Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in the other organs such as gallblader or liver. Lithotripsy is the uses of high energy shock waves to break up stones in the kidney. In Greek word litho means STONE, trip means break.

1. LITHOTRIPSY

2.  Introduction
 History
 Purpose of lithotripsy
 Symptoms
 Techniques
 Procedure
 Risks
 Advantages and disadvantages
COMPONENTS

3.  Lithotripsy is a medical procedure used to
treat certain types of kidney stones and stones
in the other organs such as gallblader or liver.
 Lithotripsy is the uses of high energy shock
waves to break up stones in the kidney.
 In Greek word litho means STONE, trip means
break.
LITHOTRIPSY

4. . Frenchsurgeon and urologist jean civiale
invented a surgical instrument in 1832.
. Lithotripsy was developed,and replaced in the
treatment of beginning in the year 1980.
. ESWL was first used on kidney stones
In the year of 1980.
. Electrohydraulic lithotripsy was introduced in the year
of 1975.
. Laser lithotripsy was introduced in the year of 1980.
HISTORY

5.  It is used for removing kidney stones without
Surgery that causes.
. pain
. bleeding
. damage to kidney due to blockage.
. urinary tract infections
PURPOSE OF LITHOTRIPSY

6.  The symptoms are:
. Bleeding disorder
. Abdnominal pain
. Urinary tract infection
. Damaged kidney infection
. Nausea
SYMPTOMS

7.  Extracorpeal shockwave
lithotripsy
 Intracorpeal (endoscopic lithotripsy)
. laser lithotripsy
. Electrohydraulic lithotripsy
. Mechanical lithotripsy
. Ultrasonic lithotripsy
TECHNIQUES

8. Extracorpeal lithotripsy is the least invasive
surgical stone treatment.
 It using high frequency sound waves from an
external sources to break up kidney stones into
smaller pieces.
 And allow them pass through the urinary tract.
 It is not performed in pregnant,bleeding
disorder,urinary infection.
EXTRACORPEAL LITHOTRIPSY

9.  Endoscopic lithotripsy refers to the
visualization of a calculus in the urinary tract
 And the stimultaneous application of energy to
fragment the stones.
 Many calculi in the upper urinary tract are
treated with endoscopic lithotripsy.
 Ureteroscope is the most common means of
visualizing an upper urinary tract calculus.
ENDOSCOPIC LITHOTRIPSY

10.  Pneumatic mechanical devices, such as the
lithoclast ,are small endoscopic jackhammers.
 The lithoclast can be used through rigid
endoscopes.
 The lithoclast is an efficient and economical
means of fragmenting calculi.
 It is particularly useful for managing large and
hard stones.
MECHANICAL LITHOTRIPSY

11.  The pulsed dye laser, which uses 504nm of
light delivered through optical quartz fibers.
 The laser produced plasma between the tip of
the fiber and the calculus,fragmenting the stone
with a photo acoustic effect.
 The 200mm fiber allows the most endoscopic
deflection but can deliver only 80mj
energy,which is to fragment the calculi.
LASER LITHOTRIPSY

12.  It creates a small park of high temperature
that vaporise a small volume of water into
gasseous bubble.
 The bubble expands circumferentially.
 Its damaging adjacent large fragments and
falling to fragment the hardest calculi.
ELECTROHYDRAULIC LITHOTRIPSY

13.  Ultrasonic lithotripsy was used intially.
 This modality requires a rigid endoscope and
is commonly used via percutaneous real
approch.
 It is less useful WITH URETEROSCOPY.
ULTRASONIC LITHOTRIPSY

15. RECENT LITHOTREPSY MACHINE

16. WORKING…

17.  Are pregnant
 Have bleeding problems
 Have non working kidneys
 Have pacemaker
 People who cannot have anaesthesia or x-rays.
WHY SHOULD NOT HAVE LITHOTRIPSY?

18.  Blood in the urine.
 Pain and discomfort due to passage to
remaining stone fragments.
 Frequent and urgency of urination.
 Persistent abnomial pain due to injury to
internal organs.
 Repeat lithotripsy procedure may be needed.
RISKS

19.  It is non invasive treatment.
 No length hospital stays.
 NO Surgery
 No incisions
 No length recovery periods.
ADVANTAGES

20.  Medicine to prevent infections.
 Some discomfort.
 Passing sand like particles in the urine for a
few weeks after the lithotripsy.
DISADVANTAGES

21. THANK YOU