Unhappy Camper: Boycott Peters Pond Park Sandwich MA
Wednesday, August 24, 2011
Saturday, August 20, 2011
Thursday, August 18, 2011
The real Kruschinski thru the "Wayback" Machine
Uber Con Man Kruschinski or should I say Kruczynski ?
What he published before all the nonesense of Abdolifts, deleterious side effects of carbon dioxide and teaching his Endogyn "patient advocates" to parrot mumbo jumbo...this is all he had in his initial website and the rest....what tempts you to have surgery with him is pure fiction.
Where are those 500 to 5000 opeartive reports and thier analysis????
Kruczynski D, Glassmeyer M, Passia D, Haider SG und
Berthold G"Modifizierter histochemischer Zinknachweis im Testis"
Fortschr. Fertil. 12; 577-586 (1984) Kruczynski D, Passia D, Haider SG and Glassmeyer M
"Zink transport through residual bodies in the rat testis;
a histochemical study"
Andrologia 17(1); 98-103 (1985)
Kruczynski D und Passia D
"Die Schwermetallverteilung im menschlichen Ejakulat;
eine lichtmikroskopisch-histochemische Studie"
Acta histochem. 79; 187-192 (1986)
Kruczynski D, Greven H and Passia D
"Histochemical demonstration of Zinc in the spermatotheka of Salamandra salamandra (L.)"
Acta histochem. 79; 181-186 (1986)
Kruczynski D, Passia D und Berthold G
Lokalisation von Schwermetallen in menschlichen Spermien in Korrelation zu ihrer Motilität
GynComp 1; 13 (1991)
Ruptur eines Milzarterienaneurysmas intra partum
Weber G, Walgenbach S, Bauer H, Kruczinsky D, Merz E, Knapstein PG
Geburtshilfe Frauenheilk 54(10); 585-586 (1994)
Minimal invasive Therapie bei peritonealer Leiomyose
Kruczynski D, Merz E, Beck Th, Bahlmann F, Wilkens C, Weber G, Macchiella D, Knapstein PG
Geburtshilfe Frauenheilk 3; 181-183 (1994)
Kruczynski D, Bahlmann F, Schäfer U, Merz E, Knapstein PG
Argon Beam Koagulation in der Endoskopie
Arch Gynecol Obstet 256 (Suppl 1); (1994)
Kruczynski D, Casper F, Höckel M, Mitze M, Hawighorst S, Knapstein PG
Computergestützte Dokumentation radikaler Operationen in der Gynäkologie (Exenterationes und CORT)
Biomedical Journal 44, 15-17 (1995)
Kruczynski D, Schäffer U, Beck Th, Weikel W, Knapstein PG
Die intrafasziale Hysterektomie ("Cish"-Methode) - ist das Risiko eines Zervixstumpfkarzinoms kalkulierbar ?
Zentralbl. Gynäkol. 118; 1- 5 (1996)
Minimal invasive Chirurgie - Zukunftsaussichten
Knapstein PG, Bahlmann F, Beck T, Hawighorst S, Ibbels A, Kruczynski D, Schoenefuss G
Zentralbl Gynakol 118(2); 110-112 (1996)
Kruczynski D, Schäffer U, Knapstein PG
Gasless laparoscopy with conventional surgical instruments
Gynaecological Endoscopy 5; 277 - 281 (1996)
Merz E, Bahlmann F, Weber G, Macchiella D, Kruczynski D, Pollow K, Knapstein PG
Unruptured Tubal Pregnancy: Local Low-Dose Therapy with Methotrexate under Transvaginal Ultrasonographic Guidance
Gynecol Obstet Invest 41; 76-81 (1996)
Kruczynski D, Holmer B, Berger R, Jensen A
Die gaslose laparoskopische Hysterektomie mit konventionellen Instrumenten
Arch Gynecol Obstet 258 (Suppl 1) ; 6 (1996)
Kruschinski D, Schäffer U, Bahlmann F, Merz E, Weikel W, Knapstein PG
Stellenwert der Laparoskopie in der operativen Behandlung von Ovarialtumoren
(eine retrospektive 5-Jahres-Analyse);
wird an das Zentralblatt für Gynäkologie und Geburtshilfe eingereicht
Chapters of Books
Laparoscopic Hysterectomy with Conventional Surgical InstrumentsIn:Gasless Laparoscopy in General Surgery and Gynaecology
Diagnostic and Operative Procedures
Eds.: V. Paolucci and Beate SchaeffThieme, 1996, Seite 125 - 131
Slide Atlas of Gynaecological Endoscopy
FIGO Gynaecological Endoscopy Slide Series
Fédération Internationale de Gynécologie et d'Obstétrique (FIGO)
Study Group on Assessment of New Technologies in Gynaecology
Parthenon-Publishing 1996
Publications in Journals without a scientific advisory board
"Laparoskotomie" - Die gaslose Laparoskopie mit konventionellen Instrumenten am Beispiel der HysterektomieDer Frauenarzt 2; 220-224 (1995)
Endoskopische Operationstechnik beim Dermoidtumor des Ovars
Der Frauenarzt 1; 132-134 (1996)
Das Pneumoperitoneum - der Kardinalfehler der Laparoskopie
Der Frauenarzt 41; 604 - 615 (2000)
Endogyn Kruschinski and Steward More of ENDOGATE
“IHRT is hoping that for once we are NOT correct in our stand regarding what appears to be "bogus" claims made to harvest persons afflicted with ARD to Endogyn, as if we are, many, far to many victims of ARD, have been victimized again......... We, at IHRT, DO in fact, proclaim ourselves the defenders of those afflicted with ARD, and we will continue our quest to stomp out the injustices dealt them wherever it continues to exist in the world, indeed as we are their defenders... PLEASE remember this if you do not go any further in this message!
MANY of Daniels patients have returned home with reports from him stating they had NO adhesions in the second look! Within a few weeks or months, they are left wondering why and what is causing pain that seems to be from “adhesions,” but how could it be if they were adhesion free when they left Germany! These patients start the same process of diagnostic tests, pain medications, fears that this pain is for life and NOT from adhesions, do not be to quick to claim a success out of Endogyn as in doing this without giving yourself time to REALLY know if in fact you did receive a “clean” peritoneum from a surgery at Endogyn, what your doing is feeding information and hope to a very desperate and suffering group of people who will do everything they can to get there for their “miracle,” only to learn to late that YOUR story wasn’t as good as you represented it to be! They turn to Daniel with questions, only to be offered another surgery, at a discount, and if this is refused him, watch out! (You will see why I say this!)
It is my desire, if not my duty to try to talk to you with some candor about what is happening at Endogyn, Emma Klinic, Frankfurt, Germany under the auspices of Daniel Kruschinski. This isn’t the first time I have approached this subject, and the times prior to this can be found recorded in black and white, within IHRT.
Back in 2003, & 2004, I was accused of unjustly “persecuting” Daniel Kruschinki, and others whom favored his attention, however, the line between investigating and persecuting is a very fine one...and my dear people, by no means were my intentions meant to persecute anyone during those times, nor are they meant to persecute anyone today with all of this rhetoric about Endogyn. Today, as in the other episodes dealing with Endogyn, I will deliver my points with facts, and tell the truth of these issues by using peoples own words, and I do this to bring to you information that I think will protect you from making decisions that are NOT in your best interest!
I am of the opinion that all human beings have a built-in allergy to unpleasant or disturbing information, but unless we recognize that if we insulate ourselves from the realities of the world in which we live, the world of ARD, we will be kicked around, and bullwhipped, and damned! We easily become victim to “hearsay, rumor, gossip, unfounded information, unconfirmed reports, and false promises! We can easily fall prey to those who seek to benefit in both “financial” and “egotistical” ways by using methods that distract, delude, amuse, sidetrack and isolate us so that when they come in for the “kill,” we are non the wiser of the scam!
There are those who look at all of this “Endogyn banter” in shock and repulsed by it, and there are those who work at perpetrating it... and both may see a totally different picture of it all, but no matter the sides taken in these issues, for some, it is too late to make a difference!
If what I say about this depravity in Endogyn in the material I write is responsible, then I alone am responsible for the saying of it, but I've searched my conscience and I can't, for the life of me, find any justification for NOT bringing it to the attention of the public.
I also can accept that there are, on every story, two equal and logical sides to an argument, and understanding the position those promoting Endogyn have put me in, causes me to produce hard facts backed by credible material in my attempts to protect more persons afflicted with “Adhesion Related Disorder” from coming into harm by seeking a surgery at Endogyn by means that they might otherwise think are credible!
The line between investigating and persecuting is a very fine one...however, I will not walk by fear of another’s words against me, I will not keep silent because the subject is “unpopular & uncomfortable” for some, I will not speak words that only seek approval from others, and never question or challenge, because I do not fear to write, to associate, to question or to challenge, nor do I fear being “questioned” & “challenged,” when it comes to defend the causes of persons afflicted with “Adhesion Related Disorder.” To be “silent” only serves to give considerable comfort to those who perpetrate crimes against other, thus when I see an injustice, I will not remain silent!
I may have been instrumental in the beginning for promoting Endogyn, however, when the reality of the situations there became evident to me, I immediately made them public and did my best to expose the truth, but even in that attempt to save others from the dishonesty and harm that was going on at Endogyn, I cannot escape responsibility for the results.
The material you are about to read is NOT what I THINK it to be, but what I KNOW it to be!
For all who perpetrated this deception against your own group of people, “May God Be Kind to You,” when you face him, if you face him, in the mean time, I hope you lose sleep knowing that you led many to additional injury at Endogyn because of your selfishness and egotistical goals in life! I will state that I do not think that Daniel created this situation he finds himself in today, (all of this hype about him and his 100% miracle procedures,) I am of the opinion that some of his patients simply felt that because someone they knew got better from his surgery, they were wanting of that for everyone, One big problem there though, was they wanted that so bad that when others did not get well, they turned to unscrupulous means to harvest patients to Daniel, who merely exploited it and rather successfully.
I will be showing you, through the posts of persons making what appear to be “unsubstantiated” claims about the “benefits” to patients having abdominal/pelvic surgery at Endogyn with the “Abdolift.” The posts you are about to read, are only a fraction of such posts making claims for "research" and "stats" regarding the "benefits" of "gasless" surgery.)
Suggestion:
If you go into one of the URL’s to find information related to "Gasless surgery"
use your PC keyboard as follows to make your search easier:
* Simply click the keys "Ctrl " and "F"
* At the same time and a box will appear for you to type in the word "gasless."
* This maneuver will automatically highlight where every word, " gasless" is mentioned
within the article.
* You can do this with ANY word on Any page you bring up in your computers!!
MANY of Daniels patients have returned home with reports from him stating they had NO adhesions in the second look! Within a few weeks or months, they are left wondering why and what is causing pain that seems to be from “adhesions,” but how could it be if they were adhesion free when they left Germany! These patients start the same process of diagnostic tests, pain medications, fears that this pain is for life and NOT from adhesions, do not be to quick to claim a success out of Endogyn as in doing this without giving yourself time to REALLY know if in fact you did receive a “clean” peritoneum from a surgery at Endogyn, what your doing is feeding information and hope to a very desperate and suffering group of people who will do everything they can to get there for their “miracle,” only to learn to late that YOUR story wasn’t as good as you represented it to be! They turn to Daniel with questions, only to be offered another surgery, at a discount, and if this is refused him, watch out! (You will see why I say this!)
