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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.
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]
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]).
One method is lithotripsy, which breaks up kidney stones, can be done two ways: shock wave lithotripsy uses sound waves to crack and break the stone up, while laser lithotripsy does the same with ...
Extracorporeal shockwave therapy involves focused, high-energy ultrasound pulses that can be used to break solid masses into fragments. [10] This is often utilized to break up calculi such as kidney stones and gallstones into pieces small enough to be passed from the body without undue difficulty, a procedure known as lithotripsy. The success ...
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]
These procedures generally use lower frequencies than medical diagnostic ultrasound (from 0.7 to 2 MHz), but higher the frequency means lower the focusing energy. HIFU treatment is often guided by MRI. Focused ultrasound may be used to dissolve kidney stones by lithotripsy. Ultrasound may be used for cataract treatment by phacoemulsification.
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.
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