Pautler et al classified adhesions seen at laparoscopy based on their quality and extent. The authors are from the National Cancer Institute in Bethesda.
Parameters:
(1) quality (modified scale of the Operative Laparoscopy Group)
(2) extent
Quality of the Adhesions |
Grade |
none |
0 |
thin and filmy |
1 |
more dense and opaque |
2 |
thick and cohesive involving bowel and other organs |
3 |
Extent of the Adhesions |
Amount |
1 - 9% of the operative field |
minor |
10 - 25% of the operative field |
moderate |
> 25% of the operative field |
severe |
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.
Specialty: Gastroenterology