ARD, CAPPS, Adhesions and Adhesion Related Disorder , Internal Scar Tissue, Hope for those who suffer from Adhesions

Tuesday, May 05, 2009

SPRAYSHIELD - FIRST CLINICAL TRIAL RESULTS


The new SprayShield™


FIRST CLINICAL TRIAL RESULTS
by
Dr. Daniel M. Kruschinski M.D.


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SprayShield™ - the new product by Covidien
<><>




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The new SprayShield™: first clinical results....
February 26th, 2009


Announced ONLY in a
"BLOG"
Hidden in the Internet!
http://www.sprayshield.org/
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You will not find this report anywhere else on the Internet but in this hidden blog as it is a secret! We all know how "private" Kruschinki is when it comes to his surgeries and clinical trials!
Be sure to check out the other "Categories"
found on the right hand side of this blog! Interesting! Plus check out the posts listed on the left side of this blog: Posted in Adhesions, SprayShield! AND check out "Home" and "About" another interesting trip around this blog!
IHRT hopes you don't get dizzy!

Important Exceptions:
Helen Dynda
thought it was important enough to hide in her section in Endogyn, and though this is NOT the SprayShield™ clinical trials report, there is an exact post in "Endogyn" message board, but remember, this is NOT the clinical trial first results, it is only an older post in the message board. Helen must have missed that, but IHRT didn't!

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(in part in this post.....)

"The SprayShield™ is fully absorbed and the peritoneum is smooth and without any reaction. There are no reddish areas, like with SprayGel™ (see pictures above) and no reaction; the peritoneum is already completely healed. One can see that the areas are already free of SprayShield™ which is fully absorbed within 7 days, whereas the SprayGel™ took around 20 days for full absorption, thus representing a foreign body with tissue reactions.
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

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IHRT adds: The The new SprayShield™ by Covidien: first clinical results report is so secret that it isn't in Covidiens web site either!
2009 News Releases

<><><><><>
IHRT will "italicize words and phrases" in this report that appear mighty familiar, and we bet we can produce these exact words and phrases from Kru's posting in Endogyn message board when referring to his SprayGel™ Clinical Studies and adhesiolysis reporting! In fact, he even refers to a "board" when posting these finding in his NEW private blog here

!!!!!!!!!!!!! <> PRESENTING <> !!!!!!!!!!!!!

The new SprayShield™ by Covidien:
"first clinical results"
February 26th, 2009

Since December 2008 we are using the new SprayShield™ by COVIDIEN. SprayGel™ was modified in some parts, so the resorption was promised to be shorter (5-7 days) than it was with SprayGel™(7-14 days). And the blue colour is not due to methylenblue anymore but a simple colour used frequently in food. More components were modified and I should report later in this board. For now I just wanted to show the clinical results.

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This is a picture of adhesions on the left pelvic wall:

and this after adhesiolysis

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and here after coverage with SprayShield™:


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and here the beautiful healed result at 2nd look laparoscopy ONLY 5 days later


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For clinical comparison here below you can see an image with similar adhesions after adhesiolysis and covered with the SprayGel™ and 7 days later in the 2nd look laparoscopy.

One can see that the SprayGel™ is still there and a little tissue reaction (reddish areas with neovascularisation) is shown:
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And again for comparison again below with SprayShield™, where after only 5 days, SprayShield™ is fully absorbed and the peritoneum is smooth without any reaction:

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Actually there seems to be a better and rapid resorption of the Hydrogel and the absence of methylenblue, which was taken from the market some times ago. I think that this result in less foreign body or allergic reactions as in some cases occurred with SprayGel™.
We will continue research and if that is the case, we might decrease the time between Surgery and 2nd look laparoscopy to five days, so the time necessary to stay at the hospital will be shorter. Also some complications in regard to infections might decrease with the new product.
——————–Daniel Kruschinski, MDEndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com© by EndoGyn Ltd.
Posted in Adhesions, SprayShield No Comments »

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MORE RESULTS of THIS STUDY ........... (BIG BAD SPRAYGEL™)
http://www.sprayshield.org/

Another example of the new SprayShield™ by COVIDIEN
February 26th, 2009
Picture of adhesions on the left pelvic wall, plus after adhesiolysisafter coverage with SprayShield™: then the beautiful healed result at 2nd look laparoscopy 7 days later!
Again to say this: the SprayShield™ is fully absorbed and the peritoneum is smooth and without any reaction. There are no reddish areas, like with SprayGel™ (see pictures)
and no reaction, the peritoneum is already completely healed.
——————–Daniel Kruschinski, MDEndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com© by EndoGyn Ltd.

