Abdominal Wall Lift ~ Beware the Abdolift

IHRT blast from the past.....

Beware of the Abdo-lift....

Abdominal wall lift decreases cardiopulmonary changes, does not influence the morbidity and, increases operating time in laparoscopic cholecystectomy. It cannot be recommended routinely
.Gurusamy KS, Samraj K, Davidson BR.Published Online: July 16, 2008.Several physiological parameters related to heart and lung (cardiopulmonary changes) occur during insufflation of abdomen (tummy) with key-hole surgery. While these changes can be tolerated by normal individuals, patients with poor heart or lung function may not tolerate the changes. These changes in physiological parameters related to heart and lung are decreased by using special instruments to lift the front wall of the abdomen so that key-hole surgery can be performed without gas insufflation. In this systematic review of 20 trials including 706 patients (six trials including 156 patients used gas at very low pressures), it is shown that the technique of lifting the front wall of the tummy is associated with increased operating time (8 minutes) without reducing surgical complications. It cannot be recommended as a routine in patients with mild or no systemic disease. So, it cannot be recommended routinely in patients with low anaesthetic risk.
http://summaries.cochrane.org/CD006574/abdominal-wall-lift-decreases-cardiopulmonary-changes-does-not-influence-the-morbidity-and-increases-operating-time-in-laparoscopic-cholecystectomy.-it-cannot-be-recommended-routinely

Where are Kruschinski's studies? Oh right there aren't any real ones, just vividly imagined ones.

U.S. to Force Drug Firms to Report Money Paid to Doctors

U.S. to Force Drug Firms to Report Money Paid to Doctors
By ROBERT PEAR


Published: January 16, 2012


WASHINGTON — To head off medical conflicts of interest, the Obama administration is poised to require drug companies to disclose the payments they make to doctors for research, consulting, speaking, travel and entertainment.

Many researchers have found evidence that such payments can influence doctors’ treatment decisions and contribute to higher costs by encouraging the use of more expensive drugs and medical devices.

Consumer advocates and members of Congress say patients may benefit from the new standards, being issued by the government under the new health care law. Officials said the disclosures increased the likelihood that doctors would make decisions in the best interests of patients, without regard to the doctors’ financial interests.
Click link to continue: http://www.nytimes.com/2012/01/17/health/policy/us-to-tell-drug-makers-to-disclose-payments-to-doctors.html?_r=1&pagewanted=all

MAUDE Adverse Event Report ~ Abdolift and Spray Gel

FDA Home> Medical Devices> DatabasesMAUDE Adverse Event Report
510(k) | Registration & Listing | Adverse Events | Recalls | PMA | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC


CONFLUCENT SPRAYGEL ADHESION BARRIER SYSTEM Back to Search Results

Model Number PK-A-6010
Event Date 02/07/2003
Event Type Injury Patient Outcome Required Intervention;
Event Description
The pt reported that she had problems with adhesions and pain. She had surgery performed at endogyn in another country, to remove the adhesions. The procedure was performed using a gasless laparoscopy technique with an abdominal wall retractor. The adhesions returned within 2 months of the surgery and after 6 months the adhesions became calcified. The pt claims that the surgery has damaged her internalorgans. She believes that the method of using the abdominal wall retractor with gasless laparoscopy is detrimental to the pt. She subsequently had additional surgery performed in the united states because of problems related to the surgery in another country.


Manufacturer Narrative
Confluent surgical was named as the mfr in medwatch report. The device named in the report is "abdominal wall retractor" Abdolift. Confluent surgical does not mfr, market, or distribute this device. When contacted by confluent, the reporter stated that the confluent product used in the surgery is spraygel. The "abdominal wall retractor", which is mfg by another co, was also used in the surgery. The event did not occur in the united states, it occurred in another country. Spraygel is not marketed or distributed in the united states. The reporter's complaint concerned the method of gasless laparoscopy and the use of the abdominal wall retractor, not the use of spraygel.


