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

Showing posts with label Gasless. Show all posts
Showing posts with label Gasless. Show all posts

Tuesday, January 31, 2012

The Initial harvesting of Melissa Steward

-------Original Message------- From: Dr. Kruschinski Date: Thursday, November 07, 2002 11:02:55 AM To: stew@cowtown.net Subject: Re: Melissa Steward Dear Karen, thank you for the reports and pictures. It looks like Melisa would have a lot of adhesions again as they came back after the frist surgery. In my opinion the only way to remove adhesions is GASLESS-laparoscopic adhesiolysis and SPRAYGEL as it shows excellent results. In this procedure we would remove all the endometriosis tissue that is occurent. The pictures show me enough so you don't have to change the video to CD. I'm sure I can help Mellisa to get adhesions and pain free, if you would like to come over to Germany with her. You can contact Lisa Graven for further informations about the trip and other topics. Regards Daniel
http://www.adhesions.org/forums/ADHESIONS.0211/0570.html

Tuesday, December 06, 2011

ARD just never quits, does it! Adhesion Related Disorder

ARD just never quits, does it! These ARD victims have more information today then ever before, but there really is no intervention that offers them anything certain when it comes to reducing their symptoms. I wish that the REAL issues of ARD could be focued on and NOT Kruschinski, as the answer will NOT be found in Kru any different then any other surgeon in the world!



These folks are desperate and though some MIGHT feel good from a surgery with Kru for a few months the probability is that the symptoms of ARD will return over time. Like before, they say they are “cured,” or at least seem to insinuate that, but we know from experience (and so should they) that adhesion symptoms show up in due time and the cycle starts all over again. Another interesting thing I am reading here is that no one seems to realize that ALL cases of ARD are different, thus the results of a surgery will be as well! To lyse one adhesion, that is causing life impacting symptoms or a first time adhesiolysis, may very well be reduced or even be “cured,” but one never knows what the outcome of surgery will bring them. Possible a reduction in symptoms, but it could make it much worse as well.


What is the answer for all these folks who posted here….be your own best Dr.! They need to ask themselves why would one Dr. in the whole world be able to offer an ARD patient anything more special then any other surgeon? If it seems to be too good to be true, it probably isn’t true.

There is no conspiracy by the Government, and there is NO money to be lost in the USA be it a Dr., Government entity and pharmaceutical Co. It takes very little to see that an ARD patient is a Dr.’s worst nightmare as they consume lots of time and the money made by those in the medical arena is so much less then the time spent on the patient! MOST surgeons will offer a surgery to anyone for anything, but once that patient returns with that “ elusive” knowing pain, the surgeon gets rid of them and sends them to any other Dr. they can dump the ARD patient on and this continues from Dr. to Dr.! So the idea that anyone within the medical field is reaping financial benefits off ARD patients is absolutely bogus, and to even focus on such a thing is a waste of the ARD patients limited time and energy.


If anyone with ARD thinks they are benefitting any other ARD patient with their stories of a surgery with Kru, they are wrong! No two cases are alike and surgeons in the USA can and do use adhesion barriers, and the results are the same as anything Kru has to offer. The adhesion barrier he uses does NOT offer anymore positive results then any other barrier…and most important, for any ARD patients looking to secure facts from “patients and from surgeons” anywhere in the world offers them nothing as surgeons make money doing surgeries, a refrigerator salesman sells refrigerators, and his are the best available, no different then a surgeon says to sell his product! Unfortunately, when ARD patients push for others to go to a specific surgeon based on what they THINK their results were, sooner or later they realize that perhaps that was NOT such a good idea… A simple way to determine if a surgeon IS looking out for the ARD victim’s best interest is when you sit you down with the surgeon and look over your surgical history and they tell you that no matter how desperate you are in your suffering, a surgery is NOT in your best interest!


For any surgeon to sell an adhesiolysis by using desperate “patients” as his means of proof of success, having to put down other surgeons and make claims that he is the only on in the whole wide world that can CURE “Adhesion Related Disorder” without scientific proof and abstracts, is not an honorable person!


