Endogyn, Emma KliniK, Frankfurt, Germany......
Doc_Kru Most advanced
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Posted Friday, March 17, 2006 @ 10:12 AM
Adhesions.de Message Board
http://www.endogynserver.com/cgibin/210/cutecast.pl?session=8amsd3jlR1URVx26nrWI6AHMmR&forum=2&thread=2275http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=8amsd3jlR1URVx26nrWI6AHMmR&forum=2&thread=2275
IHRT quotes Daniel
“ (1) There is no technique better than the other as only long term results and follow-up can show the success of a technique. On the other hand the same successfull technique in one surgeon’s hand might show only moderate results in other surgeon’s hand.
(2) With my friend Harry Reich, we have very frequent fruitful discussions
about gas and gasless surgery.
3) And I am sure that we need another 15 years of research and clinical data to
show which technique might be better.
(4) But in the end THE SURGEON is the key, regardless, which technique is used. Important is also the infrastructure that is offered for adhesion patients and the cooperation and interaction between patients and surgeon. The patients can rely that EACH surgeon does his best for the patient.
(5)There are only very few good surgeons for adhesions, but even the best surgeon won’t reach a 100 % success.
(6) Five years experience with SprayGel and Lift-laparoscopy (gasless) and a 2nd look laparoscopy, sometimes 3rd look gives so much material and clinical data, that patients can rely on the quality of surgery and infrastructure. And patients can choose a surgeon and a technique.
(7) Sometimes we can combine techniques (gas and gasless), if Harry Reich is here, which in the near future will be more often as he has recognized the high quality of organisation and infrastructure at EndoGyn.
(8) Just 2 days ago we finalized a more close cooperation to provide patients with a high quality of surgery and techniques.”
Let’s work together to find more and better options for ARD patients ! We (the surgeons) ARE doing it. We aim to extensively evaluate and discuss and question our techniques, the experimental / research studies and understand the adhesion prevention barriers. All this will throw much light on the optimal management of the enigmatic condition of ARD.
YOU (All patients) should join us in this mission!
(IHRT reads between the lines, “YOU (All patients) should join us in this mission: To support ONLY me and ask no questions while you do that!!”)
With warm regards
Daniel
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IHRT quotes Daniel…(IHRT will number the statement and our corresponding reply to # 4, #5 & #6 from Daniel's popst directly below)
(4)
Quoting Daniel…
(4) "But in the end THE SURGEON is the key, regardless, which technique is used. Important is also the infrastructure that is offered for adhesion patients and the cooperation and interaction between patients and surgeon. The patients can rely that EACH surgeon does his best for the patient."
(4) IHRT agrees with the first statement by Daniel here, but the second statement has to be challenged and the reason why is this: "When an ARD patient solely relied on the surgeon that started their mess in their peritoneal cavity, the surgeon, and others within the medical arena, were NOT honest about the potential of getting ARD from surgery, and not sharing information as to the symptoms suffered following the surgery that caused the adhesions in the first place! 99..9% of us wouldn't have suffered 1/2 as much as we did running around getting surgery after surgery and being told we were "psychotic" had any one of them so much as hinted that we had a condition THEY KNEW could be the cause of our symptoms! ARD, for the most part, is an "Iatrogenic Disease," Daniel, even your surgery, and to a good part, creates adhesions, and has the potential to cause NEW adhesions each time you hang a patients from, "DAS HOOK!" IHRT says, "Prove" to us that a surgeon is out to do their "best" for us and how they are doing that, then maybe, just maybe your words would hold some meaning instead of being, as usual, "JUST WORDS!"
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=x6AREJdwXMEC0Aj9volOBSko85&forum=2&thread=1392
What does the word "iatrogenic" mean? Iatros means physician in Greek, and -genic, meaning induced by, is derived from the International Scientific Vocabulary. Combined, of course, they become iatrogenic, meaning physician-induced. Iatrogenic disease is obviously, then, disease which is caused by a physician.
More..American Iatrogenic Association
http://www.iatrogenic.org/define.html
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(5)
Quoting Daniel…
(5 )"There are only very few good surgeons for adhesions, but even the best surgeon won’t reach a 100 % success."
IHRT challenges Daniel's comment here as it is , again, in direct contrst to prior claims made by him! Daniel, which of your comments here DO you stand by, or do you use BOTH when it suits your needs to appease, harvest or defend your posts in Endogyn?
(5-A )"German Case Provides Freedom from Pain for the First Time in 22 Years for a Canadian Woman
Significant Clinical Result in the Treatment of Adhesions with the SprayGel Adhesion Barrier
Waltham, MA (USA), April 24, 2002: Confluent Surgical, Inc. announced today that the SprayGel Adhesion Barrier, their flagship product, exceeded the clinical expectations of a leading German gynecologic surgeon in the treatment of a patient suffering from adhesion-related pain for twenty-two years.
