Handling abdominal adhesions surgical methods, Harbin, Heilongjiang 150030, China; Qiqihar Branch Central Hospital of the Reclamation Bureau, Qiqihar, Heilongjiang 161005. Abstract: The purpose is to recommend the use of the alleged separation process in gynecological surgery for treating abdominal adhesions. First, the alleged separation method identifies the type of adhesion, its location, extent, and relationship with organs. Using the thumb and index finger along the organ surface, the alleged adhesion site is manipulated so that the adhesions are separated. The results show complete separation of adhesions, fully exposing the lesions with a clear anatomical relationship without any organ damage. Conclusion: The alleged separation method is better than blunt or sharp dissection, effectively shortening the operation time and ensuring the quality of the surgery. Keywords: obstetrics and gynecology; gynecological surgery; severe adhesions; alleged separation subject classification codes: 320.3110 CLC number: R711.33] code lB: 1004-5775 (2003) 06-0447-01 Many gynecological diseases can cause pelvic adhesions, which pose significant difficulties for surgery. Without stripping, the exposed lesions remain unclear and cannot be handled. Both blunt and sharp dissection may result in organ damage with adverse consequences. How to handle adhesions well while completely resecting the lesions and preventing organ damage to ensure the smooth completion of the surgery has been proven by practice. The alleged separation method is a better way to handle severe intraperitoneal adhesions. 1 Materials and Methods 1.1 Cases encountered from 2000-01 to 2002-02 in the hospital's gynecological surgery department included 67 patients with severe abdominal cavity adhesions. Among them, there were 12 cases of old ectopic pregnancy, 12 cases of endometriosis, 33 cases of chronic pelvic inflammatory mass, and 10 cases of pelvic tuberculosis. In severe cases, these caused extensive pelvic adhesions. 1.2 Alleged separation methods ① First, carefully identify the type of adhesion, its relationship with the location, extent, and organs; ② During the operation, use the thumb and index finger along the organ surface to implement the alleged adhesion site, most adhesions can be alleged and separated. Even if they are unresolved at the alleged site, the spacing between the adhesion and the organ surface widens, allowing for clearer identification of the organ surface and adhesions, then cut the adhesions for complete separation. 2 Discussion on the mechanism of alleged separation 2.1 Alleged separation combines blunt and sharp dissection. The force applied to the adhesion between organs spreads evenly, playing a role on both sides. The injury to the bowel and other organs from the alleged method not only widens the spacing between the adhesion and the organ surface but also separates it on both sides. For firm adhesions, even if they cannot be separated after widening the spacing, clearly identifying the organ surface allows for cutting the adhesions for complete separation. 2.2 Note during the shear adhesion with the alleged method, sensing any tube-like structure. If so, run along the tube-like structure with hemostat for separation, avoiding damage to the ureter and important blood vessels, breaking down adhesions into smaller segments for cutting. 2.3 The advantages of the alleged method include ① greater security than simple blunt or sharp dissection, being quick and saving time; ② considering no organ damage; ③ providing a clear anatomical relationship for the next step in handling lesions, making lesion excision more thorough.