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This can be made by means of a perfect suture of the posterior peritoneum, reducing the incidence of complications such as graft infection, aortoenteric fistula and intestinal adhesions (Kleinman et al.
The most common organic conditions include intestinal adhesions, (6,7) biliary causes, (8,9) and appendicular causes, (10) while functional conditions include irritable bowel disease, (11) functional dyspepsia, (12) and various motility disorders.
However, if the patient has had a prior paramedian or midline incision, extensive omental and intestinal adhesions are likely and can make entry difficult and increase the risk of intestinal injury.