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. 2024 Oct 21;13(4):228–231. doi: 10.4103/gmit.gmit_2_24

Table 1.

Zuhlke’s adhesion classification system

Grade Status of Adhesions
0 No adhesions
1 Filmy adhesions and easily separated by blunt dissection
2 Blunt dissection is possible but sharp dissection is necessary, beginning of vascularization
3 Lysis is possible by only sharp dissection, clear vascularization
4 Lysis is possible by only sharp dissection, organs are strongly attached