I am a little skeptical about this idea of  "manually break up adhesions", I have never come across any information on that, and considering that adhesions are like skin I fail to see how these could be "broken up" as you say.  Surgery is the only way they can be removed, because just "cutting them" isn't effective either, because they will just re-attach to the same area, or find another.  Breaking them up as you say, would also cause the same affect I would think, they are still within the abdominal cavity & considered a "foreign body".... which means more adhesions would form to protect the organs from the "foreign body" invading that area.  Well, that's my understanding of why adhesions form in the first place.