<><>
http://www.sprayshield.org/
And jet another example of the new SprayShield™ by COVIDIEN
February 26th, 2009
Again pictures of adhesions on the right pelvic wall. After an appendectomy the bowel (mid picture) is completely adherent to the pelvic wall and has to be dissected: next picture after adhesiolysis, next picture will be after coverage with SprayShield™: then last picture you see the beautiful healed result at 2nd look laparoscopy only 5 days later!
Also here to see: the SprayShield™ is fully absorbed and the peritoneum is smooth and without any reaction. There are no reddish areas, like with SprayGel™ (see pictures) and no reaction; the peritoneum is already completely healed.
Daniel Kruschinski, MDEndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com© by EndoGyn Ltd.
Posted in Adhesions, SprayShield No Comments »

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IHRT recalls in the Spraygel™ clinical trials "abstract" by Doc. Kruschinski he stated that there were 99.9% absolutely NO adhesions in the SLL ( second look laps) & TLL (third look laps) with HIS gasless adhesiolysis! http://www.ump.com/Featured-Articles/Kruschinski-Adhesiolysis-Cr.pdf

<><> Did IHRT not see pictures of this claim over and over again in that same "abstract?http://www.ump.com/Featured-Articles/Kruschinski-Adhesiolysis-Cr.pdf

<><> IHRT recalls that Kru also say that he would not do TLL as his results were so good they were "Miracles?"

<><> IHRT asks if the Spraygel was so bad, why didn't Kru misrepresent it to his patients?

<><> If patients are NOT well after surgery at Endogyn - is it from bad Spraygel?

<><> IHRT also recalls that Kru posted this.....
Posted Tuesday, November 4, 2003 @ 08:50 AM

Hi All, SprayGel is used in our Institute now for more than 2 years in combination with gasless laparoscopy with very good results. We perform adhesiolysis also in very severe cases of bowel adhesions and sometimes in combination with bowel resection. SprayGel, the same as surgery itself, is inducing a slight inflammation as an answer to injury (please see Shirlis comments in new publications from the lab) which is exactly the effect that we want to have as this induces a neoangiogenesis and forming of a new peritoneal surface to the injuried / wounded area. If any infection occurs, regardless from what the reason might be (bowel lesion, infection in the abdominal cavity) in the past we realized in the second-look at day 7th after the initial procedure, sometimes a much stronger inflammation than usual. To avoid such an inflammation we changed our surgical concept: in cases with bowel involvement and the risk of infection, we don't apply SprayGel at the initial procedure, instead of this we perform a second-look after 3 days to check, if there is any infection and to wash the abdominal cavity. At this procedure we than apply SprayGel and avoid by this, the "over-reaction" of the body to SprayGel in cases with infection.
Remember: this change is made in order to increase our success results, even in complicated cases, which will need 2 or more surgeries. The goal is to perform an adhesiolysis procedure that works, even if we need more surgeries. Laparoscopy with gasless is less invasive to the body, so we can apply such a concept to our patients and this increases our success rate. Regards -------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><><><><><><><><><>
MAYBE the following videos of Daniel Kruschinski's adhesiolysis procedures with the new SprayShield™ by Covidien will anwser any questions anyone has as to the validity of his words claiming to be involved in any clinical studies with either the:

SPRAYGEL™ / SPRAYSHIELD™

after all, no surgeon could get so confused about a product of such importance to his outcomes, now could they? And, would a surgeon of Kruschinski's calibor put his own patients in harms way by presenting his clinical data depending which way the wind blows?

Take a look at these videos and make up your own minds about Kruschinski's proficancy as a surgeon, a researcher, a pioneer in the world of surgery, a man of morals, compassion and honesty, after all, many did trust in him enough to have more then one adhesiolysis with him, and many who are not well today might still believe every claim he makes is truth!

IHRT: Please pay particular attention to the product as it is listed at the beginning of the video and as it is mentioned during the video.....

Surgical results » Adhesiloysis with SprayShield™ Lift-laparoscopic Adhesiolysis with SprayShield™ Adhesions barrier (Adhesiolysis via Lift-Laparoscopy in comobination with the SprayShield™ adhesions barrier) The video is divided in 4 chapters describing each procedural step with volume..........http://www.endosurgery.tv/AdhesiolysisStepsE.html

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IHRT: State of the art technology, but Kru doesn't show himself performing this adhesiolysis? Could that little "glitch" in the beginning of it be part of a "cut and paste" operation in making this video?

