EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) VERSUS LITHOLOPAXY (LL): WHICH IS A BETTER TREATMENT OPTION FOR "VESICLE CALCULI"
| Main Author: | Dr. Hina Nasir, Dr. Insha_e_Qudrat Tirmizi, Dr. Amna Ashraf |
|---|---|
| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1404272 |
Daftar Isi:
- Objective: Aim of the research was to compare the ESWL “Extracorporeal Shock Wave Lithotripsy” outcomes and litholopaxy (LL) in the treatment of “Vesicle Calculi”. Methods: Total hundred cases were studies at Services Hospital, Lahore (September 2016 to October 2017). These patients were divided into two equal groups respectively ESWL & LL. The only analgesia was used for the treatment of ESWL; whereas, preoperative antibiotic, a single dose of general anaesthesia was used for the LL. Impact shock waves were generated with the help of Lithotripter (per session 3500 shock waves). All cases of ESWL were treated with Lithotripter. Postoperative cases and post ESWL cases experienced ultrasonography and radiography as required on the fourth day of the follow-up visit for the evaluation of clearance of stone in the patients. Results: Both groups had a respective mean age of (38±10) years and (40±10) years. Both groups had the same male to female ratio and size of the stone. Fever was observed as (2 %) in the ESWL group; whereas, in twenty-four hours 4 % cases went to emergency and LUTS was observed in (4 %) cases. The auxiliary procedure was required in 36 patients. Whereas in the group of LL patients fever was observed in (6 %) cases, LUTS in (4 %) and emergency visits were (6%). Single procedure clearance was observed in 34 cases, the repeated procedure was carried out in 4 cases and retention of small particles was observed in 10 cases with an ultimate choice of ESWL. ESWL and LL groups presented a stone-free rate respectively as 76 % and 72 %. The rate of complication was in ESWL and LL group respectively 10 % and 20 %. ESWL is a twenty-five per cent cheap procedure than LL. Conclusions: As a modality, ESWL in comparison to LL is a better option for the treatment of two centimetres of vesicle stones regarding complications, efficacy, cost and clearance of stones. Keywords: Extracorporeal Shock Wave Lithotripsy (ESWL), Litholopaxy (LL) and Vesicle Calculi.