LITHOTRIPSY

Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in the other organs such as gallblader or liver.
Lithotripsy is the uses of high energy shock waves to break up stones in the kidney.
In Greek word litho means STONE, trip means break.

1. LITHOTRIPSY By SATHISHKUMAR G ([email protected])

2. Introduction History Purpose of lithotripsy Symptoms Techniques Procedure Risks Advantages and disadvantages COMPONENTS

3. Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in the other organs such as gallblader or liver. Lithotripsy is the uses of high energy shock waves to break up stones in the kidney. In Greek word litho means STONE, trip means break . LITHOTRIPSY

4. . French surgeon and urologist jean civiale invented a surgical instrument in 1832. . Lithotripsy was developed,and replaced in the treatment of beginning in the year 1980. . ESWL was first used on kidney stones In the year of 1980. . Electrohydraulic lithotripsy was introduced in the year of 1975. . Laser lithotripsy was introduced in the year of 1980. HISTORY

5. It is used for removing kidney stones without Surgery that causes. . pain . bleeding . damage to kidney due to blockage. . urinary tract infections PURPOSE OF LITHOTRIPSY

6. The symptoms are: . Bleeding disorder . Abdnominal pain . Urinary tract infection . Damaged kidney infection . Nausea SYMPTOMS

7. Extracorpeal shockwave lithotripsy Intracorpeal (endoscopic lithotripsy) . laser lithotripsy . Electrohydraulic lithotripsy . Mechanical lithotripsy . Ultrasonic lithotripsy TECHNIQUES

8. Extracorpeal lithotripsy is the least invasive surgical stone treatment. It using high frequency sound waves from an external sources to break up kidney stones into smaller pieces. And allow them pass through the urinary tract. It is not performed in pregnant,bleeding disorder,urinary infection. EXTRACORPEAL LITHOTRIPSY

9. Endoscopic lithotripsy refers to the visualization of a calculus in the urinary tract And the stimultaneous application of energy to fragment the stones. Many calculi in the upper urinary tract are treated with endoscopic lithotripsy. Ureteroscope is the most common means of visualizing an upper urinary tract calculus. ENDOSCOPIC LITHOTRIPSY

10. Pneumatic mechanical devices, such as the lithoclast ,are small endoscopic jackhammers. The lithoclast can be used through rigid endoscopes. The lithoclast is an efficient and economical means of fragmenting calculi. It is particularly useful for managing large and hard stones. MECHANICAL LITHOTRIPSY

11. The pulsed dye laser, which uses 504nm of light delivered through optical quartz fibers. The laser produced plasma between the tip of the fiber and the calculus,fragmenting the stone with a photo acoustic effect. The 200mm fiber allows the most endoscopic deflection but can deliver only 80mj energy,which is to fragment the calculi. LASER LITHOTRIPSY

12. It creates a small park of high temperature that vaporise a small volume of water into gasseous bubble. The bubble expands circumferentially. Its damaging adjacent large fragments and falling to fragment the hardest calculi. ELECTROHYDRAULIC LITHOTRIPSY

13. Ultrasonic lithotripsy was used intially. This modality requires a rigid endoscope and is commonly used via percutaneous real approch. It is less useful WITH URETEROSCOPY. ULTRASONIC LITHOTRIPSY

14. RECENT LITHOTREPSY MACHINE

15. WORKING…

16. Are pregnant Have bleeding problems Have non working kidneys Have pacemaker People who cannot have anaesthesia or x-rays. WHY SHOULD NOT HAVE LITHOTRIPSY?

17. Blood in the urine. Pain and discomfort due to passage to remaining stone fragments. Frequent and urgency of urination. Persistent abnomial pain due to injury to internal organs. Repeat lithotripsy procedure may be needed. RISKS

18. It is non invasive treatment. No length hospital stays. NO Surgery No incisions No length recovery periods. ADVANTAGES

19. Medicine to prevent infections. Some discomfort. Passing sand like particles in the urine for a few weeks after the lithotripsy. DISADVANTAGES

20. THANK YOU