Document Detail

Bowel preparation or not for elective colorectal surgery.
MedLine Citation:
PMID:  2395132     Owner:  NLM     Status:  MEDLINE    
The importance of bowel preparation in elective colorectal surgery has often been stressed. We have surveyed the current practice of bowel preparation and chemoprophylaxis amongst surgeons in Wales and the south-west of England. From this we identified one surgeon who used no preoperative preparation and his results are reported in detail. One hundred consecutive colorectal cases were studied from one surgeon (J.M.P-T.). There was a 7% incidence of wound infection and one anastomosis leaked. None of these patients had mechanical bowel preparation but all had antibiotic chemoprophylaxis. Mechanical bowel preparation is usual in the UK. These results demonstrate that its importance as a factor in wound infection and anastomotic dehiscence may be overstated.
G S Duthie; M E Foster; J M Price-Thomas; D J Leaper
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  35     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-10-09     Completed Date:  1990-10-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  169-71     Citation Subset:  IM    
Department of Surgery, Bristol Royal Infirmary, UK.
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MeSH Terms
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Cathartics / therapeutic use
Colon / surgery*
Middle Aged
Postoperative Complications / prevention & control*
Preoperative Care / methods*
Rectum / surgery*
Wound Infection / prevention & control
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Cathartics

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