ureteral basket lithotripsy

Basket stone removal is dangerous and the operator must follow certain rules to reduce the risk. 1 The width of the stone must be less than 0.5cm; 2 is limited to the stones of the lower ureter; 3 is less than 3 months. The basket should be: 1 pull the outer sheath to open the basket; 2 the basket needs to be fully open when in use. Can not: 1 close the basket in the ureter: 2 pull the collar or basket. Treatment of diseases: ureteral stones and ureteral stones Indication The stone width must be less than 0.5cm, limited to the lower ureter stones, for less than 3 months. Surgical procedure Cystoscopy was performed and the closed urinary basket was inserted into the ureter as inserted into the ureteral catheter. Insert the upper end of the basket at least 5 cm above the stone. Pull the outer sheath out and open the basket. Do not push the basket core upwards. If the basket is opened in this way, it is possible to puncture the end of the basket core through the wall of the ureter. Release the basket completely or pull the nylon thread of the collar catheter down until it is arched. Gently pumping out the stone removal device, sometimes the stones can be taken out together, sometimes the urinary stones will fall out of the basket and fall to the bottom of the bladder, and they need to be sucked out by an ellik emptying device. Do not close the basket in the ureter as this will sandwich the ureter wall between the baskets. Do not use force to tighten the basket or collar, which can ape the lower end of the ureter. The set of blue and stones are interlocked in the ureter. In this case, you must not pull down. The lock button should be removed from the basket core, the outer sheath removed, the abdominal flat sheet, and the patient returned to the ward. In general, the basket and stones can be dropped within 48 hours. If they do not fall out, they need to be surgically removed. The basket pierces the ureter wall. The basket will be caught and the diagnosis can be confirmed by x-ray examination and intravenous pyelography. Surgery is required to remove the basket and stones. The ureter prolapse or avulsion. The stones in the basket are difficult to discharge from the ureteral orifice because they are not completely free. When the stone further enters the bladder, a portion of the ureteral tissue can be prolapsed. Never pull down again, which will increase the degree of prolapse. A curved small scissors should be placed through the cystoscope to separate the stones and the basket from the prolapsed ureter, or the knife can be cut with an electric knife or ureter.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.