6533b85dfe1ef96bd12bf07d

RESEARCH PRODUCT

Administration of Second-Generation Extracorporeal Shock Waves without Waterbath for Fragmentation of Extra- and Intrahepatic Bile Duct Stones

Manfred ThelenK H Meyer Zum BüschenfeldeM. GoebelPeter MildenbergerR. HohenfellnerA. FlothM. StaritzTheodor JungingerA. Rambow

subject

medicine.medical_specialtyCommon bile ductBile ductbusiness.industryGallbladderIntrahepatic bile ductsmedicine.diseaseGastroenterologyExtracorporealSpark dischargeSurgerymedicine.anatomical_structureInternal medicineHigh pressuremedicineKidney stonesbusiness

description

First-generation extracorporeal shock-wave sources disintegrate 97% of kidney stones [1, 2]. Recently, in selected patients gallbladder and common bile duct stones were also treated. The technique available so far, however, requires immersion of the patient’s body in a tank of degassed water. The procedure is therefore inconvenient, time consuming, and relatively expensive. The high pressure of shocks (up to 1000 bar) generated by underwater spark discharge causes pain, and general anesthesia is necessary in most patients [3, 4].

yearjournalcountryeditionlanguage
1990-01-01
https://doi.org/10.1007/978-3-642-74619-2_19