• New! Online Endoscopy Atlas for gynecologic laparoscopy

    New! Online Endoscopy Atlas for gynecologic laparoscopy

    Dear patients and visitors!

    The content of the Online Endoscopy Atlas documents a small selection of operative procedures performed in our hospitals. You are able to see the range of indications (like endoscopic surgery on very large fibroids) as well as the precise technique of the gasless lift-laparoscopy approach.

    Where possible, there is a video film for viewing, which starts after klicking at the Play-Button. Some cases are divided in procedural steps to demonstrate each step of preparation.

    Further videos are available at www.SurgeryU.com where Dr. Kruschinski and other world leaders in endoscopic gynecologic surgery demonstrate their techniques to physicians, students and patients.

    30. August 2011
  • Adhesions surgery in Germany?

    Adhesions surgery in Germany?

    Why to have Adhesion surgery in Germany ?

    Prepared by Roselyn Macdonald, roselyn99@hotmail.com, after having surgery with Dr Kruschinski in late October, 2004.

    As you read this information, there are three big advantages that Dr Kruschinski offers any adhesions patient, and which to my knowledge nobody else can, or will, offer. These are precisely and exactly WHY you SHOULD go to Dr K for your surgery and why it is very likely not only to get rid of your pain(s) but also to be the last surgery you’ll ever need for adhesions. As a patient myself who has had 18 years of adhesions and some 5 laparotomies (bad cut from the belly button straight down all the way each time) and some 4 or so laparoscopies with gas, I can tell you this truly. Your post operative pain will be nothing at all like previous surgeries because the spray gel keeps all cut surfaces sliding happily past each other. No ripping and tearing pain such as I had previously thought was ordinary and common (which of course it is for any of you who have not had Dr K’s wonderful work done on you).

    24. August 2011
  • Adhesions reform after surgery!

    Adhesions reform after surgery!

    Surgery without any effects…

    and which could be very dangerous, especially in adhesions surgery cases!

    The next some images show why a surgery without adequate adhesion barriers doesn’t work and therefore is absolute

    unnecessary, without any effect and can be dangerous.

    This patient has adhesions between sigma / left pelvic wall / uterus / ovary

    30. August 2011
  • Adhesions! Doctors: Bound by Secrecy? Victims: Bound by Pain!

    Adhesions! Doctors: Bound by Secrecy? Victims: Bound by Pain!

    Bound By Secrecy? Victims: Bound By Pain! is a triumphant and heartrending story, told with a sense of humor and wit, of a mother trying to find hope and healing for her beloved daughter. It is an inspiring story of perseverance-against all medical odds-and the final triumph over an horrible illness. The writing of Melissa’s trying journey opens the windows of knowledge and ressource to adhesion related disorder, (ARD), forever unmasking this prevalent, yet medically hushed condition.

    30. August 2011
  • What are the symptoms of endometriosis?

    What are the symptoms of endometriosis?

    Endometriosis is a chronic disease that is difficult to diagnose and to treat.
    Without treatment, endometriosis gets progressively worse in 65% to 80% of patients.
    Even with treatment, endometriosis continues to advance in 20% of patients.
    Cysts and implants may grow and spread to other parts of the pelvis, and in very severe cases, to the urinary or intestinal tracts. Eventually adhesions may form. These are dense, web-like structures of scar tissue that can attach to nearby organs and cause pain, infertility, and intestinal obstruction.
    Pelvic Pain
    The most common problem for women with endometriosis is pain, which can significantly impair the quality of life.

    24. August 2011

About Adhesions

Adhesions surgery in Germany?

Adhesions surgery in Germany?

Why to have Adhesion surgery in Germany ?

Prepared by Roselyn Macdonald, roselyn99@hotmail.com, after having surgery with Dr Kruschinski in late October, 2004.

