Bowel preparation before microvascular free colon transfer for head and neck reconstruction: is it necessary?

Plastic and Reconstructive Surgery
Samir MardiniGuan-Ming Feng

Abstract

Mechanical bowel preparation before any intestinal operation, especially when the large intestine is involved, is routine practice for most surgeons. This practice has been questioned by many colorectal surgeons, with convincing data showing the lack of benefit of preoperative mechanical bowel preparation. Free microvascular transfer of the large intestine is occasionally performed for reconstruction of the upper esophagus, as it provides a better size match for the oropharynx than other visceral organs. Nine patients underwent reconstruction of the cervical esophagus and voice tube using a segment of ileocolon. In all patients, the cervical esophagus was reconstructed using the ascending colon and the voice tube was reconstructed using the ileal segment. Both were transferred as one free flap. All patients underwent the procedure without any form of preoperative mechanical bowel preparation. The patients were able to tolerate a solid diet at the end of the mean follow-up period of 7 months, and all esophagograms showed no evidence of stricture formation. One patient developed a fistula at the recipient site that was treated with a regional flap, one patient developed a superficial wound infection of the abdominal wall, and one...Continue Reading

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Citations

Apr 18, 2015·Journal of Minimally Invasive Gynecology·Amy ArnoldJason Abbott
Oct 19, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·H-C ChenW H Hou
Jul 29, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dicle AksoylerHung-Chi Chen

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