Table 1.

Adhesion Risk Scores proposed to estimate risk of post-surgical adhesions in women undergoing gynaecological surgery

Risk factors			Assigned Score
a) Preoperative Adhesion Risk Score
Preoperative risk factors	Previous abdominal/pelvic surgery	1	3
		>1	4
	History of post-surgical adhesions		4
	Concomitant abdominal or gynaecological inflammation and/or infection		4
	Endometriosis	Minimal	1
		Mild	2
		Moderate	3
		Severe	4
	Cancer	Gynaecologic cancer	2
		Peritoneal carcinomatosis	2
		Local non-gynaecological cancer	3
		Metastatic cancer of extrapelvic origin	2
	Radiation therapy in intra-abdominal cancer	Local	4
		Distant sites	1
	Keloid scarring		3
Risk factors associated with previous operations	Intraperitoneal bleeding	Unexpected 2 g % drop of Hb	2
	Postoperative complications e.g. fistulas, abscesses		4
	Postoperative Infection (≥38 °C for ≥2 days)		4
		Total
b) Perioperative Risk Score
Perioperative risk factors	Quality of existing adhesions	None	0
		Filmy	2
		Vascular	3
		Dense	4
	Severity of existing adhesions	No adhesions	0
		Single adhesion	1
		2 or 3 adhesions	2
		>3 adhesions	3
		Adhesion(s) with bowel involvement	4
	Bleeding	>500 ml	4
	Procedure duration	<90 min	2
		9 min to 2 hours	3
		>2 hours	4
	Procedure complexity or extent of surgery e.g. enterotomy, oncological surgery		3
	Multiple quadrants e.g. adhesiolysis, ovarian carcinoma surgery
	Excessive coagulation >2 cm2		2
	Type and site of surgery	Laparoscopy/Fallopian tube	1
		Open/Uterus	3
		Open/Fallopian tube	2
		Laparoscopy/Adhesiolysis, uterus	3
		Laparoscopy/All other procedures	2
		Open/Ovary	4
	Intra-abdominal placement of foreign bodies e.g. meshes		3
	Use of electrical scalpel		2
	Peritoneal closing		1
		Total