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 .
Long-term outcomes of two different surgical techniques for cesarean.
OBJECTIVE To assess the rate of adhesions and other long-term outcomes of two cesarean delivery techniques . METHODS A total of 600 women were r and omly assigned to either a st and ard ( Pfannenstiel-Kerr ) or modified ( Joel-Cohen-Stark ) technique for first-time cesarean delivery . A total of 124 women were assessed at repeat cesarean delivery . The primary outcome measure was the presence of adhesions . RESULTS At repeat cesarean delivery , anesthesia-to-delivery time , total duration of surgery , change in hemoglobin level , time to mobilization and oral intake , and postoperative hospital stay were significantly less with the modified technique . Adhesions were found in 7 ( 11.3 % ) and 22 ( 35.5 % ) of the cases using the modified and st and ard techniques , respectively ( P=0.0026 ; relative risk 3.14 [ 95 % CI , 1.45 - 6.82 ] ) . CONCLUSION A modified cesarean delivery technique , including Joel-Cohen incision , exteriorized full thickness suturing of the uterine incision , and non-closure of the peritoneum may reduce long-term morbidities of the procedure
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 .