Bowel adhesions right abdominal site in a female patient

A 32 years young female patient from Germany with status after appendectomy with three laparoscopic adhesiolysis procedures without any adhesions barrier. Each time after surgery the pain subsided and recurred after several month. The patient finally found the treatment concept at EndoGyn on the internet. We could take all the adhesions down and apply SprayShield as adhesions barrier. The second look on day seven after initial surgery showed no adhesions reformation.