What is the role of mechanical bowel preparation in laparoscopic left hemicolectomy?

Updated: Apr 13, 2020
  • Author: David B Stewart, Sr, MD, FACS, FASCRS; Chief Editor: Vikram Kate, MBBS, MS, PhD, FRCS, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Mechanical bowel preparation

The issues of whether mechanical bowel preparation should be offered to the patient undergoing a left colectomy and under what circumstances this should occur if it is offered will not be addressed in this article. The author uses an osmotic laxative in addition to poorly absorbed oral antibiotics on the day before the procedure. Rectal irrigation performed in the operating room for the purposes of cleansing the rectum or removing exfoliated tumor cells is not routinely used by the author.


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