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 .
Salpingo-ovariolysis: a comparison between laser surgery and electrosurgery.
A prospect i ve , r and omized study comparing the result of salpingo-ovariolysis using the carbon dioxide ( CO2 ) laser and the microdiathermy needle was conducted . The pregnancy rate after laser surgery was 53.3 % ( n = 30 ) and after electrosurgery was 51.5 % ( n = 33 ) at 2-year follow-up . Although the surgery-conception interval after laser surgery ( 9.9 + /- 2.0 months ) tended to be shorter than after electrosurgery ( 13.1 + /- 2.0 months ) , no statistical difference was reached . This report suggests that there is no difference between the pregnancy rate after salpingo-ovariolysis with the use of the CO2 laser or with the use of the microdiathermy needle . The surgery-conception interval , however , tends to be shorter after laser surgery . A larger series of patients is required to clarify the latter
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 .