[Selective intestinal preparation in a multimodal rehabilitation program. Influence on preoperative comfort and the results after colorectal surgery].


INTRODUCTION:Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and results, comparing a perioperative multimodal rehabilitation program (MMRH) with conventional care (CC). MATERIAL AND METHODS:A prospective study of 108 patients proposed for elective surgery, assigned consecutively 2:1 to an MMRH protocol which only included MBP in rectal surgery with low anastomosis, or to CC in whom MBP was used except in right colon surgery. We also studied two Groups (A and B) with and without the use of MBP. Their tolerance, results and postoperative recovery variables were analysed. RESULTS:Thirty-nine patients were included in Group A, and 69 in Group B. A MMRH protocol was used in another 69 patients. The Group A patients had more abdominal pain, anal discomfort, nausea and thirst, but there were no differences as regards, death, overall or local complications, whilst there was less complications, suture failures and death in the MMRH when compared with CC Group (P<.05). There were no advantages observed in the use of MBP as regards the start of bowel movements, tolerance to diet or hospital stay, but these parameters were favourable to the MMRH when compared with CC Group. CONCLUSIONS:The restriction of MBP is safe, and associated with an MMRH program, contributes to a faster and more comfortable recovery, without increasing complications.


Cir Esp


Cirugia espanola


Roig JV,García-Fadrique A,Salvador A,Villalba FL,Tormos B,Lorenzo-Liñán MÁ,García-Armengol J




Has Abstract


2011-03-01 00:00:00














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  • [Treatment of colorectal cancer with unresectable metastasis with chemotherapy without primary tumor resection: analysis of tumor-related complications].

    abstract:INTRODUCTION:Although the conventional treatment of patients with stage iv colorectal cancer involves resection of the primary tumor followed by chemotherapy, several studies suggest that in patients with few symptoms the first and only treatment should be chemotherapy. The objective of this study is to analyze the com...

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    abstract:INTRODUCTION:Performing intracorporeal anastomoses and sutures is possibly the technique that requires the greatest skill in laparoscopic surgery. The appearance of the new barbed sutures in recent years has seemed to facilitate this surgical step. The aim of our study is to evaluate short-term results in patients with...

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  • [Serrated polyps and serrated polyposis syndrome].

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    authors: Carballal S,Moreira L,Balaguer F

    更新日期:2013-03-01 00:00:00

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    abstract:INTRODUCTION:The aim of this study is to evaluate the usefulness of Vicryl Plus(®) suture in reducing the rate of postoperative wound infection in elective colorectal surgery. METHODS:A prospective case-control multicenter study with 480 patients undergoing elective colorectal surgery was performed between 2006 and 20...

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    pub_type: 杂志文章,多中心研究


    authors: Fraccalvieri D,Kreisler Moreno E,Flor Lorente B,Torres García A,Muñoz Calero A,Mateo Vallejo F,Biondo S

    更新日期:2014-08-01 00:00:00

  • [Diagnosis and treatment of functional oropharyngeal dysphagia. Features of interest to the digestive surgeon].

    abstract::Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be sel...

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    authors: Clavé P,Arreola V,Velasco M,Quer M,Castellví JM,Almirall J,García Peris P,Carrau R

    更新日期:2007-08-01 00:00:00

  • [Retrorectal tumors in adults. Experience in five cases].

    abstract::The most frequent tumors that grow in the retrorectal space are embryological. Their management requires adequate knowledge of the characteristics of these lesions. We present five cases of retrorectal tumors. ...

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    pub_type: 杂志文章


    authors: López Cano M,Vilallonga R,Espin Basany E,Sánchez García JL,Lozoya Trujillo R,Armengol Carrasco M

    更新日期:2006-11-01 00:00:00

  • [Inversion of the sequence of surgery after neoadjuvant chemotherapy for synchronous liver metastases from colorectal cancer].

    abstract::In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...

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    authors: Marín-Hargreaves G,Artigas V,González JA,Martínez C,Marcuello E,Trías-Folch M

    更新日期:2007-10-01 00:00:00

  • [Pharmacoeconomic results of introducing antimicrobial prophylaxis in surgery at a university hospital].

    abstract:OBJECTIVES:The introduction of antimicrobial prophylaxis in surgery was designed and pre-intervention (controls) and post-intervention (cases) evaluations were carried out at a university tertiary hospital. PATIENTS AND METHOD:Prospective recording of information on prophylaxis in all patients undergoing non-emergency...

