Your points are well made- you can tell you have done a lot of research on adhesions. Unfortunately I have had most of the same arguments put forth in multiple other emails sent to me individually. It seems only when someone has something nasty to say do they post it on the message board. When someone has a reasonable argument or a "you're right, that happened to me" story, they send me a private email.
I think I will bow out of this message board. The reasoning has become circular and no one has yet to show me that any of this makes a difference. Even you yourself said that they often encounter adhesions when they do a second look laparoscopy- what's to prevent adhesion formation from the second look laparoscopy? And again, there have been five or more products (e.g. Intercede, Seprafilm, Integrel (?sp??)) that have been the 'solution' to adhesions- none have cleared the hurdles of medical trials. Spraygel sounds promising, but so did these others.
Your most salient point is that of 'dashing hopes' on the message board. My postings have been critical and skeptical. Your board serves as a 'support group' for women who have a poorly understood and poorly treated condition. They need hope because sometimes that is all they have (in my opinion). My goal was to prevent someone from self harm and I do believe there is a lot of dangerous information on your site (??how to disimpact yourself??). But rigorous clinical skepticism is better suited at a medical convention or in academic institution and not on a support-group website. I do hope that something is found soon that treats/prevents adhesions.