Dear Sir,Re: Durai R, Ng PC. Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach. J Min Access Surg 2011;7:239-41.Further to the letter of Vagholkar,[1] we are disappointed that the paper has been misrepresented.The paper clearly states that the 3.5 mm polyp removed was pedunculated benign adenomatous but omits to confirm that the follow-up colonoscopy a year later was clear.The description of the onset of the symptoms on the article is ‘sudden.’The perforation as illustrated is on the anti-mesenteric border, and we are at pains to point out that this method is not doable if the colon is not mobile enough to reach the anterior abdominal wall.The article also points out that healthy bowel around the perforation allowed the formation of the stoma.Laparoscopy as demonstrated in this case affords the best possible access to allow thorough lavage of the peritoneal cavity and rapid recovery as evidenced by the minimal in-patient stay of 48 hours.