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Complications employing the holmium:YAG laser.

Abstract
We report the operative and early postoperative complications and limitations in 133 patients treated with the holmium laser. Complications included urinary tract infection (N = 3), postoperative bradycardia (1), inverted T-waves (1), intractable flank pain (1), urinary retention (1), inability to access a lower-pole calix with a 365-microm fiber (9), stone migration (5), and termination of procedure because of poor visibility (2). No ureteral perforations or strictures occurred, and no complications were directly attributable to the laser. The holmium laser was capable of fragmenting all urinary calculi in this study. In our initial experience, the holmium laser is safe and effective in the treatment of urinary pathology. Use of laser fibers larger than 200 microm occasionally limits deflection of the endoscope into a lower-pole or dependent calix.
AuthorsM Beaghler, M Poon, H Ruckle, S Stewart, D Weil
JournalJournal of endourology (J Endourol) Vol. 12 Issue 6 Pg. 533-5 (Dec 1998) ISSN: 0892-7790 [Print] United States
PMID9895258 (Publication Type: Journal Article)
Chemical References
  • Yttrium
  • Aluminum
  • Holmium
Topics
  • Adolescent
  • Adult
  • Aged
  • Aluminum
  • Child
  • Holmium
  • Humans
  • Laser Therapy (adverse effects)
  • Middle Aged
  • Retrospective Studies
  • Urinary Calculi (surgery)
  • Yttrium

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