Saturday, August 12, 2017
ARDvark Blog Journal of Adhesion Related Disorder: Association of Previous Cesarean Delivery With Sur...
ARDvark Blog Journal of Adhesion Related Disorder: Association of Previous Cesarean Delivery With Sur...: Sofie A. I. Lindquist, MD1; Neel Shah, MD, MPP2; Charlotte Overgaard, PhD1; et al Christian Torp-Pedersen, MD, DMSc1,3; Karin Glavind, MD4;...
Friday, August 11, 2017
Tuesday, March 07, 2017
Barbed Sutures in Minimally Invasive Gynecologic Surgery.
Author information
- 1Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
- 2Division of Female Pelvic Medicine and, Reconstructive Surgery, USF Health Center for Advanced Medical Learning and Simulation (CAMLS), University of South Florida/Morsani College of Medicine, Tampa, Florida.
Abstract
The
introduction of knotless barbed suture into the surgical market has
decreased the challenges of laparoscopic suturing. Since its
introduction, barbed suture has gained popularity in the field of
minimally invasive gynecologic surgery and is now commonly used to close
the vaginal cuff in total laparoscopic hysterectomy, to re-approximate
the myometrium after laparoscopic myomectomy, and to shorten the
procedure time during a laparoscopic sacrocolpopexy. Barbed sutures
facilitate rapid and consistent wound closure, allowing for equal
distribution of tissue tension across the suture line, and thereby
providing a more secure wound closure. The most commonly encountered
complication after the use of barbed sutures is postoperative bowel
obstruction. Proposed methods to decrease the likelihood of this
complication include ensuring that the ends of the barbed suture are
either buried, over-sewn, or cut flush with the tissue.
https://www.ncbi.nlm.nih.gov/pubmed/27175817
https://www.ncbi.nlm.nih.gov/pubmed/27175817
Saturday, July 02, 2016
Lying Liars who Lie lol
"Formation
of the plagriarism MINEA LIFT: The fact is, that in 2008 Mr. Wöllert
spent one year at the OR of EndoGyn as being a representative of
Covidien to maintain Covidien´s product SprayShield adhesion barrier."
http://www.endogyn.com/endogyn/25-years-of-gasless-laparoscopy-from-the-beginning-to-plagiarism-such-as-staan-or-minea-lift/
Kruschinski crying foul is indeed hillarious but Covidien???
Was Covidien represented in Kruschinskis "torture chamber" OR?
During your experimental surgery???
http://www.endogyn.com/endogyn/25-years-of-gasless-laparoscopy-from-the-beginning-to-plagiarism-such-as-staan-or-minea-lift/
Kruschinski crying foul is indeed hillarious but Covidien???
Was Covidien represented in Kruschinskis "torture chamber" OR?
During your experimental surgery???
Thursday, March 03, 2016
Wednesday, July 08, 2015
Prosecutors want Fata to be sentenced to 175 years in prison. Reminds us of Dr. Kruschinski
What Germany Should Do With Kruschinski.....
Full Story Here
Full Story Here
Michigan doctor held on $9 million bond for misdiagnosing cancer patients in Medicare scam
Oncologist Farid Fata allegedly scammed $35 million from Medicare for giving unnecessary chemotherapy to patients who didn't need it and diagnosing cancer when patients didn't have it. The scheme took place over a two-year period.
y."Dr. Farid Fata is accused of intentionally misdiagnosing cancer patients to scam Medicare. A federal judge set his bond at $9 million for the $35 million scam.
Robert D. Foley, III, the FBI special agent in charge, said in a news release, "Violating a patient's trust and placing them at risk through fraudulent abuse of our nation's health care system is deplorable and a crime which the FBI takes most seriousl
He was arrested in August 2013, accused of putting hundreds of people through harmful and unnecessary cancer treatments in which patients were terminal, in remission or misdiagnosed.
He was arrested in August 2013, accused of putting hundreds of people through harmful and unnecessary cancer treatments in which patients were terminal, in remission or misdiagnosed.
Monday, June 15, 2015
What adhesions feel like ~ analogies
We love the comparison to the gnarled tree but recommend you seek further information regarding adhesions from somewhere else. The site it comes from and the author have very dangerous and unsound ideas about surgeries ( many multiple surgeries) for people with adhesion related disorder
!
An accurate analogy of adhesions is this whale stuck in netting. Don't worry there is a happy ending/
...and one very grateful whale.
!
An accurate analogy of adhesions is this whale stuck in netting. Don't worry there is a happy ending/
...and one very grateful whale.
Thursday, February 19, 2015
Saturday, January 24, 2015
Surgery can both cause and treat abdominal adhesions By a good Dr K
DEAR DOCTOR K: I had abdominal surgery last year. Soon after, I started experiencing severe pain and swelling in my abdomen. It turns out I have abdominal adhesions. I’d never heard of them. What are they, and how are they treated?
DEAR READER: Abdominal adhesions are bands of fibrous scar tissue. They can cause organs that are normally not connected to stick to one another or to the wall of the abdomen.
Abdominal adhesions most commonly develop after abdominal surgery. Less often, adhesions form in people who develop an infection or other type of inflammation in the abdomen.
In most patients, adhesions do not cause any symptoms. In a small number of people, however, they do. Some people appear to inherit genes that make them more likely to form adhesions. Some are just unlucky: Adhesions form in a location that makes them more likely to pinch and block the intestines.
In any event, the fibrous bands of scar tissue can block the intestines either completely or partially. This blockage is called a bowel obstruction. It can cause cramping abdominal pain. Sometimes an area of intestine alternates between being blocked, then unblocked. As a result, symptoms come and go.
More significant intestinal obstruction can cause:
• severe, cramping abdominal pain;
• nausea and vomiting;
• swelling of the abdomen;
• inability to pass gas and absent or infrequent bowel movements;
• signs of dehydration. These include dry skin, dry mouth and tongue, severe thirst, infrequent urination, fast heart rate and low blood pressure.
Rarely, a portion of the bowel twists tightly around a band of adhesions. This cuts off the normal blood supply to the twisted bowel, causing “strangulation.” That section of bowel begins to die. When this emergency happens, immediate abdominal surgery is required to remove the adhesions and restore blood flow to the bowel.
During surgery, a surgeon removes as much as possible of the scar tissue causing the blockage. In performing the surgery, the surgeon often spots other adhesions besides the ones causing the blockage. The patient is already under anesthesia and the abdomen has been opened. Therefore, other adhesions also are removed to prevent them from causing trouble in the future. (I’ve put an illustration of surgery to remove adhesions on my website, AskDoctorK.com.)
So surgery is both a cause of, and a treatment for, abdominal adhesions. When surgery is done to remove an intestinal obstruction caused by adhesions, the surgery can cause adhesions to form again and create a new obstruction. Laparoscopic surgery, in which several small incisions are made instead of one large incision, can reduce the risk of abdominal adhesions.
So the surgeon’s decision on whether to perform surgery can be a complicated one. When adhesions are causing strangulation, however, it’s not complicated: Surgery is not only necessary, but often lifesaving.
Dr. Komaroff is a physician and professor at Harvard Medical School. To send questions, go to AskDoctorK.com, or write: Ask Doctor K, 10 Shattuck St., Second Floor, Boston, MA 02115.
Sunday, July 13, 2014
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