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 .
Non-closure versus closure of peritoneum during cesarean section: a randomized study.
BACKGROUND Adhesion b and s are reported to be among the most common complications of gynecological surgery procedures . The aim of this study was to compare the frequency of post-surgical adhesion among patients with closed or open peritoneal repair  in the subsequent cesarean sections . METHODS A prospect i ve r and omized trial was performed on 45 patients who underwent cesarean section during a 5-year period . Among these patients , 24 patients were operated on by closure of the peritoneum  and 21 patients were operated on by the non-closure method .  Overall , 31 patients had a second pregnancy and cesarean section within the time of the study . These patients were evaluated to determine if they had any adhesion between the omentum and abdominal wall or uterus or between the uterus and abdominal wall or rectus muscle . RESULTS The two groups were similar to each other with regard to the causes of cesarean section . Seven cases of adhesions were diagnosed during subsequent cesarean sections among 13 patients ( 54 % ) with peritoneal non-closure , compared with 3 in 18 women ( 15 % ) with peritoneal closure ( relative risk : 3.2 ; 95 % confidence interval : 1.0 - 10.2 ) . CONCLUSION Closure of the peritoneum increases the operating time , but may decrease the risk of adhesions . The results of this study suggest that , during cesarean section , suture of the peritoneum may be a better option than leaving it unsutured
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 .