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
Related Articles
- EP ID EP211597
- DOI -
- Views 50
- Downloads 0
A Comparative Study of Induction and Recovery Characteristics of Propofol with that of Thiopentone
Background: Ambulatory surgery presents unique challenges for the anaesthetist. About 40- 60% of all surgical procedure could be performed in an out – patient surgery centre. Thiopentone sodium was considered as a standa...
Variation in the Origin of Left Hepatic Artery in North East Population
The Hepatic arterial anatomy is a gateway to successful hepatobiliary surgeries. It represents one of the many “lessons for general surgeon” as liver transplantation has become a novel life saving surgical procedure. Pre...
Cranial Ultrasound in High Risk Neonates
Cranial ultrasonography has become an essential diagnostic tool in modern neonatology for depicting normal anatomy and pathological changes in neonatal brain. In the neonate many sutures and fontanels are open and these...
Level of Satisfaction Determines the Attitude towards Treatment among Patients with Selected Life-Style Diseases Attending Outpatient Department – Experience from a Pilot Study in a Tertiary Care Hospital
Background: Adherence and positive attitude to treatment is greatly important for non-communicable diseases (NCDs). Satisfaction towards out-patient department (OPD) services influences the attitude towards treatment and...
Relationship Between Proprioception and Dynamic Balance in Knee Osteoarthritis
Background/Aim: Knee Osteoarthritis (OA) is a highly recognized cause for chronic disability in elders. Patients with knee OA show impairment of dynamic balance and high risk of falls. Poor proprioception was also identi...