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Zühlke adhesion score
| Grade 1 | Filmy adhesions: Easy to separate by blunt dissection (no vascularization) |
| Grade 2 | Minimally adhesions: Blunt dissection possible but partly sharp dissection possible (beginning of vascularization) |
| Grade 3 | Strong adhesions: Adhesions requiring sharp dissection (obvious vascularization) |
| Grade 4 | Dense adhesions: Lysis possible by sharp dissection only (organ strongly attached with severe adhesions and damage of organs hardly preventable) |
