I have been intrigued by 2 cases of adhesions , One in a  patient operated for ileal atresia and the other with NEC. What is the pathology behind this? Does the type of intestinal surgery or any defect ( vascular , chemical , duration of surgery) affect occurence of adhesions? Is there any way to protect it during surgery ? And any ways to conservatively manage and till when surgery can be delayed? Kindly post your opinions and evidence for this.

Do you mean that there are internal / abdominal adhesions that interfere with intestinal function?

Yes, adhesion happen leading to second or third surgery due to the obstruction they produce. So i want to know what is the reason in some baby they are abundant and recurrent whereas in some it is negligible. ? If we know this may be some method can be looked for reducing the recurrence and chances of second surgery due to adhesions.