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DGM001519.01 UM Sirius CE/ROTW
Contraindications for Uretero-renoscopy (URS):
x Acute proneness to bleeding, anticoagulation therapy
x Untreated infections of the urinary passages
x Difficult access to the stone in case of:
o Narrow ureter
o Adenoma of the prostate
o Urinary diversion (conduit, neo bladder, pouch, urinary diversion through intestinal segments)
o Implantation of new ureters
o Ureteroceles
o Ureteral / Urethral strictures
Contraindications for Percutaneous Nephrolithotomy (PCNL):
x Acute proneness to bleeding, anticoagulation therapy
x Untreated infections of the urinary passages
x Tumor in the access area
x Pregnancy
x Difficult access to the stone in case of:
o Skeletal anomalies
o Renal anomalies
o Intestinal interposition
o Pleural interposition
Read General contraindications for laser surgery earlier in this chapter for further information.
Gynecology:
x Current clinical data do not support a claim for indicating the use of the 1.9 µm laser for treatment of
menorrhagia or for use in female sterilization procedures.
x Laser surgical procedures may be contraindicated for women who are pregnant or have suspected
pregnancy, and for whom hysteroscopy or laparoscopy or open abdominal surgery would not be
appropriate.
x These procedures may be contraindicated for women with other medical or surgical conditions that
would contraindicate laparoscopic or hysteroscopic surgery (for those cases where such an approach
would not be the method of choice).
x Contraindicated for patients with any of the following conditions:
o Inability to receive laparoscopic treatment
o Intolerance to anesthesia
o Septic peritonitis
o Intestinal obstruction
o Septic shock
o Resection or excision of large, highly vascularized organs
Read General contraindications for laser surgery earlier in this chapter for further information.
Gastroenterology:
The thulium wavelength should not be used in patients with any of the following conditions:
x Inappropriate candidates for endoscopic or laparoscopic treatment
x Contraindicated for patients with previous multiple abdominal surgery
x Intolerance to anaesthesia
x Contraindicated for patients with Intestinal obstruction
Read General contraindications for laser surgery earlier in this chapter for further information.
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