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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

versão impressa ISSN 0102-6720

Resumo

LINS-NETO, Manoel Álvaro de Freitas; LEAO, Myra Jurema da Rocha; ALVES, Elton Correia  e  FONTAN, Alberto Jorge. Colon mechanical preparation is necessary as routine in medical care?. ABCD, arq. bras. cir. dig. [online]. 2012, vol.25, n.1, pp. 25-28. ISSN 0102-6720.  http://dx.doi.org/10.1590/S0102-67202012000100006.

BACKGROUND: The value of the preparation of the colon prior colorectal surgery remains debatable. Since installed as traditional the use of this routine, few  studies  have been conducted to support  the safety of surgeries done without mechanical bowel preparation. AIM: To determine if there is a correlation between postoperative complications and no use of mechanical bowel preparation in operated patients. METHODS: Was conducted a prospective study in patients undergoing coloproctology abdominal surgery without  prior bowel preparation. RESULTS: The sample consisted of 126 patients, 57 men and 69 women. The average age was 54 years (19 to 89). Among patients who had comorbidities (43 patients - 34,12%), 30 (23,80%) had arterial hypertension. Antibiotic prophylaxis was used in 89,70%. Among the patients, 14,28% had complications: eight (6,34%) wound infection, six (4,76%) anastomotic dehiscence and four (3,17%) fistula. CONCLUSION: The pre-operative mechanical bowel preparation  is not essential in the routine of colorectal surgeries.

Palavras-chave : Colorectal surgery; Colon; Surgical wound infection.

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