BOWEL PREPERATION;

CLINICAL OUTCOMES IN COLORECTAL SURGERY AFTER BOWEL PREPARATION AT PMC NAWABSHAH

Abstract

Introduction: The cleansing of intestinal contents, were considered the most
important factor in the prevention of complications by most of the surgeons. While morbidity
and mortality have been a matter of main concern in colorectal surgery during the past several
decades. Despite these drawbacks mechanical bowel preparation is till practiced by most of
the colorectal surgeons worldwide in elective colorectal surgery. So the aims of this study were
to find out the frequencies of wound infections, hospital stay, anastomotic leak and wound
dehiscence’s in patients of two cohorts underwent elective colorectal surgery. Study Design:
Prospective randomized control trial (RCT) study after having informed consent of participation
as per described policy. Setting: Surgical Unit – I of People’s University of Medical and Health
Sciences Nawabshah. Period: January 2012 to March 2016. Methods: 112 patients of both
genders from 20-65 years in age, who underwent for Elective open colorectal surgery. In MBP,
Sulphate and electrolyte free 136gm of polyethylence glycol (PEG) / two sachets with three liters
of water were begun over 12 to 16 hours, the day before surgery in cohorts A only. Results:
Regarding outcomes, wound infections were 12.5% and 16% in group A & B respectively. There
was no remarkable difference in post-operative length of hospital stay with mean stay of 8+2
and 9+2 in group A & B respectively. While disruption of anastomosis were 5.3% and 9% in
group A & B respectively, while the frequency of incisional hernia was same in both groups.
Conclusion: There is no benefit of enduring MBP in Elective Colorectal Surgery and can safely
be performed without it.