You will be presented with the full text of a biomedical research paper. Please write an abstract for this paper. Your response should include the abstract and no additional text.

Paper text:
complete small bowel obstruction ( sbo ) is usually treated surgically because bowel strangulation can not be excluded with certainty .
laparoscopy has been proposed as an effective management although the conversion rate to open surgery from the laparoscopic approach can often be quite high .
common reasons for conversion include inadequate visualization due to distended small bowel , iatrogenic perforations , gangrenous small bowel , and the inability to adequately relieve obstruction laparoscopically .
we report a case of sbo with dense adhesions and intestinal infarction successfully treated with laparoscopy .
a 40-year - old female presented at midnight to the emergency room complaining of severe abdominal pain .
she admitted to a 2-day history of abdominal pain which was constant and non - radiating . throughout the duration of the pain , she was nauseated and vomited twice .
her past medical history was significant for polycystic ovarian syndrome and her previous surgeries included a cesarean section performed in 1995 and a total abdominal hysterectomy two years later through the previous pfannenstiel incision . on examination , she was in moderate distress and her vitals were within normal limits .
abdominal examination revealed mild distention and generalised moderate tenderness in the lower abdomen without guarding .
area in pelvis of concern for close - loop sbo ct scan of the abdomen and pelvis revealed wall thickening and dilation of a few loops of small bowel located in the pelvis .
we were not able to exclude closed loop obstruction ( fig . 1 & 2 )
. pelvis , distended sbo the initial management consisted of a ng tube insertion , iv hydration , and serial abdominal exams .
later , the patient was taken to the operating room due to the significant worsening of her pain .
the abdomen was insufflated via the umbilicus with a veress needle and a 5 mm port was placed .
3 ) , but a segment of 1.5 feet was ischemic and surrounded by dense adhesions ( fig .
this segment was resected and a side - to - side anastomosis was performed ( fig .
pod 1 bowel function returned and she was started on a clear liquid diet . on pod 2 the patient was started on a regular diet and was discharged home the following morning . on pod 8
she was seen in the office and by then had returned to her baseline level of functioning .
acute sbo has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate ( 1 ) .
a retrospective study comparing laparoscopic vs. open surgery showed a conversion rate of 32% . in a large systematic review of 1061 cases of sbo ,
705 were treated laparoscopically while the conversion rate was 33.5%.(2 ) most common causes for conversion were dense adhesions ( 27.7% ) , ischemic bowel ( 23.1% ) , unidentified etiology , iatrogenic injury , malignancy , inadequate visualization , hernia and other causes ( 1,2 ) .
studies have recommended that if a conversion to an open lysis of adhesions is necessary , it should be done sooner rather than later to reduce post - operative morbidity ( 3 ) .
some surgeons recommend performing a mini - laparotomy near the site of occlusion when detected via the laparoscopic approach .
however , in the case of our patient , her outcome was quite good despite not following this recommendation and simply removing the ischemic bowel section laparoscopically .
( 4 ) given the relatively high rate of conversion , it would be beneficial to establish proper guidelines for conversion in the future , particularly as the laparoscopic approach becomes more of a mainstay of sbo treatment .
( 5 - 7 ) many surgeons consider the laparoscopic approach to be safer than an open lysis of adhesions .
( 8) surgery which lasts less than 120 minutes is known to be associated with lower postoperative mortality , making the laparoscopic approach more desirable for both the surgeon and the patient ( 7 ) .
this approach results in earlier return of bowel function , shorter hospital stay , faster overall recovery , and decreased morbidity when compared to laparotomy ( 5,9 ) .
however , these findings have not yet been confirmed in a randomized trial ( 9 ) .
many surgical interventions are now performed laparoscopically . as surgeons levels of confidence with laparoscopy continue to build and as safer and more cost - effective techniques
are introduced , some of the reasons for conversion to laparotomy as listed above will likely be reduced or perhaps eliminated altogether .
this in turn will decrease morbidity in our patients and increase the acceptance of laparoscopic management for sbo .
clinical trials may be needed to prove a clear benefit with laparoscopic management of sbo as opposed to conventional open surgery .
obstruction is the most common surgical disorder of the small bowel . 
 complete small bowel obstruction ( sbo ) is usually treated surgically because bowel strangulation can not be excluded with certainty . 
 acute sbo has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate . 
 we present a case of sbo for which laparoscopic management resulted in earlier return of bowel function , shorter hospital stay , faster overall recovery , and decreased morbidity when compared to laparotomy .