Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA II Generator
Dr. Prakash Gune Dr. Umesh Bhadre, Dr. Vishwanath Magdum Kolhapur Kidney Stone Care Pvt. Ltd., KolhapurTITLE: "Our Experiences of 1st 100 cases of ESWL on indigenously assembled Lithotripter VEGA III Generator."
Aim and Objective:
To compare the efficacy of Vega II Generator (Electro-hydraulic) with other sources of energy
Materials and Methods: Inclusion Criteria
Results:
Discussion:
DR. PRAKASH GUNE
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Memberships Medical Council
i) Indian Medical council :Full (Life) Member No.217730
ii)General Medical Council, England :Full Member No.1427183
(On overseas List) Retention Fee due Dec.1996
Membership of the Academic Association:
i) Indian Medical Association- Full Member
ii) British Association Of Urological Surgeons- Full Member
iii) Urological Society of India- Full (life) Member
iv) Urolithiasis Association of Indian- Full (life) Member
v) West Zone Urological Association- Full (life) Member and council Member
vi) Surgeon General Club, Kolhapur- Full Member
vii) S.I.U.- Full Member
Other Attachment:
i) CHAIRMAN: Dr. A. B. Gune Charitable Trust
ii)MANAGING DIRECTOR: Kolhapur, Kidney Stone Care Centre
iii)DIRECTOR: Insight Diagnostic & Oncological Research Centre
Names of the Referees: i) Mr. W. F. Hendry Consultant Urologist, 149, Harley Street, London WIN IDD Phone 636 7426
___________________________________________________________________________________________________ ESWL FOR IN SITU URETERIC CALCULI Gune Prakash, Bhadre Umesh, Magdum Vishwanath Break Stone Lithotripsy Clinic, Kolhapur, IndiaINTRODUCTION & OBJECTIVE: With the advent of Endo Urology and ESWL there have been various treatment options for treating Ureteric calculi. This paper is to study merits and demerits of treating ureteric calculi in situ. MATERIAL & METHOD: 300 patients of symptomatic ureteric calculi presented at this centre, since Stone Medical International's Vega I Lithotripter machine was installed in April 1995. After evaluating these patients and seeing their IVU 166 patients were selected for in situ ESWL. Stenting was performed only in grossly obstructed system. The localization of the stone was done either in Prone, Supine or Lithotomy positions. All patients were given 2500 shocks at one sitting with KV from 15 to 20. Some of them who required multiple sittings were called at the interval of 2 weeks. RESULTS: In 150 patients the results of in situ ESWL have been successful. Only in 16 patients stones could not be fragmented and URS had to be performed. 10 out of 166 patients needed DJ stenting prior to ESWL as they had marked obstruction secondary to ureteric calculi while as lower ureteric calculi take more sittings to fragment. COCLUSION: In Situ ESWL for ureteric calculi is an effective, noninvasive procedure and should be considered as the first line treatment in most of the symptomatic Ureter Calculi |
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