Preoperative Bowel Cleansing in Elective Colorectal Surgery
Preoperative Bowel Cleansing in Elective Colorectal Surgery
Preoperative Bowel Cleansing in Elective Colorectal Surgery
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<strong>Preoperative</strong> <strong>Bowel</strong> <strong>Cleans<strong>in</strong>g</strong> <strong>in</strong> <strong>Elective</strong><br />
<strong>Colorectal</strong> <strong>Surgery</strong>: A Systematic Review<br />
• Systematic review, 6 RCTs<br />
<strong>Cleans<strong>in</strong>g</strong> None OR P<br />
Anastomotic leaks 5.5% 2.9% 1.94 .02<br />
Peritonitis 5.1% 2.8% 1.90 ns<br />
Wound <strong>in</strong>fection 7.4% 5.7% 1.34 ns<br />
Conclusions<br />
– No evidence for beneficial effects from bowel cleans<strong>in</strong>g<br />
– <strong>Cleans<strong>in</strong>g</strong> seems associated with � risk of anastomotic dehiscence<br />
Cochrane <strong>Colorectal</strong> Cancer Group. Dis Col Rec 2003;46:1013
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