Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Harrowing bowel preparation is unnecessary before colorectal surgery

20.10.2003


Research news from The Cochrane Library



Surgeons and other experts have long regarded mechanical bowel preparation to be an essential preventative measure before colorectal surgery. Recent evidence in The Cochrane Library, however, reveals that mechanical bowel cleansing does not significantly decrease the risk of anastomotic leakage or other complications.

Researchers reviewed six studies performed over the last thirty years into the relationship between mechanical bowel cleansing and associated patient morbidity and mortality. Most surgeons require this cleansing of their patients prior to operating, believing the risks of infection, anastomotic leakage and other complications to be significantly reduced.


The conclusion reached will be inevitably surprising to professionals who have subscribed to this dogma for years: bowel preparation was not found to have any significant positive effect upon morbidity or mortality of patients undergoing elective colorectal surgery. The process of bowel cleansing is known to be gruelling and carries risks in its own right. Gastric intolerance, low serum potassium levels, electrolyte disturbance and bowel explosion are all risks associated with the bowel cleansing process. The result indicates a higher risk of anastomotic leakage when cleansing is used.

“The hypothesis that faecal matter in the bowel led to complications after surgery stood for over a century before we arrived at this conclusion to the contrary,” says co-author of the study Dr Peer Wille-Jørgensen.

Jaida Butler | alfa
Further information:
http://www.update-software.com/cochrane
http://www.wileyeurope.com/
http://www.cochrane.org

More articles from Health and Medicine:

nachricht Researchers release the brakes on the immune system
18.10.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn

nachricht Norovirus evades immune system by hiding out in rare gut cells
12.10.2017 | University of Pennsylvania School of Medicine

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Neutron star merger directly observed for the first time

University of Maryland researchers contribute to historic detection of gravitational waves and light created by event

On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...

Im Focus: Breaking: the first light from two neutron stars merging

Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.

Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....

Im Focus: Smart sensors for efficient processes

Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).

When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...

Im Focus: Cold molecules on collision course

Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.

How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...

Im Focus: Shrinking the proton again!

Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.

It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ASEAN Member States discuss the future role of renewable energy

17.10.2017 | Event News

World Health Summit 2017: International experts set the course for the future of Global Health

10.10.2017 | Event News

Climate Engineering Conference 2017 Opens in Berlin

10.10.2017 | Event News

 
Latest News

Electrode materials from the microwave oven

19.10.2017 | Materials Sciences

New material for digital memories of the future

19.10.2017 | Materials Sciences

Physics boosts artificial intelligence methods

19.10.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>