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Preventing adhesions is a pressing unmet need, hindered by difficulties in assessing postoperative adhesions and understanding barriers. To bridge adhesion prevention gaps, statements on clinical practices were synthesized to present Asia\u2010Pacific expert perspectives on gynecologic surgery and cesarean section adhesion prevention. An expert panel of eight physicians from various healthcare settings in the Asia\u2010Pacific region was convened and a comprehensive literature search on topics related to adhesion prevention in gynecologic surgeries and cesarean sections was performed. Information from full\u2010text publications was used to develop draft consensus statements, with each statement assigned the highest available evidence level based on a systematic literature review and graded using the Oxford Center for Evidence\u2010based Medicine criteria. A modified Delphi process, involving two rounds of online voting and discussions with an extended group of 109 experts, was employed to reach a consensus on six topics related to adhesion barriers. A set of 15 consensus statements were synthesized. Key topics include adhesion incidence in Asia, cesarean section complications, barrier application status, adhesion formation and prevention, absorbable barriers' effectiveness, recommendations, and future considerations. The statements provide guidance for healthcare professionals, especially in the Asia\u2010Pacific region, to tackle the challenges posed by postoperative adhesions and improve patient outcomes. Further research is needed to enhance understanding and prevention of adhesions in this region.<\/jats:p>","DOI":"10.1002\/ijgo.15903","type":"journal-article","created":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T09:59:08Z","timestamp":1726394348000},"page":"436-448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Adhesion barriers in gynecologic surgeries and cesarean section: An Asia\u2010Pacific expert panel consensus recommendation"],"prefix":"10.1002","volume":"168","author":[{"given":"Shinji","family":"Tanigaki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achla","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Te\u2010Fu","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kaohsiung Medical University Chung\u2010Ho Memorial Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian Hean\u2010Leng","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KK Women's and Children's Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siu\u2010Keung","family":"Lam","sequence":"additional","affiliation":[{"name":"Prestige Medical Center  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy Yong\u2010Kuei","family":"Lim","sequence":"additional","affiliation":[{"name":"Timothy Lim Clinic for Women &amp; Cancer Surgery Mount Alvernia Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghavendra","family":"Mayya","sequence":"additional","affiliation":[{"name":"Advanced Surgery Division Baxter Worldwide Medical Affairs  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Ghani","family":"Nur Azurah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universiti Kebangsaan Malaysia Medical Centre  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Gold Coast Private Hospital  Gold Coast Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70205-X"},{"issue":"2","key":"e_1_2_10_3_1","first-page":"107","article-title":"Pathophysiology of pelvic adhesions. 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