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 laparoscopic versus open ileocolic resection for Crohn's disease: follow-up of a prospective randomized trial.
BACKGROUND The purpose of this study was to analyze long-term recurrence rates and complications in patients previously enrolled in a prospect i ve r and omized trial comparing laparoscopic ( LC ) and open ileocolectomy ( OC ) for ileocolic Crohn 's disease ( CD ) . METHODS Follow-up data were available on 56 of 60 patients .  Demographic data , recurrence rates , need for additional surgery related to primary procedure , and medication use were recorded . RESULTS Mean follow-up for 56 patients ( 27 LC vs 29 OC ) was 10.5 years and comparable between LC and OC ( 10.0 vs 11.0 , respectively ; P = .64 ) . One patient died 8 years after OC of causes unrelated to CD . Eight patients for each group underwent initial reoperative ( 26 % LC vs 28 % OC ; P = .89 ) . One patient underwent incisional hernia repair  after LC ( 4 % ) versus 4 patients ( 14 % ) after OC ( P = .61 ) . Two patients in the LC group underwent  adhesiolysis  versus none after OC ( P = .23 ) . Incidences of anorectal disease , anorectal surgery , endoscopic or radiologic recurrence , and medication use were also similar between LC and OC . OC patients requiring operation during follow-up were significantly more likely than LC to require multiple operations ( P = .006 ) . CONCLUSIONS Long-term data from this prospect i ve r and omized trial confirm that LC is at least comparable to OC in the treatment of ileocolic CD
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 .