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• W2162474242 abstract "When open surgery was the standard treatment for the management of renal calculi, the presence of residual fragments suggested a failed procedure, even if those remaining fragments were small. Because residual calculi may act as a nidus for recurrent stone formation, complete stone removal was the principal goal of therapy.5 The introduction of shock-wave lithotripsy (SWL), however, shed a new perspective on this century-old concept, minimizing the importance of postprocedural residual fragments. Currently, most renal stones requiring treatment are managed by SWL.8 Stone-free rates following SWL, however, are highly dependent on stone location, size, number, and composition, as well as the degree of hydronephrosis and renal function of the ipsilateral renal unit.21, 33 Approximately 66% to 72% of patients may be rendered stone-free if SWL is used for treatment of a wide variety of renal and ureteral lithiasis.13, 29 Successful SWL results, however, now are defined by many reports as complete fragmentation of the original stone to fragments small enough to pass spontaneously, with no discomfort. Three months after SWL therapy, 28% to 34% of patients retain stone particles, and post-SWL fragments may take as long as 30 months to pass spontaneously.16 Consequently, the principles of SWL therapy have changed completely the dogmas of open surgery, in which the aim was to render the patient completely stone-free at the completion of the operative procedure." @default.
• W2162474242 created "2016-06-24" @default.
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• W2162474242 date "2000-05-01" @default.
• W2162474242 modified "2023-10-16" @default.
• W2162474242 title "MANAGEMENT OF RESIDUAL STONES" @default.
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• W2162474242 doi "https://doi.org/10.1016/s0094-0143(05)70263-9" @default.
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