If victims of ARD want to have a surgery with Kru and spend that kind of money, so be it. Many have done this exact thing, only to find that his surgery really wasn’t any different, and “being treated with such honest caring and kindness, and for a doctor to simply believe that I am in fact, in pain, and I needed help, was a priceless relief, after years and years desperately trying to find help. His staff is professional and excellent. The facilities are beautiful and comfortable” does not an effective adhesiolysis make.


It appears that money can/will/ and has been made off these things and one thing that was certain in going to Kru, was the ARD victim’s needs were definitely being taken advantage of and that was in the number of follow-up surgeries he talked them into, each costing thousands of dollars; and by the excuses he used for returning pain such as the patient did something wrong, and worst of all, his bogus claims of success that reel in the most desperate of patients, only to dash them when his procedure doesn’t work!! What he did in his private life also shows that he is not as honorable as he appears, but even in that a desperate ARD patient will bite when they get the attention he gives them, and who wouldn’t in the world of ARD! It is only AFTER he has your money that one realizes they made a mistake, but this can also happen here in the USA !

ARD is hideous and debilitating and very, very painful, not to mention sucking the life out of those impacted with it. People die from ARD, and we have known many of them, and yet today there is little that can be done for it.


With that being said, in my opinion, an adhesiolysis, even with Kru MIGHT offer some relief for those with ARD, and, like every other surgeon, it might not, and they get worse. Either way, the ARD patient IS desperate, and WILL seek out anyone anywhere for help! They know that they are already dying, so what do we think they will do, after all we did it too!


With absolute knowledge and honesty, I can say that there IS NO surgeon anywhere I this world that offers anyone an adhesiolysis that can promise good results. I do think that there are a few surgeons who do offer a better chance then other for getting better results based on the adhesiolysis they offer, but in no way is it an absolute! This is what sets Kru in a different category them! Kru is not being honest, as usual, but soon enough it will be known by those who do go to him! Kru has been known to pay patients off offer discounts on multiple surgeries if they will promote him, so they do! For every 1 patient who claims they are pain free, 1-15 are not, but you will never see those names used as Kru’s references!


Again they are not asking themselves why Kru is NOT associated with a credible, high profile hospital instead of performing his “successful method of operating on and successfully removing adhesions from patients who suffer with severe debilitating adhesions.” If he were as successful as he says he is, then why was he removed from so many hospitals and today is using a cosmetic clinic to perform serious abdominal procedures without an assistant Dr. present, nor with any cardiac or acute care dept, etc? Easy answers, he is not credible at all.

Let’s try this one and see if people bite, “Okay, so Kru is the world best kept secret!” Is this enough to make you want to go to him?


With that being said, Dawn, in my opinion let ARD patients go to him, as with any other surgeon today, perhaps someone will get some good results from it, if not, so be it, it is their choice! Sure he will chop them up by offering everything from a face lift to breast implants or an abdominal scar revision, but they will have to figure it out for themselves if it happens to them.


Did Kru experiment of ARD patients, yes he did.


Did Kru falsify reports and articles on ARD, yes he did.


Did Kru harass patients who did not get the results he told them they would get and would not post “kudos” for him on the Internet? Yes, he did! Did Kru physically hurt ARD patients during his surgeries? Yes, he did.


Did Kru lie to his patients? Yes, he did.


Did Kru charge patients different prices depending on what they would do for him? Yes, he did!


The more you try to convince them that Kru is a screwball, the more ammunition he has to use to impress upon these people that there is a “conspiracy” and that every other Dr. in the world “is out to get him because he is so good,” and the “poor me” thing, & “I am so good that every one is picking on me, and this one, “I cannot do surgery at a credible hospital because of the things these two ladies said about me.” LOL! LOL!


Dawn, get out of the world of ARD and stop fighting to help these, post your thoughts and experiences on the Internet for them to see, but do not argue or try to convince them otherwise. This “he said, she said” thing just turns into a battle of the wits, and no one is going to change their mind about going to Kru once they bite on his bait, so let them go and deal with it later!


Start living Dawn and let them do things their way as it really makes no difference who goes to Kru or not, it is their life, and possible death. Let those ARD patients do what they want to do and though your trying to save them from harm, they need to find things out for themselves, and there is enough information on ARD in the Internet that they can be educated as to what not to allow as well as what to allow when seeking medical intervention for ARD.


