Barely Significant
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Laparoscopic adhesiolysis in acute small bowel obstruction: a preliminary experience.

JSLS · 1999 · PMC3015331 · PMID 10444013

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may be significantno p-value reported
To determine the site of obstruction, a large incision is usually required, and there may be significant manipulations of the bowel.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.