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 .
Peritoneal Closure at Vaginal Hysterectomy: A Reassessment
Objective To evaluate the clinical outcome of patients who underwent vaginal hysterectomy with or without peritoneal closure .  Methods This study was a r and omized trial . Using computer-generated numbers , all patients undergoing vaginal hysterectomy without oophorectomy  were r and omized to either no peritoneal closure ( n = 57 ) or routine peritoneal closure ( n = 49 ) . Patients were followed-up for a minimum of 1 year for development of complications and postoperative dyspareunia . At 4–6 postoperative weeks , the distance between the ovaries and the vaginal cuff was measured by  ultrasound .  Results Postoperative complications were similar in both groups . The incidence of deep-thrust dyspareunia at 6 and 12 months was also similar . No statistical differences between the two groups were noted in the ovary to vaginal cuff distances either overall or when patients with dyspareunia were considered separately . Conclusion The data in this study do not support the use of reperitonealization on a routine basis . However , because of a lack of statistical power , larger studies will be required to confirm this theory
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 .