Pre-operative Procedure: Rabbits are anesthetized; an IV catheter is placed in a marginal ear vein; and the rabbits’ abdomens are shaved. In the operating room, an endotracheal tube is placed.
Surgery: A midline laparotomy is made; the cecum and bowel are excised. The surface of the cecum adjacent to the sidewall defect is abraded with sterile gauze until petechial hemorrhage is observed. The surface of the cecum facing the rest of the bowel is also abraded. A 3 X 3 cm square of the peritoneum and the abdominal transverse muscle is removed from the right lateral abdominal wall. After the completion of adhesion induction, the bowel is replaced into the abdominal cavity, and the muscle wall and skin closed with sutures and/or surgical glue.
Post-operative Procedure: Animals are observed until stage IV recovery from anesthesia is reached. Following recovery from anesthesia, long-term post-operative care is performed twice daily for at least 10 days following surgery. Subsequently, daily observations are performed to check the general health status of the animals for the remainder of the study.
Euthanasia and Necropsy: On day 32, animals are euthanized; the abdomens excised; and adhesions evaluated for tensiometry and/or histopathology.