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The optimal settings of holmium YAG laser in treatment of pediatric urolithiasis.

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dc.contributor.authorErsoz, Cevper
dc.contributor.authorIlktac, ABDULLAH
dc.contributor.authorKalkan, Senad
dc.contributor.authorDanacioglu, Yavuz Onur
dc.contributor.authorSilay, Mesrur Selcuk
dc.contributor.institutionauthorERSÖZ, CEVPER
dc.contributor.institutionauthorİLKTAÇ, ABDULLAH
dc.contributor.institutionauthorDOĞAN, BAYRAM
dc.contributor.institutionauthorKALKAN, SENAD
dc.date.accessioned2021-01-23T20:59:06Z
dc.date.available2021-01-23T20:59:06Z
dc.date.issued2021-01-21T00:00:00Z
dc.description.abstractThe aim of this study is to present our experience on the use of the holmium:yttrium-aluminum-garnet (Ho:YAG) laser in pediatric patients for pediatric urolithiasis and describe the optimal settings. A total of 116 children who underwent urolithiasis treatment (percutaneous nephrolithotomy (PNL), ureterorenoscopy (URS), retrograde intrarenal surgery (RIRS)) were included. The mean age of the patients was 8.4 ± 5.2 years (1-18). The mean follow-up was 26 ± 8.8 months (9-45). There was no difference between the mean stone sizes of PNL and RIRS patients (p = 0.816). Operations were performed with 200, 272, and 365-μm fibers. In mini-URS, stone fragmentation was achieved with the energy settings set between 0.5 and 1 J and frequency set to > 8 Hz. In RIRS, fragmentation was achieved with the setting of 0.5-0.8 J at 10-20 Hz. Stone fragmentation was performed with energy settings of 0.8 to 2 J between 5 and 15 Hz for PNL. There was no significant difference between the stone-free rates of the PNL and RIRS (p = 0.150). Four postoperative complications occurred (Clavien II), which included febrile urinary infections in two patients who underwent mini-URS, one patient who underwent PNL, and one patient who underwent RIRS. Our results confirmed that Ho-YAG laser can be effectively used in children for stone treatment by using low-energy high-frequency settings for URS and RIRS and a high energy setting for PNL.en
dc.identifier.citationErsoz C., Ilktac A., Dogan B., Kalkan S., Danacioglu Y. O. , Silay M. S. , -The optimal settings of holmium YAG laser in treatment of pediatric urolithiasis.-, Lasers in medical science, 2021
dc.identifier.doi10.1007/s10103-021-03251-y
dc.identifier.pubmed33479867
dc.identifier.urihttp://hdl.handle.net/20.500.12645/28144
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/33479867/
dc.subjectHolmium laseren
dc.subjectLaser settings
dc.subjectPediatric urology
dc.subjectStone disease
dc.titleThe optimal settings of holmium YAG laser in treatment of pediatric urolithiasis.
dc.typeArticle
dspace.entity.typePublication
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local.publication.isinternational1
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relation.isAuthorOfPublication.latestForDiscovery2affc51c-246b-4233-95f2-2198aae6b480
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