Outpatient Surgery Magazine - Subscribers

Is Your Data Secure? Outpatient Surgery Magazine - November 2017

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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N O V E M B E R 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 8 5 • EHL and Holmium Laser. While the SpyBite is best suited to diagnose indeterminate strictures, electrohydraulic lithotripsy (EHL) and Holmium Laser lithotripsy are ideal for managing large (>1cm) stones, impacted stones that are stuck on bile walls or intrahepatic stones caught in difficult areas. Both of these technologies provide the same efficiency in breaking up and gathering stones. The only difference is that the Holmium Laser features a pointing device to aim before it executes the procedure. Here's how it works: a tiny probe, plugged into a generator, is passed down through the SpyGlass to align itself with the stone. Using the generator and pump, the provider activates the device to fragment the stones into more manageable bits to gather. At this point, traditional devices like extraction balloons and retrieval baskets are then passed down to gather the remaining pieces. With the initial help of EHL or the Holmium Laser, Boston Scientific boasts a 75% success rate in removing all stones from bile ducts.

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