MECHANICAL BOWEL PREPARATION VERSUS NO BOWEL PREPARATION BEFORE COLORECTAL SURGERY : A COMPARATIVE STUDY

YOGESH KUMAR YASHASWI; VIBHUTI BHUSHAN; MANISH KUMAR

Volume : VI, Issue : XI, November - 2017

MECHANICAL BOWEL PREPARATION VERSUS NO BOWEL PREPARATION BEFORE COLORECTAL SURGERY : A COMPARATIVE STUDY

Yogesh Kumar Yashaswi, Vibhuti Bhushan, Manish Kumar

Abstract :

Background : Earlier mortality from colorectal surgery exceeded 20% mainly due to sepsis , modern surgical techniques and improved perioperative care have reduced the mortality rate significantly. Mechanical Bowel Preparation (MBP) is aimed at cleansing the large bowel of faecal content thereby reducing the morbidity and mortality related to colorectal surgery . We carried out a comparative study to investigate the outcome of colorectal surgery with and without MBP , to avoid the unpleasant side effect of MBP and also to design a protocol for preparation of a patient for colorectal surgery.

Material and Method : This was a prospective study conducted over a period of 24 months from August 2015 to July 2017 in the Department of General Surgery , Indira Gandhi Institute Of Medical Sciences, Sheikhpura , Patna . A total of 70 patients were included in this study ; among those, 34 patients were operated with MBP and 36 without it ; admitted in in–patient department undergoing resection of left colon and rectum for benign and malignant conditions in both emergency and elective situations.

Results : Anastomotic leakage , Intra–abdominal collection was detected clinically and radiologically in 4 and 5 patients in each group respectively. P > 0.5 in both situation indicates statistically no difference between results of the two groups.

Wound infection were detected in 10 (29.41%) patients with MBP group and 11 (30.5%) patients without MBP.

Conclusion : The present result suggests that the omission of MBP does not impair healing of colonic anastomosis , neither increases the risk of leakage.