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Minimally Invasive Management of Stone Disease
A. Berent
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INTRODUCTION
Minimally invasive management of stone disease is currently considered the standard of care in veterinary medicine according to the ACVIM. Urolithiasis is a common problem in veterinary medicine and knowing the stone type is mandatory in providing the best treatment and prevention for clients and patients. Different uroliths are treated in different ways, some of which can be dissolved, others need to be removed, and some can be cautiously monitored and bypassed when necessary. The invasiveness and side-effects associated with some traditional surgical or medical techniques (i.e. surgery of the ureter for ureteral obstructions, endoscopic visibility for bladder and urethral stones, etc) makes the use of less invasive alternatives using interventional options more appealing.
Kidney and Ureter
Percutaneous Nephrolithotomy (PCNL)
Kidney stones can result in progressive renal failure, intractable infections, ureteral pain, and bleeding. Surgical nephrotomy can be invasive and is associated with significant morbidity. In people, percutaneous nephrolithotomy is considered the standard-of-care for kidney stones too large to be treated with shockwave lithotripsy or retrograde laser lithotripsy, and has recently been performed successfully in clinical veterinary cases. This minimally invasive procedure aims to minimize morbidity, and preserve as much renal function as possible while gaining access into the kidney for stone removal. ...
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About
Affiliation of the authors at the time of publication
The Animal Medical Center, New York, NY
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