As you read this information, there are three big advantages that Dr Kruschinski offers any adhesions patient, and which to my knowledge nobody else can, or will, offer. These are precisely and exactly WHY you SHOULD go to Dr K for your surgery and why it is very likely not only to get rid of your pain(s) but also to be the last surgery you’ll ever need for adhesions. As a patient myself who has had 18 years of adhesions and some 5 laparotomies (bad cut from the belly button straight down all the way each time) and some 4 or so laparoscopies with gas, I can tell you this truly. Your post operative pain will be nothing at all like previous surgeries because the spray gel keeps all cut surfaces sliding happily past each other. No ripping and tearing pain such as I had previously thought was ordinary and common (which of course it is for any of you who have not had Dr K’s wonderful work done on you).

24. August 2011
Adhesions reform after surgery!

Adhesions reform after surgery!

Surgery without any effects…

and which could be very dangerous, especially in adhesions surgery cases!

The next some images show why a surgery without adequate adhesion barriers doesn’t work and therefore is absolute

unnecessary, without any effect and can be dangerous.

This patient has adhesions between sigma / left pelvic wall / uterus / ovary

30. August 2011
What are the different types of adhesions?

What are the different types of adhesions?

The tissue develops when the body’s repair mechanisms respond to any tissue disturbance, such as surgery, infection, trauma, or radiation.
Although adhesions can occur anywhere, the most common locations are within the abdomen, the pelvis, and the heart.

Pelvic adhesions:

Pelvic adhesions may involve any organ within the pelvis, such as the uterus, ovaries, fallopian tubes, or bladder, and usually occur after surgery.
Adhesions between anterior uterine wall

30. August 2011
What symptoms are caused by adhesions?

What symptoms are caused by adhesions?

Adhesions in the abdomen pull on parts of the intestines and sometimes cause an obstruction.
Symptoms may include:

pain
cramps
intermittent vomiting
difficulty with passing gas or having a bowel movement
swelling of the abdomen
Symptoms vary depending on the tissues involved.

30. August 2011

Movies from surgical procedures

Other artcles

Endometriosis: surgical strategies

Endometriosis: surgical strategies

Endometriosis is a chronic proliferative disorder and needs treatment aggressively to provide relief from its symptoms and arrest progression of the disease. Treatment options include medical or surgical or a combination of both. We offer the option depending on the individual patient needs and desires and most importantly the symptoms and the severity of her disease Our surgical strategy to tackle endometriosis is as follows MANAGEMENT OF ENDOMETRIOMAS MANAGEMENT OF RECTOVAGINAL ENDOMETRIOSIS RESECTION OF ENDOMETRIOTIC BOWEL IMPLANTS HYSTERECTOMY FOR ENDOMETRIOSIS Read more

24. August 2011
New adhesions barrier "SprayShield™" to prevent adhesions formation

New adhesions barrier “SprayShield™” to prevent adhesions formation

Since March 2001 we have been using this novel spray substance SprayShield™, (formerly SprayGel) to prevent adhesions following gynaecological surgical procedures. In general, adhesions are formed after all surgical measures involving laparotomy. But even during laparoscopy, which is a form of minimally invasive surgery, wound surfaces can be formed during certain procedures, such as for example endometriosis or myoma operations. These surfaces can adhere to each other, thus forming adhesions. These adhesions can later cause problems such as pain, adhesion of the uterine tubes (infertility) or of other organs (intestines / ovaries / uterus). They thus have the potential to cause chronic problems and pain requiring tedious treatment measures, and possibly even adhesiolysis, a follow-up surgical procedure to remove these adhesions. The new gel substance (SprayShield™) is sprayed onto the wound surfaces, where it remains in place for some days after surgery. Since adhesions are formed within 7 days of surgery, the barrier system thus prevents formation of adhesions. After this period, SprayShield™ is then broken down and simply absorbed by the peritoneum and excreted from the body via the kidneys. The carbon dioxide customarily used to insufflate the abdomen during laparoscopy converts the entire peritoneum into an acidic environment. This thus results in oxygen being withdrawn from the tissues and can cause cells to die, with formation of global wound surfaces in the peritoneum and abdominal organs By using gasless laparoscopy, we avoid insufflation with carbon dioxide, which has been shown by recent studies — for the aforementioned reasons — to be a co-factor adhesion formation. But since wound surfaces are always formed during surgery because of tissue layers being separated, the formation of adhesions can additionally be prevented on such surfaces by spraying them with SprayShield™. Hence in the gasless laparoscopy technique and SprayShield™ we have an ideal combination that helps to prevent the occurrence and formation of adhesions. Dr Kruschinski has now performed adhesiolysis on around 500 cases using the technique of gasless adhesiolysis with spray gel application Adhesions are known to form as soon as three hours after the completion of a surgical procedure – and will continue to form for up to about seven days. If any adhesions have formed during this critical time period, they can easily be “swept down” by the surgeon during a second look laparoscopy – and more SprayShield can be applied, if needed. Dr. Daniel Kruschinski is one of the very few surgeons in the world, who performs a second look laparoscopy (SLL) about seven days after the initial surgical procedure. In Dr. Kruschinski’s experience the risk of adhesions resulting in the need for a subsequent surgery is greatly reduced. He has mastered the required advanced microsurgical laparoscopic techniques and has logged thousands of hours in performing very difficult, time-consuming, risky surgical procedures. Repeat surgery for adhesions in these cases is usually less extensive and does not usually involve the same amount of dissection that led to the formation of adhesions in the first place Read more