It is my desire, if not my duty to try to talk to you with some candor about what is happening at Endogyn, Emma Klinic, Frankfurt, Germany under the auspices of Daniel Kruschinski. This isn’t the first time I have approached this subject, and the times prior to this can be found recorded in black and white, within IHRT.
Back in 2003, & 2004, I was accused of unjustly “persecuting” Daniel Kruschinki, and others whom favored his attention, however, the line between investigating and persecuting is a very fine one...and my dear people, by no means were my intentions meant to persecute anyone during those times, nor are they meant to persecute anyone today with all of this rhetoric about Endogyn. Today, as in the other episodes dealing with Endogyn, I will deliver my points with facts, and tell the truth of these issues by using peoples own words, and I do this to bring to you information that I think will protect you from making decisions that are NOT in your best interest!
I am of the opinion that all human beings have a built-in allergy to unpleasant or disturbing information, but unless we recognize that if we insulate ourselves from the realities of the world in which we live, the world of ARD, we will be kicked around, and bullwhipped, and damned! We easily become victim to “hearsay, rumor, gossip, unfounded information, unconfirmed reports, and false promises! We can easily fall prey to those who seek to benefit in both “financial” and “egotistical” ways by using methods that distract, delude, amuse, sidetrack and isolate us so that when they come in for the “kill,” we are non the wiser of the scam!
There are those who look at all of this “Endogyn banter” in shock and repulsed by it, and there are those who work at perpetrating it... and both may see a totally different picture of it all, but no matter the sides taken in these issues, for some, it is too late to make a difference!
If what I say about this depravity in Endogyn in the material I write is responsible, then I alone am responsible for the saying of it, but I've searched my conscience and I can't, for the life of me, find any justification for NOT bringing it to the attention of the public.
I also can accept that there are, on every story, two equal and logical sides to an argument, and understanding the position those promoting Endogyn have put me in, causes me to produce hard facts backed by credible material in my attempts to protect more persons afflicted with “Adhesion Related Disorder” from coming into harm by seeking a surgery at Endogyn by means that they might otherwise think are credible!
The line between investigating and persecuting is a very fine one...however, I will not walk by fear of another’s words against me, I will not keep silent because the subject is “unpopular & uncomfortable” for some, I will not speak words that only seek approval from others, and never question or challenge, because I do not fear to write, to associate, to question or to challenge, nor do I fear being “questioned” & “challenged,” when it comes to defend the causes of persons afflicted with “Adhesion Related Disorder.” To be “silent” only serves to give considerable comfort to those who perpetrate crimes against other, thus when I see an injustice, I will not remain silent!
I may have been instrumental in the beginning for promoting Endogyn, however, when the reality of the situations there became evident to me, I immediately made them public and did my best to expose the truth, but even in that attempt to save others from the dishonesty and harm that was going on at Endogyn, I cannot escape responsibility for the results.
The material you are about to read is NOT what I THINK it to be, but what I KNOW it to be!
The more the subject of, “The Hypoxic Side Effects of Carbon Dioxide by Gasless Laparoscope’s,” is researched by me, the more it appears that all of us were deceived by information and claims made by Daniel Kruschinski, Karen Steward, & Helen Dynda, among others, about the hypoxic side effects of carbon dioxide by gasless laparoscopy! Other information presented by them, is bogus as well, and I will stand by my words unless it can be shown otherwise!
Though this “exposure” of facts might be to late for many who went to Endogyn because they believed the words of these people, it is still better late, then not at all! For all who are either, NOT “well” from the experience, or “worse” for the experience, and in a number of cases, financially harmed by one or more return trips to Endogyn because they “trusted another surgeon in hopes of securing desperately need medical intervention for ARD,” I am so sorry. “May God Bless you!” For all who perpetrated this deception against your own group of people, “May God Be Kind to You,” when you face him, if you face him, in the mean time, I hope you lose sleep knowing that you led many to additional injury at Endogyn because of your selfishness and egotistical goals in life! I will state that I do not think that Daniel created this situation he finds himself in today, (all of this hype about him and his 100% miracle procedures,) I am of the opinion that some of his patients simply felt that because someone they knew got better from his surgery, they were wanting of that for everyone, One big problem there though, was they wanted that so bad that when others did not get well, they turned to unscrupulous means to harvest patients to Daniel, who merely exploited it and rather successfully.
I will be showing you, through the posts of persons making what appear to be “unsubstantiated” claims about the “benefits” to patients having abdominal/pelvic surgery at Endogyn with the “Abdolift.” The posts you are about to read, are only a fraction of such posts making claims for "research" and "stats" regarding the "benefits" of "gasless" surgery.)
Suggestion:
If you go into one of the URL’s to find information related to "Gasless surgery"
use your PC keyboard as follows to make your search easier:
* Simply click the keys "Ctrl " and "F"
* At the same time and a box will appear for you to type in the word "gasless."
* This maneuver will automatically highlight where every word, " gasless" is mentioned
within the article.
* You can do this with ANY word on Any page you bring up in your computers!!
Next related post: http://ihrt.blogspot.com/2011/08/endogate-papers-endogyn-kruschinski.html
Endogate papers Endogyn Kruschinski Karen Steward
From http://www.adhesionrelateddisorder.com/Endogate-Papers.html
(1) Credentials of Daniel Kruschinski, M.D.
The following post by Helen Dynda is a good example of someone making claims that either have no validation associated to the remarks in the post, nor do the URL links contain validation of the claims made here, as the material in the URL’s, comes only from Daniel himself, or his wife, about himself, no documentation anywhere to validate any of these claims. I would ask Helen, or Daniel, where the statistics are for the claim of 2500 cases, and I would also ask for documentation and abstracts for the areas of “clinical & scientific” research, as without that validation, there was no “clinical & scientific.” After all, people, the whole point of research IS the validating material from it! This type of email is so miss-leading to patients and simply should never be posted by a patient assuming this “authority” in words, and something like this is meant for one thing, to draw patients to this surgeon, and in the worst way…by miss-leading and fraudulent means. If it cannot be proven, it should never be said as in this, it is offering to someone what does not really exist! A post such as this is a real threat to desperate & vulnerable ARD patients as they have a certain trust when other patients speak and when the words are empty, it is nothing more then a set up! (More on Karl Storz Abdolift benefits to come, and the “benefits” to patients are NOT what you have been led to believe by Daniel and Co.)
(1-A) Helen Dynda.
More advanced
Gender: Female
Location: Hoffman, MN 56339 USA
Registered: Aug 2003
Status: Offline
Posts: 180
Credentials of Daniel Kruschinski, M.D.
Posted Monday, February 27, 2006 @ 02:04 AM
Dr. Daniel Kruschinski is one of the founders of the gasless laparoscopy in gynecology. Since 1990, Dr. Kruschinski has performed scientific and clinical research in this pioneering field, also known as Lift-Laparoscopy, with more than 2500 advanced operative cases. He developed and designed several abdominal wall-lifting systems, including the recent AbdoLift, a Karl Storz product. Dr. Kruschinski is currently involved in franchising endoscopic gynecologic surgery in Germany and other countries.
(2) Laparoscopic surgery does NOT reduce adhesions !!!
The “SCAR2” report that Daniel is referring to has nothing to do with anything between “ gasless & CO@” surgical procedures, it if the focus of “adhesion” formation in a laporoscopy! Daniels words would suggest that either he doesn’t known how to read a scientific report, or he is totally absorbed with his gales adhesiolysis, or else he would realize that HE performs a laporoscopic surgeryusing HIS preferred technique which is gasless! And, really now, anyone who knows nothing about ARD, would still now that 1 in 3000 gasless laps is nothing short of a “miracle!” However, Daniel & Co. DID claim they had miracles! Please take a look at another report regarding this issue directly under Daniel’s post here.
(2-A) Doc_Kru
Most advanced
Gender: Male
Location:
Registered: Jul 2003
Status: Offline
Posts: 253
Laparoscopic surgery does NOT reduce adhesions !!!
Posted Wednesday, October 8, 2003 @ 12:38 PM
Quoting Daniel, “The following article shows that laparoscopic surgery has the same amount of readmissions for adhesion, regardless if the previous surgery was laparoscopic or open...
A very interesting article and I know from over 3000 gasless-laparoscopies I had only one admission because of adhesions. I believe that a laparoscopy with carbon dioxide with a duration of more than 30 minutes might have plenty of side effects, that are proven in experimental studies to be deleterious to the peritoneal cells. Due to the fact that I'm the only one with such huge amount of gasless surgeries, it would be interesting to have a study gasless contra carbon dioxide laparoscopy regarding adhesion formation and I would like to find a gas laparoscopic surgeon that would contribute to such a study--------------------“Daniel Kruschinski, MD)
Other
aspects of: Laporoscopy vs Laporotomy
(2-B) Fertil Steril. 1991 Oct;56(4):792.
Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Operative Laparoscopy Study Group.
[No authors listed]
To assess the issue of the frequency and severity of adhesion reformation and de novo adhesion formation after operative laparoscopy, this multicenter collaborative report of early second-look procedures after operative laparoscopy was initiated. Sixty-eight subjects underwent operative laparoscopic procedures including adhesiolysis, followed by a second operative procedure within 90 days. The total mean adhesion score decreased from 11.4 +/- 0.7 at the initial operative procedure to 5.5 +/- 0.4 at the second-look procedure, a decrease of 52%. At the time of the second-look procedure, 66 of 68 women (97.1%) had pelvic adhesions. Adhesion reformation occurred in 66 of 68 women and at 230 of 351 sites (66%) at which adhesions were lysed. Despite this high incidence of adhesion reformation, de novo adhesion formation after operative laparoscopy occurred in only 8 of 68 women (12%) and at 11 of 47 available sites in these 8 women. We conclude that adhesion reformation is a frequent occurrence after operative laparoscopy; however de novo adhesion formation appears to occur much less frequently.
More: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1826277&dopt=Abstract
PMID: 1826277 [PubMed - indexed for MEDLINE] Successful Adhesiolysis Laporoscopies:
(2-C) Confluent Surgical
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
(3) NOT one word about any “tissue damage in any of them, except for Daniel’s
that is!
Lets take a look at this post by Daniel one more time. We agree that it is probably a “fact” that Daniel does (did) do a huge amount of gasless surgeries, however, what I find “interesting” is that Daniel thinks a “study” on gasless contra carbon dioxide laparoscopy and adhesion formation.
Ah, I was led to believe that he had already done a “study” like this as if he didn’t how could he tell us that there WAS a difference, thus the reason people went to him for a gasless adhesiolysis! The good news for Daniel is that there HAVE been studies just like he is interested in, and you will find, “just a sampling” of such studies directly under this post of Daniels!
(3-A) Doc_Kru
Most advanced
Gender: Male
Location:
Registered: Jul 2003
Status: Offline
Posts: 253
Laparoscopic surgery does NOT reduce adhesions !!!
Posted Wednesday, October 8, 2003 @ 12:38 PM
The following article shows that laparoscopic surgery has the same amount of readmissions for adhesion, regardless if the previous surgery was laparoscopic or open...
