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Lithotomy from Greek for "lithos" and "tomos" (), is a surgical method for removal of calculi, stones formed inside certain organs, such as the urinary tract (kidney stones), bladder (bladder stones), and gallbladder (), that cannot exit naturally through the urinary system or biliary tract.
It may also be known as a hemostatic (also spelled haemostatic) agent. [2] Antihemorrhagic agents used in medicine have various mechanisms of action: Systemic drugs work by inhibiting fibrinolysis or promoting coagulation. Locally acting hemostatic agents work by causing vasoconstriction or promoting platelet aggregation.
Ferric subsulfate (also known as Monsel's solution) is often used by Jewish burial societies (chevra kadisha) to stop post-mortem bleeding.Since Jewish burial does not allow any external skin adhesives such as bandages, tape, glue or resin, ferric subsulfate is an effective way to stop post-mortem bleeding.
Percutaneous nephrolithotomy (PCNL) is a minimally-invasive procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia.
Otherwise a noncontrast helical CT scan with 5 millimeters (0.2 in) sections is the diagnostic method to use to detect kidney stones and confirm the diagnosis of kidney stone disease. [ 16 ] [ 57 ] [ 61 ] [ 66 ] [ 7 ] Near all stones are detectable on CT scans with the exception of those composed of certain drug residues in the urine, [ 59 ...
Surgery was the only method to remove stones too large to pass until French surgeon and urologist Jean Civiale in 1832 invented a surgical instrument (the lithotrite) to crush stones inside the urinary bladder without having to open the abdomen. To remove a calculus, Civiale inserted his instrument through the urethra and bored
Physical agents (gelatin sponge) – Gelatin sponges have been indicated as great hemostatic devices. Once applied to a bleeding area, a gelatin sponge quickly stops or reduces the amount of bleeding present. These physical agents are mostly used in surgical settings as well as after surgery treatments.
It was introduced into clinical practice in 1947. It is used to control bleeding, including post-surgical bleeding and bleeding from superficial injuries to the skin. Surgicel is used extensively in oral and maxillofacial surgery to control intrabony arterial bleeds from the inferior alveolar artery.