30. August 2011
How do barriers prevent adhesions?

How do barriers prevent adhesions?

Adhesions are formed after all surgical measures involving laparotomy. But even during laparoscopy, which is a form of minimally invasive surgery, wound surfaces can be formed during certain procedures, such as for example endometriosis or myoma operations.

These surfaces can adhere to each other, thus forming adhesions.

These adhesions can later cause problems such as pain, adhesion of the uterine tubes (infertility) or of other organs (intestines / ovaries / uterus).

They thus have the potential to cause chronic problems and pain requiring tedious treatment measures, and possibly even adhesiolysis, a follow-up surgical procedure to remove these adhesions.

The long-term success of many different surgical procedures can be improved by the use of barriers that act as “internal bandages” and prevent adhesions

30. August 2011
What is conservative surgery for endometriosis?

What is conservative surgery for endometriosis?

The goal of conservative surgery is to aggressively remove as many endometrial implants and cysts as possible without causing surgical scarring and subsequent adhesions that could hamper future fertility. The two conservative surgical routes used are either laparoscopy or laparotomy. Improving Fertility. Surgery has been shown to improve infertility rates in women with severe endometriosis (stages III and IV). Some physicians recommend conservative surgery even in early-stage endometriosis, because of the progressive nature of the disorder and there is some evidence that it improves fertility. Fertility can often be restored even if the surgery does not remove all the endometrial implants. However, the best fertility rates in such cases occur in the early postoperative period. They decline over time if implants have not been completely eliminated. Subsequent surgeries become less effective in restoring fertility. Reducing Pain and its Recurrence.Studies report pain reduction after surgery in more than 60% of women. Conservative surgery, however, can miss microscopic implants that may continue to cause pain and other symptoms after the procedure. Laparoscopy is now the gold standard treatment for endometriosis. It is usually done under general anesthetic and involves the following:

30. August 2011
What is the endometriosis disease?

What is the endometriosis disease?

Endometriosis is a common condition affecting women. It is a chronic, painful, and often progressive disease in women. The causes of endometriosis are unknown.It has widel variability in symptoms and severity, so diagnosis is at times difficult.Endometrial Implants Endometriosis occurs when cells from the mucus membrane lining the uterus (endometrium) form implants that attach, grow, and function outside the uterus, generally in the

30. August 2011
Dermoid cyst of the ovary

Dermoid cyst of the ovary

Dermoid Cyst:  A teratoma or dermoid cyst of the ovary contains epidermal tissue, fatty tissue and sometimes bones, hair and other tissue.   Ähnliche ArtikelKeine ähnlichen Artikel

30. August 2011
Dr. Kruschinski

Dr. Kruschinski

Dr. Kruschinski, medical head of the Endoscopic Gynecology Centers in Germany & has been actively involved in endoscopic gynecology for the past 18 years. As specialist for this discipline Dr. Daniel Kruschinski is one of the most frequently invited German speakers to international congresses, symposia, workshops and surgical tutorials. Gasless laparoscopy, which dispenses with insufflation […]

20. February 2014