Score Extent Tenacity 0 No adhesions. No adhesions. 1 Single band of adhesion between viscera or from one viscous to the abdominal wall. Filmy adhesion, easy to separate by blunt dissection. 2 Two bands, either between viscera or from viscera to the abdominal wall. Strong adhesion, blunt dissection possible, partly sharp dissection. 3 More than two bands between viscera or from viscera to the abdominal wall. Stronger adhesion; sharp dissection necessary. 4 Multiple dense adhesions or viscera directly adherent to the abdominal wall,irrespective of number and extent of adhesive bands. Very strong adhesion between organs; its division by sharp dissection damages organ serosa.

Table 2: Scales for macroscopically evaluations of adhesion formation based on Canbaz’s scoring method. Adhesions were macroscopically according to their extent and tenacity.