PMID: 22569974May 10, 2012Paper

Colon mechanical preparation is necessary as routine in medical care?

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
Manoel Álvaro de Freitas Lins-NetoAlberto Jorge Fontan

Abstract

The value of the preparation of the colon prior colorectal surgery remains debatable. Since installed as traditional the use of this routine, few studies have been conducted to support the safety of surgeries done without mechanical bowel preparation. To determine if there is a correlation between postoperative complications and no use of mechanical bowel preparation in operated patients. Was conducted a prospective study in patients undergoing coloproctology abdominal surgery without prior bowel preparation. The sample consisted of 126 patients, 57 men and 69 women. The average age was 54 years (19 to 89). Among patients who had comorbidities (43 patients - 34,12%), 30 (23,80%) had arterial hypertension. Antibiotic prophylaxis was used in 89,70%. Among the patients, 14,28% had complications: eight (6,34%) wound infection, six (4,76%) anastomotic dehiscence and four (3,17%) fistula. The pre-operative mechanical bowel preparation is not essential in the routine of colorectal surgeries.

References

Jan 1, 1976·American Journal of Surgery·H H LeVeenM Patel
Jan 1, 1997·International Journal of Colorectal Disease·M A MemonS G From
Jul 25, 1998·Diseases of the Colon and Rectum·C Platell, J Hall
Jun 27, 2002·Gastrointestinal Endoscopy·Charles BerkelhammerRogelia G Silva
Aug 9, 2003·Diseases of the Colon and Rectum·Peer Wille-JørgensenDelcio Matos
Dec 22, 2004·Archives of Surgery·Pascal BucherPhilippe Morel
Jul 22, 2005·Surgery Today·Eline A VlotJoost M Klaase
Feb 6, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·George PeppasMatthew E Falagas
Oct 7, 2008·International Journal of Colorectal Disease·Gianpiero GravantePasquale Giordano

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