The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
Objectives To reduce the risk of postoperative infectious complications and anastomotic leakage in colorectal surgery, preoperative mechanical bowel preparation (MBP) is performed routinely. The aim of this study was to evaluate the safety of primary anastomosis in elective colorectal surgery withou...
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| Format: | Article |
| Language: | English |
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Kosin University College of Medicine
2012-12-01
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| Series: | Kosin Medical Journal |
| Subjects: | |
| Online Access: | http://www.kosinmedj.org/upload/pdf/ksmc027-02-05.pdf |
| _version_ | 1811325584942301184 |
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| author | Chul-Min Lee Seung-Hyun Lee Byung-Kwon Ahn Sung-Uhn Baek |
| author_facet | Chul-Min Lee Seung-Hyun Lee Byung-Kwon Ahn Sung-Uhn Baek |
| author_sort | Chul-Min Lee |
| collection | DOAJ |
| description | Objectives To reduce the risk of postoperative infectious complications and anastomotic leakage in colorectal surgery, preoperative mechanical bowel preparation (MBP) is performed routinely. The aim of this study was to evaluate the safety of primary anastomosis in elective colorectal surgery without MBP. Methods From Jan. 2005 to Dec. 2006, three hundred and seventy-nine patients of elective colorectal surgery with primary anastomosis were performed with MBP in 352 cases (Prep group) and without MBP in 24 cases (Non-prep group). For preoperative MBP, 4 liters of polyethylene glycol solution was administered. Postoperative infectious complications and other morbidity were reviewed with medical records and prospectively collected data. Results Demographic, clinical and treatment characteristics did not differ significantly between the two groups. The overall rate of abdominal infectious complications (wound infection, anastomotic leak) was 2.9 % in the Prep group and 9 % in the Non-prep group (P > 0.05). Anastomotic leak occurred in nine patients (2.6%) in the Prep group and one (4.5%) in the Non-prep group. Conclusions The incidence of infectious complications after elective colorectal surgery without MBP did not differ significantly compare to that with MBP. However, prospective, randomized clinical trial is needed to assess the safety of primary anastomosis in elective colorectal surgery without MBP. |
| first_indexed | 2024-04-13T14:36:58Z |
| format | Article |
| id | doaj.art-714343f960214dc181e0b1d0a398ae02 |
| institution | Directory Open Access Journal |
| issn | 2005-9531 |
| language | English |
| last_indexed | 2024-04-13T14:36:58Z |
| publishDate | 2012-12-01 |
| publisher | Kosin University College of Medicine |
| record_format | Article |
| series | Kosin Medical Journal |
| spelling | doaj.art-714343f960214dc181e0b1d0a398ae022022-12-22T02:43:01ZengKosin University College of MedicineKosin Medical Journal2005-95312012-12-0127210511010.7180/kmj.2012.27.2.1053The Safety of Elective Colorectal Surgery without Mechanical Bower PreparationChul-Min Lee0Seung-Hyun Lee1Byung-Kwon Ahn2Sung-Uhn Baek3Department of Surgery, College of Medicine, Kosin University, Busan, Korea.Department of Surgery, College of Medicine, Kosin University, Busan, Korea.Department of Surgery, College of Medicine, Kosin University, Busan, Korea.Department of Surgery, College of Medicine, Kosin University, Busan, Korea.Objectives To reduce the risk of postoperative infectious complications and anastomotic leakage in colorectal surgery, preoperative mechanical bowel preparation (MBP) is performed routinely. The aim of this study was to evaluate the safety of primary anastomosis in elective colorectal surgery without MBP. Methods From Jan. 2005 to Dec. 2006, three hundred and seventy-nine patients of elective colorectal surgery with primary anastomosis were performed with MBP in 352 cases (Prep group) and without MBP in 24 cases (Non-prep group). For preoperative MBP, 4 liters of polyethylene glycol solution was administered. Postoperative infectious complications and other morbidity were reviewed with medical records and prospectively collected data. Results Demographic, clinical and treatment characteristics did not differ significantly between the two groups. The overall rate of abdominal infectious complications (wound infection, anastomotic leak) was 2.9 % in the Prep group and 9 % in the Non-prep group (P > 0.05). Anastomotic leak occurred in nine patients (2.6%) in the Prep group and one (4.5%) in the Non-prep group. Conclusions The incidence of infectious complications after elective colorectal surgery without MBP did not differ significantly compare to that with MBP. However, prospective, randomized clinical trial is needed to assess the safety of primary anastomosis in elective colorectal surgery without MBP.http://www.kosinmedj.org/upload/pdf/ksmc027-02-05.pdfcolorectal surgerycomplicationmechanical bowel preparation |
| spellingShingle | Chul-Min Lee Seung-Hyun Lee Byung-Kwon Ahn Sung-Uhn Baek The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation Kosin Medical Journal colorectal surgery complication mechanical bowel preparation |
| title | The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation |
| title_full | The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation |
| title_fullStr | The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation |
| title_full_unstemmed | The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation |
| title_short | The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation |
| title_sort | safety of elective colorectal surgery without mechanical bower preparation |
| topic | colorectal surgery complication mechanical bowel preparation |
| url | http://www.kosinmedj.org/upload/pdf/ksmc027-02-05.pdf |
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