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. 2013 Oct 11;28(1):2–29. doi: 10.1007/s00464-013-3170-6
Level 1b Adhesiolysis offers no additional benefit in itself.
Level 3 Adhesiolysis increases the risk of iatrogenic enterotomy, which increases mortality.
Level 4 Greater age and number of previous operations increase the risk of iatrogenic enterotomy during adhesiolysis.
Level 5 Monopolar coagulation has a larger collateral damage zone surrounding the coagulated tissue and produces higher temperatures.
Currently, there is no reliable prevention of adhesions in abdominal surgery.
Use of monopolar electrocoaguation increases the risk of enterotomy.