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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]).
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 of lithotripsy depends on the size and location of the stone, and the patient's age. [10] Oncology
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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 ]
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, [9] [10] shoulder rotator cuff pain, [11] [12] Achilles tendinitis, [13] [14] plantar fasciitis, [15] [16] and greater trochanteric pain syndrome. [17] ESWT is also used to promote bone healing and treat bone necrosis. [18]
The diagnosis of toothache can be challenging, [35]: 80, 81 not only because the list of potential causes is extensive, but also because dental pain may be extremely variable, [44]: 975 and pain can be referred to and from the teeth. Dental pain can simulate virtually any facial pain syndrome. [44]
Lithotomy differs from lithotripsy, where the stones are crushed either by a minimally invasive probe inserted through the exit canal, or by an acoustic pulse (extracorporeal shock wave lithotripsy), which is a non-invasive procedure. Because of these less invasive procedures, the use of lithotomy has decreased significantly in the modern era.
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