 |
|
Povidone-Iodine vs Sodium Hypochlorite Enema for Mechanical Preparation Before Elective Open Colonic or Rectal Resection With Primary Anastomosis—Invited Critique
Susan Galandiuk, MD
Arch Surg. 2006;141:1175.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Mechanical bowel preparation before elective colorectal resection has been intensely debated for almost 50 years. Recent reports suggest that bowel preparation may be associated with more complications than if none is given.1-3 This concept is supported by observations made following primary closure of traumatic colon injuries.4-5
Why do surgeons give patients preoperative bowel preparation and study different types of bowel preparations (as presented herein6)? There are several reasons. The first is ease of bowel handling. Second, for safety with respect to electrocautery (eg, with large amounts of fecal matter and bacteria), substantial amounts of combustible gases may be present within the colon. Third, with stapled colorectal anastomoses, solid stool within the distal colon or rectum could interfere with transanal stapler insertion and firing.
The elective at-home bowel preparation used today is a far cry from the in-hospital night-before-surgery bowel preparation used years ago. As the authors . . . [Full Text of this Article]
AUTHOR INFORMATION
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Povidone-Iodine vs Sodium Hypochlorite Enema for Mechanical Preparation Before Elective Open Colonic or Rectal Resection With Primary Anastomosis: A Multicenter Randomized Controlled Trial
Alain Valverde, Simon Msika, Reza Kianmanesh, Jean-Marie Hay, Anne-Cécile Couchard, Yves Flamant, Abe Fingerhut, Pierre-Louis Fagniez, and for the French Associations for Surgical Research
Arch Surg. 2006;141(12):1168-1174.
ABSTRACT
| FULL TEXT
|
