Stone fragmentation was achieved in all patients with pneumatic lithoclast
. Nephrostomy tube was not placed in any patient among the two groups.
The stones, once identified are fragmented using a Lithoclast
for lithotripsy, most stone fragments (<4 mm) could be flushed out, by infusion of normal saline irrigation, along with the backflow through the Amplatz sheath, while the remaining big fragments are extracted with stone forceps.
According to him, the surgeries to be considered during the subsidised surgery include Holmium Laser Enucleation of the prostate (HoLEP) for BPH, causing bladder outlet obstruction; Laser Lithotripsy for kidney stones; Percutaneous Nephrolithotomy (PCNL) and Lithotripsy using the Swiss Lithoclast
Master; and Laparoscopic Surgery for Gallstones and Gynecological problems.
Then 26F nephroscope was introduced and stones were fragmented with lithoclast
and taken out with forceps.
In order to disintegrate the deposits, the Swiss Lithoclast
EMS pneumatic lithotripter and, since 2009, a Sphinx Holmium-Yag laser with 18 W power, 12 Hz frequency, and 1.5 J energy and a 200 [micro]m fiber were used.
lithotripter functions in a similar manner as pneumatic jackhammer15.
and Kingo et al.1314 used lithoclast
master that combines pneumatic and ultrasonic lithotripsy and also give advantage of aspiration thereby improving vision during surgery.
Stones were broken with Swiss Pneumatic Lithoclast
and residual fragments identified by ultrasonography.
Pisoids: are common, with a nucleus of subrounded lithoclast
and a cortex sometimes asymmetric indicating variations in growth conditions (Fig.
Takiben kilif icerisinden 18 F nefroskop (Karl-Storz, Almanya) toplayici sisteme gonderildi ve icerisinden pnomotik litotriptor gonderilerek taslar fragmante edildi (Lithoclast
; EMS, Isvicre).
Treatment of Ureteric Calculi- Use of Holmium: YAG Laser Lithotripsy Versus Pneumatic Lithoclast
; J Pak Med Assoc 2007;57:440: