Adhesions are by far the most likely cause of SBO in patients without previous abdominal surgery followed by a small number of newly diagnosed malignancies. Both prevalences are in equal proportion to patients with previous abdominal surgery. A trial of nonoperative management may therefore be justified.

The implementation of a SAPU has benefited the management of patients with acute surgical conditions. Ultimately, patient care is enhanced, with patients being reviewed, admitted, and treated earlier.

Aim To review the use of Rouviere's sulcus as an anatomical guard during laparoscopic cholecystectomy. Patients and Methods Anatomical review, not directly involving patients. A review of major anatomical texts, surgical texts and the pubmed database was conducted for all texts or articles pertaining to Rouviere's sulcus. Results The use of Rouviere's sulcus during laparoscopic cholecystectomy results in an additional anatomic guard against biliary tract injury, however proper anatomical exposure is required to maximize the utility of this landmark. Conclusion When combined with other anatomical guards, Rouviere's sulcus is a useful adjunct in the prevention of biliary tract injury.