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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]).
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 ]
Dose—From 10 to 30 drops for adults, according to the strength of the patient, or severity of the pain. Thirty drops of this laudanum will be equal to one grain of opium. And this is a much better way to prepare it than putting the opium into alcohol, or any other spirits alone, for in that case much of the opium does not dissolve."
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]
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, [9] [10] [11] shoulder rotator cuff pain, [12] [13] Achilles tendinitis, [14] [15] plantar fasciitis, [16] [17] and greater trochanteric pain syndrome. [18] ESWT is also used to promote bone healing and treat bone necrosis. [19]
He suffered great pain and his stomach became distended. Shortly before he died, he prayed that, "My God I beg you not to take the pains from me, but to give me the patience to bear them." [105] Georges-Louis Leclerc, Comte de Buffon, French naturalist, suffered from kidney stones in 1771 and their "passing caused him very sharp pains". He had ...
[citation needed] Bed rest interferes with the expansion of the chest and limits the amount of air that can be taken into the lungs in preparation for coughing, making the cough weak and ineffective. [ citation needed ] This reflex may also be impaired by damage to the internal branch of the superior laryngeal nerve which relays the afferent ...
The death rate for diaphragmatic rupture after blunt and penetrating trauma is estimated to be 15–40% and 10–30% respectively, but other injuries play a large role in determining outcome. [6] Herniation of abdominal organs is present in 3–4% of people with abdominal trauma who present to a trauma center.