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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.
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.
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
Here are a couple of treatments, both invasive and noninvasive, to remove kidney stones: ... When the stone is too big and firm, this surgery is performed to remove the stone.
Some patients may need surgery to remove kidney stones or to help them pass. One method is lithotripsy, which breaks up kidney stones, can be done two ways: shock wave lithotripsy uses sound waves ...
The experimental thulium fiber laser (TFL) is being studied as a potential alternative to the holmium:YAG (Ho:YAG) laser for the treatment of kidney stones. The TFL has several potential advantages compared to Ho:YAG laser for lithotripsy, including a four times lower ablation threshold, a near single-mode beam profile, and higher pulse rates ...
In October, Mullins had the procedure done on her left kidney, which contained more stones. Everything went fine. Surgery on the right kidney took place on Dec. 1. This time, doctors told her they ...
When going in with a scope through the kidney, a regular and a mini-sized scope likely have similar success rates of stone removal. Alpha-blockers, a type of medication, may increase the successful removal of kidney stones when compared with a placebo and without ibuprofen. [131]
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