-- Dear Mandy, Sorry it took me so long, we've had a big storm here on the coast of Northern California, no power, etc. Anyway Spray Gel is a new substance hopefully available in Ireland, its not available yet in America, but it is in Germany. It works. Or at least it did for me. It was a miracle, plus Dr. Kruchinski's knowlege of how to remove adhesions from impossible situations. My intestines were mainly above my stomach, twisted and closed off and stuck to my diaphragm. I'd been having an operation a year just to stay alive. Dr. Daniel Kruchinski does not use carbon dioxide either. For me this was very important. Evidently, under an elctron microscope you can see the organs start decaying and producing those awful adhesions. I can't give you medical advice, but I do know that most doctors can not do the operation that we need, it takes hours of painstaking care and skill to remove the adhesions from your organs withour cutting your organs. My local, nice GYN cut open my bladder once and then did a full big cut to repair it. So you probably need a really good person who has done lots of laproscopic adhesions surgeries, uses a mechanical abdomen lift and spray gel. But since I'm not a doctor, start with reading the Adhesions Quilt and back messages to get a broader understanding of adhesions. Good luck and keep in touch. Isolation is not good when you're in pain. Love, Sally