Preoperative bowel preparation before elective colorectal surgery

被引：0

作者：

Rogers, Susanne ^{[1
]}

机构：

[1] Klinikum Penzberg, Abt Allgemein & Viszeralchirurg, Schlossbichl 7, D-82377 Penzberg, Germany

来源：

COLOPROCTOLOGY | 2022年 / 44卷 / 05期

关键词：

Microbiome; Antibiotic prophylaxis; Decontamination; Bowel evacuants; Postoperative complications; SURGICAL SITE INFECTION; DIGESTIVE-TRACT; CANCER SURGERY; DECONTAMINATION;

D O I：

10.1007/s00053-022-00639-4

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Despite progress that has been made in the field of elective colorectal surgery with the implementation of minimally invasive surgery and optimized perioperative management of patients, postoperative infectious complications still pose a problem. Whether optimized preparation of the patient can help prevent this has occupied surgeons for more than half a century. After having introduced bowel preparation over 50 years ago this strategy was partially abandoned towards an almost complete elimination of bowel preparation. The discussion at this time is no longer whether we should perform bowel preparation, but more whether mechanical bowel preparation in combination with oral antibiotics or possibly oral antibiotics alone are enough to lower the rate of infectious complications.

引用

页码：361 / 369

页数：9

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