What question did this study set out to answer?

To evaluate the clinical efficacy, safety, and utility of the holmium:YAG laser for intracorporeal lithotripsy across various urinary calculi locations.

September 1, 1996The Journal of Urology

Intracorporeal Lithotripsy With the Holmium:YAG Laser

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Authors

HRHassan RazviWestern University JDJohn D. DenstedtWestern University SCSamuel ChunDalhousie University

Discussion

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Implication

Clinical series demonstrates an 85% complete fragmentation rate for urinary calculi using holmium:YAG laser lithotripsy, indicating reliable multipurpose efficacy across stone locations.

Key Points

To evaluate the clinical efficacy, safety, and utility of the holmium:YAG laser for intracorporeal lithotripsy across various urinary calculi locations.
Evaluated 75 patients who underwent 79 holmium:YAG laser lithotripsy procedures over a 24-month period.
Interventions comprised retrograde ureteroscopy for ureteral calculi (n=71) and fragmentation of caliceal stones remote from the nephrostomy tract during percutaneous nephrolithotripsy (n=8).
Complete stone fragmentation without the need for additional procedures or alternative lithotripsy was achieved in 85% of cases.
Treatment failures included incomplete fragmentation requiring other devices (n=7), laser malfunction (n=3), and stone migration (n=1).
Complications were limited to one ureteral perforation, which occurred when the laser was activated without direct visual guidance.

Cite This Study

Razvi et al. (1996) studied this question.

synapsesocial.com/papers/6a724c4f6ceb2bbd16e05508 https://doi.org/10.1016/s0022-5347(01)65661-1

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Implication

Clinical series demonstrates an 85% complete fragmentation rate for urinary calculi using holmium:YAG laser lithotripsy, indicating reliable multipurpose efficacy across stone locations.

Intracorporeal Lithotripsy With the Holmium:YAG Laser

Discussion

Member takes

Implication

Key Points

Cite This Study

Intracorporeal Lithotripsy With the Holmium:YAG Laser

Discussion

Member takes

Implication

Key Points

Cite This Study

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