Adhesion Score

An adhesion score is a number a surgeon records for scar tissue found in the pelvis. It rates how much tissue is involved, how thick it is and how firmly it is stuck. Scoring the same way at surgery and at a second look makes the visits comparable.

The score is how adhesion prevention gets measured. One series followed 95 women with extensive pelvic adhesions from endometriosis or pelvic infection. Total scores at second-look laparoscopy fell from 18.1 to 6.0 to 2.5 across three surgical protocols.1 A second-look score of 5 or less, meaning minimal adhesions, rose from 34.6 percent of women in the first phase to 88.0 percent in the third.1

Each new step in technique was tested against the next second look. That is what makes near adhesion-free surgery a measured claim.

Cited in this entry

  1. Hilgers TW. Near Adhesion-Free Reconstructive Pelvic Surgery: Three Distinct Phases of Progress Over 23 Years. Journal of gynecologic surgery. 2010. Journal of gynecologic surgery. https://doi.org/10.1089/gyn.2009.0031

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.