Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study

المؤلفون المشاركون

al-Zain, Badr al-Din A.
Abd al-Azim H. K.
al-Hasan, Muawiyah M.
Shams al-Din, al-Tayyib B. E.
Ibn Awf M. A. M.

المصدر

Sudan Journal of Medical Sciences

العدد

المجلد 11، العدد 3 (30 سبتمبر/أيلول 2016)، ص ص. 125-128، 4ص.

الناشر

جامعة أم درمان الإسلامية كلية الطب

تاريخ النشر

2016-09-30

دولة النشر

السودان

عدد الصفحات

4

التخصصات الرئيسية

الطب البشري

الموضوعات

الملخص EN

Background : urolithiasis is a common worldwide health problem.

Many endosurgical treatments became available for urinary calculi.

Objectives : to find out the success clearance and complication rates of ureteric stone treatment using semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy as a day case procedure.

Methods : in the period from April 2011 to October 2013, a total of 64 patients who were treated by laser lithotripsy were reviewed retrospectively using Fedail Hospital data.

Diagnosis was radiologically confirmed.

Semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy was conducted as a day case surgery.

Operative details, clearance of stone fragments, failure and complications were analysed.

Cases were followed clinically and radiologically after one week and one month.

Results : the studied cases were 47 males and 17 females with average age of 47.3 years and ASA I in 52(81.3%).

Those who had left ureteric stones were 28(43.8%) patients, only one patient had bilateral stones and 60(93.8%) patients had single stones.

The largest stone diameter was 1.9cm.

68.8 % had distal ureteric stones, 14.1% had mid third stones, and 17.2% had upper third stones.

Most cases 96.9% were operated under spinal anaesthesia with mean operation time 61.2 minutes.

Seven patients needed VUJ balloon dilatation to get access to the ureter.20 watt Holmium:YAG laser fibres were used for stone disintegration.

92.2 % of cases had uncomplicated clearance, 3.1% minor complications and 4.7% failure of the procedure.100% clearance was confirmed during follow up.

Conclusion: Semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy is a safe treatment for ureteric calculi and can be conducted as a day case with high success rate and very low morbidity.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

al-Zain, Badr al-Din A.& Abd al-Azim H. K.& al-Hasan, Muawiyah M.& Shams al-Din, al-Tayyib B. E.& Ibn Awf M. A. M.. 2016. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences،Vol. 11, no. 3, pp.125-128.
https://search.emarefa.net/detail/BIM-767994

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

al-Zain, Badr al-Din A.…[et al.]. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences Vol. 11, no. 3 (Sep. 2016), pp.125-128.
https://search.emarefa.net/detail/BIM-767994

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

al-Zain, Badr al-Din A.& Abd al-Azim H. K.& al-Hasan, Muawiyah M.& Shams al-Din, al-Tayyib B. E.& Ibn Awf M. A. M.. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences. 2016. Vol. 11, no. 3, pp.125-128.
https://search.emarefa.net/detail/BIM-767994

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references : p. 128

رقم السجل

BIM-767994