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.
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.
Doctors: 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.
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.
Endometriosis is a common condition affecting women. It is a chronic, painful, and often progressive disease in women. The causes of
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 pelvic region.
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 [...]
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…
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 [...]
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. For example, in the gastrointestinal tract, bowel obstructions may occur. Mechanical small bowel obstruction after previous surgery can be the most severe effect of adhesions. In the uterus and in the pelvis, adhesions can cause infertility and other reproductive problems. The adhesions can block the ends of the fallopian tubes causing infertility.
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
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.