Adhesions.de Message Board | Thread - Surgery without an adhesion barrier is useless !

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Doc_Kru Master advanced Gender: Male Location: Registered: Jul 2003 Status: Offline Posts: 465	Posted Sunday, October 24, 2004 @ 04:58 PM The next some images show why a surgery without adequate adhesion barriers doesn't work and therefore is absolute unnecessary and without any effect. This patient has adhesions between sigma / left pelvic wall / uterus / ovary After 4 hours of surgery all organs could be isolated and the anatomical result is excellent: I didn't apply SprayGel as there was a small lesion of the serosa of the bowel which was sutured. I don't use SprayGel in the same procedure due to increasing infection potential in case of suture insufficiency. In such cases I perform a second-look around 4 - 5 days later to check if the bowel is ok and apply than SprayGel. So this is how it looks only 4 days later after an ecellent adhesiolysis !!! Please see what is the result of adhesiolysis without SprayGel: In this and some other cases I didn't apply SprayGel in the first procedure, I could see what is the reality: adhesiolysis without adhesion barrier in most of the cases doesn't work !!! All the adhesions reformed and even got more severe ... And if the patients had not been in OUR adhesiolysis concept... All that work had been for nothing and with high risk and complication possibilities for the patients... Due to the early second-look in cases of bowel injuries, the adhesions are only attached and can be taken down simply by touching with an instrument without any bleeding: So in OUR concept of adhesion surgery, it is possible in this procedure to check the bowel (it was intact in this case) and to apply SprayGel, that will for sure prevent adhesion reformation. In three months we will have a 3rd-look laparoscopy so I will report on her outcome. Without SprayGel and the SECOND-LOOK procedure it would be a real unnecessary and dangerous surgery ! Please be aware of surgery without adequate tools, adhesion barriers (SprayGel) and without a second-look, performed by so called "specialists" with NO concept and infrastructure as they are pronounced on some of the ARD support websites! Avoid also a LAPAROTOMY and if possible a laparoscopy with GAS (see all the information at this website) -------------------- Daniel Kruschinski, MD www.endogyn.com © by EndoGyn Ltd.
sybylsmom Most advanced Gender: Female Location: Brockton, MA. USA Registered: Jul 2003 Status: Offline Posts: 230	Posted Tuesday, October 26, 2004 @ 07:47 PM Dear Dr. Kruschinski, I am amazed at the pictures they speak a thousand words. I can only speak of my journey to you but you are right. All the surgeries I had in the U.S. only made me much worse till I had no hope. Then I read about Dr. Kruschinski and and felt a flicker of hope. I talked to patients and read the board and read all the information he had on his site to educate myself. I went to Germany in March of 2004 and had my surgeries with Dr. Kruschinski. He did not use the spray gel on the first surgery due to making sure my intestestines were all right. He went in for his second look and there was no reformation of adhesions on the areas he had worked on. He applied the spray gel on second look. He could not get all the adhesions on my right side but he did free the adhesions on my left and that is where I had the most pain. On the second look he freed up some on the right side. He was very upset he couldn't get all of them I have never seen a Dr. so upset but it is because he cares. Well whatever he did it worked wonderfully. I am working, playing, having no pain in any area and really enjoying my life. I know the spray gel is very important but I think the surgeon you have is the most critical thing in the whole world of adhesions. I know- I KNOW- because of his expertise and knowledge and his talent I am feeling like a normal person and I can never thank him enough. Your friend, Jan

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