How can we avoid adhesions after laparoscopic surgery?

Abstract

Although fewer develop than after laparotomy, laparoscopic surgery is still associated with adhesion formation. In order to minimize this, nothing replaces good surgical technique. Basic principles of microsurgery, liberal irrigation of the abdominal cavity and instillation of a large amount of Ringer's lactate at the completion of the procedure should be followed. Among adhesion-preventing substances, adhesion barriers including expanded polytetrafluoroethylene and regenerated oxidized cellulose are the most effective. Alternatively, a second-look laparoscopy to liberate the adhesions can be performed.