Oral Mechanical Bowel Preparation for Colorectal Surgery Executive Summary
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چکیده
In the United States, oral mechanical bowel preparation (OMBP), defined as the use of an oral preparation given prior to surgery to clear fecal material from the bowel lumen, is often prescribed preoperatively for patients undergoing elective colorectal surgery.1 OMBP is sometimes used as a precaution in anticipation of possible iatrogenic bowel injury during abdominal and pelvic surgeries that do not entail resection of the colon or rectum (e.g., urologic or gynecologic procedures). OMBP is also routinely prescribed prior to colonoscopy to allow maximal visualization of the intraluminal bowel during the procedure, although that use is not within the scope of this report.2
منابع مشابه
Preparation with Mechanical Bowel Cleansing or/and Oral Antibiotics or Nothing for Elective Colorectal Surgery: Two-Two-Arm Multicentre Randomised Controlled Studies (MECCLANT –C and –R Trials)
Background: Based on sound evidence, traditional mechanical bowel preparation for elective colorectal surgery has mostly been abandoned during the last two decades. However, more recent evidence from USA large databases show that mechanical bowel preparation combined with oral antibiotics, reduces significantly surgical site infections (SSI) after elective colorectal surgery. Hypothesis-Aim: We...
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This study looked at the Perioperative Antibiotic Prophylaxis (PAP) practice among 22 colorectal surgeons in Bahrain by way of a hand delivered questionnaire. Fourteen surgeons completed responses. For PAP, all fourteen used intravenous (IV) antibiotics in combination with mechanical bowel cleansing. Four (28.5%) used combined oral and IV PAP. One used IV antibiotics only. None used oral PAP al...
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Over the past few decades, surgeons have made many attempts to reduce the incidence of surgical site infections (SSI) after elective colorectal surgery. Routine faecal diversion is no longer practiced in elective colonic surgery and mechanical bowel preparation is on the verge of being eliminated altogether. Intravenous antibiotics have become the standard of care as prophylaxis against SSI for...
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