Abstract | PURPOSE: Efficient mechanical bowel preparation has been regarded as essential in preventing postoperative complications of colorectal surgery, but the necessity of bowel cleansing has been disputed recently. The aim of this study was to evaluate the outcome of elective colorectal surgery in patients with or without bowel preparation. METHODS: Altogether, 267 consecutive adult patients admitted for elective open colorectal surgery were randomly assigned either to the bowel preparation group with oral polyethylene glycol electrolyte solution (138 patients) or no preparation group (129 patients). Patients who were unable to drink polyethylene glycol electrolyte solution, those who had had bowel preparation within the previous week, and patients not needing opening of the bowel were excluded. Routine colorectal surgery was undertaken, and infectious and other complications were registered daily. Late complications were checked up one to two months after surgery. RESULTS: CONCLUSIONS: Preoperative bowel preparation seems to offer no benefit in elective open colorectal surgery.
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Authors | R P Miettinen, S T Laitinen, J T Mäkelä, M E Pääkkönen |
Journal | Diseases of the colon and rectum
(Dis Colon Rectum)
Vol. 43
Issue 5
Pg. 669-75; discussion 675-7
(May 2000)
ISSN: 0012-3706 [Print] United States |
PMID | 10826429
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Colectomy
- Colorectal Neoplasms
(surgery)
- Colostomy
- Humans
- Inflammatory Bowel Diseases
(surgery)
- Middle Aged
- Polyethylene Glycols
(administration & dosage)
- Postoperative Complications
(etiology)
- Preoperative Care
- Prospective Studies
- Therapeutic Irrigation
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