A very interesting article and I know from over 3000 gasless-laparoscopies I had only one admission because of adhesions. I believe that a laparoscopy with carbon dioxide with a duration of more than 30 minutes might have plenty of side effects, that are proven in experimental studies to be deleterious to the peritoneal cells.Due to the fact that I'm the only one with such huge amount of gasless surgeries, it would be interesting to have a study gasless contra carbon dioxide laparoscopy regarding adhesion formation and I would like to find a gas laparoscopic surgeon that would contribute to such a study--------------------Daniel Kruschinski, MD)
(3-B) Laparoscopy Gasless vs. CO2 Pneumoperitoneum
Volume 42, No. 5/May 1997
Pamela L. Johnson, Ph.D., M.D., and Karen S. Sibert, M.D.
OBJECTIVE: To compare gasless laparoscopy with conventional laparoscopy using CO2 pneumoperitoneum.
STUDY DESIGN: Women undergoing bilateral laparoscopic tubal coagulation (LTC) were randomly assigned to one of two laparoscopy procedures: (1) a gasless laparoscopy system consisting of an intraabdominal fan retractor and electrically powered mechanical arm, and (2) standard CO2 pneumoperitoneum laparoscopy. The two laparoscopic procedures were compared on the basis of intraoperative visualization, operation duration, procedural difficulty, ventilatory parameters, hemodynamic stability, and postoperative pain and nausea. Full abstract......
(3-C) Interview: “ The differences between what you are doing and what is performed during traditional laparoscopy using carbon dioxide gas.”
Dr. Hugo Verhoeven: “Good afternoon, my name is Hugo Verhoeven, I am a member of the Editorial Board of OBGYN.net. I’m reporting from 9th Annual Congress of the International Society for Gynecologic Endoscopy at the Gold Coast in Queensland. It is now my special honor to interview Dr. Bernd Bojahr of the Department of Obstetrics and Gynecology of the University of Greifswald in Germany. His specialty is gasless endoscopy and the topic that we are going to discuss today is the use of gasless laparoscopy in ...
Dr. Bernd Bojahr: “Thank you. At our hospital we have established the gasless technique since September of 1995.
Dr. Hugo Verhoeven: “So the efficacy seems to be the same whether you perform laparotomy or gasless laparoscopy. Read more... http://www.obgyn.net/infertility/infertility.asp?page=/avtranscripts/Aus-endo-congress_bojahr
(4) Daniel states, “hypoxic side effects of carbon dioxide in CO2.”
All I am going to say about these top three posts is that I see ONE, and ONLY ONE, surgeon making the claims that “CO2 causes peritoneal damage causing adhesion formation,” and it is THIS one! I found many abstracts on the “hypoxic side effects of carbon dioxide in CO2 laporoscopic surgery, and the issues in all of them dealt with concerns other then “hypoxic side effects of carbon dioxide in CO2.”
I also see that this same surgeon always uses his wife’s “research” on this subject. Not “abstracts” mind you, but simply written reports of, said, “research.” Until there are comparable reports, with abstracts, that exactly parallel Shirli’s studies, we must consider hers to be biased in favor of her husband. To accept ONE persons “research” on anything would be like asking Daniel for a reference, and he gives you his wife’s name!
Based on everything I have researched on this subject, the only conclusion I can draw regarding Daniels findings is that he saw a group of patients who are desperate, vulnerable & ignorant in many areas of medicine when it comes to ARD. Once he realized how easy it would be to “exploit” us after all the “accolades and hype” from a few American women, he also saw lots of MONEY! Though Daniel established the center for minimally invasive surgery and was in charge of consulting hours for plastic surgery of the breast, he claimed to be a “plastic” surgeon and started to offer “abdominal scar revisions,” which is a totally different type of procedure then breast tissue! There are a number of his prior patients who trusted Daniel’s words here, and now pay a horrific price for that! Again, I can only deduce that Daniel saw an opportunity to capitalize on ARD patients, and he did!
Tonya’s story: http://myweb.cableone.net/DNORDQUIST/frmain.htm
“I have been working a long time in the oncology departement at Mainz university and I
even know how to form a new bladder from bowel, so I'm very experienced in all retroperitoneal and bowel and urological surgery.” With all of this skill, why would he target those afflicted with ARD? One would think he could keep busy in these two areas of his professionalism, unless he realized that he could make more money from International ARD verses what he makes by performing surgeries on what he would get paid for with the German government.” Like so many others in the field of surgery, once persons afflicted with ARD started to shout it to the world, all of a sudden, EVERY surgeon became an adhesion specialist! (And many without the “credentials” IHRT set to back that claim!)
(4-A) Doc_Kru
Most advanced
Gender: Male
Location:
Registered: Jul 2003
Status: Offline
Posts: 253
Posted Wednesday, October 8, 2003 @ 12:40 PM
Comment on adhesion formation by using carbon dioxide gas .....
Sally (Grigg) 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 Shirli's biochemical explanation here:
Therefore free radicals will be initiating adhesion formation, starting with cytolysis of these cells (cells are broken) and peroxidation of lipids in cell membrane that lead to an increase in the vascular permeability that cause among other things (damage that produce adhesions) also an imbalance in fibrin deposition and fibrin dissolution (blood clotting and dissolution of the clots) which produce fibrinous adhesions Using carbon dioxide gas we are inducing adhesion formation by lowering the level of special molecules that are needed for the healing process and so carbon dioxide is an (for the surgeon) invisible instrument that causes injury (lesion) to the peritoneum with the result of adhesion formation!
Regards --------------------Daniel Kruschinski, MD)
(4-B) Doc_Kru
Most advanced
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Posted Thursday, October 9, 2003 @ 02:24 AM
The hypoxic side effects of carbon dioxide by gasless laparoscopy ...
it's always nice to hear Melissas's story... thank you.
But one thing has to be said: regardless to what kind of tools one is using, in my opinion, THE SURGEON is the most important issue in an adhesiolysis, in any surgery. So if you give him good tools, it doesn't mean, he will be suddenly a magician, if he wasn't before.
With every new good tool we use, it makes us a little better.
Another topic is how to reduce adhesions by administration of different medications, like antibiotics, mitomycin, vitamines and antioxydative systems to reduce radicals.
Another important tool is to reduce smoke (produced by Laser and extensive coagulation) as smoke is directly acting as a radical by decreasing oxygen in the cells... and off course to stop the hypoxic side effects of carbon dioxide by gasless laparoscopy ... or administration of Oxygen (Koninckxs)
Regards ------------------Daniel Kruschinski, MD)
(4-C) gasless laparoscopy!!
From: Karen Steward (kann@charter.net)
Sun May 18 22
Subject: gasless laparoscopy!! Do you understand the effects on the body by the carbon dioxide used during surgery? Many people don't......I know I didn't. Had I understood, I know I would have never allowed Melissa to have surgery in this manner. Do you wonder why you are worse after surgery instead of better? I know everyone going in for surgery EXPECTS to be better afterwards...or why would we take the risk?? KNOWLEDGE IS POWER!! I am so very excited to share with everyone a powerful interview between Dr. Kruschinski and Dr. Molinas. If you always delete messages that instruct you to go to a web page and read or watch.......DON'T DELETE THIS ONE!!!!! Take the time. Not only will you become informed, but you will feel you are meeting Dr. Kruschinski. Dr. Kruschinski and Dr. Molinas are giving us great insight into the effects of carbon dioxide usage during surgery. Namely, explaining that carbon dioxide is a co- factor in adhesion formation. You will also be informed that adhesions can be forming in OTHER areas besides the area where the surgeon is working because of carbon dioxide usage!! It is your body, your health at stake, please be informed before you submit to surgery. Go to: http://www.endozone.com/ Click on "congress coverage" Click on: "CO-2 and pneumoperitoneum problems w/laparoscopy"
(4-D) carbon dioxide info!
From: Karen Steward (kann@charter.net)
Mon Jun 2 23:13:46 2003 2 23:13:46 2003
Hi, I have some interesting information to share concerning the effects of carbon dioxide. As many know, Dr. Kruschinski uses the AbdoLift system when performing surgery to avoid the known troublesome causing effects that CO2 leaves behind!! One known problem is shoulder pain. Many times surgeons will prepare the patient for the expected shoulder pain--however do they explain WHY you will have the shoulder pain? CO2 is also a known contributor of adhesion formation! Please take time to read this informative article! http://www.hcgresources.com/shoulderpain.html It seems the AbdoLift technique is catching on..........patients are becoming educated....... we should expect only the BEST when succumbing to surgery! ARD is a debilitating condition that needs specific treatment by an informed surgeon that takes into consideration ALL factors that will bring health and healing to the patient. Many ARD patients have surgery over and over again--but never become well~ My daughter was worse after both US surgeries. She developed adhesion pain in areas she had not had problems before! Had I known she was at risk for MORE adhesions, we would have never agreed to surgery!! I am more than THRILLED to report she is WELL after our trip to Germany and her surgery with Dr. Daniel Kruschinski. Many days I am overcome with emotion. I still cannot believe it is true.....she is WELL!! Best wishes to you all, Karen
(5) Research of Gasless Laps vs CO2 Laps!
(5-A) A randomized comparison of gasless laparoscopy and CO2 pneumoperitoneum
Volume 224(6) December 1996 p 694 ...
Obstetrics & Gynecology 1997;90:416-420
© 1997 by The American College of Obstetricians and Gynecologists
JM Goldberg and WG Maurer
OBJECTIVE: To determine if the theoretic advantages of gasless laparoscopy are realized in direct comparison to laparoscopy with pneumoperitoneum. METHODS: Fifty-seven patients undergoing laparoscopic surgery chose to participate in this trial and were randomized after the induction of general anesthesia. Twenty-nine of the 57 patients were randomized to the pneumoperitoneum group. Of the 28 patients in the gasless group, six were converted to pneumoperitoneum because of inadequate exposure. The adequacy of exposure and ease of surgery were assessed with a subjective score, and the times to exposure and for incision closure were recorded. Various anesthetic factors were measured. Patients completed an analog pain score in the recovery area and for the first 5 postoperative days. Analgesic and antiemetic use also was recorded, as was the number of days to return to normal activity. RESULTS: Times to achieve exposure and close incisions were longer, and exposure and ease of surgery were worse in the gasless group. Patients in the gasless group had lower diastolic blood pressure, minute ventilation, peak inspiratory pressures, and end tidal pCO2. There were no differences in body temperature, systolic blood pressure or heart rate, postoperative pain scores, analgesic or antiemetic use, or times to hospital discharge or return to activity between the groups. CONCLUSION: Performing laparoscopy using the Laparolift device compromised surgical exposure and thus increased technical difficulty. Patients realized no benefits from its use in terms of postoperative discomfort or return to activity. Eliminating the pneumoperitoneum allowed lower minute ventilation and peak inspiratory pressures, and end tidal pCO2 was lower. Although the concept of gasless laparoscopy holds appeal, the current prototype is not well-suited for infertility procedures. Full Text (PDF) http://www.greenjournal.org/cgi/content/abstract/90/3/416
(5-B) Comparison of immune preservation between CO2 pneumoperitoneum and gasless abdominal lift laparoscopy.
JSLS. 2002 Jan-Mar;6(1):11-5.
Department of Surgery, St. Mary's Hospital, The Catholic University of Korea, Seoul. lizk@chollian.net
Kim WW, Jeon HM, Park SC, Lee SK, Chun SW, Kim EK.
