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 .
A Prospective Analysis of Predictive Factors on the Results of Laparoscopic Adhesiolysis in Patients with Chronic Abdominal Pain
Laparoscopic adhesiolysis for chronic abdominal pain  is subject for criticism . In this prospect i ve study , we analyze factors that encourage or discourage the indication for therapeutic laparoscopic adhesiolysis .  Two hundred twenty-four consecutive patients with chronic abdominal pain underwent diagnostic laparoscopy , and in case of adhesions , they underwent adhesiolysis .  Pain relief was assessed , and the individual impact of variables on pain relief was determined . Laparoscopy was performed in 224 patients . Two hundred patients had only adhesions and underwent primary laparoscopic adhesiolysis .  Three months after adhesiolysis , 74 % of patients were pain-free or had less pain . The remaining 26 % of the patients felt no change ( 22 % ) or had more pain ( 4 % ) . Gender , age , and bowel perforation leading to a laparotomy appear to be individual factors significantly influencing pain relief .  Laparoscopic adhesiolysis can be done ( almost ) completely in 92 % of patients with adhesions . After laparoscopic adhesiolysis , 74 % of patients had good results and 4 % had more pain . The complication rate is high
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 .