ARD patients who believe the ones who toot Kru’s horn for all to see will not be interested in your words anyway, so let them deal with the ARD as they see fit. I know you are only trying to save them from more pain and suffering, but you are already doing that by making people aware IF they choose to read it.


I do not assist any ARD patients anymore as I am pain free and living my life to the fullest, as you know my adhesiolysis was without an adhesion barrier, Dr. Reich’s adhesiolysis procedure worked for me and many others, you included! We know the surgeons who use Reich’s technique, but I will never share them in public as some ARD patients might not fare as we did as this surgery is never an absolute.

As for me, I am out of the abyss of ARD and have no desire to get drawn back into it, that’s why I wanted to get well in the first place and now I can do everything, and I love it! I was blessed and now I live, and that is good enough for me. I have no desire to help ARD patients

Love Bev

Saturday, December 03, 2011

Questions arise from adhesion.info and adhesions.de and Endogyn Web sites

Endogyn Blast from the past

Saturday, April 29, 2006
Questions about Endogyn.de
I am a former pt. of Dr. Kruschinski, who does gasless abdolift surgery at Endogyn in Germany. My pain is much worse than before I went there. I noticed on the Endogyn Message Board that the "Pt Stories" are not updated. Some of them are dated 2003, 2004, 2005, and say that the person is doing great. However, there is mention of some of these people going back for repeat procedures, but this information is not put on the "Pt Stories". I think it should be.

Recently Linda from UK had surgery. Dr. Kruschinski wrote that on the second look, Linda was adhesion-free. They someone else said something like , "Another pt. made pain-free ".
I think that being adhesion-free on the day of the second look is great news, but that it is too soon to conclude that the person is pain-free and will remain pain free. Dr. K. himself states that a person must wait 12 weeks to know if they are pain-free, and to see if a third look is indicated.

I am looking for information from pts. who have remained improved after 1-2 years after the first trip to Germany, and persons who secured sustained improvements from a second trip to Germany that was at least one year ago.

comments:
Anonymous said...
Endogyn Message Board posted about this IHRT message board, and it is really interesting! I read your post with great interest. I went to Germany more than once and am worse than before. I am going to make a complaint against endogyn and hope to get my money back.
I feel like a victim.

April 29, 2006 3:51 PM
Anonymous said...
I also went to Germany more than once. I got an infection there, don't know why. But I did not like it that Dr. Kruschinski did not wear gloves in his clinic. I also developed a hernia near my belly button, where the abdolift machine went in. A docter in US told me that the hernia could be caused by the abdolift.I am still in a lot of pain.

April 29, 2006 4:46 PM
Anonymous said...
I went to Germany only once, but I did not have relief of pain, and I think my adhesions came back, it feels like there are more than before.I was saving up to go back there for a third look, but aFter reading a lot of IHRT, I am thinking maybe it is a bad idea to go back there. Dr.Kruschinski did not wear gloves in his clinic. Isn't that against the law?

April 29, 2006 5:03 PM
Anonymous said...
I am very happy that others are now sharing that they are not well from a surgery at Endogyn, because I am not well either. Dr. kru told me it was from something else and not my surgery with him, but I do not believe him, I did nothing else and now after he told me I was adhesion free in my second look, I am wondering if I really was. I see dawn Rose thoughtnshe was free of adhesions too, and she wasn't and Dr. kru lied to her to.
DO NOT go to Endogyn!
EH

April 30, 2006 10:18 AM
Anonymous said...
Karen says her daughter is doing good! Bull!

Karen is another one who stretches the truth...really stretches it!
Call and ask melissa how she is doing, do not trust karens word for anything!

Is anyone doing well after a surgery at Endogyn?
Me again

April 30, 2006 10:22 AM
Anonymous said...
melissa needs our prayers, call and ask her how she is as her mother suggests!

melissa@yahoo.com
1-817-341-3000
Texas, USA
Initial surgery:10/04/2003

I wonder what the word,
" well" means to Karen?
Could Karen be hiding something from us, gossip is gossip, but it usually has a bit of truth to it, so I ask karen again, how is melissa today?
Karen is so nasty on Endogyn saying she will send a post to mellisa, is mellisa like her mother, hurtful and angry? I hope not. I hope she will be honest and tell the truth. Why does her mother post there anyway, and hurting sick people all the time there.