Dr. Matthias Korell, MD, Privat Dozent of Gynecological Surgery, Duisburg, Germany, is recognized for his expertise in preventing and reducing adhesions in the abdomen and pelvis that result from previous open or laparoscopic surgical intervention. "The SprayGel Adhesion Barrier exceeded my expectations in reducing adhesions and represents a big step forward in treating patients with adhesion-related pain," says Dr. Korell. "We could see a complete adhesion-free abdominal wall one week after performing adhesiolysis." Adhesiolysis is the surgical removal of adhesions. "Having treated this patient since July 2000 for adhesion-related pain, this is the first and only time that significant improvement from pain has been recognized."
More: http://www.spraygel.com/spraygel/significant.htm
(5-B )"Based on proprietary hydrogel technology, SprayGel consists of two synthetic liquids that when mixed together rapidly cross-link to form an absorbable biocompatible hydrogel in situ, at the application. The polymerization occurs very rapidly (within seconds) with no heat evolved and no external energy source required (e.g., light or heat source). SprayGel is sprayed onto tissues using an air-assisted sprayer that can be used in either laparoscopic or open procedures. The hydrogel forms a flexible adhesion barrier that is tightly adherent to tissue, remains intact for about a week, and is then absorbed. This allows surgically injured tissues to heal without forming a scar or adhesion with surrounding organs.
"SprayGel is a breakthrough in adhesion barriers because it can be easily applied laparoscopically and remains on the tissues where it is applied during the critical wound healing period." Said Dr. Alain J.M. Audebert, Gynecologic Surgeon, Institut Robert B. Greenblatt, Bordeaux, France
http://www.spraygel.com/spraygel/todaysnews.htm
(5-C ) Abstracts & Clinical Publications of other surgeons who were part of the clinical traisl of Confluent Spraygel!!"
Results are not bad at all, for CO2 laps that is, being that Daniel say's the stuff doesn't work with CO2 laporoscopies!!!
IHRT notes that Daniel Kruschinski does NOT have an "abstract" in the Confluent web site, nor was he part of the "Advisary board" for
http://www.spraygel.com/spraygel/abstracts.htm
(5-D) "Dr. Alain J.M. Audebert, of Bordeaux, France, an Investigator in Confluent Surgical's European clinical trial stated "SprayGel is a breakthrough because it can be easily applied laparoscopically and remains on the tissues where it is applied during the critical wound healing period. I look forward to its routine use."
http://www.spraygel.com/spraygel/ceapproval.htm
Daniel "tooting his own horn, as usual, and alone of course!
(5-E) SprayGelT is the key for adhesion prevention. It enables the body to accomplish the healing process UNDER the surface of the adhesion barrier, without having contact to other areas where normally adhesions might be the result of that healing process. Especially with gasless laparoscopy, where the peritoneum is not hypoxemic and acidotic, SprayGelT might have a greater potential."Daniel Kruschinski, Institute for Endoscopic Gyneology (EndoGyn®) http://www.spraygel.com/spraygel/testimonials.htm
(5-F) Dr. Daniel Kruschinski is one of the very few surgeons in the world, who performs a second look laparoscopy (SLL) about seven days after the initial surgical procedure. In Dr. Kruschinski's experience the risk of adhesions resulting in the need for a subsequent surgery is greatly reduced. He has mastered the required advanced microsurgical laparoscopic techniques and has logged thousands of hours in performing very difficult, time-consuming, risky surgical procedures. Repeat surgery for adhesions in these cases is usually less extensive and does not usually involve the same amount of dissection that led to the formation of adhesions in the first place Here are some of Dr Kruschinski’s results in general:
About 91 % are adhesion free at the 2nd laparoscopy at 7 days postoperative. Those patients who have small adhesion attachments to the incision sites seen at the second look laparoscopy 7 days post-operatively are removed very easily by simply touching them with an instrument. Only 9% developed pain after surgery and half of them came for third look laparoscopy in which adhesions were seen in to be the cause of pain in 2 cases ,while in the others there were no adhesions but some other cause like adnexal tumour etc Thus the success rate of the gasless adhesiolysis with spray gel in patients being adhesion and pain free is about 91%.
http://www.adhesions.de/index.php?seite=verw&sprache=en&a=Aboutadhesions&b=aboutadhourstrat
( 5-G) IHRT encourages all persons afflicted with ARD to read these abstracts as they will show you the REAL results of the Confluent Spraygel when used with a CO2 laporoscopic procedure verese the sole opinion of Daniel Kruschinski of Endogyn, Emma Klinic
Gender: Male Location: Registered: Jul 2003 Status: Offline Posts: 255
Posted Friday, October 29, 2004 @ 09:53 AM Surgery with carbondioxide and SprayGel might be USELESS too...
