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 .
Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture.
OBJECTIVE To compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after  laparoscopic ovarian cystectomy for endometriosis . DESIGN Prospect i ve , r and omized , controlled study . SETTING Department of Obstetrics and Gynecology , University of Naples " Federico II . " PATIENT(S ) Thirty-two women with a single endometriotic cyst were r and omly divided into two groups of 16 women each ( groups A and B ) . INTERVENTION(S ) All patients underwent laparoscopic ovarian cystectomy for endometriosis . In group A , hemostasis was performed by closure of the ovary with an intraovarian suture . In group B , complete hemostasis was achieved only with bipolar coagulation on the internal face of the ovary . MAIN OUTCOME MEASURE(S ) Rate and extension of postsurgical ovarian adhesions at 60 - 90 days follow-up . RESULT ( S ) At follow-up , a significantly lower rate of postsurgical ovarian adhesions was observed in group A than in group B ( 30.8 % vs. 57.1 % ) . The extension of ovarian adhesions was significantly higher in group B than in group A. CONCLUSION ( S ) The use of sutures on ovaries treated for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation compared with bipolar coagulation
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 .