SprayShield versus Spraygel
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 = Brilliant Blue FCF;http://en.wikipedia.org/wiki/Brilliant_Blue_FCF. 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. Performing now many 2nd-looks on day 5th after initial surgery, we are confident, that SprayShield™ has a an excellent potential and covers the surgical field for around 5-7 days, wich is exactly the time, adhesions reformation might happen. Due the fact that the resorption is very short, SprayShield™ has a relatively mild forein body reaction, comparing to 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 the possibility of complications in regard to infections might decrease with the new product.