The "Romantic" version of the "Surgical results » SprayShield™ application video"Application of the SprayShield™ adhesions barrier The adhesiolysis is not shown, only the application of the SprayShield™ adhesions barrier and the clinicsl result in the secon-look laparoscopy at day 5th postoperative......http://www.endosurgery.tv/SprayShieldApplicationE.html
(This video IS suitable for slow dancing!)

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Here are some impressions from the OR at the Klinik am Zuckerberg and some faces for you to get familiar with. Most of them you will see only at the operating or recovery room.
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Myself starting the preparations for the surgery.
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On the right Isolde, the anesthesiology nurse and at the head of the patient is Dr. Lorenz, the anesthetist. You will sleep and dream like a cat, when he puts you asleep. On the left is Michaela, who is at EndoGyn and who manages the operating room issues. <><>









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This is the youngest male nurse, together with Isabell. By the way, hes is very motivated and is around to do anything is needed. <><>

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To learn more about these SprayShield™ klinical trials and results, please contact:
EndoGyn® Braunschweig at Klinik am Zuckerberg
Mr. Jochen Vogel manager of Klinik am Zuckerberg, +1149 531 2633 234 ask him personally <> or write an email to him at j.vogel@venenzentrum-bs.de.





<><><><>
COVIDIEN contacts:
For more information on the SprayShield™ Clinical trials and these results.... Scott Flora, President, Surgical Devices, Covidien 203-492-5576 Manager, Media Relations Email Scott via: Joel.weinberg@covidien.com

<>
Please visit http://www.covidien.com/ to learn more about our business. Covidien Joel Weinberg, 203-492-5576 Manager - Media RelationsSurgical Devices joel.weinberg@covidien.com

<>or Coleman Lannum, CFA, 508-452-4343 Vice President Investor Relations cole.lannum@covidien.com

<>or Bruce Farmer, 508-452-4372
Vice PresidentPublic Relations
bruce.farmer@covidien.com

<>or Wayde McMillan, 508-452-4387
DirectorInvestor Relations
wayde.mcmillan@covidien.com

Covidien has more than 42,000 employees worldwide in 57 countries, and its products are sold in over130 countries. IHRT bets that Covidien is very gratefull for Dr. Daniel Kruschinski and his "Endogyn" staff at Zuckerburg Klinik for there achievments in this sttudy and it's submission to the public via a Blog! Very proffesional indeed, Mr. Flora.

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Wondering why Doc. Kru is not posting in Endogyn anymore??

IHRT has that answer...more to come!

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Mr. Bernie Madof says of his BFF Daniel Kruschinski

"I taught him everything I knew!"
I just wish we wouldn't have gotten caught before we were to big to be stopped!"

Caught? What? Who got caught! Not me! Do I look bankrupt?

I am doing clinical studies, surgeries everyday at Zuckerburg, flying off to Thialand and Africa, have a wife, 2 mistress's, 4 kids that I claim and do not pay support to, enough food, beer and booze to keep me happy, and I don't pay taxes either because all of the above is all paid for by the German government to boot! In fact, I never paid taxes now that I think of it!

Below you will find the most delusional person in the world!!!!

MORE FACTS about SPRAYGEL to come......and why Kru is not posting in Endogyn anymore! HINT....email Jochen and ask!
Posted by at No comments:
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Sunday, May 03, 2009

