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. 2014 Sep 26;15:378. doi: 10.1186/1745-6215-15-378

Table 2.

Adhesion classification system according to Zühlke [16]

Score Observation
0 No adhesions
1 Adhesions that are filmy and easy to separate by blunt dissection
2 Adhesions where blunt dissection is possible but sharp dissection necessary, beginning vascularization
3 Lysis of adhesions possible by sharp dissection only, clear vascularization
4 Lysis of adhesions possible by sharp dissection only, organs strongly attached with severe adhesions, damage of organs hardly preventable