*Endogyn
Posted Friday, March 17, 2006 @ 10:12 AM
Author Doc_Kru Most advanced
Adhesions.de Message Board
Adhesions are an inevitable consequence of surgery and their optimal management and prevention remains unanswered. The magnitude of this problem has been overlooked due a lack of awareness of their clinical significance. Adhesions cause serious short-term and long-term complications related to bowel obstruction, infertility and pelvic pain worsening the quality of life of the patients. This further increases the burden on patients and doctors, and drains the economic resources of the health care system. Despite advances in the surgical technique (laparoscopy) and instrumentation (microsurgical instruments) the frequency of adhesion-related complications (ARD) still remains relatively unchanged. Clinical studies and research clearly reveal that the burden of adhesion related problems (i.e. de-novo adhesion formation, recurrence, complication and readmission and re-surgery rates) following laparoscopic gynaecological surgery is unfortunately similar to that found after open surgery.
Several adhesion-reducing agents (barriers) have been experimented with but their widespread use is limited by efficacy, cost-effectiveness, safety and technical issues. In spite of extensive research involving enormous financial expenditure aimed at the prevention and treatment of adhesions, an ultimate solution has still not been forthcoming to conquer this challenging problem. Clearly to enhance good and safe medical practice optimal strategies for the management and prevention are needed.
With this in mind, there should be a strong cooperation between surgeons, scientist and patients organisations to put light into the various aspects of adhesion formation, adhesion surgery and adhesion prevention.
Thus we all have the responsibility to try new ways and find solutions.
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The IHRT team consists of persons afflicted with "Adhesion Related Disorder." It is our goal to expose, challenge and, at times, agree with issues presenting in the world of ARD! Here we find one of those issues....and in the course of next week, we will take a very close look at this surgeons opinions and comments as expressed in a post in his web site. IHRT encourages you to visit that web site and read this post, formularize yourself with it, as next week, we will offer our opinion on it, and with lots and lots of questions, as the one thing IHRT does agree with in this post is this and we quote, "Destruction and contraproductive actions destroys only possible treatments for some patients and have no place in the field of ARD. Constructive discussions however are important."
In these first two paragraphs, we learn nothing new, and it would seem that he is "preaching to the choir" here! If he has just figured all this out recently, all of you who had a surgery at Endogyn are really in a ton of trouble if you went there thinking this surgeon had a clue about what you already knew! Really, all of this rhetoric is so lame, it is like, "Hello!" What is your point here?
In the opinion of IHRT, we think he likes to see his own words in print and finds them "enlightening" maybe???? If that is the case, we can only imagine that the only who is enlightened by them IS him!
Stay tuned for next week as we go through each sentence as in all areas we will be able to show that the comments are false, that some are very contradictory to his words in prior postings, and of course to point out some of the silliest things we have seen since the creation of IHRT regarding issues in the world of ARD, and of course we have questions for Daniel, lots and lots of them, and we do expect answers, after all he did say that, and we quote, "Constructive discussions however are important."
After all, what "Dr." wouldn't answer serious questions posed to him regarding his own adhesiolysis, his philosophies on ARD and on the services offered through his practice?
Allow IHRT to give you a brief example of some of the issues we found "interesting" in this *recent post by Daniel Kruschinski, Endogyn...
One of the VERY interesting comments Daniel made in this post is this, we quote him,
"Sometimes we can combine techniques (gas and gasless),"
SOMETIMES "we" combine techniques of (gas and gasless!!!!!)? WHAT? How? Is this a "planned" procedure to go back and forth? How do you execute such a procedure? Does it consume time of the surgery? Does the patient know before hand? What reason would you have for doing this? Is it in an emergency situation or because there are two surgeons performing one procedure? And if so, why is that? How many of these "bio" procedures have been done at Endogyn? Who were the surgeons? You always stated that "CO2" damages the peritoneum, so, does the patient decreases chances of becoming adhesion free when you do a "bio" procedure like this? (Keeping in mind with gasless, too many of the patients seem to be returning for 3 & 4 surgeries for reformed adhesions as it is!!)
Another VERY interesting, and "all of a sudden" type comment Daniel made in this post creates more questions then the one above, but we have the questions ready for answers from him, trust IHRT on that!
We quote Daniel, "And I am sure that we need another 15 years of research and clinical data to show which technique might be better."
What about this? We quote Daniel,
Posted Tuesday, April 6, 2004 @ 12:11 PM
I was asked to write about a comment to a post about carbon dioxide, made on one of the message boards.
Sally was trying to explain the risks of gasless laparoscopy by her own words, to make it clear to patients, but the response was anything else than: " there is no risk of carbon dioxide regarding adhesion formation...as a doctor, who was asked about it, said, there is no risk..."
I'm not speaking about MY PERSONAL PREFERENCE how to perform surgery, as "I would say, I drink tea with milk, as it tastes better, other drink without ...", I'm speaking about the evident data that is collected and published by experimental studies and clinical reaserch !
Not the "postoperative effects on the body" are important, but the destructive effect of carbon dioxide that causes injury / lesion to the peritoneum and by this causes adhesion formation !!!
First of all, please look at Shirlis biochemical explanation here: http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=NiLgCvS6sifDMo475pIa4jsuLF&forum=21&thread=898 ( Shirli is Daniel's wife, by the way.)
And here are some pictures of a lecture on an international congress where I'm presenting the statistics, the data and the images of systematically collected data from 33 patients with an follow-up of more than 12 months, that show the excellent results of over 90 % adhesion and pain free patients, treated with gasless laparoscopy in combination with SprayGel.
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So, this post brings up more questions and issues then it resolves, though maybe it wasn't meant to "resolve" anything at all, rather, just a bunch of gibberish trying to "back-peddle" for other posts Daniel did, emails Daniel sent and/or anything Daniel does to "help" those afflicted with ARD! Whatever the reason for this post by Daniel, what it does offer is a chance for some very serious questions to be asked as to just what the heck IS going on at Endogyn as right now, well, his research and adhesiolysis procedures and opinions and statistics are all over the place and changing like a chameleon, and in all of this, it is the opinion of IHRT that ALL persons afflicted with ARD stay far away from Endogyn until the real adhesiolysis procedure and the surgical protocol there remain consistent...all over the place, which appears to serve Daniels needs when it is convenient for him, and not serving patients going to Endogyn. This stuff is not only confusing as presented here, much of it contradicts many of the things he was "preaching" just weeks prior to this!
Watch for more on the "Ever changing world of Endogyn!!"
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