I had a SBO caused by adhesions about 3 months after my second bowel resection surgery (I had one and then another 10 days later due to a leak). They waited a week for it to resolve and it didn’t; so surgeon did a laproscopic repair. During that repair, he thinks he nicked my small bowel and I developed an abscess. This eventually turned into a fistula and they just couldn’t do any more surgeries as my body needed a break. I “lived” with the fistula for three months (it was an enterocutaneous fistula) and it was very hard in my body and my skin. I lost a lot of weight and felt awful all the time. It ultimately broke loose and perforated the bowel requiring emergent surgery. I became septic and needed a ventilator and was hospitalized for five weeks. Even though laproscopic is less invasive, they need a lot of space. I had more complications from that surgery than any of the other three open surgeries I had during that six months. My point is, don’t get fixated on avoiding open surgery if you have more chance of success with it.