... history and physical examination. The surgi-cal history including indications and complications is important in predicting intraabdominal adhesive disease. Multiple abdomi-nal surgeries, intraabdominal ... baseball or in- and- out technique), with a fenestrated purse-string clamp (Purse String Device, Davis & Geck, Wayne, NJ), or with a stapling device (Purse String Instrument -6 5 , U. S Surgical ... increase the risk for bleeding are warfarin, aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), clopidogrel bisulfate, and ticlopidine hydrochlo-ride. More subtle, often missed and increasingly...