Räty P, Mentula P, Haukijärvi E, Juusela R, Wilkström H, Koivukangas V et al.
JAMA Surg 2026; 161: 381-388.
Some 100 patients were included, and recurrence of small bowel obstruction was not different between groups at 1,5 years. Quality of life and incisional hernia rates were similar.
Comment: The only RCT in this space confirms laparoscopy offers no long-term advantage over open adhesiolysis.



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