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ESWL and endourology on the same table: a feasible concept?
W Albrecht1, C Türk, M Marberger
1Department of Urology, Rudolfstiftung, Vienna, Austria.
The Journal of Lithotripsy & Stone Disease
|September 6, 1990
Summary
The ESWL multipurpose table efficiently handles various urological procedures, including endourology and ESWL therapy. It offers advantages like combined treatment sessions, improving patient care and stone management outcomes.
Area of Science:
- Urology
- Medical Imaging
- Surgical Technology
Background:
- The ESWL multipurpose table integrates multiple urological procedures.
- Biplane fluoroscopy aids percutaneous interventions.
- Combined endourology and ESWL reduce patient transport.
Purpose of the Study:
- Evaluate the efficacy and versatility of the ESWL multipurpose table.
- Assess its role in endourology, radiology, and ESWL therapy.
- Identify benefits and drawbacks for different urological interventions.
Main Methods:
- Analysis of 4,126 procedures performed over 26 months.
- Categorization of procedures into endourology, radiology, and ESWL.
- Evaluation of patient management for kidney stones, including stent use.
- Comparison with standard tables and piezoelectric systems.
Main Results:
- 40% endourology, 25% radiology, 37% ESWL therapy performed.
- 76% of large stones (>15 mm) managed with indwelling stents.
- In situ ESWL for ureteral stones used in >80% of patients.
- Multipurpose table showed comparable success to piezoelectric systems for ESWL.
Conclusions:
- The ESWL multipurpose table is a versatile unit for combined ESWL and endourology.
- It facilitates pre- and post-operative care and improves stone management.
- Operational challenges exist for percutaneous interventions and specific procedures.
- Standard x-ray tables are preferred for purely diagnostic interventions.