Table 1.

Strategy for adhesion reduction during myomectomy.

Adhesion-reduction steps during myomectomy
Perform diligent hemostasis but ensure diligent use of cautery
Reduce risk of infection
Limit use of sutures and choose fine nonreactive sutures
Reduce duration of surgery
Avoid foreign bodies—such as materials with loose fibers
Reduce drying of tissues (limit heat and light)
In laparotomic surgery
Minimal use of dry towels or sponges
Use starch- and latex-free gloves
In laparoscopic surgery
Use frequent irrigation and aspiration
Reduce pressure and duration of pneumoperitoneum