Lithotripsy
Lithotripsy is the medical term for treatment of kidney stones and gall bladder. It is also known as Extra corporeal shock wave lithotripsy.
High energy shock waves are passed through the body. The high energy shock waves penetrate into the kidney stones. Breaking the kidney stones into pieces such that they could be easily eliminated out of the body through the urinary system. The patient is administered with medication before the operation if h/she experiences pain. Anesthesia is given before the operation starts.
The lithotripsy procedure lasts for over 45 minutes to an hour.
A tube is placed through the bladder which facilitates draining of urine from your kidney. And so even the small stones get eliminated through it.There
They can be enumerated as difficult entry to the right hypochondrium owing to the adhesions, difficulty in exposure can also arise due to diseased gallbladder and Liver ,acutely inflamed and tense gallbladder ,gallbladder packed with stones ,thick walled gallbladder ,fibrotic gallbladder ,gallbladder mass and abnormality can also arise due to anomalous anatomy of hepatobiliary system like situs inversus, malposition of the gallbladder, arterial anomalies and short cystic duct, a huge stone impacted in the cystic duct, Hartmann’s pouch adherent to the common hepatic duct and anomalous insertion of the cystic duct.
We found that out of 22 patients had stone removed during the ERCP, 11 used balloon to remove the stone, and While 10 patients used basket and mechanical tools to remove the stones.
The kidneys are located in the posterior section of the retroperitoneal cavity and are small, dark red kidney-bean shaped organs in the lower part of the rib cage (Marieb, The Urinary System, 2015). They are undervalued organs considering how essential they are for the body’s ability to maintain homeostasis. The kidneys filter about 120-150 quarts of blood to produce about 1-2 quarts of urine each day (NIH, 2014). Blood initially enters the kidneys through the renal artery. It then flows into the segmental artery before moving into the interlobar artery. From the interlobar artery the filtrate enters the arcuate artery before branching into the cortical radiate artery, which feeds into the afferent arteriole, before passing into the glomerulus where it begins to filter out waste. The filtered waste is then collected by renal tubule. The tubules drain to collecting ducts and all of these components together makes up a small unit called a nephron. Each kidney has over a million nephrons (Marieb, Blood Supply/ Nephrons, 2015). They filter out wastes that run through different body systems via blood; the majority of that waste is nitrogenous wastes, toxins, excess fluids, electrolytes, and drugs. These waste products are eliminated as urine. While waste are removed vital enzymes, hormones, and water are returned
Kidneys play an important role in the unary tract. They are located on each side of the spine, just below the ribcage. Each kidney is connected to the bladder by ureters. The kidneys have many functions, but the most common functions are to clean waste, control chemicals, and regulate fluid in the body which makes up the urine. Urine collects in the kidney before entering the ureters and as time passes more materials are added. When calcium and oxalate or phosphates are combined in the kidney tiny stones are formed called nephrolithiasis, commonly known as kidney stones. These stones can be very painful and “increases risks for diabetes, high blood pressure, and osteoporosis” (Goldfarb, 2009). About ten percent of all people will have kidney stones in their lifetime. Kidney stones are most frequently found in white men over the age of forty, relatives of kidney stone patients, and people who have formerly had kidney stones.
This machine used an intravenous drip which was hooked up to the patient. The IV would start dripping a solution of saline. When the patient was ready they pushed a button and this solution would stop dripping. At this time the machine would release a drug called thiopental, better known as sodium pentothal, a general anesthesia for sixty seconds. After this the patient would be in a coma. A timer would stop the first drug and the release the next one called potassium chloride. This drug will cause a heart attack and the patient will die in their sleep. (Gibbs, McBride-Mellinger; PBS.org.
The fluid pulls wastes, salt, and extra water through the peritoneum and into the fluid. At the end of the session the fluid is drained from your body. There are two kinds of peritoneal dialysis: Continuous cycling peritoneal dialysis (CCPD). In this type, a machine called a cycler fills and drains your abdomen (performs exchanges) for you while you sleep.
Kyphoplasty- procedure where a balloon is inserted into the vertebrae and covered by cement, it elevates the fracture.
After further multidisciplinary team meetings with the involvement of John the treatment option of automated peritoneal dialysis was implemented (NSF 2004). Once the Tenchkoff catheter had been inserted, education and training completed John was ready for discharge home.
Hemodialysis uses a dialyzer, or special filter, to clean your blood. The dialyzer connects to a machine. During treatment, your blood travels through tubes into the dialyzer. The dialyzer filters out wastes and extra fluids. Then the newly cleaned blood flows through another set of tubes and back into your body.
All play a role in removing waste from your body. Your kidneys filter waste from your blood and regulate the concentrations of many substances. Tubes called ureters carry urine from your kidneys to the bladder, where it’s store until it exits your body through the urethra.
This dialyzer is a clear plastic tube which contains thousands of micro fibers that allow the blood to flow through while enabling diffusion to remove the unwanted components of the blood. The majority of dialysis patients use this as their primary method of treatment; however, some patients find the treatment to be harsh and uncomfortable. These patients often look for alternate treatments, such as peritoneal dialysis. The human body has the ability to be modified to allow for dialysis to occur within the peritoneal cavity instead of the extracorporeal method used in hemodialysis. This cavity is located in the abdomen and is accessed via a tube called a peritoneal dialysis (PD) catheter.
The filtered blood leaves the kidney along the renal veins. The filtered waste products are excreted by the kidney as urine. A narrow tube called the ureter carries urine from the kidney to the bladder. From there the urine is excreted through a single tube, called the urethra. Kidney structure: If you cut a section through the kidney, three areas can be seen:
up on the inner surfaces of the kidney. A kidney stone that does not pass on out
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
After a brief but promising career as a fashion illustrator, Raymond Loewy dedicated his talent to the field of industrial design. Loewy’s creative genius was innate, and his effect on the industry was immediate. He literally revolutionized the industry, working as a consultant for more than 200 companies and creating product designs for everything from cigarette packs and refrigerators, to cars and spacecrafts. Loewy lived by his own famous MAYA principle – Most Advanced Yet Acceptable. He believed that, “The adult public’s taste is not necessarily ready to accept the logical solutions to their requirements if the solution implies too vast a departure from what they have been conditioned into accepting as the norm.”