Early complications with the holmium laser

Marc A. Beaghler; Steven C. Stewart; Herbert C. Ruckle; Michael W. Poon

doi:10.1117/12.275075

22 May 1997 Early complications with the holmium laser

Marc A. Beaghler, Steven C. Stewart, Herbert C. Ruckle, Michael W. Poon

Proceedings Volume 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII; (1997) https://doi.org/10.1117/12.275075
Event: BiOS '97, Part of Photonics West, 1997, San Jose, CA, United States

Abstract

The purpose of this study is to report early complications in our initial experience with the holmium laser in 133 patients. A retrospective study of patients undergoing endourological procedures with the holmium laser was performed. Complications included urinary tract infection (3), post-operative bradycardia (1), inverted T-waves (1), intractable flank pain (1), urinary retention (1), inability to access a lower pole calyx with a 365 micron fiber (9), stone migration (5), termination of procedure due to poor visualization (2). No ureteral perforations or strictures occurred. 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 genitourinary pathology. Use of laser fibers larger than 200 microns occasionally limit deflection into a lower pole or dependent calyx.

Citation Download Citation

Marc A. Beaghler, Steven C. Stewart, Herbert C. Ruckle, and Michael W. Poon "Early complications with the holmium laser", Proc. SPIE 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII, (22 May 1997); https://doi.org/10.1117/12.275075

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