Table 2 Importance of adhesion reduction steps
| Very important (%) | Important (%) | Not important (%) | Avoid (%) | Do not know (%) |
|---|---|---|---|---|---|
Reduce risk of infection | 66.5 | 33.2 | 0 | 0 | 0.3 |
Haemostasis | 66.0 | 33.1 | 0.3 | 0 | 0.6 |
Careful tissue handling | 62.0 | 35.9 | 1.2 | 0 | 0.9 |
Non-reactive sutures | 32.4 | 61.3 | 4.2 | 0.3 | 1.8 |
Starch-free gloves (open) | 32.2 | 40.7 | 11.8 | 1.2 | 14.2 |
Focus on planned surgery | 26.2 | 54.5 | 12.9 | 0.9 | 5.5 |
Reduce cautery time and frequency | 24.2 | 59.2 | 10.0 | 0 | 6.6 |
Limit dry towels and sponges | 23.9 | 54.2 | 12.4 | 0.9 | 8.5 |
Frequent irrigation (laparoscopy) | 21.0 | 51.5 | 13.5 | 0.3 | 13.8 |
Reduce surgery duration | 20.4 | 56.8 | 12.8 | 0.9 | 9.1 |
Limit heat | 18.6 | 50.9 | 13.2 | 0.6 | 16.8 |
Limit use of materials with loose fibres | 17.9 | 63.2 | 7.3 | 1.5 | 10.0 |
Frequent irrigation (open) | 16.7 | 48.2 | 20.5 | 0.3 | 14.3 |
Excise tissue–reduce fulguration | 15.4 | 60.9 | 10.8 | 0.3 | 12.6 |
Magnification–field enhancement | 15.2 | 46.0 | 26.2 | 0.6 | 11.9 |
Limit suturing | 12.1 | 61.3 | 18.1 | 0.6 | 7.9 |
Aspirate aerosolised tissue after cautery | 4.0 | 31.1 | 20.0 | 0.6 | 44.3 |
Latex-free gloves (open) | 3.9 | 13.7 | 53.7 | 0.9 | 27.8 |
Limit light | 3.6 | 14.2 | 46.2 | 6.5 | 29.6 |
Reduce pressure and duration of pneumoperitoneum | 3.0 | 14.0 | 48.7 | 1.8 | 32.5 |