Aim: To evaluate the effectiveness of Postoperative Peritoneal Lavage (PPL) method (new method) in 
prevention of recurrent Adhesive Small Bowel Obstruction (ASBO).
Methods: A total of 40 patients were enrolled in this study. They were victims of ASBO. They were 
randomized into two groups. Group I (20 patients) were treated with adhesiolysis alone, and Group II (20 
patients) were treated with adhesiolysis plus PPL. Patients were followed up for an average period of 25½ 
months to detect the incidence of recurrent ASBO.
Results: There were six recurrences (30%) in Group I while in Group II only one patient (5%) developed a 
recurrent episode of ASBO, which responded to conservative measures and didn't need surgery. The rate of 
surgical re-operation in PPL treated patient was zero.
Conclusion: PPL is a new hope for prevention of recurrent ASBO that achieved significant reduction in 
recurrence rate.