J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 229KB） [Members Only]

J.Jpn. Surg. Soc.. 116(4): 232-235, 2015

Feature topic

IMPACT OF PREOPERATIVE BOWEL PREPARATION ON PREVENTION OF SURGICAL SITE INFECTION

1) Department of Innovative Surgery and Surgical Techniques Development, Mie University Graduate School of Medicine, Tsu, Japan
2) Department of Gastrointestinal Surgery and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan

Minako Kobayashi1), Masato Kusunoki1)2)

Preoperative preparation of the bowel includes two methods, mechanical bowel preparation (MBP) to remove gross feces and oral antibiotic bowel preparation (OABP) to reduce the colonic bacterial load. MBP and OABP have been performed since the 1940s to 1950s. MBP is routinely performed to reduce the morbidity and mortality of elective colorectal surgery and has been a surgical dogma since the early 1970s. However, numerous prospective, randomized, controlled trials and meta-analyses have questioned the need for MBP in elective colorectal surgery, and a meta-analysis showed that significantly more anastomotic leaks were found after MBP. OABP decreases postoperative infectious complications considerably, although the results differ with the type of antibiotic used. Recently, several large retrospective studies have demonstrated that MBP plus OABP is associated with reduced postoperative infectious complications including surgical site infection rates after elective colorectal surgery. Further prospective, randomized trials of MBP and OABP alone and in combination should be conducted.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.