The new concept of gasless laparoscopy

To find out more about the new concept of gasless laparoscopy, also known as Lift-Laparoscopy, and its advantages, visit following websites:
www.Lift-Laparoscopy.com
or
www.MySurgeryPlace.net
or
www.EndoGyn.com

SprayGel adhesion barrier

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 Many of the available mechanical barriers in use today are derived from either industrial materials or animal sources. SprayGel™ is a new barrier substance from Confluent Surgical to prevent postsurgical adhesions. SprayGel, a largely water based tissue friendly material, fills the need for an effective, safe, easy-to-use system for successful postoperative adhesion prevention. SprayGel is a smooth, water based, coating material also known as a hydrogel. This material is formed from two water based polyethylene glycol (PEG) solutions that mix at the site of the injury. The solutions are sprayed using an applicator that is designed for minimally invasive surgical instrumentation. SprayGel for Laparascopic SurgerySprayGel is prepared and applied to the surgical site through the SprayGel Laparaoscopic Sprayer through a 5mm trocar. The SprayGel Laparoscopic Sprayer, a single-use, disposable, has a unique venting capability for safety and a flexible tip for greater control. The SprayGel Laparascopic Sprayer is attached to the SprayGel Air Pump, which is a reusable, self-contained air pump. During an operation a surgeon sprays SprayGel onto the internal surfaces most at risk for adhesions. This coats and protects the tissues likely to form adhesions. After the internal wounds are healed, the coating breaks apart and is naturally cleared from the body in the urine. The material is very inert and highly compatible in the body. Since no human or animal based products are used in SprayGel, the potential risk to the patient is reduced
Mor info are here
www.adhesions.de
and
www.EndoGyn.com

What are adhesions?

Adhesions are one of the best hidden secrets or enigmas of modern medicine. The word adhere literally means to stick or to bind together. When tissue that is normally not connected grows together, it is called an adhesion. It is also commonly referred to as scar tissue. Adhesions are fibrous tissues (scar tissue) that cause organs within the body to adhere to other internal organs that are not normally connected. Adhesions may appear as thin sheets of tissue similar to plastic wrap or as thick fibrous bands. Adhesions may involve the female reproductive organs (ovaries, Fallopian tubes) can and do cause infertility, dyspareunia (painful intercourse) and debilitating pelvic pain. Adhesions involving the bowel can cause bowel obstruction or blockage. Adhesions may form elsewhere such as around the heart, spine and in the hand where they lead to other problems.

For the best informations on adhesions, please visit this site: www.Adhesions.de or www.EndoGyn.com

The best content on adhesions in the www

www.adhesions.de
www.endogyn.com

adhesiolysis

Adhesions occure after 93% of all surgeries with laparotomy People are mutilated and deformed through avoidable laparotomies. Even by the „minimally invasive“ laparoscopy with carbon dioxide ADHESIONS are not reduced. Usually nobody believes the pain of patients with adhesions. Afflicted persons see doctor after doctor and have useless and dangerous surgeries again and again although doctors know that ALL adhesions reoccure and new ones are created by every new surgery. Specialists for adhesions are recognizable by a CONCEPT with special surgical techniques, adequate adhesion barriers and that shows successful treatments in many cases. We avoid carbon dioxide insufflation. Please have a look at our CONCEPT for adhesions.
http://www.adhesions.de/
This are the contents of www.Adhesions.de: About adhesions Targets of this website Questionable studies Adhesions, a dilemma What are adhesions How common are adhesions? Impact of adhesions How do adhesions occur? Causes of adhesions Types of adhesions Symptoms of adhesions How are adhesions diagnosed? Adhesions and chronic pain Adhesion related disorder Non-surgical treatment Surgical management Adhesion prevention Different types of barriers SprayGel Adhesion prevention More about SprayGel (.pdf file) 2nd / 3rd look laparoscopy Our treatment strategy Different examples Atlas: Surgeries Surgery in Germany Helen Dynda's ressources Dr. K's case paper Adhesions : Useful Sites/Links and this is the menu > 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 Adhesions between uterus ,adnexa and bowel posteriorly
Pelvic inflammatory disease (PID) results from an infection (usually a sexually transmitted disease) that frequently leads to adhesions within the fallopian tubes.
A woman's eggs pass through her fallopian tubes into her uterus for reproduction.
Tubal adhesions can lead to infertility and increased incidence of ectopic pregnancy in which a fetus develops in the tube.Abdominal adhesions:
Abdominal adhesions are a common complication of surgery, occurring in up to 93% of people who undergo abdominal or pelvic surgery.
Abdominal adhesions also occur in 10.4% of people who have never had surgery.
Most adhesions are painless and do not cause complications.
However, adhesions cause 60%-70% of small bowel obstructions in adults and are believed to contribute to the development of chronic pelvic pain.
Bowel adhesions
Adhesions typically begin to form within the first few days after surgery, but they may not produce symptoms for months or even years.
As scar tissue begins to restrict motion of the small intestines, passing food through the digestive system becomes progressively more difficult.
The bowel may become blocked.
In extreme cases, adhesions may form fibrous bands around a segment of an intestine. This constricts blood flow and leads to tissue death.De novo adhesions
De novo are new adhesions that may form at a site of direct surgical trauma such as an incision.
They may also develop at locations away from the site of surgery, for example, around the adnexa at the time of a cesarean section.
Adhesions may also reform following adhesiolysis or adhesiectomy.
Three broad types of adhesions exist, but the underlying pathophysiology is similar for each:
Filmsy
Vascular
CohesiveMore about adhesions, adhesiolysis and adhesion barriers:
http://www.adhesions.de/