Covering peritoneal surfaces with glycerol, both before and after peritoneal trauma, is effective in decreasing peritoneal adhesion formation. The efficacy of glycerol covering was greater in the group receiving glycerol prior to trauma because it decreased the direct effects of trauma on the surface.

Soybean oil can effectively decrease adhesion formation if applied before peritoneal trauma.

Octyl methoxycinnamate covering peritoneal surfaces effectively decreases adhesion formation, but the effect is more pronounced if octyl methoxycinnamate is applied before trauma induction. These results indicate that covering of peritoneal surfaces with viscous liquids, such as octyl methoxycinnamate, which have no toxic effects on vital tissues and especially on peritoneal mesothelial cells, prior to peritoneal trauma (e.g. laparotomy) may decrease PPA formation by preventing or decreasing the trauma.

TEP repair is comparable to darn plication in terms of complications and recurrences. Unilateral TEP can be safely and efficiently accomplished in less than 45 minutes, even during the initial learning phase. TEP is more comfortable for patients and results in earlier ambulation and return to work. The qualitative accounts given by the patients also support the advantages of TEP in postoperative period.

A patient who had undergone gastric resection for carcinoma, had closed loop obstruction of the duodenum due to neoplasia at the duodenojejunal junction. The obstruction was relieved successfully by transhepatic placement of a duodenojejunal stent. We were compelled to use the transhepatic route because a Roux-Y reconstruction had been performed. Transhepatic placement may be the only chance of palliation in a small subset of patients with malignant intestinal obstruction.