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Related Experiment Videos

Case report: the stone-basket nidus.

Steven Schwartz1, Kevin Broder, Marklyn Jones

  • 1Department of Urologic Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA.

Journal of Endourology
|July 1, 2006
PubMed
Summary

Ureteral stone removal complications can occur, even after successful procedures. Careful inspection of surgical tools, particularly stone baskets used with lasers, is crucial to prevent retained fragments and subsequent patient pain.

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Area of Science:

  • Urology
  • Endourology
  • Medical Device Safety

Background:

  • Ureteroscopic stone extraction is a common procedure for treating ureteral calculi.
  • Holmium laser lithotripsy is frequently employed for stone fragmentation during ureteroscopy.

Observation:

  • A 55-year-old male experienced recurrent right flank pain six months post-ureteroscopy.
  • The patient had undergone ureteroscopic stone extraction with holmium laser lithotripsy for a distal ureteral stone.
  • The extracted stone specimen included fragments from a stone basket.

Findings:

  • Retained fragments from a surgical accessory (stone basket) were identified as the cause of the patient's persistent flank pain.
  • The presence of laser-use may increase the risk of accessory fragmentation.

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Implications:

  • Thorough inspection of all endourologic accessories, especially stone baskets, is paramount after procedures.
  • Failure to identify and remove all accessory fragments can lead to delayed complications and patient morbidity.
  • Enhanced vigilance during surgical tool inspection is critical in laser-assisted endourologic procedures.