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. 2021 Aug 28;36(10):2247–2259. doi: 10.1007/s00384-021-04014-5

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© The Author(s) 2021

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Fig. 3 — Macroscopic scoring of the anastomosis. a–d Evaluation of anastomosis in situ. Dotted line: anastomosis; black arrowheads: pancreas and fat adhesions; black arrow: uterus; white arrow: small intestine; white arrowheads: kidneys. a Score of 2a. A bit of omentum (1 point), but neither the small intestine, uterus (not in the picture), nor any other organ such as a kidney adhere (0 point each). This adhesion could be removed completely (1 point). There is no visible abscess or peritonitis in the abdominal cavity. b Score of 3a. Uterus and some omentum are stuck to the anastomosis (1 point each), but neither the small intestine (not in the picture) nor any other organ (0 points). All adhesions could be removed (1 point). There is no visible abscess or peritonitis in the abdominal cavity. c Score of 5a. Omentum and small intestine stick to the anastomosis (1 point each), but no other organ such as the uterus (0 point). Adhesions could not be removed without compromising anastomosis integrity (3 points). There is no visible abscess or peritonitis in the abdominal cavity. d Score of 6a. Omentum, small intestine, and uterus are stuck to the anastomosis (1 point each), but no other organ (0 point) and all adhesions could not be removed bluntly (3 points). There is no visible abscess or peritonitis in the abdominal cavity