OBJECTIVE: Carbon dioxide (CO2) pneumoperitoneum has been implicated as a possible factor in early immune preservation in laparoscopic surgery. Although the current analysis was not adequate to clarify this issue, the aim of this study was to compare CO2 insufflation laparoscopic cholecystectomy to gasless abdominal wall lift laparoscopic cholecystectomy with respect to preservation of the immune system. METHOD: An analysis of the temporal immune responses was performed in 2 similar groups of patients (n = 50) who were divided randomly into the categories of gas or abdominal wall lift laparoscopic cholecystectomy. The patients were matched with respect to age, weight, and operation time. The immune parameters (serum white blood cell count, cortisol, erythrocyte sedimentation rate [ESR], tumor necrosis factor-alpha [TNF-alpha], interferon-y [INF-gamma], interleukin-6 [IL-6], interleukin-8 [IL-8]) were assessed at preoperative 24 hours and at postoperative 24 and 72 hours for the 2 groups. During the operation, the levels of cytokines that were cultured in the peritoneal macrophages were also checked. RESULTS: The serum white blood cell count, cortisol, and ESR levels were not statistically different in either of the 2 groups. Further, the serum TNF-alpha, INF-gamma, IL-6, and IL-8 levels in both groups were not significantly different from each other at preoperative 24 hours, and postoperative 24 and 72 hours. However, an immediate decrease in the cytokine levels at 24 hours after the operation was significant in both groups. The cytokine levels were particularly higher in the cultured peritoneal macrophages than in the serum, but were not statistically different between the 2 groups. CONCLUSION: Our results showed that the beneficial immune response obtained in the CO2 gas insufflation laparoscopic procedure could also be obtained in the gasless abdominal wall lift laparoscopic procedure. An immediate preservation of the immune functions in the postoperative period was detected similarly in the 2 groups.
More:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12002290&dopt=Abstract
PMID: 12002290 [PubMed - indexed for MEDLINE]
(5-C) Gasless Laparoscopic Assisted Hysterectomy with Epidural Anesthesia.
J Am Assoc Gynecol Laparosc 1994 Aug;1(4, Part 2):S36
Topel HC
Lutheran General Hospital, 1875 Dempster, #245, Park Ridge, IL 60068.
Gasless laparoscopy is an evolving technique which can offer significant advantages to both patient and surgeon. A variety of major laparoscopic operations can be performed with gasless surgery including oophorectomy, myomectomy, and hysterectomy. The use of conventional instrumentation and open ports significantly improves the ease of surgery and greatly facilitates techniques such as endosuturing. For those patients with a contraindication, or a fear of general anesthesia, gasless laparoscopy under a regional anesthetic is now a reasonable alternative. A laparoscopic-assisted vaginal hysterectomy was performed with gasless technique under continuous epidural anesthesia. The surgery was completed without complication, and the patient expressed a high degree of satisfaction. Subsequently, three additional patients have successfully undergone major laparoscopic operations using a gasless technique and epidural anesthesia. With careful patient selection and attention to proper technique, gasless laparoscopy under regional anesthesia is a safe and viable alternative to conventional CO2 laparoscopy. More: http://www.csen.com/anesthesia/laparoscopy.htm
(6) Other comparisons between a
“CO2 Laporoscopic procedure & a gasless Laporoscopic procedure”
(6-A) Smoke evacuation during electrosurgery or CO2 laser laparoscopy is expedited using a Clear View EBS ICM ... Gasless laparoscopy (abdominal wall retractors) ...
The International Society for Gynecologic Endoscopy (ISGE)
Harry Reich, M.D., F.A.C.O.G., FACS
Attending Physician, Wyoming Valley Health Care System, Wilkes-Barre, PA
Corresponding Author:
Gasless laparoscopy (abdominal wall retractors)
Abdominal wall subcutaneous emphysema occurs frequently during anterior abdominal wall adhesiolysis as peritoneal defects result in free communication with the rectus sheath. This compromises peritoneal cavity operating space. A useful technique is to insert an anterior abdominal wall retractor (AbdaLift, Storz, CA) once the umbilicus has been cleared of adhesions. More: www.isge.org/newshow.php?pid=136
(6-B) Changes in Hemodynamics and Autonomic Nervous Activity in Patients Undergoing Laparoscopic Cholecystectomy: Differences Between the Pneumoperitoneum and Abdominal Wall-Lifting Method Endoscopy 2002; 34: 643-650
DOI: 10.1055/s-2002-33252 1 Department of Gastroenterology, National Kochi Hospital, Kochi, Japan
2 Second Department of Internal Medicine, School of Medicine, University of Tokushima, Tokushima, Japan
3 Department of Nutrition, School of Medicine, University of Tokushima, Tokushima, Japan
Background and Study Aims: Intraoperative changes in circulatory hemodynamics and autonomic nervous activity were evaluated in 33 patients with cholelithiasis who underwent laparoscopic cholecystectomy. Patients and Methods: Of these patients, 18 were treated using a pneumoperitoneum (group G) and 15 using the abdominal wall-lifting method (group WL). Their ECG, blood pressure, arterial oxygen saturation, and expiratory carbon dioxide partial pressure were monitored. Autonomic nervous function was evaluated by spectral analysis of the heart rate. Results: Mean blood pressure increased significantly in group G during surgery, but did not vary in group WL during any stage of surgery. The high-frequency (HF) power, an index of parasympathetic activity, decreased significantly in group G after pneumoperitoneum. However, the HF power did not decrease significantly in group WL. The LF/HF ratio, an index of sympathetic activity, increased significantly in group G after pneumoperitoneum, but did not vary in group WL. In addition, the incidence of ventricular or supraventricular arrhythmias and the severity of the arrhythmias as determined by Lown’s classification were higher in group G than in group WL. These findings suggest that intraoperative changes in autonomic nervous activity, due to increased intra-abdominal pressure, were smaller in patients undergoing laparoscopic cholecystectomy using the abdominal wall-lifting method than in those undergoing laparoscopic cholecystectomy using pneumoperitoneum. The results also demonstrated that hemodynamic changes were smaller in patients undergoing the abdominal wall-lifting method than in those undergoing pneumoperitoneum. Conclusions: It was concluded that hemodynamics should be carefully monitored during pneumoperitoneum, and that the abdominal wall-lifting approach in laparoscopic cholecystectomy is a method worthy of consideration for elderly patients or those with cardiopulmonary complications.
(6-B) A Randomized, Prospective Comparison of Pain after Gasless Laparoscopy and Traditional Laparoscopy
J Am Assoc Gynecol Laparosc. 1998 May;5 (2):149-53.
Guido RS, Brooks K, McKenzie R, Gruss J, Krohn MA.
Magee-Womens Hospital, Pittsburgh, PA 15213-3180, USA.
STUDY OBJECTIVE: To compare pain after laparoscopic tubal ligation by gasless laparoscopy versus carbon dioxide (CO2) pneumoperitoneum. DESIGN: Prospective, randomized, single-blind comparison (Canadian Task Force classification I). SETTING: Private obstetric-gynecology hospital associated with a university resident teaching program. PATIENTS: Women age 21 to 42. INTERVENTION: Single-puncture laparoscopic tubal ligation was performed with a silicone elastomer band. Gasless laparoscopy was performed with a Laprolift and traditional laparoscopy with CO2 pneumoperitoneum. Postoperative pain in the shoulder and periumbilical and lower pelvic regions was measured by visual analog scale on the day of surgery and postoperative days 1, 2, 3, 7, and 14. MEASUREMENTS and MAIN RESULTS: Of the 67 patients, 54 provided visual analog scales for analysis, 30 in the gasless group and 24 in the traditional group. No statistical difference was seen in scores for shoulder, periumbilical, and pelvic pain between techniques. CONCLUSION: Patients undergoing gasless laparoscopy and traditional laparoscopy experience similar postoperative pain.
PMID: 9564062 [PubMed - indexed for MEDLINE]
Proceed with caution when securing an adhesiolysis from a surgeon, or his patients, who claim to be “adhesion” specialists! NO MATTER who it is, seek information from the surgeon ONLY and then seek substantiating documentation of his procedures, such as: the number of adhesiolysis procedures he has done, what IS the adhesiolysis procedure he uses, why does he think it will offer you improvements in your symptoms, and what are the surgical outcomes of his patients after 1 year or more!
NEVER take the word of an ARD patient of ANY surgeon “specializing” in adhesions unless they have secured improvements in their adhesion symptoms after ONE year or more! Though each ARD case is different, and there are different reasons for “pain after adhesiolysis,” that are not associated with adhesions, however, depending on the number of cases the surgeon has performed, the amount of symptom relief each patents got from a specific surgeon, and the length of time each patient has felt improvement of their adhesion symptoms, and if all the right answers come back, then you might want considered that surgeon. MOST important is to secure validation of everything you hear from anyone!
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!!
Go to: About adhesions Go to:Dr. K's case paper
Good Luck!
Sunday, August 07, 2011
Dr Kruschisnki Endogyn New Crack House
Look out Stuggart!
What the heck is Kruschinski doing here?
Well it looks like he found himself a new cooperation with Crack House Herzog Karl Klinik!
Looky here
Hutter must be hiding him for a bit...almost 500 km away from where he is suspose to be...hmmmmmm....
Saturday, August 06, 2011
The truth about Gas less laparoscopy and Dr. Kruschinski
The truth about Gas less laparoscopy and Dr. Kruschinski
Translation from German to English by Babelfish
Translation from German to English by Babelfish
“gasless” Laparoskopie
Gas lots Laparoskopie is (was) a special form of the Laparoskopie, with which one can operate without the expensive special instruments without body cut (could). The method requires (e) less exercise and fate than genuine endoscopic operating.
(The following text is co-ordinated with the president of the working group gynäkologische Endoskopie of the German society for Gynäkologie and birth assistance).
“Gas lots “Laparoskopie = spatial air Laparoskopie
This method finds in our region still isolates application. We are addressed on that occasionally by female patients.
The so-called “Lapro elevator” was developed at the beginning of the 90's of Jörg saucy stone (Austria, at that time upper physician at the University of Ulm). Saucy stone does not use the technology today any longer.
The manufacturer, the company STORZ in Tuttlingen, took the Lapro elevator in the year 2006 again from the market.
This concerns a simple variant of the Laparoskopie, which obtained attention for the first time in the 90's in Germany, however contrary to the standard Laparoskopie neither in the subject surgery nor in the subject Gynäkologie to become generally accepted could.
The name expresses that with this technology no medical CO2-Gas is introduced into the abdominal cavity around the abdominal cavity to unfold and place for the operational interference to create. Instead after opening of the abdominal cavity at the navel a handle is introduced and the abdominal wall is pulled up. It flows normal air with room temperature into the abdominal cavity. Air is definitv a gas. Thus the question arises whether the term is not unfortunately selected and/or misleading.
In the work community Gynäkologi Endoskopie of the German society for Gynäkologie and birth assistance (AGE) is therefore alternatively the term “spatial air Laparoskopie” common (Professor Leo De Wilde, Oldenburg, president of the AGE.)If air arrives over open veins with an operation into the Blutkreislauf, it causes clearly more easily a lethal Embolie than CO2, which ent always as product of the respiration in low concentration in the blood and can over the lung be abgeatmet. Also from the abdominal cavity air is only very slowly eliminated by the organism, which is less important however.
