100 cases of ESWL on indigenously assembled Lithotripter
Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA II Generator
Dr. Prakash GuneDr. Umesh Bhadre, Dr. Vishwanath MagdumKolhapur Kidney Stone Care Pvt. Ltd., KolhapurTITLE: "Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA III Generator."
Aim and Objective:
To compare the efficacy of Vega II Generator (Electro-hydraulic) with other sources of energy
Materials and Methods: Inclusion Criteria
1. Initial 100 cases of Pelvic, Calyceal and Ureteric Calculi were selected for study 2. Patients between age group of 15 to 80 year are included 3. Stone size varied between 0.8 to2.5cm 4. Basic work-up included Haemogram, Urine routine and culture, coagulation, IVP and USG examination 5. ESWL treatment was done on OPD basis without any anesthesia or analgesia with fluoroscopic localization
Results:
1. Pain and local side effects (e.g. Echymosis) during treatment in not observed 2. Post treatment haematuria was mild lasting only for a day 3. Analgesia or anesthesia was not required for nay cases 4. Post treatment Colic or Steinstrasse was not seen in any cases 5. Size of fragment passed was fine silt
Discussion:
1. VEGA II Generator Lithotripsy is painless 2. That patient's acceptance is good as procedure can be done on OPD basis as anesthesia not required as side effects minimum 3. As particle size is fine, ancillary procedure like DJ stenting is not required, also occurrence of colic and Steinstrasse not there
DR. PRAKASH GUNE
|
| Memberships Medical Council i) Indian Medical council :Full (Life) Member No.217730 ii)General Medical Council, England :Full Member No.1427183 (On overseas List) Retention Fee due Dec.1996 Membership of the Academic Association: i) Indian Medical Association- Full Member ii) British Association Of Urological Surgeons- Full Member iii) Urological Society of India- Full (life) Member iv) Urolithiasis Association of Indian- Full (life) Member v) West Zone Urological Association- Full (life) Member and council Member vi) Surgeon General Club, Kolhapur- Full Member vii) S.I.U.- Full Member Other Attachment: i) CHAIRMAN: Dr. A. B. Gune Charitable Trust ii)MANAGING DIRECTOR: Kolhapur, Kidney Stone Care Centre iii)DIRECTOR: Insight Diagnostic & Oncological Research Centre
Names of the Referees: i) Mr. W. F. HendryConsultant Urologist,149, Harley Street,London WIN IDDPhone 636 7426ii)Mr. Ron ParkerConsultant Surgeon,Walgrave Hospital,Coventry, CV 2 2DX ___________________________________________________________________________________________________ ESWL FOR IN SITU URETERIC CALCULI Gune Prakash, Bhadre Umesh, Magdum VishwanathBreak Stone Lithotripsy Clinic, Kolhapur, IndiaINTRODUCTION & OBJECTIVE: With the advent of Endo Urology and ESWL there have been various treatment options for treating Ureteric calculi. This paper is to study merits and demerits of treating ureteric calculi in situ. MATERIAL & METHOD: 300 patients of symptomatic ureteric calculi presented at this centre, since Stone Medical International's Vega I Lithotripter machine was installed in April 1995. After evaluating these patients and seeing their IVU 166 patients were selected for in situ ESWL. Stenting was performed only in grossly obstructed system. The localization of the stone was done either in Prone, Supine or Lithotomy positions. All patients were given 2500 shocks at one sitting with KV from 15 to 20. Some of them who required multiple sittings were called at the interval of 2 weeks. RESULTS: In 150 patients the results of in situ ESWL have been successful. Only in 16 patients stones could not be fragmented and URS had to be performed. 10 out of 166 patients needed DJ stenting prior to ESWL as they had marked obstruction secondary to ureteric calculi while as lower ureteric calculi take more sittings to fragment. COCLUSION: In Situ ESWL for ureteric calculi is an effective, noninvasive procedure and should be considered as the first line treatment in most of the symptomatic Ureter Calculi |