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Full-Text Articles in Medicine and Health Sciences

Bilateral Psoas Abscess After Extracorporeal Shock Wave Lithotripsy: Reminder Of A Rare Complication, Sidra Zafar, Syed Usman Bin Mahmood, Arsal Tharwani, Noreen Nasir Sep 2018

Bilateral Psoas Abscess After Extracorporeal Shock Wave Lithotripsy: Reminder Of A Rare Complication, Sidra Zafar, Syed Usman Bin Mahmood, Arsal Tharwani, Noreen Nasir

Section of Nephrology

Extracorporeal shock wave lithotripsy (ESWL) is among the most widely used modalities for treatment of urolithiasis since its introduction in the 1980s. The non-invasive technique reduces the risk of post-procedure complications and produces excellent stone free rates. However, complications may still follow and albeit rare, there are reports in literature of abscess formation post ESWL. Herein, we report the case of a young, immunocompetent gentleman who developed bilateral psoas abscess after undergoing this procedure. He was successfully managed at our institute with intravenous antibiotics, percutaneous abscess drainage and was discharged on day 5 post-intervention in a stable condition. There have …


Comparison Of The Analgesic Effects Of Multimodal Approach And Fentanyl Alone During Shock Wave Lithotripsy, Non Wongvittavas Jan 2017

Comparison Of The Analgesic Effects Of Multimodal Approach And Fentanyl Alone During Shock Wave Lithotripsy, Non Wongvittavas

Chulalongkorn Medical Journal

Background : So far, there has been no consensus on pain control during extracorporeal shock wave lithotripsy (ESWL).Objective : To compare the analgesic effects of etoricoxib plus fentanyl with placebo plus fentanyl during ESWL in a prospective, randomized clinical trial.Methods : Ninety-four patients were randomized into two groups: group A (n = 48) received etoricoxib 90 mg orally 1 hour and fentanyl 50 μg intravenously 15 minutes before procedure; group B (n = 46), placebo drug weregiven orally 1 hour and fentanyl 50 μg intravenously 15 minutes before procedure. Pain assessment was done with the 10-score linear visual analogue pain …


The Effects Of Dihydrobiopterin And Tetrahydrobiopterin On Hydrogen Peroxide And Nitric Oxide Release During Extracorporeal Shockwave Lithotripsy, Brittany L. Deiling, Edward S. Iames, Kerry-Anne Perkins, Qian Chen Phd, Lindon H. Young Phd May 2012

The Effects Of Dihydrobiopterin And Tetrahydrobiopterin On Hydrogen Peroxide And Nitric Oxide Release During Extracorporeal Shockwave Lithotripsy, Brittany L. Deiling, Edward S. Iames, Kerry-Anne Perkins, Qian Chen Phd, Lindon H. Young Phd

Research Day

Extracorporeal shockwave lithrotripsy (ESWL) is an effective, non-invasive clinical therapy utilized to break up stones in the kidney and urinary tract. A lithotripter generates high-energy acoustic pulses and propagates those shock waves through a lens on a region that focuses on the location of the stone, in turn breaking up the stone. The successive pulses generate shearing forces and cavitation bubbles. Cavitation bubbles are the formation and implosion of liquid free zones. The cavitation bubbles implode rapidly to create their own shockwaves that also put pressure on the stone. After treatment, fragmentation of the stone allows the debris to be …


Do The Applied Shock Wave Numbers And The Application Side Affect Pancreatic Exocrine Functions In Patients Who Have Undergone Extracorporeal Shock Wave Lithotripsy For Upper Urinary Tract Calculi?, Mehmet Gülüm, Ercan Yeni̇, Murat Savaş, Haki̇m Çeli̇k, Hali̇l Çi̇ftçi̇ Jan 2012

Do The Applied Shock Wave Numbers And The Application Side Affect Pancreatic Exocrine Functions In Patients Who Have Undergone Extracorporeal Shock Wave Lithotripsy For Upper Urinary Tract Calculi?, Mehmet Gülüm, Ercan Yeni̇, Murat Savaş, Haki̇m Çeli̇k, Hali̇l Çi̇ftçi̇

Turkish Journal of Medical Sciences

Aim: To investigate the effect of extracorporeal shock wave lithotripsy (ESWL) on the pancreatic exocrine functions related to the number of high-energy shock waves and the ESWL-applied kidney side for upper urinary tract stones. Materials and methods: Included in the study were 76 patients undergoing ESWL for proximal ureteral or kidney stones. The right kidney group (RKG) consisted of 40 patients who underwent ESWL for right kidney stones and the left kidney group (LKG) consisted of 36 patients who underwent ESWL for left kidney stones. Results: The observed changes in plasma amylase and lipase levels were not statistically significant compared …


Success Of Extracorporeal Shock Wave Lithotripsy In Patients With Lower Caliceal Stone And Favorable Anatomy, Sedat Soyupek, Taylan Oksay, Abdullah Armağan, Alper Özorak, Ali̇m Koşar, Hakki Perk Jan 2006

Success Of Extracorporeal Shock Wave Lithotripsy In Patients With Lower Caliceal Stone And Favorable Anatomy, Sedat Soyupek, Taylan Oksay, Abdullah Armağan, Alper Özorak, Ali̇m Koşar, Hakki Perk

Turkish Journal of Medical Sciences

Aim: We assessed the efficacy of extracorporeal shock wave lithotripsy (ESWL) monotherapy for isolated lower pole nephrolithiasis with favorable anatomy and compared treatment efficacy with regard to different stone sizes. Materials and Methods: From February 1999 to December 2002, adult patients with simple, radiopaque lower pole kidney stones were treated using a Stonelith V3 Lithotriptor (PCK, Turkey). Patients were stratified into four groups based on stone diameter. These groups included stone diameters of =70°, IL5 mm) were included in the study. Results: The overall stone-free rate was 84.5%. The stone-free rates in patient groups according to stone size were 90%, …