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HOME > Kosin Med J > Volume 27(2); 2012 > Article
Original Article
The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
Chul-Min Lee, Seung-Hyun Lee, Byung-Kwon Ahn, Sung-Uhn Baek
Kosin Medical Journal 2012;27(2):105-110.
DOI: https://doi.org/10.7180/kmj.2012.27.2.105
Published online: December 27, 2012

Department of Surgery, College of Medicine, Kosin University, Busan, Korea.

Corresponding Author: Seung-Hyun Lee, Department of Surgery, College of Medicine, Kosin University, 34 Amnam-dong, Seo-gu, Busan, 602-702, Korea. TEL: +82-51-990-6231, FAX: +82-51-246-6093, gscrslsh@hanmail.net
• Received: March 12, 2012   • Revised: July 21, 2012   • Accepted: August 5, 2012

Copyright © 2012 Kosin University College of Medicine

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  • Objectives
    To reduce the risk of postoperative infectious complications and anastomotic leakage in colorectal surgery, preoperative mechanical bowel preparation (MBP) is performed routinely. The aim of this study was to evaluate the safety of primary anastomosis in elective colorectal surgery without MBP.
  • Methods
    From Jan. 2005 to Dec. 2006, three hundred and seventy-nine patients of elective colorectal surgery with primary anastomosis were performed with MBP in 352 cases (Prep group) and without MBP in 24 cases (Non-prep group). For preoperative MBP, 4 liters of polyethylene glycol solution was administered. Postoperative infectious complications and other morbidity were reviewed with medical records and prospectively collected data.
  • Results
    Demographic, clinical and treatment characteristics did not differ significantly between the two groups. The overall rate of abdominal infectious complications (wound infection, anastomotic leak) was 2.9 % in the Prep group and 9 % in the Non-prep group (P > 0.05). Anastomotic leak occurred in nine patients (2.6%) in the Prep group and one (4.5%) in the Non-prep group.
  • Conclusions
    The incidence of infectious complications after elective colorectal surgery without MBP did not differ significantly compare to that with MBP. However, prospective, randomized clinical trial is needed to assess the safety of primary anastomosis in elective colorectal surgery without MBP.
  • Keywords: Colorectal Surgery; Complication; Mechanical Bowel Preparation
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Table 1
Demographics of elective colorectal surgery
kmj-27-105-i001-l.jpg

*Values are mean (range); other values in parentheses are percentage; †Right-side colon, which included appendix, cecum, ascending colon, hepatic flexure, and transverse colon; ‡Left-side colon, which included splenic flexure, descending colon, and sigmoid colon.

Table 2
Postoperative complications of elective colorectal surgery
kmj-27-105-i002-l.jpg

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        The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
        Kosin Med J. 2012;27(2):105-110.   Published online December 27, 2012
        DOI: https://doi.org/10.7180/kmj.2012.27.2.105
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      The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
      The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
      Table 1 Demographics of elective colorectal surgery

      *Values are mean (range); other values in parentheses are percentage; †Right-side colon, which included appendix, cecum, ascending colon, hepatic flexure, and transverse colon; ‡Left-side colon, which included splenic flexure, descending colon, and sigmoid colon.

      Table 2 Postoperative complications of elective colorectal surgery

      Table 1

      Table 2

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