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April 2010

Management of High-Grade Small-Bowel Obstruction—Reply

Author Affiliations

Author Affiliations: Departments of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Arch Surg. 2010;145(4):404-405. doi:10.1001/archsurg.2010.37

In reply

We would like to thank Dr Tabibian for his critical review of our article and insightful comments. In response to his first question, all of our operative cases were performed through a standard open laparotomy, as this is the practice at our institution. While we agree that laparoscopic adhesiolysis is technically feasible in carefully selected cases, there are limited data suggesting a shorter length of stay and fewer complications and no study demonstrating prevention of recurrent obstructive episodes.

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