Kruschinski Fact of the Day

Kruschinski prepares the foundation of his infrastucture here!

We were never research subjects????
Look below....shorlty after Lisa Gravens was on her way to infamy!
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From ISGE News
December 2001 Volume 8 Issue 2
Editor: Togas Tulandi, MDEditorial Board: S. Duffy, P. Mangeshikar, C. Miller, F.Viscomi

Letter to the Editor
Deleterious effects of CO2 gas can be prevented by gasless laparoscopy
by Daniel Kruschinski & Bernd Bojahr Institute for Endoscopic Gynaecology, University of Witten/Herdecke, &Dept. for Gynaecology and Obstetrics, University of Greifswald, Germany

We would like to comment on Ott's article in the last ISGE Newsletter (June 2001 / Volume 7 Issue 2) on how to maintain delicate integrity of the peritoneum. There are indeed many animal studies suggesting the possible deleterious effects of CO2 pneumoperitoneum on peritoneal integrity, on adhesion formation, and on tumor cell spreading. (Laparoscopy: Maintaining Delicate Integrity)
These changes are partly related to the newer insufflation systems. For example, high flow insufflator prevents gas leakage, but very high insufflation of cold CO2 can affect the peritoneum negatively. Heated-CO2 on the other hand desiccates peritoneal surfaces; adding humidity can prevent this. Clinically, CO22 insufflation can cause hypercarbia, metabolic acidosis, and high intraabdominal pressure leading to decreased organ perfusion.

In order to reduce the potential disadvantages of CO2 pneumoperitoneum, we propose laparoscopy without carbondioxide insufflation (gasless laparoscopy) using AbdoLift (Storz).

Abdolift is a reusable abdominal wall lifting apparatus (Figure 1). Contrary to that of conventional CO2 laparoscopy, we can use flexible and valveless trocars (Figure 2), conventional instruments and standard surgical techniques. We believe this system is cost effective to the patients, the surgeons, the hospital and the health care system. Using this system, we can also palpate the intraabdominal organs and tissue. Possible intrabdominal injury due to the insertion of Veress needle or trocar is eliminated.

Gasless laparoscopy allows us to perform laparoscopy in patients with cardiac insufficiency, in those with chronic obstructive lung disease or in pregnant women. It can also be done under regional anaesthesia. The theoretical risks of spreading tumor cells due to pneumoperitoneum may be avoided with gasless laparoscopy.
http://www.obgyn.net/women/women.asp?page=/isge/isgenews_1201F

.......and then the fun and games began! Boy,Kru played us good!