Search Alerts/Recalls



New Search | Submit an Adverse Event Report

Brand Name SPRAYGEL ADHESION BARRIER SYSTEM
Manufacturer (Section F) CONFLUCENT
boston MA *

Manufacturer (Section D) CONFLUENT SURGICAL INC.
waltham MA *

Manufacturer Contact amita shah
101a first ave
waltham , MA 02451
(781) 839 -1726

Device Event Key 830606
MDR Report Key 878848
Event Key 806304
Report Number 3003157248-2007-00001
Device Sequence Number 1
Product Code MCN
Report Source Manufacturer
Source Type Other
Reporter Occupation Patient
Type of Report Initial
Report Date 05/14/2007
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received 06/25/2007
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator Health Professional
Device MODEL Number PK-A-6010
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? No
Was the Report Sent to FDA? No
Date Manufacturer Received 05/14/2007
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Is The Device Single Use? Yes
Is this a Reprocessed and Reused Single-Use Device? No
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided
Type of Device Usage Unkown

Patient TREATMENT DATA
Date Received: 06/25/2007 Patient Sequence Number: 1
# Treatment Treatment Date
ABDOMINAL WALL RETRACTOR USED IN GASLESS
2,LAPAROSCOPY


http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/Detail.CFM?MDRFOI__ID=878848
---Page Last Updated: 10/31/2011

Intestinal ischemia and infarction

Intestinal ischemia and infarction http://www.nlm.nih.gov/medlineplus/ency/article/001151.htm

Intestinal ischemia and infarction is damage to (ischemia) or death of (infarction) part of the intestine due to a decrease in its blood supply.


Causes There are several possible causes of intestinal ischemia and infarction.


Hernia: If the intestine moves into the wrong place or becomes tangled, this can lead to intestinal ischemia.


Adhesions: The intestine may become trapped in scar tissue from past surgery (adhesions). This can lead to ischemia if left untreated.


Embolus: A blood clot from the heart or main blood vessels may travel through the bloodstream and block one of the arteries supplying the intestine. Patients with previous heart attacks or with arrhythmias, such as atrial fibrillation, are at risk for this problem.


Arterial thrombosis: The arteries that supply blood to the intestine may become so narrowed from atherosclerotic disease (cholesterol buildup) that they become blocked. When this happens in the arteries to the heart, it causes a heart attack. When it happens in the arteries to the intestine, it causes intestinal ischemia.


Venous thrombosis: The veins carrying blood away from the intestines may become blocked by blood clots. This blocks blood flow into the intestines. This is more common in people with liver disease, cancer, or blood clotting disorders.


Low blood pressure: Very low blood pressure in patients who already have narrowing of the intestinal arteries may also cause intestinal ischemia. This typically occurs in patients who are very ill for other reasons. It can be compared to losing water pressure in a hose with a partial blockage.


SymptomsThe hallmark of intestinal ischemia is abdominal pain. Other symptoms include:


•Diarrhea
•Fever
•Vomiting
Exams and TestsLaboratory tests may show a high white blood cell (WBC) count (a marker of infection) and increased acid in the bloodstream.


Other tests include:


•Angiogram
•CT scan of the abdomen
None of these tests are foolproof, however. Sometimes the only sure way to diagnose intestinal ischemia is with a surgical procedure.


TreatmentTreatment usually requires surgery. The section of intestine that has died is removed, and the healthy remaining ends of bowel reconnected.


In some cases, a colostomy or ileostomy is necessary. A blockage of arteries supplying the intestine is corrected if possible.


Outlook (Prognosis)Intestinal ischemia is a serious condition that can result in death if not treated promptly. The outlook depends on the cause. A good outcome may be achieved with prompt treatment.


Possible Complications Intestinal infarction may require a colostomy or ileostomy, either temporary or permanent. Peritonitis is common in such cases.


Severe illness with fever and bloodstream infection (sepsis) can result.


When to Contact a Medical ProfessionalCall your health care provider if you have any severe abdominal pain.


