Table 5.

A summary overview comparing each type of adhesion barriers (5–7)

Adhesion barrier types	Materials	Clinical evidence	Usability
Solid membranes	Oxidized regenerated cellulose membrane	Shown to be more effective than Seprafilm® in some pelvic operations when completely hemostatic Reported to have no significant anti-adhesion effect in certain animal models Significantly reduced the overall incidence of adhesions	Applied more easily than Seprafilm because of its flexibility and good adhesiveness on wounds
Solution (not available in Japan)	Icodextrin solution	Reduced adhesion in several procedures Adverse effects were reported such as extravasation, transient labial edema, incidence of small-bowel obstruction	Solution can diffuse throughout the peritoneal cavity
Hydrogel	Gel-based dextrin polymer	Reduced incidence and severity of peritoneal adhesion in laparotomy	Easily applied during laparoscopy using a dedicated sprayer