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Table 4 Absolute and relative contraindications to laparoscopic adhesiolysis.

From: Feasibility of laparoscopy for small bowel obstruction

Absolute contraindicaions Relative contraindicaions
• Abdominal film showing a remarkable dilatation (> 4 cm) of small bowel [3, 10, 11, 24, 28, 49, 58] • Number of previous laparotomies > 2 [3, 11, 18, 27, 46]
• Signs of peritonitis on physical examination [3, 18, 58] • Multiple adherences [3, 18]
• Severe comorbidities: cardiovascular, respiratory and hemostatic disease [3, 18, 58]  
• Hemodynamic instability [58]