Since December 2008 we are using the new SprayShield™ by COVIDIEN.
SprayGel™ was modified in some parts, so the resorption was promised to be shorter (5-7 days) than it was with SprayGel™(7-14 days). And the blue colour is not due to methylenblue anymore but a simple colour used frequently in food. More components were modified and I should report later in this board. For now I just wanted to show the clinical results.

This is a picture of adhesions on the left pelvic wall:

and this after adhesiolysis

and here after coverage with SprayShield™:

and here the beautiful healed result at 2nd look laparoscopy ONLY 5 days later:

For clinical comparison here you can see an image with similar adhesions after adhesiolysis and covered with the SprayGel™ and 7 days later in the 2nd look laparoscopy. One can see that the SprayGel™ is still there and a little tissue reaction (reddish areas with neovascularisation) is shown:

And again for comparison again with SprayShield™, where after only 5 days, SprayShield™ is fully absorbed and the peritoneum is smooth without any reaction:

Actually there seems to be a better and rapid resorption of the Hydrogel and the absence of methylenblue, which was taken from the market some times ago. I think that this result in less foreign body or allergic reactions as in some cases occurred with SprayGel™.

We will continue research and if that is the case, we might decrease the time between Surgery and 2nd look laparoscopy to five days, so the time necessary to stay at the hospital will be shorter. Also some complications in regard to infections might decrease with the new product.

——————–
Daniel Kruschinski, MD
EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com
© by EndoGyn Ltd.

A picture of adhesions on the left pelvic wall:

and this after adhesiolysis

and here after coverage with SprayShield™:

and here the beautiful healed result at 2nd look laparoscopy 7 days later:

Again to say this: the SprayShield™ is fully absorbed and the peritoneum is smooth and without any reaction. There are no reddish areas, like with SprayGel™ (see pictures above) and no reaction, the peritoneum is already completely healed.

——————–
Daniel Kruschinski, MD
EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com
© by EndoGyn Ltd.

Again a picture of adhesions, here on the right pelvic wall. After an appendectomy the bowel (mid of picture) is completely adherent to the pelvic wall and has to be dissected:

and this after adhesiolysis

and here after coverage with SprayShield™:

and here the beautiful healed result at 2nd look laparoscopy only 5 days later:

Also here to see: the SprayShield™ is fully absorbed and the peritoneum is smooth and without any reaction. There are no reddish areas, like with SprayGel™ (see pictures above) and no reaction; the peritoneum is already completely healed.
Here one can see the result in a higher magnification:

——————–
Daniel Kruschinski, MD
EndoGyn.com, Adhesions.de, Hysterectomy.de, Fibroids.de, Endometriosis.de, Lift-laparoscopy.com
© by EndoGyn Ltd.