Pautler et al classified adhesions seen at laparoscopy based on their quality and extent. The authors are from the National Cancer Institute in Bethesda.
(1) quality (modified scale of the Operative Laparoscopy Group)
Quality of the Adhesions
thin and filmy
more dense and opaque
thick and cohesive involving bowel and other organs
Extent of the Adhesions
1 - 9% of the operative field
10 - 25% of the operative field
> 25% of the operative field
Even a single, small adhesion in the wrong place can cause obstruction. However, this is less of a problem than an abdominal cavity matted together.
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