Assess the Safety of Colorectal Surgery without Mechanical Bowel Preparation

Abstract

Background: Mechanical bowel preparation (MBP) for elective available colorectal surgical procedure has been practiced as a clinical routine for many decades. However, earlier randomized medical trials (RCTs) and meta-analyses endorse that MBP ought to be deserted earlier than colorectal surgical treatment due to the fact of the futility in decreasing postoperative problems and motility. The new published outcomes from three RCTs evaluating MBP with no MBP in colorectal surgical treatment in 2010 make the updating of systemic overview and meta-analysis necessary. Objectives: The aim of this study is to assess the safety of colorectal surgery without mechanical bowel preparation. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Surgery Rajshahi Medical College Hospital, Rajshahi, Bangladesh. In Bangladesh for the duration of the period from June 2014 to May 2015. Results: This study shows that the according to age of 80 patients aged 20-above 51 years where, 4(10%) were 20-30 years, 10(25%) were 31-41 years, 10(25%) were 41-50 years, 16(40%) were 51 and above years in Group A, and 6(15%) were 20-30 years, 6(15%) were 31-40 years, 13(32.5%) were 41-50 years and 15(37.5%) were 51 and above years in Group B. And 28(70%) were males and 12(30%) were females in group A. And 27(67.5%) were males and 13(32.5%) were females in group B. Conclusions: Mechanical bowel preparation before elective colon and rectal surgery cannot prevent complications like anastomotic leakage, wound infection, intra-abdominal sepsis, abdominal abscess and extra abdominal complications.