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Lithotripsy is a procedure involving the physical destruction of hardened masses like kidney stones, [1] bezoars [2] or gallstones, which may be done non-invasively. The term is derived from the Greek words meaning "breaking (or pulverizing) stones" ( litho- + τρίψω [tripso]).
There are many non-invasive procedures, ranging from simple observation, to specialised forms of surgery, such as radiosurgery. [medical citation needed] Extracorporeal shock wave lithotripsy is a non-invasive treatment of stones in the kidney, [1] gallbladder or liver, using an acoustic pulse.
Laser lithotripsy (LL) has been evaluated against Extracorporeal Shock Wave lithotripsy (ESWL), finding both to be safe and effective. [3] [4] ESWL may be safer for small stones (<10 mm), but less effective for 10–20 mm stones. [3] A 2013 meta-analysis found LL can treat larger stones (> 2 cm) with good stone-free and complication rates. [5]
Renal calculi have affected humans throughout history with a description of surgery to remove them dating from as early as 600 BC in ancient India by Sushruta. [1] Between 1% and 15% of people globally are affected by renal calculi at some point in their lives. [8] [11] In 2015, 22.1 million cases occurred, [5] resulting in about 16,100 deaths. [6]
Etymology actually refers to soft, fleshy part of abdominal wall. The term celio-is generally considered more accurate and more commonly used in America. [citation needed] lobo- : related to a lobe (of the brain or lungs), from the latin lobo, ablative declension of lobus, itself from the Greek λοβός, lobós, "lobe", "pea-pod"
Some of the passed fragments of a 1-cm calcium oxalate stone that was smashed using lithotripsy. The most common use of extracorporeal shockwave therapy (ESWT) is for lithotripsy to treat kidney stones [3] (urinary calculosis) and biliary calculi (stones in the gallbladder or in the liver) using an acoustic pulse.
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Electrohydraulic Lithotripsy (EHL) is a medical procedure which uses targeted shockwaves to break up kidney stones and gallstones. [1] This form of extracorporeal lithotripsy is unique in that the shockwaves are produced by a vaporization bubble expanding and collapsing repeatedly, creating a pressure wave. [ 1 ]