Ces Urol 2000, 4(2):5-8 | DOI: 10.48095/cccu2000006
Management of acute post ESWL complications
- Dept. of Urology, AZ KLINA, Braasschaat, Belgium
Acute post ESWL-complications can be subdivided in complications due to shockwaves proper and complications due to stone fragmentation and fragment migration. As complications due to shockwaves proper we consider traumatic effects to kidney, lung, intestine, blood vessels and other organs or soft tissues. These traumatic effects are due to the direct exposure of these organs and tissues to shockwaves. Furthermore we consider the clinical side effects due to shockwaves. Urinary obstruction and septic complications are discussed as complications due to stone fragmentation and fragment migration. For each type of acute complication attention is given to predisposing factors, prevention and treatment. Knowledge and control of predisposing factors prove to be an extremely important means to avoid severe complications. Therefore considerable attention will be given to preventive measures. If, despite careful preventive measures complications do occur, it is important to be aware of the fact that most of them can be solved with minimally invasive techniques: modern stone management requires a judicious combination of ESWL and endourology.
Zveřejněno: 1. březen 2000
Reference
- Jocham, D. Clinical studies documenting renal change after ESWL. In Principles of Extracorporeal Shock Wave Lithotripsy. New York, Edingburgh, London, Melbourne: Churchill Livingstone, 1978, pp. 43-47.
- W.T. Wilson, et al. Morphologic Renal Changes Following Piezoelectric Lithotripsy or Spark-Gap Lithotripsy. In Shock Wave Lithotrispy II: Urinary and Biliary. New York and London: Plenum Press, 1989, pp. 19-22.
Přejít k původnímu zdroji... - L.H. Newman, B. Saltzman. Identification of Risk Factors in the Development of Clinically Significant Subcapsular Hematomas Following Shock Wave Lithotripsy. In Shock Wave Lithotrispy II: Urinary and Biliary. New York and London: Plenum Press, 1989, pp. 207-210. Přejít k původnímu zdroji...
- D.L. Mc. Cullough. The bioeffects of Shock Wave Lithotripsy: An Overview. In Shock Wave Lithotripsy II: Urinary and Biliary. New York and London: Plenum Press, 1989, pp. 255-259. Přejít k původnímu zdroji...
- M. J. Coptcoat, et al. The Complications of Extracorporeal Shockwave Lithotripsy: Management and Prevention. British Journal of Urology 1986, 58, pp. 578-580. Přejít k původnímu zdroji...
Přejít na PubMed... - A. P. Evan. Renal Injury by Extracorporeal Shock Wave Lithotripsy. Journal of Endourology. Volume 5, number 1, pp. 25-35, 1991. Přejít k původnímu zdroji...
- F. Eisenberger, K. Miller, J. Rassweiler. Extracorporeal Shock Wave Lithotripsy. In stone Therapy in Urology. New York: Thieme Medical Publishers, Inc., 1991, Chap. 2, pp. 29-82.
- S. A. V. Holmes, H. N. Whitfield. The Current Status of Lithotripsy. British Journal of Urology 68: 337-344, 1991. Přejít k původnímu zdroji...
- W. Desmet, L. Baert, H. Vandeursen, J. Vermeylen. Iliac-Vein Thrombosis after Extracorporeal Shock-Wave Lithotripsy. The New England Journal of Medicine, Vol 321, 13, p. 907.