Shouting From The Roof Tops - SprayGel Miracles


Spraygel(TM) by Confluent passes the test as
#1 Adhesion barrier clinical trials results!
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**MIRACLES ABOUND ** MIRACLES GALORE ** MIRACLE of MIRACLES**
<><><>
Results are in from Dr. Daniel M. Kruschinski
Who was the ONLY surgeon performing clinical trials for Spraygel(TM) and the ONLY surgeon calculating the results of his clinical trials and the ONLY surgeon using patients to create the clinical study questionnaire.
He had this to say when he study came to a close: "If a patient who came to Endogyn did not get well or become pain free after a gassless adhesiolysis with Spraygel(TM) in my hands, then it was because of something they did wrong after my surgery! I did not encounter ANY problems with the Spraygel(TM) in all the years I used it. I could do no wrong with the Spraygel(TM) in my hands and with my gassless technique as this is the answer to all the successful adhesiolysis. Only together with Endogyn can Confluent claim to have created an exceptional product in Spraygel(TM) because it will not work for other surgeons performing an adhesiolysis procedure but will ONLY be successful in MY HANDS!"
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MY PROOF IS SEEN in Endogyn Website...
Please see my abstract of the Spraygel(TM) clinical study results, with pictures at the end of this wonderful blog!"
Regards --------------------Daniel Kruschinski, MD
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http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=P8tWwfp8i9Pehq7IHhCMtw8nWw&forum=2&thread=2462
<>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.
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<>Posted Tuesday, November 4, 2003 @ 08:50 AM
SprayGel is used in our Institute now for more than 2 years in combination with gasless laparoscopy with very good results. We perform adhesiolysis also in very severe cases of bowel adhesions and sometimes in combination with bowel resection. SprayGel, the same as surgery itself, is inducing a slight inflammation as an answer to injury (please see Shirlis comments in new publications from the lab) which is exactly the effect that we want to have as this induces a neoangiogenesis and forming of a new peritoneal surface to the injuried / wounded area.

If any infection occurs, regardless from what the reason might be (bowel lesion, infection in the abdominal cavity) "in the past" we realized in the second-look at day 7th after the initial procedure, sometimes a much stronger inflammation than usual.
To avoid such an inflammation we changed our surgical concept: in cases with bowel involvement and the risk of infection, we don't apply SprayGel at the initial procedure, instead of this we perform a second-look after 3 days to check, if there is any infection and to wash the abdominal cavity. At this procedure we than apply SprayGel and avoid by this, the "over-reaction" of the body to SprayGel in cases with infection.

Remember: this change is made in order to increase our success results, even in complicated cases, which will need 2 or more surgeries. The goal is to perform an adhesiolysis procedure that works, even if we need more surgeries. Laparoscopy with gasless is less invasive to the body, so we can apply such a concept to our patients and this increases our success rate. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.
<>Posted Tuesday, May 18, 2004 @ 03:33 PM
For your education and to show your doctors what can be achieved using adequate surgical technologies (gasless laparoscopy, diathermic scissors and SprayGel™ adhesion barriers), we will show from time to time some representative images form our adhesion images collection of more than 10.000 pictures from patienst with systematic data collection from the surgery, second-look and eventually from the 3rd-look laparoscopy.
<>Posted Wednesday, November 5, 2003 @ 02:34 AM
As the results after our surgery are excellen, we won't perform a 3rd -look, the 2nd-look at day 3 or 4 will be the final and for those who continue to have pain later than 12 weeks, there is the offer of the 3rd-look later on. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.
<>Posted Thursday, July 20, 2006 @ 02:40 AM
After using SprayGel for more than 5 years now, everytime I perform surgery I am very surprised how it works and what wonderfull results one can achive by using it properly... http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=2462


<><>New adhesiolysis cases:
<>Posted Thursday, July 20, 2006 @ 02:40 AM
Initial Surgery last Tuesday: Right pelvic wall Before surgery: Fully covered with bowel adhesions
Second look from this Tuesday:
Right pelvic wall Second look: Complete adhesion free right pelvic wall
Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.
<><>New adhesiolysis cases
<>Posted Saturday, December 11, 2004 @ 04:06 AM
Friday, December 3rd we operated on Barbara from US, she had had extremely adhesions after several peritonitis, where there was no entrance into the abdominal cavity.
Last Friday we had gasless adhesiolysis on a patient from UK, She had adhesions after a longitudinal laparotomy, that could be managed well.
Regards --------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.
<>Posted Sunday, December 19, 2004 @ 05:52 PM
Last Friday we had the second look on the patient from UK, she is adhesion free and will return home next Wednesday.
Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd
<>Posted Friday, December 24, 2004 @ 08:27 PM
Today, Barbara, who is just 3 weeks after surgery, wrote me (wishing me Happy Christmass) that she took a nap and in her sleep turned around to her abdomen and slept on her abdomen... what she couldn't do for the last 15 years ! Happy Xmass !
Regards -------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd
<>Posted Friday, October 22, 2004 @ 04:04 PM
Today we had gasless adhesiolysis on a patient from London. She had 9 surgeries for endometriosis and adhesions before. All the adhesions came back after each of her surgeries. We performed a 4 hours procedure and took all the adhesions down and covered SprayGel on it. Next Friday is her second look. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.
<>Posted Friday, October 29, 2004 @ 09:08 AM and she was adhesion free on her second-look. I am amazed about the SprayGel... it holds up more than I expected. --------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd
<>Posted Saturday, October 2, 2004 @ 01:38 PM Yesterday we performed surgery on a 83 years old patient (Maria) and after that on her daughter (Pam). The surgeries were both difficult with plenty of adhesions, which all could be removed. Maria didn't wake-up as quick as usual (maybe exhausted from the long flight and dehadrated) , so we had to put her on ICU over night till today morning, but this morning she was excellent. Both are recovering. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>New cases, New cases, More New Cases, etc., etc.,
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=4uuoUAUKLsLe81IveeSMond0Ox&forum=2&thread=1221 Posted Friday, October 29, 2004 @ 09:53

