Influence of mechanical bowelpreparation in thepreoperative comfort and postsurgical results after colorectal surgery: P069


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Abstract

Aim:To evaluate if Mechanical bowelprep (MBP) influences peri-operative comfort and postsurgical results in a Fast-trackprogram.Method:Prospective study including 108 patients undergoing elective colorectal surgery, assigned to a Fast-trackprotocol (FT) without MPB except in rectal surgery or to a Control Group (C) with MBP except in right colon surgery.Results:A total of 39 (36.1%) patients received MBP (FT = 27.5%; C = 51.3%; P = 0.001). Patients with MBPpresented more abdominal pain (20.5% vs 2.9%; P = 0.002), anal discomfort (64.1% vs 11.6%; P < 0.001), dizziness (10% vs 0%; P = 0.004), nausea (35.9% vs 1.4%; P < 0.001) and thirst (61.5% vs 35%; P = 0.007),pre-operatively, compared with non-MBP patients. There were no differences in postoperative complications (41% vs 44%), postoperative ileus (20.5% vs 23%), leaks rate (10.2% vs 10.1%) or wound infections (12.2% vs 18.8%). Neither regarding the day when tolerated a soft diet (4.3 vs 3.2), passed flatus (1.7 vs 1.5), faeces (2.8 vs 2.3) or in the postoperative stay (9.2 vs 9.1). However, FT patients tolerate oral intake earlier, have a shorter stays, less complications and leak rate (5.7 vs 17.9%; P = 0.04) than C Group patients.Conclusion:Mechanical bowelpreparationproducespre-operative discomfort but not leads to clinical benefits.

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