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2019, Number 1

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Acta Med 2019; 17 (1)

Colon preparation for elective colorectal surgery

Arredondo OMA, Hernández AJF, Villanueva SE

Language: Spanish
References: 31
Page: 33-37
PDF size: 150.08 Kb.


ABSTRACT

Bowel preparation prior to an elective colorectal surgery is controversial. Throughout the last two decades, evidence has suggested that mechanical bowel preparation on its own does not offer a significant benefit in preventing infectious complications or other causes of patient morbidity, and that it should be abandoned. These findings contradict a practice that was considered a surgical dogma for almost a century. On the other hand, the combined use of oral antibiotics and mechanical bowel preparation has proved to be significantly effective in reducing surgical site infection, anastomotic leak, postoperative ileus, hospital stay, readmission and mortality, compared to mechanical bowel preparation only or no preparation. High-level evidence studies that prove that this practice should be universally adopted are still lacking. In the meantime, current available evidence suggests that the combination of mechanical preparation and oral antibiotics should be used in order to reduce morbidity and mortality in these patients.


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