Please see above what happens, if surgeons don't use any adhesion barriers...
And here you can see that even if using the best adhesion barrier available (SprayGel), but WITH carbon dioxide, adhesiolysis surgery is in most cases USELESS.
Another conclusion: I strongly believe that the adequate covering of the wounded area with SprayGel is only possible with gasless laparoscopy. I am also very sure that our results will remain the best as long as no other surgeon performs Lift-laparoscopy for adhesion surgery.
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<>Posted Saturday, July 31, 2004 @ 09:59 AM The patient from last Friday had her second-look which showed excellent results... no adhesions in the areas of the adhesiolysis... Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<> Posted Sunday, August 29, 2004 @ 09:22 AM the second look was adhesion free status, the days after surgery the patient went for shopping in Aschaffenburg...
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<>Posted Friday, June 18, 2004 @ 03:34 PM Today was his second look and he was adhesion free. Four hours after gasless laparoscopy this 73 years old man went for shoping to the shop across the street...
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>and some more adhesiolysis cases..http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=uZSxZujguoVXw51FSCSFV0ttyI&forum=42&thread=20840


<><><>
ADHESIONS/ SUCCESS RATE OF SURGERY/ 3RD LOOK LAPAROSCOPY
Second looks and another case of gasless adhesiolysis... h ttp://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=1555
Posted Friday, March 11, 2005 @ 04:50 PM She, her parents and Hilary were touring around all the time and today they had their second-looks. Hilary and Leslie are adhesion free ! Candy had her second-look and was adhesion free on all the surgical areas. She went to the apartment just 3 hours after surgery. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>and another 2 adhesiolysis cases from US
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=1480

<>Posted Friday, February 18, 2005 @ 02:19 PM today we did the secon looks. Both, Leiza and Frank were adhesion free on our previous surgical areas.
Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>Another adhesiolysis
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=1410
Posted Friday, January 28, 2005 @ 06:25 PM
In a 4 hours surgery we managed to take all the adhesions down, and covered the wounded area with 4 kits SprayGel. Let's look toward her second look...
By the way, we have plenty of cases for adhesiolysis also from other countries and Germany that are not reported here. Every week there are at least 3 adhesiolysis cases, so our gasless adhesiolysis gruop is growing rapidly... and by this the number of patiens and our experience with SprayGel.
Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<>Posted Friday, February 4, 2005 @ 05:59 PM and in the second-look Joyce was adhesions free ... On Wednesday, they go back home .. Regards
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>New adhesiolysis case: Dusti
http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=1359

<>Posted Saturday, January 22, 2005 @ 10:06 AM Dusti was adhesion free on her second look... Another proof of our succes concept of adhesion surgery with gasless laparoscopy and SprayGel...
--------------------Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><>What about worst cases ???? http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=tnjl3AdriV49Cr9ORM2y649tY3&forum=2&thread=3645

<>Posted Monday, February 12, 2007 @ Even in worst cases, where nearly the complete abdomen is covered by adhesions: and the bowel is completly adherent to the abdominal wall, so dissection is always very dangerous: Application of SprayGel as an adhesion barrier... and in the second look: the bowel is sufficiently sutured, no infection or reformation of adhesions occured... Daniel Kruschinski, MD EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com © by EndoGyn Ltd.

<><><> Miracle in our hands...Miracle in our hands...

