Abstract
Classifications of abdominal adhesive disease developed to date are not universal, which is associated with polyetiology, the versatility of local and systemic manifestations of the disease, high requirements for prognostic value and objectification of the pathological process. Classifications with a large number of variables do not often become popular due to their complicatedness, and too simple assessment systems cannot reflect all the features of the disease. This paper presents an attempt to distribute all known classifications by specific features, with their subsequent analysis, and proposes the authors’ version to classify adhesions and adhesive disease of the abdominal cavity. The presence of a unified system to assess the adhesive process, working both in experimental and clinical conditions, will allow achieving reproducible, standardized results required to implement principles of evidence-based medicine.