Why thus at all “gas lots Laparoskopie”
Around to understand one must develop little conception gift as a layman: With the standard Laparoskopie must be worked against to escaping the Aufdehnungsmediums with valves, so that the development of the abdominal cavity remains keeping upright. With the gasless technology one can save this expenditure. The raising of the abdominal wall guarantees the hook elevator by course at the navel. One can make and leave as many as desired and of any size holes open into the abdominal wall. Simple rubber cases replace expensive valve cases. One knows logical way any instruments of the open belly surgery by these openings would bring in. A hospital can here evt. much money save, because this equipment is usually already present. With the standard Laparoskopie cannot be done that. Instruments must be exactly co-ordinated with the valve cases. One needs expensive special instruments and this depending upon OI spectrum evt. in large number. Because of the cost advantages the gasless Laparoskopie is naturally in poorer countries likes.
For an operating surgeon trained in conventional surgery the conversion is not more simply, there it the handling of the delicate, different Laparoskopie instruments to learn must. To that extent the gasless Laparoskopie makes endoscopically ungeübten surgeon possible a simplified entrance into the Laparoskopie.
Also from view of the Anästhesisten (Narkoseärzte) it gives to laproskopieren reasons “gasless”. The renouncement of CO2-Gas and the proportioned positive pressure in the abdominal cavity has advantages for certain risk female patients, essentially older humans. They can be endoscopically operated if necessary without body cut, although a standard Laparoskopie for them would not be possible.
Problems:
One wants the clearly rougher conventional instruments and staunching of bleeding methods (Tupfer!) uses, needs one clearly larger wounds in the abdominal wall. The cosmetic result is then accordingly more unfavorable. The wound in the navel region must offer place not only for the hook elevator mechanism but also for the optics system. The necessary Wunddurchmesser amounts to about 20 mm. (Standard Laparoskopie to the comparison 5 - 11 mm.)
The effectiveness of the belly development is more unfavorable, than with the CO2-Laparoskopie, since the rise takes place only at one point. The result is a conical figure with the highest point at the navel. The operating surgeon needs most place however within the basin range. That succeeds with the even Aufdehnung with exactly proportioned CO2-Gasdruck more effectively. This is for us a operation-technically important point. The punctual pressure is not favorable on the fabric by the hook construction with long operations. The rough elevator construction is natural the operating surgeon and the assistant when operating in the way.
The spatial air cannot be warmed up. It prevails during the “gasless” OI in the abdominal cavity a lower temperature than with the CO2-Laparoskopie with body-warm gas (for this special devices are available.) The sinking of the fabric temperature has some important unfavorable metabolic effects (see below).
Our result: The “gasless” spatial air Laparoskopie takes a central position between body cut and belly reflection for us. It has elements of both.
Naturally a OI team equipped well for the standard Laproskopie could use its fine instruments also by gasless spatial air Laparoskopie. Then at least the wounds would be in the abdominal wall alike. Also those captivatingly precise Microchirurgie with miniaturized equipment under strong picture enlargement would be realizable. Disadvantages remained the worse development of the abdominal cavity and the missing possibility of the heating up of the belly by the warm gas. Waste of the Körpertemperatur changed among other things the Pharmakokinetik, increases the Sauerstoffverbrauch by cooling trembling, strengthens subjective measurement feeling, worsens the immune defense, increases the muscle strain (and with it the pain feeling). The blood clotting is affected unfavorably. (Literature: Gabriele Depenbusch: Be called hints against cool cases - Perioperative heat measures for patients still more effectively used. Intensively 2002; 10:165 - 174 George Thieme publishing house)
We decided in the OPZ Hürth so far against the introduction of the spatial air Laparoskopie with the elevator technology. We would see the sense of the procedure only with completely special female patients, whom we cannot operate usually ambulatory, to e.g. older humans.
Wrong conceptions to the “gasless” spatial air Laparoskopie
The gasless Laparoskopie does not permit more precise operating.
The production of the entrance to the abdominal cavity effected with the gasless Laparoskopie on less dangerous art. one does not have to dot the abdominal cavity for the execution of a CO2-Laparoskopie not “blindly” with a Kanüle and not to also in-sting the Trokarhülsen “blindly”. One can use problem-free the “open” technology and manufacture the entrance under view. (Literature A. Maucher (1990), open Laparoskopie. gynäkol prax 14, 741-746, Hans Marseille publishing house Munich) S. also for this the chapter “open Laparoskopie” on this homepage. The entrance technology furthest common with distance is however the “Blindpunktion) The OI times are not shorter. Patients do not recover faster. The pain after the interference is not smaller. The medicine need is not smaller.
The results of the operations are better in no aspect, than with the CO2-Laparoskopie. The resulting scars are not cosmetically more favorably but clearly larger.
„The gasless “Laparoskopie does not permit operational treatment, which one can realize not with the standard Laparoskopie. (Also the standard Laparoskopie permits surgical sewing, even with micro-surgical seam material under up to twenty-way picture enlargement).
The “gasless Laparoskopie” does not accompany with a lower total complication risk. The Embolie and Thromboserate are not lower. The Narkosetechnik differs not from the normal Laparoskopie.
Gaslose Laparoskopie ist (war) eine Sonderform der Laparoskopie, bei der man ohne die teueren Spezialinstrumente ohne Leibschnitt operieren kann (konnte). Die Methode erfordert (e) weniger Übung und Geschick als echtes endoskopisches Operieren.
(Der nachfolgende Text ist mit dem Präsidenten der Arbeitsgemeinschaft gynäkologische Endoskopie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe abgestimmt).
"Gaslose“ Laparoskopie = Raumluft-Laparoskopie
Diese Methode findet in unserer Region noch vereinzelt Anwendung. Wir werden gelegentlich von Patientinnen hierauf angesprochen.
Entwickelt wurde der sog. "Lapro-Lift" zu Beginn der 90er Jahre von Jörg Keckstein (Österreich, seinerzeit Oberarzt an der Universität Ulm). Keckstein selbst verwendet die Technik heute nicht mehr.
Der Hersteller, die Firma STORZ in Tuttlingen, hat den Lapro-Lift im Jahre 2006 wieder vom Markt genommen.
Es handelt sich um eine einfache Variante der Laparoskopie, die in den 90er Jahren in Deutschland erstmals Aufmerksamkeit erzielte, sich aber im Gegensatz zur Standard-Laparoskopie weder im Fach Chirurgie noch im Fach Gynäkologie durchsetzen konnte.
Der Name bringt zum Ausdruck, dass bei dieser Technik kein medizinisches CO2-Gas in die Bauchhöhle eingeführt wird um die Bauchhöhle zu entfalten und Platz für den operativen Eingriff zu schaffen. Statt dessen wird nach Eröffnung der Bauchhöhle am Nabel ein Bügel eingeführt und die Bauchwand hochgezogen. Es strömt normale Luft mit Zimmertemperatur in den Bauchraum. Luft ist definitv ein Gas. Es stellt sich also die Frage, ob der Begriff nicht unglücklich gewählt bzw. irreführend ist.
In der Arbeitgemeinschaft Gynäkologische Endoskopie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (AGE) ist deswegen alternativ der Begriff "Raumluft-Laparoskopie" gebräuchlich (Prof. Leo De Wilde, Oldenburg, Präsident der AGE.)
Wenn Luft über offene Adern bei einer Operation in den Blutkreislauf gelangt, verursacht sie deutlich leichter eine lebensgefährliche Embolie als CO2, das als Produkt der Atmung immer in niedriger Konzentration im Blut anwesend ist und über die Lunge abgeatmet werden kann. Auch aus dem Bauchraum wird Luft vom Organismus nur sehr langsam eliminiert, was aber weniger wichtig ist.
Warum also überhaupt "Gaslose Laparoskopie"
Um das zu verstehen muss man als Laie ein wenig Vorstellungsgabe entwickeln: Bei der Standard-Laparoskopie muss mit Ventilen einem Entweichen des Aufdehnungsmediums entgegengewirkt werden, damit die Entfaltung des Bauchraumes aufrecht erhalten bleibt. Bei der gaslosen Technik kann man sich diesen Aufwand ersparen. Das Anheben der Bauchdecke stellt der Haken-Lift durch Zug am Nabel sicher. Man kann beliebig viele und beliebig große Löcher in die Bauchdecke machen und offen lassen. Einfache Gummihülsen ersetzen teure Ventilhülsen. Logischerweise kann man jegliche Instrumente der offenen Bauch-Chirurgie durch diese Öffnungen einführen. Eine Klinik kann hier evt. viel Geld sparen, weil dieses Instrumentarium in der Regel bereits vorhanden ist. Bei der Standard-Laparoskopie geht das nicht. Instrumente müssen genau auf die Ventilhülsen abgestimmt sein. Man braucht teure Spezialinstrumente und dies je nach OP-Spektrum evt. in großer Zahl. Wegen der Kostenvorteile ist die gaslose Laparoskopie natürlich in ärmeren Ländern beliebt.
Für einen in konventioneller Chirurgie ausgebildeten Operateur ist die Umstellung einfacher, da er nicht die Handhabung der zierlichen, andersartigen Laparoskopie-Instrumente erlernen muss. Insofern ermöglicht die gaslose Laparoskopie endoskopisch ungeübten Chirurgen einen vereinfachten Einstieg in die Laparoskopie.
Auch aus Sicht der Anästhesisten (Narkoseärzte) gibt es Gründe "gaslos" zu laproskopieren. Der Verzicht auf CO2-Gas und den dosierten Überdruck im Bauchraum hat Vorteile für bestimmte Risiko-Patientinnen, im wesentlichen ältere Menschen. Sie können ggf. ohne Leibschnitt endoskopisch operiert werden, obwohl eine Standard-Laparoskopie für sie nicht möglich wäre.
Probleme:
Will man die deutlich gröberen konventionellen Instrumente und Blutstillungsmethoden (Tupfer!) einsetzen, benötigt man deutlich größere Wunden in der Bauchdecke. Das kosmetische Ergebnis ist dann entsprechend ungünstiger. Die Wunde in der Nabelregion muss Platz nicht nur für die Haken-Lift Einrichtung sondern auch für das Optiksystem bieten. Der erforderliche Wunddurchmesser beträgt etwa 20 mm. (Standard-Laparoskopie zum Vergleich 5 - 11 mm.)
Die Effektivität der Bauchentfaltung ist ungünstiger, als bei der CO2-Laparoskopie, da die Anhebung nur an einem Punkt erfolgt. Das Ergebnis ist eine kegelförmige Figur mit dem höchsten Punkt am Nabel. Der Operateur benötigt den meisten Platz aber im Beckenbereich. Das gelingt bei der gleichmäßigen Aufdehnung mit genau dosiertem CO2-Gasdruck effektiver. Dies ist für uns ein operationstechnisch wichtiger Punkt. Nicht günstig ist bei langen Operationen der punktuelle Druck auf das Gewebe durch die Hakenkonstruktion. Die grobe Lift-Konstruktion ist dem Operateur und den Assistenten natürlich bei Operieren im Weg.
Die Raumluft kann nicht angewärmt werden. Es herrscht während der "gaslosen" OP im Bauchraum eine niedrigere Temperatur als bei der CO2-Laparoskopie mit körperwarmem Gas (hierfür stehen spezielle Geräte zur Verfügung.) Die Absenkung der Gewebetemperatur hat einige wichtige nachteilige Stoffwechseleffekte (s. u. ).
Unser Fazit: Die "gaslose" Raumluft-Laparoskopie nimmt für uns eine Mittelstellung zwischen Leibschnitt und Bauchspiegelung ein. Sie hat Elemente von beiden.