Adhesions/ Success Rate of Surgery/ 3rd Look Laparoscopy
SUCCESS RATES OF SURGERY... an excurs, by Daniel Kruschinski http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=C87Qw6AqpnylVQtQr54IENBc5F&forum=2&thread=275
Surgery without an adhesion barrier is useless! http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=C87Qw6AqpnylVQtQr54IENBc5F&forum=2&thread=1220
Surgery with carbondioxide and SprayGel might be USELESS too. http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=C87Qw6AqpnylVQtQr54IENBc5F&forum=2&thread=1221
Why is the 3rd-look laparoscopy extremely important? http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=C87Qw6AqpnylVQtQr54IENBc5F&forum=2&thread=1392
Another case of a 3rd look as an important tool in reducing... http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=C87Qw6AqpnylVQtQr54IENBc5F&forum=2&thread=1694

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IHRT: Note the difference in the number of cases in this "abstract" vs the hundreds of adhesiolysis cases Daniel Kruschinski claimed to have performed with 99.9% adhesion free 2nd & 3rd look procedures for the Spraygel(TM) clinical study YOU never knew you were taking part in?

Adhesiolysis in Severe and Reccurent Cases of Adhesions Related Disorder (ARD) - A Novel Approach Utilizing Lift (Gasless) Laparoscopy and SprayGel™ Adhesion Barrier

"ABSTRACT"... http://www.ump.com/Featured-Articles/Kruschinski-Adhesiolysis-Cr.pdf

We investigated the feasibility and outcome of adhesiolysis in patients with severe and reccurent adhesions using lift (gasless) laparoscopy and a SprayGelTM adhesion barrier at the Institute for Endoscopic Gynecology (EndoGyn®). The design included a prospective evaluation of lift (gasless) laparoscopic adhesiolysis in combination with a SprayGelTM adhesion barrier. A new score for bowel adhesions was developed and applied. All 35 patients with severe and reccurent adhesions underwent a liftlaparoscopic adhesiolysis with the Abdo-LiftTM and SprayGelTM adhesion barrier, a second-look laparoscopy at Day 7 and, in case of continuation of pain, a third-look laparoscopy within 6 months after the initial surgery. All patients were operated upon without conversion to laparotomy.

The reduction in the adhesion score of adhesions at the second-look laparoscopy was overall (sum) 89.8% (90.1% reduction in extent, 89.3% reduction in severity, and 89.9% reduction in grade). Five patients (14.3%) had a third-look laparoscopy within 6 months after the initial surgery, in which four cases of adhesion reformation were confirmed. However, the scores were reduced compared to the initial surgery, especially in grade (94.2%) and severity (93.2%). In these analyses, SprayGelTM was uniquely effective in improving the success rates of adhesiolysis when combined with lift (gasless) laparoscopy and good hemostasis techniques. Adhesiolysis with Abdo-LiftTM and SprayGelTM had unparalleled efficacy in the adhesiolysis procedure even in those patients in whom other solutions have not worked. An overall reduction of adhesions by 89.9% at second-look laparoscopy was found. Even if five patients (14.3%) required a third-look laparoscopy where four cases of adhesion reformation were confirmed, the scores were reduced when compared to the initial surgery, especially in grade and severity.

The Use of SprayGel™ in the Procedures SprayGel™ is a synthetic, absorbable adhesion barrier for use in abdomino-pelvic procedures. SprayGel™ consists of two polyethylene glycol (PEG) solutions with complementary end-functional groups. It is prepared and applied to the surgical site through the SprayGel™ Laparoscopic Sprayer through a 5-mm wide applicator.
One of the liquids contains a dilute concentration of methylene blue, allowing for visualization of the barrier when applied. When the SprayGel™ liquids are mixed, they form a bio compatible hydrogel within seconds. The sprayer used in laparoscopic procedures is single-use and disposable and has a unique venting capability for safety and a flexible tip for greater control. The hydrogel persists for about 1 week, after which it is degraded by hydrolysis and
excreted via the kidneys.9,10

Operative Procedure
As a result of using the Abdo-Lift™system, the SprayGel™ application
occurred in an air environment. We also used specially developed instrumentation,
like a bipolar clamp and scissor (Fig. 1), that allows coagulation and cutting at one step and thus avoids bleeding. These special instruments allow coagulation without danger to surrounding tissue(namely, the bowel) as the bipolar energy is applied only between the two jaws of the instrument without spreading. Excellent hemostasis was assured with the use of these bipolar
scissors. We also consistently rinsed the bowels with Ringers solution and used a drain.
For the adhesiolysis applied an average of 4.5 SprayGel™ kits (ranging from 3 to 8). Extensive
photo documentation was done on each patient showing the progression and results of the surgeries (Fig. 2).

Second-Look Laparoscopy (SLL)
Evaluation
In our center, we followed up all surgeries with a SLL at 7 days to catch
and lyse any reforming adhesions before they became vascular. SLL served as the
second evaluation point for the effects of SprayGel™ on these adhesiolyses.

