World Journal of Laparoscopic Surgery

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VOLUME 4 , ISSUE 3 ( September-December, 2011 ) > List of Articles


The Role of Mechanical Bowel Preparation in Gynecologic Laparoscopy

JA Maseloane

Citation Information : Maseloane J. The Role of Mechanical Bowel Preparation in Gynecologic Laparoscopy. World J Lap Surg 2011; 4 (3):166-168.

DOI: 10.5005/jp-journals-10007-1137

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2011; The Author(s).


Various combinations of dietary restriction, antibiotic regimens and mechanical preparations have become routine in preoperative surgical planning for elective colon surgery. This practice has also become commonplace in the field of gynecology, either for planned bowel surgery or in complex cases that are believed to be high risk for inadvertent bowel injury. As the trend in gynecologic surgery shifts toward more minimally invasive approaches, the complexity of cases being performed by laparoscopy and robotics continues to increase. In addition, laparoscopic surgical techniques have a different set of inherent risks and challenges as compared with open pelvic operations. This review summarizes the available data surrounding the use of mechanical bowel preparations, specifically with regard to gynecologic laparoscopy.

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  1. Mechanical bowel preparation in gynaecological surgery—are we doing more harm than good? S Afr Med J 2007;97:1040,1042-43.
  2. Twentyfour hours preparation of the large bowel for surgery using neomycin-sulfathalidine or neomycin-oxytetracycline: A comparative evaluation. Ann Surg 1958;147:359-65.
  3. Polyethylene glycol versus sodium phosphate mechanical bowel preparation in elective colorectal surgery. Am J Surg 2007;193:190-94.
  4. Comparative study between polyethylene glycol and sodium phosphate solution in elective colorectal surgery. J Med Assoc Thai 2002;85:92-96.
  5. A survey of clinical trials of antibiotic prophylaxis in colon surgery: Evidence against further use of no-treatment controls. N Engl J Med 1981;305: 795-99.
  6. Veterans administration cooperative study on bowel preparation for elective colorectal operations: Impact of oral antibiotic regimen on colonic flora, wound irrigation cultures, and bacteriology of septic complications. Ann Surg 1978;188:249-54.
  7. Prospective, randomised study on antibiotic prophylaxis in colorectal surgery. Is it really necessary to use oral antibiotics? Int J Colorectal Dis 2005;20:542-46.
  8. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev 2009;1 CD001544.
  9. Circular suture of the intestine: An experimental study. Am J Med Sci 1887;94:436-61.
  10. Randomized clinical trial of mechanical bowel preparation versus no preparation before elective left-sided colorectal surgery. Br J Surg 2005;92:409-14.
  11. Asepsis in large-bowel surgery. Ann R Coll Surg Engl 1972;51:347-56.
  12. Primary restorative colectomy in malignant left-sided large bowel obstruction. Ann R Coll Surg Engl 1990;72:393-95.
  13. Spontaneous bacterial peritonitis during bowel preparation: An example of clinical translocation. South Med J 1991;84:1412-13.
  14. Aggressive bowel preparation does not enhance bacterial translocation, provided the mucosal barrier is not disrupted: A prospective, randomized study. Dis Colon Rectum 1998;41:636-41.
  15. Morphologic alterations associated with mechanical bowel preparation before elective colorectal surgery: A randomized trial. Dis Colon Rectum 2006;49:109-12.
  16. Bowel preparation is associated with spillage of bowel contents in colorectal surgery. Dis Colon Rectum 2005;48:1626-31.
  17. Patterns in current preoperative practice: Survey of colorectal surgeons in five Northern European countries. BMJ 2005;330:1420-21.
  18. Bowel injury as a complication of laparoscopy. Br J Surg 2004;91:1253-58.
  19. Mechanical bowel preparation before gynecologic laparoscopy: A randomized, single-blind, controlled trial. Fertil Steril 2006;85:689-93.
  20. Bowel preparation before laparoscopic gynaecological surgery in benign conditions using a 1 week low-fibre diet: A surgeon blind, randomized and controlled trial. Arch Gynecol Obstet 2009;280:713-18.
  21. The perioperative management of patients with gynaecological cancer undergoing major surgery: A debated clinical challenge. Crit Rev Oncol Hematol 2010;73:126-40.
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