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 .
Closure or non-closure of visceral peritoneums after abdominal hysterectomies and Wertheim-Meigs radical abdominal hysterectomies.
The effect of visceral peritoneal closure after  conventional abdominal hysterectomies and Wertheim-Meigs radical operations  was studied clinical ly . No considerable differences were found in the postoperative staying period ; however , the incidence of complications were less in the  peritoneal non-closure group ( n = 91 ) than in the control , peritonealized group ( n = 149 ) . Significantly lower was the number of postoperative irregular pyelogram in cases without peritoneal closure ( n = 25 ) of radical abdominal operations than in the control group ( n = 49 ) with peritoneal suturing . We therefore suggest that the lack of suturing of visceral peritoneums has some advantages after  abdominal hysterectomies  and especially has benefits for Wertheim-Meigs operations
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 .