1. The Evolution of EM Technology in Latin America
First 170 Cases with Integra Machine’s - Direx
Dr. Carlos Alberto Benedetti
AUA – TiSBU 1477
Santa Rosa-RS Brazil - may, 2012

2. First 170 Cases with Integra Machine’s -Direx
Method
Venipuncture – physiologicol serum glucose
Midazolam – 2,5mg
Fentanyl – 2ml (0,078mg/ml)
Recovery after ESWL: 30’minutes
KV to 11
Number of schoks: (three thousand)

3. First 170 Case with Integra Machine’s - Direx
Beginning: 6/12/2011 – 15/05/2012
Number of ESWL – 170
Women – 80
Men – 90
Public Service – SUS – 120
Private Service – 50
Location - Right Kidney – 64
- Left Kidney –75

4. First 170 Cases with Integra Machine’s - Direx
Ureter – 29
Bladder – 2
Size of the calculation : - 1 to 5mm = 2
- 6 to10mm = 102
- 11 to 15mm = 32
- 16 to 20mm = 8
- 21 to 25mm = 7

5. First 170 Cases with Integra Machine’s - Direx
Results:
Reapplication – 2 nd session
nd session
Retreatment rate = %
Video Laparoscopy – 2 cases
Percutaneous Renal (PCN) – 5 cases
Ureteroscopy – 11 cases
Additional procedures rate = 10.5 %

6. Photo of the machine

7. Photo Protocol

8. Clinical Picture of Santa Rosa/RS –Brazil May, 2012.