Bowel adhesions right lower quadrant

A 25 years young female patient with status after ruptured appendix at age of seven. Many years later she developed chronic abdominal pain and searched for adhesions surgery. which finally took place at EndoGyn. We could take all the adhesions down and apply SprayShield as adhesions barrier. Already after this surgery she was pain free and the second look on day seven after initial surgery showed no adhesions reformation.