🦀 3,0 cm Pediculated tumor in the posterior bladder wall
✅ Ideal case for a Holmium Laser En Bloc resection
✅ No charring
✅ No bleeding
✅ Absolute control of depth of resection
✅ 100% of specimen base covered by muscle
Cyber-Ho 100W🏎️
Long pulse (Vapor tunnel)
0.6J 30Hz
❌ That Moment is to be Revised
🔴 Control your movement during Spinal Anesthesia
🔴 LASER SHOULD TARGET STONE ONLY
🔴 Expect the Unexpected
@PETRAurogroup@PEARLSendouro
⭕️ Minor Calyx Fragments
⭕️ UAS suction soft flexible tip into tight Infundibulum
⭕️ You may not need BASKETS anymore
🚩 Cost In Cost
@PETRAurogroup@PEARLSendouro
Three @F1 legends share a podium #OnThisDay in 1984. 🏆📸
Alain Prost celebrates winning the Portuguese Grand Prix with McLaren, flanked by newly crowned World Drivers' Champion Niki Lauda and a 24-year-old Ayrton Senna.
How do you remove the tumor from bladder after #ERBT ?
This time we used the nephroscope and trident forceps
2,5cm solitary lesion (CT scan)
Mega pulse Holmium laser
24 Fr sheath
@wroclawski_uro@jteoh_hk@DocGauhar @GoumasUrologia
#EAU2023#urology
Upper Tract Urothelial Cancer (UTUC)
Comparison b/w Holmium and Thulium Laser: @OTRAXER
- LESS Bleeding but MORE Necrotic Tissue with Tmfiber Laser
- Compared to MORE Bleeding but LESS Necrotic Tissue with HoYAG
1st #enbloc ureteric #UTUC resection with #thulio hybrid laser by @DornierMedTech: impressive combination of controlled incising & superb coagulation with limited carbonization Promising device for a precise surgery in a bloodless operative field #ETCE
My HoYAGsettings
1. Pulse duration
2. ↑ energy to desired effect
3. ↑ frequency to speed up lithotripsy
4. Max 10W in ureter and 25W in kidney
! Maintain balance between irrigation and power : pressure+thermal complications !
@PEARLSendouro@YAUEndourology@Uroweb@Endo_Society
1000th FOLLOWER
Updated individual #TFL settings to thank your interest and celebrate New Year's Eve.
BEWARE: Begin gently and adapt settings for EVERY patient. It may be that #Soltive ≠ #FiberDust ≠ #LaserClast ≠ other #TFLs
ALSO: #TFL ≠ #ThuYAG
BN105:Today with HighPowerLaser(HoYAG 100-150W&TFL60W)we face more&more UreteralLesion(Stenosis!) Our responsibility as KOL-Experts&LaserCompany is to RECOMMEND“SAFE SETTINGS” forPatient&not“OptimalOnes”for max.EFFICIENCY.Please pay attention toURETER.Use LowPower&LowFrequency🙏
Extremely proud of the work that our IBCG team has been doing to shape the #bladdercancer guidelines in Chile. The evidence-based, patient-centered guidelines continues the work guided by our mission: improving outcomes for patients worldwide