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Surg Infect (Larchmt). 2008 Dec;9(6):563-5. doi: 10.1089/sur.2008.9957.

Mechanical bowel preparation or not for elective colorectal surgery.

Author information

1
Veterans Affairs Boston Health Care System and Boston University School of Medicine, Boston, Massachusetts, USA. kitani@med.va.gov

Abstract

BACKGROUND:

Mechanical bowel preparation has been a mainstay in the management of patients undergoing elective colorectal surgery, but in recent years, this practice has been challenged; and a number of clinical reports have demonstrated no benefit, as judged by reduction of surgical site infections. This paper presents the advantages and disadvantages of mechanical bowel preparation.

METHODS:

Review of the pertinent English language literature.

RESULTS:

Some published studies support omission of mechanical preparation of the colon prior to elective colo-rectal surgery. However, the evidence is not definitive, in that the most rigorous study performed to date, a large, randomized trial, is non-confirmatory.

CONCLUSIONS:

Additional stratified studies of different mechanical bowel preparation methods, compared with no preparation, are required to address whether the practice should be abandoned.

PMID:
19216667
DOI:
10.1089/sur.2008.9957
[Indexed for MEDLINE]

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