ELN and Ito hypomelanosis: The protective effect of elastin has been shown in IPA formation and development of SG, and it is believed that SG, abdominal scar and peritoneal adhesion formation share similar pathways of tissue healing.10 The aim of this study was to investigate whether SG and abdominal scar characteristics have any predictive value for the severity of IPA in patients who have undergone scheduled second CS.