• Asnat Walfisch, Ron Beloosesky, Alon Shrim, and Mordechai Hallak.
• Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel; The Bruce and Ruth Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.
• Am. J. Obstet. Gynecol. 2014 Nov 1;211(5):446-52.

AbstractIn spite of the recognized occurrence of cesarean-attributable adhesions, its clinical significance is uncertain. The presence of adhesions during a repeat cesarean section can make fetal extraction lengthy and the procedure challenging and may increase the risk of injury to adjacent organs. Two methods for adhesion prevention are discussed, peritoneal closure and use of adhesion barriers. Peritoneal closure appears to be safe in the short term. In the long term, conflicting evidence arise from reviewing the literature for possible adhesion reduction benefits. A systematic review of the literature on the use of adhesion barriers in the context of cesarean section yielded only a few studies, most of which are lacking in methodology. For now, it appears that the available evidence does not support the routine use of adhesion barriers during cesarean delivery.Copyright © 2014 Elsevier Inc. All rights reserved.

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