Meta-analysis on the efficiency of adhesion barriers in gynecological abdominal surgery

Introduction: Adhesions are a common and frequent problem in every day work of obstetricians and visceral surgeons. However, in spite of almost 50 years of research we do not have clear recommendations to the clinician which method for adhesion prevention to prefer. Methods: We reviewed the entire scientific literature of the past 50 years related to the issue of adhesions (N = 21,899). With second-look surgery as a control of efficiency, 40 Studies remained for analysis. In order to gain a methodological comparability of the reviewed studies, subgroups were formed based on the most common Adhesion Scores (e.g.…