April 30, 2006 11:34 PM
Anonymous said...
I had three surgeries in Germany with Dr. K. The first was the lysis of adhesions and then the second look. The pain came back hard and fast even though I was supposed to be adhesion free. The third look cost me plenty even though its supposed to be "free". I had a new adhesion from umbilical area to bowel. He lysed that one out, but I now feel that I have more. I am no better today than I was in late summer 2004, which was when I went. The 2nd mortgage we took out on our house to pay for all this Germany stuff has come close to causing a divorce between my husband and I, as has the fact that I am still hurting and my husband expected a miracle because that is what was promised. There was a new girl from the U.S.(OK) there when I went in for the third look. As soon as Dr. K saw me in the waiting room he spirited me away from her and I did not see see her again my whole stay, even though I speak a little German and could have helped her and her mother. I now am to understand that she has to go back for more surgery. Needless to say I am disappointed and feel taken advantage of.

Anonymous

May 10, 2006 7:57 PM

Sunday, November 20, 2011

What Daniel Kruschinskis Peers think of him Endogyn ~ Don't go!

What do Daniel Kruschinski's peers think of him? Well in this vote to enter the PAX society....he is tied for dead last! The world his peers use to describe him best is FREAK

In the voting, Belgium and gynaecologists were probably over-represented. After consultation have been considered elected the 4 highest ranking surgeons and 5 gynaecologists. We wish to congratulate all the candidates and thank them for their support to PAX society by standing for election.

Overal statistics
Total PAX Society mailing list: 4289
Number allowed to vote: 3891 (i.e. those registered before monday 19th of march).
Number who did vote : 143, or 3.68 % of all allowed to vote.
Total number of surgeons: 2369
Total number of basic scientists: 115
Total number of gynaecologists 1540
Total number of others 265


Final results
Candidate: Result
Adamian Leila 65 45.5 % (submitted) 1.7 % (total)
Angioni Stefano 42 29.4 % (submitted) 1.1 % (total)
Audebert Alain 65 45.5 % (submitted) 1.7 % (total)
Bhanuprasad Buparelia 11 7.7 % (submitted) 0.3 % (total)
Canis Michel 101 70.6 % (submitted) 2.6 % (total)
Coccia Maria Elisabetta 41 28.7 % (submitted) 1.1 % (total)
Crowe Alison 45 31.5 % (submitted) 1.2 % (total)
D'Hoore Andre 51 35.7 % (submitted) 1.3 % (total)
Diamond Mike 66 46.2 % (submitted) 1.7 % (total)
Dizerega Gere 68 47.6 % (submitted) 1.7 % (total)
Gomel Victor 77 53.8 % (submitted) 2.0 % (total)
Jeekel Hans 51 35.7 % (submitted) 1.3 % (total)
Koh Charles 47 32.9 % (submitted) 1.2 % (total)
Koninckx Philippe 122 85.3 % (submitted) 3.1 % (total)
Kruschinski Daniel 32 22.4 % (submitted) 0.8 % (total)
Mais 37 25.9 % (submitted) 1.0 % (total)
Miserez Marc 56 39.2 % (submitted) 1.4 % (total)
McVeigh Enda 48 33.6 % (submitted) 1.2 % (total)
Molinas Roger 80 55.9 % (submitted) 2.1 % (total)
Shalev Eliez 32 22.4 % (submitted) 0.8 % (total)
Van Der Wat Johan 44 30.8 % (submitted) 1.1 % (total)
Van Goor Harry 41 28.7 % (submitted) 1.1 % (total)
Verguts Jasper 65 45.5 % (submitted) 1.7 % (total)

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
“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.

If this really was the way to have an adhesiolysis then all the world would be clammoring at Kruschinskis door! All he has is "advertising" and no hard facts about his claims. The Endogyn "parrots", those endeared to Kruschinski are common lay people who will happily explain TO ANYONE WHO WILL LISTEN about the deletirious side effects of carbon dioxide and reel in another sucker to a very questionable surgery.
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 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.

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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.

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)

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!


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!)

Now, I know for me, if further OPs lines up, I will come always ago. My travel time: approx. 4 autohours


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…

LG

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

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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-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?