Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age
Yükleniyor...
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Permanyer Publications
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: In this study, we present our extracorporeal shock wave lithotripsy (ESWL) outcomes in urolithiasis patients under the age of two. Materials and Methods: The procedure was performed with patients < 2 years of age sedated, under anesthesia using ketamine and Dormicum (midazolam), in the supine position. Fragmentation was evaluated by fluoroscopy after the procedure. Results: A total of 74 procedures were performed on 65 kidneys. One patient with bilateral stones had two sessions of ESWL on the right side; three sessions of ESWL were performed in one patient with a unilateral stone, and two sessions were performed in seven patients with unilateral stones. All other patients underwent one session of ESWL. As post-procedural complications, hematuria was observed in 14 patients (12 mild and 2 significant), and vomiting occurred in 1 patient. Ureterorenoscopy was performed in 5 patients, and percutaneous nephrolithotomy in 6 patients due to a failed procedure. Conclusion: As a result, ESWL treatment is effective and has advantages such as a short hospitalization time, good reproducibility, cost-effectiveness, and a low rate of complications. Therefore, we recommend ESWL as the first-line treatment for renal and proximal ureteral stones in infants < 2 years of age.
Açıklama
Anahtar Kelimeler
Children, Extracorporeal shock wave, Lithotripsy, Urolithiasis
Kaynak
Cirugia y Cirujanos (English Edition)
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
91
Sayı
5
Künye
Basuguy, E., Önen, A., Azizoğlu, M., Okur, M. H., Aydoğdu, B. ve Arslan, S. (2023). Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age. Cirugia y Cirujanos (English Edition), 91(5), 620-626.
