What is Lithotomy?
Lithotomy is a type of surgery where stones or numbers are removed. The term lithotomy is generally used to reference to the extraction of kidney stones, but the stones can also be removed from other parts of the body, such as the bladder. Open lithotomy is rare these days and includes invasive surgery where a cut is made. There is also a type of lithotomy using techniques of surgery, known as percutaneous nephrolithotomy or PCNL. The kidneys and diseases that affect them are known as nephrology. This means that hot environments, drinking failure enough fluids and increased sweating can be risk factors. The stones differ in size and shape and small stone can pass through the body without any symptoms, but larger stones can be stored in the kidneys or all the urinary tract and cause colic pain, blood in the urine and sometimes infection. In some of these cases, lithotomy will be required to remove the stone.
The preferred, least invasive method of kidney stones includes the use of shock waves to break the stones into small pieces, which can then be easily fainted in the urine. This is called lithotrips or eswl. Sometimes it is not possible to use this technique because of the size, consistency or position of the stone, and instead of the Lithotomy type can be used.
Percutaneous nepholithotomy is a lithotomic technique where small anesthesia is carried out a small cut in the skin and using X -ray technology to ensure the correct placement, the needle is inserted in the kidney. The needle then passes through the guide wire and the tube can be threaded along the wire and creates a finished manulicanus leading to the kidneys and stone. What is called a nephroscope, a long thin telescope with numerous attached miniature tools, can then be introduced into the kidneys along the canal. Stones can be removed whole by means of pliers on a nephroscope and placed in a connected basket or can be divided by ultrasoundor laser energy.
In several cases where newer methods are not possible, for example with a very large or unpleasantly shaped stone, traditional open Litomic procedure can be used. The rear is cut to obtain access to the kidneys and the stone is removed. The disadvantage of open surgery is that patients take longer to recover compared to newer techniques.