Colon Surgery with & without Mechanical Bowel Preparation: A Comparative Study
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Mechanical bowel cleansing is part of routine preoperative preparation of patients planned for colectomy worldwide. The commonly used bowel preparation agent is polyethylene glycol, but this drug causes severe morbidity. We conducted a non-randomized interventional study to assess whether colonic surgery can be safely performed without mechanical bowel preparation. In this study 50 patients planned for elective colectomy were divided into two groups of 25 each. Group A was given mechanical bowel preparation in the form of 2000 ml of polyethylene glycol (Peglec, Tablets India Ltd) while Group B was not given mechanical bowel preparation. In both these groups outcome was noted in terms of wound infection & anastomotic leak. Wound infection was defined as a wound requiring partial or complete opening for drainage of purulent collection, or erythema requiring initiation of antibiotic treatment. Anastomotic leak was identified if demonstrated by imaging or documented in surgery, or if feculent drainage was evident through a perianastomotic drain. Out of the 25 patients in Group A, 15 developed wound infection & 11 out of 25 developed wound infection in Group B. There was no statistical difference between the two groups in this regard. Similarly 3 out of 25 in Group A & nil patients in Group B developed anastomotic leak, the difference was not statistically significant. Other parameters such as return of bowel sound & post-operative hospital stay were found to be similar. Passage of flatus post-operatively was found to be significantly earlier in Group B.
Authors and Affiliations
L. Manikandan, Rajan Kumar T
Keywords
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