TS (Third Look) RESULTS
Three novel aspects are found in our approach: the use of SprayGel™, a gasless
technique, and special instrumentation.

Because SprayGel™ is colored a methylene blue, it enabled excellent visualization of the covered areas as well as a reference point to evaluate adhesion reformation during the SLL.
As mentioned previously, the adhesions were all scored by the same operator to ensure uniformity of the result assessment. Our analysis indicates a 90.1% reduction in extent, a 89.3% reduction in severity, and a 89.9% reduction in grade of adhesions at second look. The overall (sum) reduction was 89.8% (Table 6). The results at initial, SLL, and third-look laparoscopy (TLL) are shown in Tables 5, 6, and 7,
respectively. Five patients (14.3%) had a TLL within 6 months after the initial surgery due to continuation of pain and discomfort. Four (11.4%) of these patients had reformed adhesions; however,
the scores were reduced, especially in grade and severity, compared to the initial surgery (Table
6). The results of the TLL indicate a 87.7% reduction in extent, a 93.2% reduction in severity, and a 94.2% reduction in grade of adhesions. The overall (sum) reduction was 91.5% (Table 6). The surgical times
for the initial procedure were an average of 256 min (ranging from 93 min to 780 min), 28 min (ranging from 17 min to 110 min) at SLL, and 67 min (ranging from 34 min to 163 min) at the TLL. The amount of SprayGel™ kits used were an average of 4.54 (ranging from 2 to 8) in the initial procedure, none at SLL, and 1.41 (ranging from 1 to 3) in the TLL. A follow-up questionnaire (Table 8) was sent to the patients
via e-mail at 3 months, 6 months, and 12 months following the initial surgery.

Discussion
Our analysis was set to evaluate patients with severe and reccurent of postoperative adhesions. Our research indicates that combining good hemostasis, the use of lift (gasless) laparoscopy, and the use of SprayGel™ as a surgical adjunct, we realized a high reduction in adhesion formation in these patients.
Multiple studies have been conducted to assess the efficacy of laparoscopy versus laparotomy, as well as to assess the efficacy of laparoscopic adhesiolysis. Gutt et al. conducted a comparative
study to assess the benefit of laparoscopy based on published clinical and experimental data. Of 15 studies spanning 1987 to 2001, 9 concluded that fewer adhesions resulted from
laparoscopies than laparotomies. Fewer adhesions to trocar sites than laparotomy sites were reported in 7 of these studies.

3 A multicenter collaborative study of early second-look procedures after operative laparoscopy including adhesiolysis published by Diamond et al. described adhesion reformation and de novo adhesions to be frequent occurrences. At the second-look procedure, 97% were affected by reformed adhesions at 66% of the originally lysed sites. De novo adhesions occurred in
12% of patients.2 In another retrospective study to evaluate the degree of adhesion formation
at laparoscopic surgery, Mettler et al. examined a subgroup of patients who had undergone previous surgery for adhesiolysis. Of this group, 24% showed a more severe adhesion score,
57% showed the same, and 19% showed less. These findings exceeded the severity
of another group in the same study that did not have any pre-existing adhesions.

1 One of the factors that has long been noted to cause peritoneal adhesion formation
is tissue desiccation. The gas used to create a pneumoperitoneum has 0.0002% relative humidity and is delivered through trocars restricted with instruments, creating a forceful jet streaming effect.15 This effect causes peritoneal cell vapor pressure changes, resulting in rapid surface drying of the peritoneum and an increase in solute concentration and in peritoneal fluid viscosity.

14 The “cold dry” gas alters peritoneal cell integrity and increases peritoneal cell trauma and death, which can lead to adhesion formation.15 This principle is validated with a study that found fewer adhesions with extraperitoneal endoscopic surgery and more with intraperitoneal laparoscopic surgery.14,16 Lift (gasless) laparoscopy is specially indicated for operations of long duration, interventions in high-risk patients, procedures requiring precise surgical technique, and procedures demanding complex suturing. Therefore, these patients were ideal candidates
to use these techniques. We observed that SprayGel™ persists in the body during the entire critical wound healing period (5 days to 7days postoperatively).11 In addition, it is prepared quickly (within seconds), evolves no heat, degrades cleanly with a predictable rate, and is also useful in open procedures.12,13
The PEG substrate also helps SprayGel™ not to promote or potentiate bacterial infection— a side effect that causes adhesion formation. 14 The methylene blue color of the product greatly helps with easy visualization during the adhesiolysis procedure. We have determined that the sevenday period is the most optimal to check for adhesions because it allows enough time for de novo adhesions to form and is also at the point where SprayGel™ has undergone significant resorption. Alternately, adhesions that reformed could be removed very easy with aqua dissection without any bleeding.