Natürlich könnte ein für die Standard-Laproskopie gut ausgerüstetes OP-Team seine feinen Instrumente auch per gasloser Raumluft-Laparoskopie einsetzen. Dann wären zumindest die Wunden in der Bauchdecke gleich. Auch die bestechend präzise Microchirurgie mit miniaturisiertem Instrumentarium unter starker Bildvergrößerung wäre realisierbar. Nachteile blieben die schlechtere Entfaltung des Bauchraumes und die fehlende Möglichkeit der Erwärmung des Bauches durch das warme Gas. Abfall der Körpertemperatur verändert u. a. die Pharmakokinetik, erhöht den Sauerstoffverbrauch durch Kältezittern, verstärkt subjektives Missempfinden, verschlechtert die Immunabwehr, erhöht die Muskelanspannung (und damit das Schmerzempfinden). Die Blutgerinnung wird ungünstig beeinflusst. (Literatur: Gabriele Depenbusch: Heiße Tips gegen coole Fälle - Perioperative Wärmemassnahmen für Patienten noch effektiver eingesetzt. Intensiv 2002; 10: 165-174 Georg Thieme Verlag)
Wir haben uns im OPZ-Hürth bisher gegen die Einführung der Raumluft-Laparoskopie mit der Lift-Technik entschieden. Wir sähen den Sinn des Verfahrens nur bei ganz speziellen Patientinnen, die wir meist nicht ambulant operieren können, z. B. älteren Menschen.
Falsche Vorstellungen zur "gaslosen" Raumluft-Laparoskopie
Die gaslose Laparoskopie erlaubt kein präziseres Operieren. .
Die Herstellung des Zugangs zur Bauchhöhle erfolgt bei der gaslosen Laparoskopie nicht auf eine weniger gefährliche Art. Man muss zur Durchführung einer CO2-Laparoskopie nicht die Bauchhöhle "blind" mit einer Kanüle punktieren und die Trokarhülsen auch nicht "blind" einstechen. Man kann problemlos die "offene" Technik einsetzen und den Zugang unter Sicht herstellen. (Literatur A. Maucher (1990), Offene Laparoskopie. gynäkol prax 14, 741-746, Hans Marseille Verlag München)s. hierzu auch das Kapitel "offene Laparoskopie" auf dieser Homepage. Die mit Abstand am weitesten verbreitete Zugangstechnik ist allerdings die "Blindpunktion)
Die OP-Zeiten sind nicht kürzer. Patienten erholen sich nicht schneller. Die Schmerzen nach dem Eingriff sind nicht geringer. Der Medikamentenbedarf ist nicht geringer.
Die Ergebnisse der Operationen sind in keinem Aspekt besser, als bei der CO2-Laparoskopie . Die resultierenden Narben sind nicht kosmetisch günstiger sondern deutlich größer.
Die „gaslose“ Laparoskopie erlaubt keine operative Behandlung, die man nicht mit der Standard-Laparoskopie realisieren kann. (Auch die Standard-Laparoskopie erlaubt chirurgisches Nähen, sogar mit mikrochirurgischem Nahtmaterial unter bis zu 20-facher Bildvergrößerung).
Die "gaslose Laparoskopie" geht nicht einher mit einem niedrigeren Gesamt-Komplikationsrisiko. Die Embolie- und Thromboserate ist nicht niedriger. Die Narkosetechnik unterscheidet sich nicht von der normalen Laparoskopie.
See the skeptisism in the forum below....first translated to English then in the originional German.
It is a far cry from what Karen Steward of Texas espouses!
Babelfish translation from German to English
Dr kurschinskie, EndyGyn = Risko growing together smaller
becci mouse
Mo, 07/06/2010 - 14:14hello it love,
since practice is far for many away, depending upon residence, I would know also gladly, how the contact came to conditions, how discussions ran, reliably by telephone/mail I take to? is one at all well advised and examined, if one only one day before the OI travels? can local physicians which with found at all begin or do have one to re-examinations again and again? for me some hundreds km, if I carry then however fewer growing together off and I have the chance, would be to be healed, take I gladly in purchase… from there completely urgently please to communicate to me many tips and experiences completely. sone fear of the OI has and is already correctly depressive, because I in the Internet horrogeschichten myself and risks read and see only black: (
and the latter asks: how did it run off with the assumption of the costs? I am private, but white not whether soetwas one takes over, if one drives etc. into another place.
are strained and wait longingly for answer, lg becci
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Hello becci, I has
DanH
Mo, 07/06/2010 - 18:59Hello becci,
I read not all your contributions, therefore I do not know your diagnosis/complaints.
Love of greetings
Daniela
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Rear Becci, too doc
Erdbeere23
Mo, 07/06/2010 - 20:12Rear Becci,
too doc kruschinski gabs here already some discussions.
I go rather to one endospezi, which is exactly specialized in endo, continues to form and to growing together one prevents also there.
LG
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Mo, 07/06/2010 - 20:16I must agree you strawberry.
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I do not know the physician,
EndotanteIV
Di, 08/06/2010 - 09:05
I do not know the physician, but I can only say, I am condemned glad, which was invented the full arcose! Never voluntarily I would like life received by this OP´s somewhat! Before the anaesthesias have I meanwhile no more fear… And I am gone until one year ago only under obligation to the blood removing…
LG Daniela
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hello daniela, with me goes
becci mouse
Di, 08/06/2010 - 14:49hello daniela,
with me it concerns the suspicion on endometriose. large fear has before intervened, first OI in full arcose and before the diagnosis, the risks of renewed growing together etc.
me can someone help, has someone possibly well-founded studies or per/versus arguments for me? are already again drauf and to call off the OI: (
lg becci
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hello strawberry, you has completely
becci mouse
Di, 08/06/2010 - 15:00hello strawberry,
you have quite right with yours state: I despaired to degrees totally weakly, fearfully, panisch…: (
if jnd still more has information, opinions or experiences, please to write the text completely urgently here, are so down: (
lg
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Dr. Kruschinski
Schnecke83
Di, 08/06/2010 - 16:07Hello together,
only once I would like to say that everyone of the OI method must be convinced, it must let which be issued over itself!
If that is not the case, I would always call a OI off.
One must with itself in pure ones to be, because with the result, no matter how it goes out, one must to live be able.
Now to Dr. Kruschinski:
Is interesting, as much bad criticism it must put in and over it is written, although degrees those were never operated by it… (IHRT ~ Ummm I was)
I was operated one week ago by him! Head OI and some days after Second look.
In a KH I would have gotten a belly cut, would have been said at that time me with the first BSP. I did not want to have these with nearly 27 years however, therefore I had decided against it. Now I lasted a breath of larger cuts as with normal EX. my considerations and research up to OI having a half year!
The SprayShield I got also, over experiences can I naturally only think I in some weeks for speaking and like it with the pain look!
Which all patients say are: It seems to be always on the escape…
Now, I know for me, if further OPs lines up, I will come always ago. My travel time: approx. 4 autohours
To further questions simply announce
Love of greetings
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Hello becci, I became
DanH
Di, 08/06/2010 - 16:09Hello becci,
I would never go with a Endomoetrioseverdacht to him! Simply so from the feeling. In no technical periodical, on no congress of the Endovereinigung or hears one reads something of him in connection with Endo. With Endometriose you belong into the hands species! And Kruschinski is in my opinion only self-appointed which growing together bellies concerns.
LG
Daniela
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Left thank you
nela
LG Nela
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Hello Nela that with its
Schnecke83
So, 13/06/2010 - 18:24Hello Nela,
that with its family life does not have it me also told, I “snapped open” in the hospital only!
It changed with me no private word, everything had with me to do, thus for the patient.
Greetings
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Hello Schnecke83, are you
DanH
So, 13/06/2010 - 18:38Hello Schnecke83,
were you operated by Dr. Kruschinski because of Enometriose?
LG
Daniela
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Hello Daniela, I has
Schnecke83
So, 13/06/2010 - 19:03Hello Daniela,
yes, I have Endo degree of 3 with strong growing together and an inclination to the Zystenbildung at the ovaries.
My was already again 8 cm large: - (
Between intestine and the Gebärmutter I have still Endo, which he has however for the time being leaves, there it a piece intestine to remove would have had and then get one an artificial intestine exit for 3 months, so that the two intestine ends can grow together.
Oh, always these OI `s, as good that one does not have white how often one still so in its life therefore under measurers.
LG
Origional German text
Dr kurschinskie, EndyGyn = Risko Verwachsungen geringer becci mouse
Mo, 07/06/2010 - 14:14hello it love,
since the contribution is already somewhat older, I open from there new post office and would like to ask, who already made thereby experiences, who there was in practice. with you actually fewer growing together, did you did develop have make again to let a OI? did someone use the possibility without full arcose to be operated???
since practice is far for many away, depending upon residence, I would know also gladly, how the contact came to conditions, how discussions ran, reliably by telephone/mail I take to? is one at all well advised and examined, if one only one day before the OI travels? can local physicians which with found at all begin or do have one to re-examinations again and again? for me some hundreds km, if I carry then however fewer growing together off and I have the chance, would be to be healed, take I gladly in purchase… from there completely urgently please to communicate to me many tips and experiences completely. sone fear of the OI has and is already correctly depressive, because I in the Internet horrogeschichten myself and risks read and see only black: (
and the latter asks: how did it run off with the assumption of the costs? I am private, but white not whether soetwas one takes over, if one drives etc. into another place.
are strained and wait longingly for answer, lg becci
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Hello becci, I has
DanH
Mo, 07/06/2010 - 18:59Hello becci,
I read not all your contributions, therefore I do not know your diagnosis/complaints.
Would like to mean you however (even if only volatile) impression of Dr. Kruschinski to describe. I had times at the telephone. It was before the diagnosis Endo, at that time a general physician the suspicion also growing together and possibly “which gynäkologisches”… and with to be googled is I evenly over it had tripped and have nen date made the telephone consulting hour. My impression was not the best one: We talked no 10 min, I to it completely scarcely my complaints and the suspicion let us describe and already had I nen OI date. I found that in such a way… naja. And the cash hätt's anyway not paid.
He works with this elevator method, as you writes without gas. And as growing together barrier it works with a kind spraying gel which I from otherwise no hospital knows (clearly, he has probably a patent drauf). (IHRT ~ Nah thats just what he wants you to think)
But is ob's good or bad.??? Does someone know relevant studies? I do not know so quite, but wenns the miracle drug against growing together would give nevertheless, then we would not have nevertheless all, or? That is only my completely personal opinion, and I white that female patients by him were operated on it to swear.
Love of greetings
Daniela
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Rear Becci, too doc
Erdbeere23
Mo, 07/06/2010 - 20:12Rear Becci,
too doc kruschinski gabs here already some discussions.
fact is: it is endometriosespezialist and still on NO advanced training or meeting about endometriose, also of endometrioseverband Germany, was seen none (to these meetings endometriosespezialisten, which train themselves further regularly, all go). alone to me would already signal to go there not.
besides it operates in a private hospital and describes on its homepage in my opinion fell so praising mark “which has I there again wonderful mad carried out” that I have the feeling, it goes over to be ego and, above all, around its money.
surely that sounds everything for someone, which hurts degrees has, in emergency feels, also psychologically possibly quite to ends is total (like most women, who look for nem endoarzt), like the rescue and super. BUT: on it the offer aims exactly, aims the way of the advertisement off! it is made, because in this way women, who are weak degrees, an alleged rescue anchor been enough and in addition properly into the bag reached. (IHRT ~ this really hits the nail on the head huh)
I würd there never probably go ...... to decide must that everyone. in a phase, where I was in emergency, I times contact there had, and even said, if I pay the OI and come, me as free achievement (further LOCK means) the preliminary investigation is given to me.
besides several said to me spezis the fact that my small endometrioseherde with the elevator method does not see and thus no comprehensive view can get (also different one spezis to work with elevator, but not at endo…). And: The complaints (muscular strain etc.) are also not better after that elevators than according to the method with gas.