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    authors: García-Vázquez E,Fernández Lobato B,Pareja A,Gómez J,de la Rubia A

    更新日期:2008-12-01 00:00:00

  • The learning curve of laparoscopic treatment of rectal cancer does not increase morbidity.

    abstract:INTRODUCTION:The treatment of rectal cancer via laparoscopy is controversial due to its technical complexity. Several randomized prospective studies have demonstrated clear advantages for the patient with similar oncological results to those of open surgery, although during the learning of this surgical technique there...

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  • [Outpatient monitoring of oesophageal pH with a catheter-free pH-meter (Bravo System). A Study of tolerance, safety and efficacy].

    abstract:BACKGROUND AND OBJECTIVE:A new catheter-free outpatient oesophageal pH-meter system (Bravo) has recently been developed. The objective of this study is to test the tolerance, safety and efficacy of the system in the measurement of gastric-oesophageal reflux by comparing it with a conventional pH system. PATIENTS AND M...

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    authors: Martínez de Haro LF,Munitiz V,Ortiz A,Ruiz de Angulo D,Navarro MD,Parrilla P

    更新日期:2008-10-01 00:00:00

  • [Jejunal diverticulitis. A rare cause of acute abdomen].

    abstract::Non-Meckelian jejunoileal diverticula are more frequently diagnosed in men aged more than 50 years old. They are a rare cause of acute abdomen. They are usually asymptomatic and are estimated to cause complications in 10-20% of cases. We present the recently diagnosed case of an 82-year-old man admitted to our hospita...

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    authors: García LJ,Otero J,Santamaría L,Pérez A

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  • Development and Validation of a Tool for the Evaluation of Laparoscopic Intestinal Anastomosis in Simulation.

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  • Differences between en bloc resection and enucleation of retroperitoneal sarcomas.

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  • [Applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis].

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  • [Mesh fixation with sutures versus fibrin sealant in hernioplasty with re-absorbable prosthesis (polyglycolic acid and trimethylene carbonate). Experimental study in animals].

    abstract:INTRODUCTION:Current studies have shown the validity of the atraumatic fixation with fibrin glue (Tissucol) compared to conventional sutures in polypropylene mesh fixation. We propose to study the behaviour of absorbable mesh. MATERIAL AND METHODS:We used 20 Wistar white rats. Two hernia defects were made in the abdom...

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  • Usefulness of administrative databases for risk adjustment of adverse events in surgical patients.

    abstract:PURPOSE:The aim of this study was to assess the usefulness of clinical-administrative databases for the development of risk adjustment in the assessment of adverse events in surgical patients. METHODS:The study was conducted at the Hospital of Navarra, a tertiary teaching hospital in northern Spain. We studied 1602 ho...

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  • Intraoperative peripheral nerve injury in colorectal surgery. An update.

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  • [Laparoscopic approach of achalasia. Long-term clinical and functional results and quality of life].

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  • [Utility of magnetic resonance cholangiography prior to cholecystectomy in acute biliary pancreatitis].

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  • [Intraoperative intact parathyroid hormone determination as a predictive factor of hyperparathyroidism resolution].

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    更新日期:2006-02-01 00:00:00

  • [Management of postoperative nausea and vomiting].

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    pub_type: 杂志文章


    authors: Acosta-Villegas F,García-López JA,Aguayo-Albasini JL

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  • [Surgical complications in drug body-packers: an uncommon but potentially lethal emergency].

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    pub_type: 杂志文章


    authors: Álvarez Llano L,Rey Valcárcel C,Mohamed Al-Lal Y,Sánchez Rodríguez T,García Marín A,Pérez Díaz MD,Turégano Fuentes F

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  • [Single port laparoscopic cholecystectomy in major ambulatory surgery (MAS)].

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    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Martín Fernández J,Jara Sánchez A,Manzanares Campillo MC,Menéndez Sánchez P,Muñoz Atienza V,Padilla Valverde D,Villarejo Campos P,Angeles Gil-Olarte M,Arjona Medina I,Martínez De Paz F,Menchen Trujillo B

    更新日期:2010-11-01 00:00:00

  • [Incidence of iatrogenic perforation during colonoscopy and their treatment in a university hospital].

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    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Alonso S,Dorcaratto D,Pera M,Seoane A,Dedeu JM,Pascual M,José Gil M,Courtier R,Bory F,Grande L

    更新日期:2010-07-01 00:00:00

  • Endogenous hyperinsulinemic hypoglycemia syndrome: surgical treatment.

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    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: de Santibañes M,Cristiano A,Mazza O,Grossenbacher L,de Santibañes E,Sánchez Clariá R,Sivori E,García Mónaco R,Pekolj J

    更新日期:2014-10-01 00:00:00