None of the techniques that were compared significantly reduced the incidence of adhesive small bowel obstruction .
None of the specific techniques that were compared reduced the two main adhesion-related clinical outcomes , small bowel obstruction and infertility .
The meta- analysis provides little evidence for the surgical principle that using less invasive techniques , introducing less foreign bodies or causing less ischaemia reduces the extent and severity of adhesions
INTRODUCTION Adhesion formation is the most common complication following  peritoneal surgery  and the leading cause of small bowel obstruction , acquired infertility and inadvertent organ injury at reoperation .
Using a ' good surgical technique ' is advocated as a first step in preventing adhesions .
However , the evidence for different surgical techniques to reduce adhesion formation needs confirmation .
Closure vs non-closure of the visceral and parietal peritoneum at cesarean delivery: 16 year study.
OBJECTIVE To determine whether non-closure of visceral and parietal peritoneum at LSCS has advantages over peritoneal closure with regard to postoperative complication and adhesions . STUDY DESIGN Prospect i ve r and omized controlled trial . SETTING Paholpolpayuhasena Hospital , Kanchanaburi province , Thail and SUBJECTS AND METHOD Three hundred and sixty full-term pregnant women undergoing first cesarean section were divided into 3 groups ( N = 120 ) . Group A : non-closure of both visceral and parietal peritoneum . Group B. non-closure of only visceral peritoneum . Group C : closure of both visceral and parietal peritoneum .  Postoperative complications were compared . Adhesions were evaluated in 65 patients returning for a second LSCS and compared for severity of adhesions . The three groups were compared using statistical analysis . RESULT There was no significant statistical difference between group A and C , group B and C for postoperative complications or number of adhesion formation . However , adhesions in the closure group were more severe . CONCLUSIONS Closure of visceral and parietal peritoneum has no benefit over non-closure of visceral peritoneum and non-closure of both visceral and parietal peritoneum at LSCS
None of the techniques that were compared significantly reduced the incidence of adhesive small bowel obstruction .
None of the specific techniques that were compared reduced the two main adhesion-related clinical outcomes , small bowel obstruction and infertility .
The meta- analysis provides little evidence for the surgical principle that using less invasive techniques , introducing less foreign bodies or causing less ischaemia reduces the extent and severity of adhesions
INTRODUCTION Adhesion formation is the most common complication following  peritoneal surgery  and the leading cause of small bowel obstruction , acquired infertility and inadvertent organ injury at reoperation .
Using a ' good surgical technique ' is advocated as a first step in preventing adhesions .
However , the evidence for different surgical techniques to reduce adhesion formation needs confirmation .