And here you can see that even if using the best adhesion barrier available (SprayGel), but WITH carbon dioxide, adhesiolysis surgery is in most cases USELESS. Daniel Kruschinski, MD)
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=aOJMQrEOmLY3bm4QK4vSiGJksv&forum=2&thread=1221
( 5-H) IHRT offers other aspects of Successful Adhesiolysis Laporoscopies
Clinical Publications
Ferland, R., et al, Evaluation of SprayGel TM Adhesion Barrier System as a Barrier for the Prevention of Adhesion Formation After Gynecological Surgery
Mettler, L., et al, A Prospective Clinical Trial of SprayGelTM as a Barrier to Adhesion Formation: Interim Analysis
Preclinical Publications
Jacobs, V.R., et al, A Pressure-Balanced Sprayer for Intraabdominal Application of Soluble Biomaterials in Laparoscopy. Jacobs, V.R., et al, SprayGelTM as New Intraperitoneal Adhesion Prevention Method for Use in Laparoscopy and Laparotomy.
Pricolo, V.E., et al, Comparison of Peritoneal Adhesion Prevention in a Porcine Model
http://www.spraygel.com/spraygel/posters.htm
(5- I) IHRT shares an opinion as to what they consider to be one of the "wisest" posts ever placed in Endogyn! IHRT doesn't wonder why "Bob" only posted ONE time on Endogyn either! Every ARD patient in the world can take a very good lesson from this Dr. IHRT also noticed that this post was not "barraged"by the Endogyn bunch and hustled to a surgery with Daniel!!! Any other opinions on this post???
"bmccown Just starting
Gender: Male Location: Kansas USA Registered: Dec 2003 Status: Offline Posts: 1
Introduction
Posted Sunday, December 7, 2003 @ 09:42 AM "Hello. My name is Bob, I live in the USA. My wife of 18 months, whom I've known for almost 10 years (I was widowed a couple of years ago we got together after that) has very severe adhesive disease and severe pain, to the extent she' on disability and large amounts of pain medication. We are looking at more surgery, but will likely delay it as we look into Dr. K's techniques and reputation more. I am a physician, and am skeptical of everything. I have learned the hard way the aphorism "if it sound to good to be true, it probably is" is only too accurate. I'll be checking back frequently and looking around more. "Thanks - Bob
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=8vcWKqDJLZj3is4n9d756L5YvA&forum=2&thread=521
(5-F) There are just too many different posts in and about Endogyn that contradict themselves to keep copying here, so IHRT will simply ask you to go to this URL in Endogyn and study Daniel's "case papers" for yourself. We are certain you will find these as informative as anything else contained in Endogyn's ARD material and statistics!!
http://www.adhesions.de/index.php?seite=verw&sprache=en&a=Aboutadhesions&b=Questionablestudies
Go to: About adhesions Go to: Dr. K's case paper
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(6) "look gives so much material and clinical data, "
Quoting Daniel… "Five years experience with SprayGel and Lift-laparoscopy (gasless) and a 2nd look laparoscopy, sometimes 3rd look gives so much material and clinical data, that patients can rely on the quality of surgery and infrastructure. And patients can choose a surgeon and a technique.
(6-A)IHRT responds to #6. " So, Where IS the validation of these claims made here, Daniel. NOT YOUR words or your wife's "research,"instead, give us the "material & clinical data" you speak of by presenting the following material on the above issues you claim to have secured during YOUR "Five years experience with SprayGel and Lift-laparoscopy (gasless):"
(6-B) Abstracts,
(6-C) Research statistics,
(6-D) The years the above clinical data was collected,
(6-E) Comparable research on this issue from other
(6-F) Location on the Internet or in Endogyn web site
(6-G) Were any of the US patients to Endogyn a part of the research?
(6-H) Where is the informed consent for persons who were part of this "research?"
(6-I) Is this "material and clinical data," found in your up-coming book?
(6-J) Did the patients who you use in the "statistics" mentioned in your book and as part of this"material and clinical data," KNOW they were part of these studies?
(6-K) When did "Confluent Spraygel" come to Endogyn?
(6-L ) There are just too many different posts in and about Endogyn that contradict themselves to keep copying here, so IHRT will simply ask you to go to this URL in Endogyn and study Daniel's "case papers" for yourself. We are certain you will find these as informative as anything else contained in Endogyn's ARD material and statistics!!
http://www.adhesions.de/index.php?seite=verw&sprache=en&a=Aboutadhesions&b=Questionablestudies
Go to: About adhesionsGo to: Dr. K's case paper
IHRT Chapter FIVE of: The ever changing world of Endogyn!!"
IHRT will address the issues # 7 & #8
And we think it has our BEST & most IMPORTANT information to come of this post!! yet!!!
(Endogyn, Emma KliniK, Frankfurt, Germany......)
Doc_Kru Most advanced
Messages
Posted Friday, March 17, 2006 @ 10:12 AM
Adhesions.de Message Board
http://www.endogynserver.com/cgibin/210/cutecast.pl?session=8amsd3jlR1URVx26nrWI6AHMmR&forum=2&thread=2275http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=8amsd3jlR1URVx26nrWI6AHMmR&forum=2&thread=2275
(7) Sometimes we can combine techniques (gas and gasless), if Harry Reich is here, which in the near future will be more often as he has recognized the high quality of organisation and infrastructure at EndoGyn.
(8) Just 2 days ago we finalized a more close cooperation to provide patients with a high quality of surgery and techniques.”
Good Day!
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