My neurosurgeon, Dr. Ty is somewhat of a pioneer in surgical techniques using stem cells.

http://blog.basicspine.com/category/dr-tys-blog/

He believes that a barriers derived from amniotic stem cells is the evolution in adhesion barriers. He specifically referred to a barrier called BioDfence by BioDlogics.

http://www.biodlogics.com/biodfence.htm
http://www.biodlogics.com/Site/Biodl.../BioDFence.pdf
http://amedica.com/products/biod/dfence.pdf

I'm not saying this is the answer to preventing adhesions but medical technology is constantly advancing and this appears promising.

My vascular surgeon, Dr. Angle is not going to use a barrier in my TOS decompression (left transaxillary rib resection) scheduled for 4/19. He does not believe my case requires full scalenectomy or neurolysis. His belief is that the less tissue a surgeon manipulates the better, especially around nerves. Some surgeons may get overzealous trying to perfect the internal anatomy and end up doing more tissue work than they should (obvious problems need to be corrected of course).

I don't keloid or scar easily (my incision from my anterior cervical fusion 2/28/11 is practically invisible now). I hope for further advances in adhesion barriers especially for those that do. My wife keloids very easily and I'm hoping she never requires surgery.