelectrie lithotripsy or spark-gap lithotripsy. In Lingeman JE and Newman DM (eds): Shock Wave Lithotripsy 11: Urinary and Biliary. New York: Plenum Press, 1989. 5. Knapp PM, Kulb TB, Lingeman JE, et al: Extracorporeal shock wave lithotripsy indueed perirenal hematomas. J UrolI39:700, 1988. 6. Rubin J, Arger P, et al: Kidney ehanges after extraeorporeal shock wave lithotripsy: evaluation. Radiol162:21, 1987. 7. KaudeJV, Williams C, etal: Renal morphology andfunetion immediately afterextracorporeal shock wave lithotripsy.

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