Ramona Guerne Has Been Admitted Through the Emergency Department for Severe

Ramona Guerne has been admitted through the emergency department for severe abdominal pain,distended abdomen,and fever.The surgery service has been consulted and has scheduled her for exploratory surgery.Ramona has undergone two abdominal surgeries in the past for "female problems" and states that she has a tendency to form keloids.A small bowel obstruction is suspected.Postoperative ileus is a common complication of open abdominal surgery.Select the procedure that is least likely to promote postoperative ileus formation in this patient.

A) Long (4-hour) laparoscopic procedure,with incidental peritonitis
B) Open small bowel resection with postoperative signs of pancreatitis
C) Laparoscopic lysis of adhesions with release of bowel torsion
D) Laparoscopic-assisted hemicolectomy with mild peritoneal inflammation

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