At our center, we perform SLL at 7 days postoperatively for all patients and provide on-site housing to facilitate this process. In our opinion, an early SLL is an important step in assuring a successful outcome. To offer a TLL for patients
who continue to experience pain or discomfort offers the patient a reassurance to evaluate or to cure adhesion-related symptoms.

Although our initial results are very encouraging, we recognize that several limitations are present in this analysis. All procedures were done in a single center and monitored by a single reviewer, who was not blind to the patient treatment. No control group was used and long-term follow up of all patients has yet to be completed. We used more than one novel approach in these procedures - namely, a new adhesion barrier, SprayGel™, as well as a lift (gasless) technique, and other special instrumentation (bipolar scissors and clamps).
Because we observed SprayGel™ at SLL and adhesion reformation in some patients with a TLL, even though they were adhesion-free at the second look, we must evaluate whether adhesions
would develop once the SprayGel™ completely dissolves. Finally, we recognize that with this type of analysis design, surgeon bias can creep into the analysis.

CONCLUSIONS
Our experience has shown that when compared to other surgical adjuncts, SprayGel™ is uniquely effective in improving the success rates of adhesiolysis when combined with lift (gasless) laparoscopy and good hemostasis techniques.
This data demonstrates that SprayGel™ performs with unparalleled efficacy in abdominal adhesiolysis even in those patients in whom other solutions have not worked.
Our analysis indicates that even in severe adhesions where surgeons usually avoid surgery, a laparoscopic approach is reasonable. With lift (gasless) laparoscopy, a SprayGel™ adhesion barrier, and the concept of second- and third-look laparoscopy, we were able to reduce adhesions in a high percentage of patients (91.4% as an average of the scores of extent, grade, and severity).
Thus, a reduction of adhesion reformation and associated symptoms such as pain and bowel obstructions with emergency surgeries results in a better quality of life for this group of patients.
Further analysis, especially in a long term follow up, is needed and will be reported.


IHRT encourages you to look at the pictures in this "clinical study" as they will confirm 100% that in every case of adhesiolysis with Spraygel as presented in this "abstract" by Kruschinski, he shows that there were no adhesion in any of the SLL & TLL!
Absolutely 100% adhesion free patients!


Page 136 -137 – Photo results of SSL @ 7 days
Adhesiolysis in Severe and Reccurent Cases of Adhesions Related Disorder (ARD)

http://www.ump.com/Featured-Articles/Kruschinski-Adhesiolysis-Cr.pdf



CONFLUENT SURGICAL - MAKER OF SPRAYGEL ADHESION BARRIER
(Confluent Disolved and Sold out to TYCO)
1.) What Are Adhesions... © 2006, Confluent Surgical, Inc. http://www.spraygel.com/spraygel/whatareadhesions.htm?session=P8tWwfp8i9Pehq7IHhCMtw8nWw
Confluent Surgical Company Information... Copyright © 2007 Confluent Surgical Inc. http://www.confluentsurgical.com/company.html
Tyco has since sold the Spraygel(TM) to Covidien
who has now marketed SprayShield(TM) Adhesion Barrier..
which based on what Dr. Daniel Kruschisnki posts in Endogyn, he is doing the clinical studies for!

Posted Saturday, January 10, 2009 @ 07:49 AM
Application of the SprayShield™ adhesions barrier
Posted Wednesday, January 21, 2009 @ 09:44 AM
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The truth is that anyone who knows anything about "clinical studies" claimed to be done by Daniel Kruschinski knows they are bogus, false, fraudulant and way over the top, as ussual for a con man such as Kruschinski!
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CONFLUENT is rid of him,
TYCOHEALTHCARE is rid of him, but guess who ain't rid of him....
COVIDIEN
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So, based on that, IHRT says COVIDIEN needs to hold onto thier seats for the next IHRT blog as it will hit them like a train!
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(IHRT will rip the Spraygel "Abstract" all to bits and show that all patients to Endogyn who are not well it is probably 99.9% from adhesions!)
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Next IHRT blog...100% PROOF
Spraygel(TM) in Kruschinski's hands did not work most of the time!


Till then...Toodle Doo, Doc Kru!

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