Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial

Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Scabini, Stefano [verfasserIn] Rimini, Edoardo Romairone, Emanuele Scordamaglia, Renato Damiani, Giampiero Pertile, Davide Ferrando, Valter

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Bowel Preparation Primary Anastomosis Mechanical Bowel Preparation Mechanical Preparation Elective Colon

Anmerkung:	© Scabini et al; licensee BioMed Central Ltd. 2010

Übergeordnetes Werk:	Enthalten in: World journal of surgical oncology - London : Biomed Central, 2003, 8(2010), 1 vom: 30. Apr.
Übergeordnetes Werk:	volume:8 ; year:2010 ; number:1 ; day:30 ; month:04

Links:	Volltext

DOI / URN:	10.1186/1477-7819-8-35

Katalog-ID:	SPR028815696

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520			\|a Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation.
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allfields	10.1186/1477-7819-8-35 doi (DE-627)SPR028815696 (SPR)1477-7819-8-35-e DE-627 ger DE-627 rakwb eng Scabini, Stefano verfasserin aut Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scabini et al; licensee BioMed Central Ltd. 2010 Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213 Rimini, Edoardo aut Romairone, Emanuele aut Scordamaglia, Renato aut Damiani, Giampiero aut Pertile, Davide aut Ferrando, Valter aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 30. Apr. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:30 month:04 https://dx.doi.org/10.1186/1477-7819-8-35 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 30 04
spelling	10.1186/1477-7819-8-35 doi (DE-627)SPR028815696 (SPR)1477-7819-8-35-e DE-627 ger DE-627 rakwb eng Scabini, Stefano verfasserin aut Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scabini et al; licensee BioMed Central Ltd. 2010 Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213 Rimini, Edoardo aut Romairone, Emanuele aut Scordamaglia, Renato aut Damiani, Giampiero aut Pertile, Davide aut Ferrando, Valter aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 30. Apr. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:30 month:04 https://dx.doi.org/10.1186/1477-7819-8-35 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 30 04
allfields_unstemmed	10.1186/1477-7819-8-35 doi (DE-627)SPR028815696 (SPR)1477-7819-8-35-e DE-627 ger DE-627 rakwb eng Scabini, Stefano verfasserin aut Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scabini et al; licensee BioMed Central Ltd. 2010 Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213 Rimini, Edoardo aut Romairone, Emanuele aut Scordamaglia, Renato aut Damiani, Giampiero aut Pertile, Davide aut Ferrando, Valter aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 30. Apr. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:30 month:04 https://dx.doi.org/10.1186/1477-7819-8-35 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 30 04
allfieldsGer	10.1186/1477-7819-8-35 doi (DE-627)SPR028815696 (SPR)1477-7819-8-35-e DE-627 ger DE-627 rakwb eng Scabini, Stefano verfasserin aut Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scabini et al; licensee BioMed Central Ltd. 2010 Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213 Rimini, Edoardo aut Romairone, Emanuele aut Scordamaglia, Renato aut Damiani, Giampiero aut Pertile, Davide aut Ferrando, Valter aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 30. Apr. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:30 month:04 https://dx.doi.org/10.1186/1477-7819-8-35 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 30 04
allfieldsSound	10.1186/1477-7819-8-35 doi (DE-627)SPR028815696 (SPR)1477-7819-8-35-e DE-627 ger DE-627 rakwb eng Scabini, Stefano verfasserin aut Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scabini et al; licensee BioMed Central Ltd. 2010 Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213 Rimini, Edoardo aut Romairone, Emanuele aut Scordamaglia, Renato aut Damiani, Giampiero aut Pertile, Davide aut Ferrando, Valter aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 30. Apr. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:30 month:04 https://dx.doi.org/10.1186/1477-7819-8-35 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 30 04
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source	Enthalten in World journal of surgical oncology 8(2010), 1 vom: 30. Apr. volume:8 year:2010 number:1 day:30 month:04
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Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. 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author	Scabini, Stefano
spellingShingle	Scabini, Stefano misc Bowel Preparation misc Primary Anastomosis misc Mechanical Bowel Preparation misc Mechanical Preparation misc Elective Colon Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial
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topic_title	Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial Bowel Preparation (dpeaa)DE-He213 Primary Anastomosis (dpeaa)DE-He213 Mechanical Bowel Preparation (dpeaa)DE-He213 Mechanical Preparation (dpeaa)DE-He213 Elective Colon (dpeaa)DE-He213
topic	misc Bowel Preparation misc Primary Anastomosis misc Mechanical Bowel Preparation misc Mechanical Preparation misc Elective Colon
topic_unstemmed	misc Bowel Preparation misc Primary Anastomosis misc Mechanical Bowel Preparation misc Mechanical Preparation misc Elective Colon
topic_browse	misc Bowel Preparation misc Primary Anastomosis misc Mechanical Bowel Preparation misc Mechanical Preparation misc Elective Colon
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title	Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial
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title_full	Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial
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author_browse	Scabini, Stefano Rimini, Edoardo Romairone, Emanuele Scordamaglia, Renato Damiani, Giampiero Pertile, Davide Ferrando, Valter
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title_sort	colon and rectal surgery for cancer without mechanical bowel preparation: one-center randomized prospective trial
title_auth	Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial
abstract	Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. © Scabini et al; licensee BioMed Central Ltd. 2010
abstractGer	Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. © Scabini et al; licensee BioMed Central Ltd. 2010
abstract_unstemmed	Background Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. Methods Patients undergoing elective colon and rectal resections with primary anastomosis were prospectively randomized into two groups. Group A had mechanical bowel preparation with polyethylene glycol before surgery, and group B had their surgery without preoperative mechanical bowel preparation. Patients were followed up for 30 days for wound, anastomotic, and intra-abdominal infectious complications. Results Two hundred forty four patients were included in the study, 120 in group A and 124 in group B. Demographic characteristics, type of surgical procedure and type of anastomosis did not significantly differ between the two groups. There was no difference in the rate of surgical infectious complications between the two groups but the overall infectious complications rate was 20.0% in group A and 11.3% in group B (p .05). Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. Conclusions These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation. © Scabini et al; licensee BioMed Central Ltd. 2010
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title_short	Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial
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author2	Rimini, Edoardo Romairone, Emanuele Scordamaglia, Renato Damiani, Giampiero Pertile, Davide Ferrando, Valter
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up_date	2024-07-03T21:53:48.916Z
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Wound infection (p = 0.18), anastomotic leak (p = 0.52), and intra-abdominal abscess (p = 0.36) occurred in 9.2%, 5.8%, and 5.0% versus 4.8%, 4.0%, and 2.4%, respectively. No mechanical bowel preparation seems to be safe also in rectal surgery. 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Colon and rectal surgery for cancer without mechanical bowel preparation: One-center randomized prospective trial

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