PreventionPreventive measures include:


•Control risk factors, such as heart arrhythmias, high blood pressure, and high cholesterol
•Do not smoke
•Eat a nutritious diet
•Quickly treat hernias
Alternative NamesIntestinal necrosis; Ischemic bowel; Dead bowel; Dead gut


ReferencesFry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers MB, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.


Hauser SC. Vascular diseases of the gastrointestinal tract. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 146.


Update Date: 1/20/2010Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

http://www.nlm.nih.gov/medlineplus/ency/article/001151.htm

Recent posts by Kru..+ current contact info for Endogyn!

Adhesions.de Message Board
Access Denied!Sorry, your ip address has been blocked and therefore you cannot access this board.*************************************************************************
The above message greets IHRT volunteers when accessing Endogyn! LOL! IHRT says, "Kru, you will have to do better then THIS to hide from IHRT!!!!

IHRT also say's, " No need to appologize to us, we have access to get in, no problem at all!"









"Kru, no matter where you go or what you try to do to keep us from watching you, IHRT will always be right there inside of your computer!"

IHRT> So we see "Kru" once again trying to claim a surgery in Passau, however, all one needs to do to confirm that this is NOT true, is to try to schedule a surgery with Kru at Hospital Rotthalmünster (near Passau)Simbacher Straße 3594094 Rotthalmünster
Telefon 0 8533 - 99 0info@krankenhaus-rotthalmuenster.de
IHRT doesn't want to spoil the surprise for you, so call today!


Here is a post by Kru "sharing" his expertise once again! It gets good considering there IS no Endogyn INSTITUTE, or office, or operating room, or anything but a phone monitored 3 hours a week by Mrs. Lotz, and 200km from Passua!







~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~




EndoGyn® Institut für Endoskopische Gynäkologie
Email: Info@EndoGyn.com
http://www.endogyn.de/index.php?seite=endogyn&sprache=en&a=EndoGyn&b=Locations&c=HeadquarterBackUp&d=kontakt

Doc_Kru





Did I get found out yet?????
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Most advanced
Gender: Male
Location: Katzer Michaela
Postleitzahl, Ort 94094 RotthalmünsterStraße, Hausnummer Passauer Str. 22
Registered: Jul 2003
Status: Offline
Posts: 293
Click here to see the profile for Doc_Kru
Visit http://www.EndoGyn.com
Send email to Doc_Kru
Send private message to Doc_Kru Telefonnummer 08533 91 86 57
0172 6 94 61 03
Posted Sunday, August 13, 2006 @ 06:56 AM







~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
ICQ and yesterday she went home to Ireland pain free, together with her brother and his wife, who accompanied her.
By the way, Ryanairreaches Linz from most of the european cities and one can fly for around 20 Euros from each of them,
like London (Stansted) 17,81 €
Mailand (Orio) 17,81 €
Pisa (Florenz) 19,29 €
Dublin 19,79 €
Marseille Provence NEW 15,41 €
Dublin 15,41 €
Rom (Ciampino) 16,39 €
Girona (Barcelona) 16,39 €
Pisa (Florenz) NEW 17,39 €
Stockholm (NYO) 14,51 €
Glasgow (Prestwick) 17,39 €
Shannon 18,39 €
Girona (Barcelona) 18,39 € and many more.
If you fly from outside Europe, you can fly via London to Linz or direct to Salzburg or Munich.

Many, many ways to get to EndoGyn in Bavaria...



Regards--------------------Daniel Kruschinski, MD)
EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, gasless-laparoscopy.
Here are some of them for you!
















What about your patients from the USA???







Surgery, consulting, surgery, consulting, surgery, consulting..and around and around





Tollfree Phone consulting with Dr. Kruschinski only Germany, every Thursday between 1:00 pm and 5:00 pm (except holiday times)
http://www.endogyn.de/index.php?seite=endogyn&sprache=en&a=Patients-Info&b=TeleconsultingE






Address EndoGyn® Institut für Endoskopische Gynäkologie
Email: Info@EndoGyn.com
http://www.endogyn.de/index.php?seite=endogyn&sprache=en&a=EndoGyn&b=Locations&c=HeadquarterBackUp