I go rather to one endospezi, which is exactly specialized in endo, continues to form and to growing together one prevents also there.
LG
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I must agree you
DanH
Mo, 07/06/2010 - 20:16I must agree you strawberry.
Wenn's around Endometriose does not go is it already times at all the correct partner!!!! I thought it went around growing together.
I do not know the physician,
EndotanteIV
Di, 08/06/2010 - 09:05
I do not know the physician, but I can only say, I am condemned glad, which was invented the full arcose! Never voluntarily I would like life received by this OP´s somewhat! Before the anaesthesias have I meanwhile no more fear… And I am gone until one year ago only under obligation to the blood removing…
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hello daniela, with me goes
becci mouse
Di, 08/06/2010 - 14:49hello daniela,
with me it concerns the suspicion on endometriose. large fear has before intervened, first OI in full arcose and before the diagnosis, the risks of renewed growing together etc.
I found its homepage also not good in the first moment very and in my emergency know I, I whom was to believe, has already grant investigated, to each physician says something else, it gives those, which swear on the gasless and those, which gives preference to the classical method, gives it. report and opinions are only unfortunately always very on one side and each speaker make evenly only the contrary operation method totally bad, everything sound plausible and also widerum not.
me can someone help, has someone possibly well-founded studies or per/versus arguments for me? are already again drauf and to call off the OI: (
lg becci
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hello strawberry, you has completely
becci mouse
Di, 08/06/2010 - 15:00hello strawberry,
you have quite right with yours state: I despaired to degrees totally weakly, fearfully, panisch…: (
from where does one know that he was so far on no such studies and advanced training? how did you have contact to the hospital, by telephone?
relative this sprays: as it on the homepage is praised, is it the growing together means absolutely, in America is that course and give. I found that very logical everything, since the liquid, which is used with the classical OI method, remains clinging not on the wounds like this spray. there it, the scars meant were less with the gasless OI, belly cuts can be avoided. then is talks there about second look, thus a control OI, in the growing together, which grant themselves within 3 after the first OI form, to be solved can… and and… then with the regioanlanästhesie, has nevertheless such fear of a full arcose…
white further, today unfortunately a very short discussion by telephone with my COMPANY spoke, and this meant also that with the gasless OI less precise herd be found can, which is risks the same growing together also occur can… must one know that she transferred me to Dr. Ebert, therefore her surely not completely different physician then would particularly praise (to make we us anything forwards, ALL physicians do not want to earn, then unfortunately is that)
if jnd still more has information, opinions or experiences, please to write the text completely urgently here, are so down: (
lg
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Dr. Kruschinski
Schnecke83
Di, 08/06/2010 - 16:07Hello together,
only once I would like to say that everyone of the OI method must be convinced, it must let which be issued over itself!
If that is not the case, I would always call a OI off.
One must with itself in pure ones to be, because with the result, no matter how it goes out, one must to live be able.
Now to Dr. Kruschinski:
Is interesting, as much bad criticism it must put in and over it is written, although degrees those were never operated by it… (IHRT ~ Ummm I was)
I was operated one week ago by him! Head OI and some days after Second look.
Z.Zt. still am I in the hospital. After both interferences I knew immediately which thing am, have some pictures received, so that I knew exactly, what it there with me down “employed” have!
In a KH I would have gotten a belly cut, would have been said at that time me with the first BSP. I did not want to have these with nearly 27 years however, therefore I had decided against it. Now I lasted a breath of larger cuts as with normal EX. my considerations and research up to OI having a half year!
And why it to recruit must: It operates in a private hospital! There everyone can go without a transfer, says I now times so casually. And it must constantly fight for it and justify itself for its method. Is that fair? Or is it envy of the others? (IHRT ~ haw haw haw haw)
I learned it to know now personally and from there can I now a judgement afford!
Which all patients say are: It seems to be always on the escape…
But: It is each day in the hospital, answers even at Easter and at night to my emails!!!
He says even it is its appointment and gives everything for it… from there suffers badly his family life under it. ( IHRT, This is the understatement of the century!)
And I am not private, but the BKK health takes over the costs. Only the gel and the remainder of the stay one must pay.
To further questions simply announce
Love of greetings
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Hello becci, I became
DanH
Di, 08/06/2010 - 16:09Hello becci,
I would never go with a Endomoetrioseverdacht to him! Simply so from the feeling. In no technical periodical, on no congress of the Endovereinigung or hears one reads something of him in connection with Endo. With Endometriose you belong into the hands species! And Kruschinski is in my opinion only self-appointed which growing together bellies concerns.
Here times a beautiful text to the gasless Lap: http://www.opz-huerth.de/index.php?menue=m3_&sm=21
I had heard of it already, also of many disadvantages, and that I now found. How in the text by the way descriptive is developed by saucy stone - > and no more does not use! That says some nevertheless already…
Daniela
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Left thank you
nela
So, 13/06/2010 - 16:42 Hello Daniela, thank you for the left and your open comment! I find it very courageous by you that you take here so openly position. I reacted it experienced as it to criticism. It feels asked already insulting if it for it we whether it at all a practice has. Also I go actually proving only to a physician to that me can in appropriate advanced training measures have participated, and/or in technical periodicals is represented. Which does not concern Schneck83 so would like I anybody too close to step however one could nearly believe that this is a kind advertisement. Which Doc omits itself already with a female patient over its family life. It should nevertheless the patient and not around the physician concern here. In addition which many bad criticisms? Criticism at it nevertheless nearly not only always exists these miracle stories. Endo is a hard fate and no place for physicians, who are already insulting if her are not praised.
LG Nela
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Hello Nela that with its
Schnecke83
So, 13/06/2010 - 18:24Hello Nela,
that with its family life does not have it me also told, I “snapped open” in the hospital only!
It changed with me no private word, everything had with me to do, thus for the patient.
Greetings
To write announcing or registering around comments
Hello Schnecke83, are you
DanH
So, 13/06/2010 - 18:38Hello Schnecke83,
were you operated by Dr. Kruschinski because of Enometriose?
LG
Daniela
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Hello Daniela, I has
Schnecke83
So, 13/06/2010 - 19:03Hello Daniela,
yes, I have Endo degree of 3 with strong growing together and an inclination to the Zystenbildung at the ovaries.
My was already again 8 cm large: - (
Between intestine and the Gebärmutter I have still Endo, which he has however for the time being leaves, there it a piece intestine to remove would have had and then get one an artificial intestine exit for 3 months, so that the two intestine ends can grow together.
Oh, always these OI `s, as good that one does not have white how often one still so in its life therefore under measurers.
LG
Origional German text
becci-maus
Mo, 07/06/2010 - 14:14hallo ihr lieben,
habe soeben in einem älteren beitrag von dr kurschinski in braunschweig gelesen und bin total geschockt, aufgeregt und erfreut. habe mir sogleich dann seine homepage angeguckt und dort von seinen neuartigen op-techniken gelesen, die die risiken von verwachsungen eindämmen sollen, auch wird gaslos operiert, was insg auch weniger risiken birgt, außerdem gibt es dort auch die möglichkeit, ohne vollnarkose diesen eingriff vornehmen zu lassen, was mich total neugierg macht. denn ich habe schreckliche angst vor meinem op termin in berlin und würd am liebste absagen, wenn ich über die risiken lese und auch hier im forum wird deutlich, dass immer wieder verwachsungen über die jahre entstehen, die sicher nicht durch die endo, sondern durch BS / oder Bschnitte entstanden sind.
da der beitrag schon etwas älter ist, mache ich daher einen neuen post auf und möchte fragen, wer damit schon erfahrungen gemacht hat, wer dort war in der praxis. sind bei euch tatsächlich weniger verwachsungen entstanden, musstet ihr erneut eine op machen lassen? hat jemand die möglichkeit genutzt, ohne vollnarkose operiert zu werden???
da die praxis ja für viele weit weg ist, je nach wohnort, würde ich auch gerne wissen, wie der kontakt zu stande kam, wie besprechungen verliefen, sicher per telefon/mail nehme ich am? wird man überhaupt gut beraten und untersucht, wenn man erst einen tag vor der op anreist? können hiesige ärzte was mit den befunden überhaupt anfangen oder muss man zu nachuntersuchungen immer wieder hin? für mich wären das einige hunderte km, wenn ich dann aber weniger verwachsungen davontrage und ich die chance habe, geheilt zu werden, nehme ich das gerne in kauf...daher ganz dringend die bitte, mir ganz viele tips und erfahrungen mitzuteilen. habe sone angst vor der op und bin schon richtig depressiv, weil ich mir im internet horrogeschichten und risiken durchlese und nur noch schwarz sehe :(
und die letzte frage: wie lief es denn mit der kostenübernahme ab? ich bin privatversichert, aber weiß nicht, ob soetwas übernommen wird, wenn man in einen anderen ort fährt etc.
bin gespannt und warte sehnsüchtig auf antwort, lg becci
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Hallo becci, ich habe
DanH
Mo, 07/06/2010 - 18:59Hallo becci,
ich habe nicht alle deine Beiträge gelesen, also kenne ich deine Diagnose/Beschwerden nicht.
Möchte dir aber meinen (wenn auch nur flüchtigen) Eindruck von Dr. Kruschinski schildern. Ich hatte den mal am Telefon. Es war vor der Diagnose Endo, damals hatte ein Allgemeinmediziner den Verdacht auch Verwachsungen und evtl. "was gynäkologisches"...und beim googeln bin ich eben über ihn gestolpert und hab nen Termin zur Telefonsprechstunde gemacht. Mein Eindruck war nicht der Beste: Wir haben keine 10 min geredet, ich hab ihm ganz knapp meine Beschwerden und den Verdacht geschildert und schon hatte ich nen OP-Termin. Das fand ich so...naja. Und die Kasse hätt's ohnehin nicht gezahlt.
Er arbeitet ja mit dieser Lift-Methode, wie du schreibst ohne Gas. Und als Verwachsungsbarriere arbeitet er mit einer Art Sprühgel was ich aus sonst keiner Klinik kenne (klar, er hat wohl auch ein Patent drauf).
Aber ob's gut oder schlecht ist..??? Kennt jemand relevante Studien? Ich weiß nicht so recht, aber wenns doch DAS Wundermittel gegen Verwachsungen geben würde, dann hätten wir doch alle keine, oder? Das ist nur meine ganz persönliche Meinung, und ich weiß das Patientinnen die von ihm operiert wurden darauf schwören.
Liebe Grüße
Daniela
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Hi Becci, zu doc
Erdbeere23
Mo, 07/06/2010 - 20:12Hi Becci,
zu doc kruschinski gabs hier schon einige diskussionen..
fakt ist: er ist kein endometriosespezialist und wurde noch auf KEINER fortbildung oder veranstaltung zum thema endometriose, auch vom endometrioseverband deutschland, gesehen (zu diesen veranstaltungen gehen endometriosespezialisten, die sich regelmäßig fortbilden, alle hin). das allein würde mir schon signalisieren, da nicht hin zu gehen.
zudem operiert er in einer privatklinik und schildert auf seine homepage meiner meinung nach die fälle so selbstlobend marke "was hab ich da wieder wundervolles tolles geleistet", dass ich das gefühl habe, es geht um sein ego und, vor allem, um sein geld.
sicherlich klingt das alles für jemanden, der grad schmerzen hat, sich in not fühlt, auch psychisch evtl ziemlich am ende ist (wie die meisten frauen, die nach nem endoarzt suchen), wie die rettung und total super. ABER: genau darauf zielt das angebot, zielt die art und weise der werbung ab! sie ist gemacht, weil auf diese weise frauen, die grad schwach sind, ein vermeintlicher rettungsanker gereicht wird- und dazu ordentlich in die tasche gegriffen.
ich würd da niemals hingehen......entscheiden muss das wohl jeder selber. in einer phase, wo ich in not war, hab ich da mal kontakt hin gehabt, und mir wurde sogar gesagt, wenn ich die op zahle und komme, wird mir als gratisleistung (weiteres lockmittel) die voruntersuchung geschenkt.
zudem haben mir mehrere spezis gesagt, dass mein kleine endometrioseherde mit der liftmethode NICHT sieht und somit keinen umfassenden einblick bekommen kann (auch andere spezis arbeiten mit lift, aber nicht bei endo...). Und: Die beschwerden (muskelkater usw) sind nach dem liften auch nicht besser als nach der methode mit gas..
ich geh lieber zu einem endospezi, der auf endo genau spezialisiert ist, sich weiter bildet und auch dort wird verwachsungen vorgebeugt..
LG
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Ich muss dir zustimmen
DanH
Mo, 07/06/2010 - 20:16Ich muss dir zustimmen Erdbeere.
Wenn's um Endometriose geht ist er schon mal gar nicht der richtige Ansprechpartner!!!! Ich dachte es ging um Verwachsungen.
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Ich kenne den Arzt nicht,
EndotanteIV
Di, 08/06/2010 - 09:05
Ich kenne den Arzt nicht, aber ich kann nur sagen, ich bin verdammt froh, das die Vollnarkose erfunden wurde! Niemals freiwillig möchte ich von diesen OP´s etwas life mitbekommen! Vor den Narkosen hab ich mittlerweile keine Angst mehr... Und ich bin bis vor einem Jahr nur unter Zwang zum Blutabnehmen gegangen...
LG Daniela
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hallo daniela, bei mir geht
becci-maus
Di, 08/06/2010 - 14:49hallo daniela,
bei mir geht es um den verdacht auf endometriose. habe ja große angst vor dem eingriff, erste op in vollnarkose und vor der diagnose, den risiken erneuter verwachsungen etc.
ich fand seine homepage im ersten moment sehr gut und in meiner not weiß ich auch nicht, wem ich glauben soll, habe bereits stunden recherchiert, jeder arzt sagt etwas anderes, es gibt die, die auf die gaslose schwören und es gibt die, die der klassischen methode den vorzug geben. nur leider sind die berichte und meinungen immer sehr einseitig und jeder sprecher macht eben nur die gegenteilige operationsmethode total schlecht, alles klingt einleuchtend und auch widerum nicht.
kann mir denn jemand weiterhelfen, hat jemand evtl fundierte studien oder pro/contra argumente für mich? bin schon wieder drauf und dran, die op abzusagen :(
lg becci
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hallo erdbeere, du hast ganz
becci-maus
Di, 08/06/2010 - 15:00hallo erdbeere,
du hast ganz recht mit deiner aussage: ich bin grad total schwach, ängstlich, verzweifelt, panisch...:(
woher weiß man denn, dass er bisher auf keinen solchen studien und fortbildungen war? wie hattest du denn kontakt zu der klinik, per telefon?
bezüglich diesen sprays: so wie es auf der homepage gepriesen wird, ist es DAS verwachsungenmittel schlechthin, in amerika sei das gang und gebe. ich fand das alles sehr logisch, da die flüssigkeit, die bei der klassischen op-methode verwendet wird, nicht auf den wunden haften bleibt wie dieses spray. dort hieß es, die narben seien mit der gaslosen op weniger, bauchschnitte können vermieden werden. dann ist da die rede von dem second look, also einer kontroll-op, in der verwachsungen, die sich ja innerhalb 3 stunden nach der ersten op bilden, gelöst werden können...und und und... dann das mit der regioanlanästhesie, hab doch solche angst vor einer vollnarkose...
weiß nicht weiter, habe heute mit meiner FA gesprochen, leider ein sehr kurzes gespräch per telefon, und diese meinte auch, dass mit der gaslosen op weniger präzise herde gefunden werden können, die risiken die gleichen sind, verwachsungen auch auftreten können...aberdazumuss man wissen, dass sie mich zu dr. ebert überwiesen hat, also würde sie sicher nicht einen ganz anderen arzt dann besonders loben (denn machen wir uns nichts vor, ALLE ärzte wollen verdienen, so ist das leider)
wenn jnd noch mehr infos, meinungen oder erfahrungen hat, bitte ganz dringend hier texten, bin so down :(
lg
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Dr. Kruschinski
Schnecke83
Di, 08/06/2010 - 16:07Hallo zusammen,
erst einmal möchte ich sagen, dass jeder von der OP Methode überzeugt sein muss, die er über sich ergehen lassen muss!
Wenn das nicht der Fall ist, würde ich eine OP immer absagen.
Man muss mit sich im Reinen sein, weil mit dem Ergebnis, egal wie es ausgeht, muss man leben können.
Nun zu Dr. Kruschinski:
Interessant ist, wie viel schlechte Kritik er einstecken muss und über ihn geschrieben wird, obwohl grade diejenigen nie von ihm operiert wurden...
Ich wurde vor einer Woche von ihm operiert! Haupt-OP und einige Tage danach Second look.
Z.Zt. befinde ich mich noch in der Klinik. Nach beiden Eingriffen wusste ich sofort Bescheid was Sache ist, habe etliche Bilder erhalten, so dass ich genau wusste, was er dort bei mir unten "angestellt" hat!
In einem KH hätte ich einen Bauchschnitt bekommen, wurde mir damals bei der ersten BSP gesagt. Diesen wollte ich mit fast 27 Jahren aber nicht haben, deshalb habe ich mich dagegen entschieden. Nun habe ich ein Hauch größerer Schnitte wie bei einer normalen BSP. Meine Überlegungen und Forschungen bis hin zu OP haben ein halbes Jahr gedauert!
Und warum er werben muss: Er operiert in einer Privatklinik! Dort kann jeder ohne eine Überweisung hin gehen, sage ich jetzt mal so salopp.. Und er muss ständig dafür kämpfen und sich für seine Methode rechtfertigen. Ist das fair? Oder ist es Neid von den Anderen?
Das SprayShield habe ich auch bekommen, über Erfahrungen kann ich natürlich erst denke ich in einigen Wochen sprechen und wie es mit den Schmerzen aussieht!
Ich habe ihn nun persönlich kennen gelernt und daher kann ich mir nun ein Urteil leisten!
Was alle Patienten sagen ist: Er scheint immer auf der Flucht zu sein...
Aber: Er ist jeden Tag in der Klinik, antwortet sogar an Ostern und nachts auf meine E-Mails!!!
Er sagt selbst es ist seine Berufung und gibt alles dafür...daher leidet arg sein Familienleben darunter.
Nun ja, ich für mich weiß, falls weitere OPs anstehen, werde ich immer her kommen. Meine Fahrzeit: ca. 4 Autostunden
Und ich bin nicht privatversichert, aber die BKK Gesundheit übernimmt die Kosten. Nur das Gel und den Rest des Aufenthaltes muss man selbst zahlen.
Bei weiteren Fragen einfach melden
Liebe Grüße
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Hallo becci, ich würde
DanH
Di, 08/06/2010 - 16:09Hallo becci,
ich würde mit einem Endomoetrioseverdacht niemals zu ihm gehen! Einfach so vom Gefühl her. In keiner Fachzeitschrift, auf keinem Kongress der Endovereinigung liest oder hört man etwas von ihm im Zusammenhang mit Endo. Mit Endometriose gehörst du in die Hände eines Spezies! Und Kruschinski ist meiner Meinung nach nur ein selbsternannter was Verwachsungsbäuche angeht.
Hier mal ein schöner Text zur gaslosen Lap: http://www.opz-huerth.de/index.php?menue=m3_&sm=21
Ich hatte davon schon gehört, auch von vielen Nachteilen, und das hab ich nun gefunden. Wie im Text übrigens beschrieben ist von Keckstein entwickelt -> und nicht mehr verwendet! Das sagt doch schon einiges...
LG
Daniela
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Link Vielen Dank
nela
So, 13/06/2010 - 16:42Hallo Daniela, vielen Dank für den Link und Deinen offenen Kommentar! Ich finde es sehr mutig von Dir, dass Du hier so offen Stellung beziehst. Ich habe es selbst erlebt wie er auf Kritik reagiert. Er fühlt sich schon beleidigt wenn er danach gefragt wir ob er überhaupt eine Praxis hat. Auch ich gehe nur zu einem Arzt der mir tatsächlich nachweisen kann an entsprechenden Fortbildungsmaßnahmen teilgenommen zu haben, bzw. in Fachzeitschriften vertreten ist. Was Schneck83 betrifft so möchte ich niemandem zu nahe treten aber man könnte fast glauben, dass dies eine Art Werbung ist. Welcher Doc lässt sich schon bei einer Patientin über sein Familienleben aus. Es sollte hier doch um den Kranken und nicht um den Arzt gehen. Außerdem welche viele schlechte Kritiken? Kritik an ihm existiert doch fast gar nicht bloß immer diese Wundergeschichten. Endo ist ein hartes Schicksal und kein Platz für Ärzte, die schon beleidigt sind wenn sie nicht gelobt werden.
LG Nela
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Hallo Nela, dass mit seinem
Schnecke83
So, 13/06/2010 - 18:24Hallo Nela,
dass mit seinem Familienleben hat er mir auch nicht erzählt, habe ich in der Klinik nur "aufgeschnappt"!
Er hat mit mir gar kein privates Wort gewechselt, alles hatte mit mir zu tun, also dem Patient.
Grüße
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Hallo Schnecke83, bist du
DanH
So, 13/06/2010 - 18:38Hallo Schnecke83,
bist du von Dr. Kruschinski wegen Enometriose operiert worden?
LG
Daniela
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Hallo Daniela, ja, ich habe
Schnecke83
So, 13/06/2010 - 19:03Hallo Daniela,
ja, ich habe Endo Grad 3 mit starken Verwachsungen und eine Neigung zur Zystenbildung an den Eierstöcken.
Meine war schon wieder 8 cm groß :-(
Zwischen Darm und der Gebärmutter habe ich noch Endo, die hat er aber vorerst belassen, da er ein Stück Darm hätte entfernen müssen und dann bekommt man einen künstlichen Darmausgang für 3 Monate, damit die zwei Darmenden zusammen wachsen können.
Ach ja, immer diese OP`s, wie gut, dass man nicht weiß wie oft man noch so in seinem Leben deswegen unters Messer muss..
LG
If you need friends bad enough to hang with the likes of Dr Daniel Kruschisnki and Karen Steward than we pray God keep you safe through your ordeal. Wouldnt facebook be a safer bet?
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