Colectomy without mechanical bowel preparation in the private practice setting.


BACKGROUND:Despite randomized trials and meta-analyses demonstrating the safety of omitting mechanical bowel preparation (MBP) before colorectal surgery, private practice surgeons may hesitate to eliminate MBP for fear of being outside community standards. This study evaluated the safety of eliminating MBP before colectomy in a private practice setting. METHODS:This prospective observational study included elective abdominal colorectal operations from one surgeon's practice from October 2008 to June 2011. MBP was not routinely utilized after November 2009. Postoperative 30-day complication rates and length of hospital stay were compared in patients with and without MBP. Multivariable regression models were developed to compare outcomes among study groups, adjusting for demographics, diagnoses, procedures, and year. RESULTS:A total of 165 patients were analyzed. Demographics were similar between groups. Laparoscopic procedures were more common in patients without MBP due to increased laparoscopy over time (43 vs. 61 %, p = 0.03). As regards complications, infection rates were similar between groups (MBP 10.5 % vs. no MBP(NMBP) 11.4 %, adj p = 0.57). Patients without MBP had a shorter length of hospital stay (median: 6 vs. 5 days, p = 0.01), but those differences were not statistically significant after adjustment (p = 0.14). CONCLUSIONS:Private practice surgeons should embrace evidence-based practice changes and make efforts to quantitatively evaluate the safety of those changes. Omission of MBP for most elective colectomy procedures appears to be safe with no significant increase in complications or length of hospital stay. Because MBP has substantial drawbacks, there is little justification for its routine use in the majority of elective abdominal colorectal procedures.


Tech Coloproctol


Otchy DP,Crosby ME,Trickey AW




Has Abstract


2014-01-01 00:00:00












  • Robotic multivisceral pelvic resection: experience from an exenteration unit.

    abstract:BACKGROUND:Pelvic exenteration remains a viable and effective treatment option for the management of locally advanced or recurrent pelvic malignancy. The aim of this study was to present an early experience of robotic multivisceral resection of pelvic malignancy, and to compare this experience with similar series throu...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Smith N,Murphy DG,Lawrentschuk N,McCormick J,Heriot A,Warrier S,Lynch AC

    更新日期:2020-11-01 00:00:00

  • Tips and tricks: haemorrhoidectomy with LigaSure.

    abstract::Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Amongst these, LigaSure haemorrhoidectomy is a safe and fast technique that fulfils the requirements of low-complication rate, fast wound ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Milito G,Cadeddu F

    更新日期:2009-12-01 00:00:00

  • Double heterozygosity for BRCA1 and hMLH1 gene mutations in a 46-year-old woman with five primary tumors.

    abstract::Germline mutations in BRCA1 and BRCA2 genes predispose to hereditary breast cancer, whereas carriers of mutations in any of the mismatch repair genes (MMR; hMLH1, hMSH2, hMSH6, hPMS2) are highly susceptible to Lynch syndrome. In the present study, we describe a woman affected by unilateral breast cancer at the age of ...

    journal_title:Techniques in coloproctology

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    authors: Pedroni M,Di Gregorio C,Cortesi L,Reggiani Bonetti L,Magnani G,Simone ML,Medici V,Priore Oliva C,Marino M,Ponz de Leon M

    更新日期:2014-03-01 00:00:00

  • Outcomes of sacral neuromodulation for chronic pelvic pain: a Finnish national multicenter study.

    abstract:BACKGROUND:The aim of this study was to report the outcomes of sacral neuromodulation (SNM) in chronic pelvic pain (CPP) patients in the Finnish national cohort. METHODS:This was a register-based retrospective study, involving all the centers that provide SNM treatment in Finland. The data of all patients treated with...

    journal_title:Techniques in coloproctology

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    authors: Zegrea A,Kirss J,Pinta T,Rautio T,Varpe P,Kairaluoma M,Aho M,Böckelman C,Lavonius M

    更新日期:2020-03-01 00:00:00

  • Robotic transanal total mesorectal excision: a pilot study.

    abstract:BACKGROUND:The introduction of transanal minimally invasive surgery (TAMIS) in 2009 allowed colorectal surgeons to approach transanal access with a different perspective. This has lead to the development of TAMIS for total mesorectal excision (TME). We have previously described robotic transanal TME and here report our...

    journal_title:Techniques in coloproctology

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    authors: Atallah S,Martin-Perez B,Pinan J,Quinteros F,Schoonyoung H,Albert M,Larach S

    更新日期:2014-11-01 00:00:00

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    abstract:BACKGROUND:The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure. METHODS:From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoper...

    journal_title:Techniques in coloproctology

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    authors: Mlakar B,Kosorok P

    更新日期:2003-10-01 00:00:00

  • Approach to the diagnosis and management of retained rectal foreign bodies: clinical update.

    abstract::Retained rectal foreign body is not an uncommon condition, but reliable epidemiological data are not available. The diagnosis and management can present a significant challenge due to delayed presentation and the reluctance of the patients to provide details of the incident. The aim of the clinical evaluation is to id...

    journal_title:Techniques in coloproctology

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    authors: Ayantunde AA

    更新日期:2013-02-01 00:00:00

  • Defunctioning ileostomy closure following low anterior resection by chemotherapy.

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    journal_title:Techniques in coloproctology

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    authors: Vrakas G,Pramateftakis MG,Kanellos D,Sapidis S,Hatzigianni P,Tsachalis T,Kanellos I,Lazaridis Ch

    更新日期:2010-11-01 00:00:00

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    authors: Slesser AA,Bhangu A,Brown G,Mudan S,Tekkis PP

    更新日期:2013-02-01 00:00:00

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Gullichsen R

    更新日期:2006-12-01 00:00:00

  • Transanal single port access to facilitate distal rectal mobilization in laparoscopic rectal sleeve resection with hand-sewn coloanal anastomosis.

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    pub_type: 杂志文章


    authors: Wolthuis AM,Cini C,Penninckx F,D'Hoore A

    更新日期:2012-04-01 00:00:00

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    abstract:BACKGROUND:The aim of this study was to investigate the role of confocal laser endomicroscopy (CLE) in the assessment of disease activity in ulcerative colitis (UC). METHODS:Consecutive patients with UC referred to our inflammatory bowel disease unit for colonoscopy were enrolled. Patients without UC were used as cont...

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    pub_type: 杂志文章


    authors: Maione F,Giglio MC,Luglio G,Rispo A,D'Armiento M,Manzo B,Cassese G,Schettino P,Gennarelli N,Siciliano S,D'Armiento FP,De Palma GD

    更新日期:2017-07-01 00:00:00

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审


    authors: Nikolaou S,Qiu S,Fiorentino F,Rasheed S,Tekkis P,Kontovounisios C

    更新日期:2018-07-01 00:00:00

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,meta分析,评审


    authors: Carnuccio P,Jimeno J,Parés D

    更新日期:2014-01-01 00:00:00

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    pub_type: 杂志文章,多中心研究


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    pub_type: 杂志文章


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    更新日期:2004-11-01 00:00:00

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    更新日期:2006-10-01 00:00:00

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Ratto C,Grossi U,Litta F,Di Tanna GL,Parello A,De Simone V,Tozer P,DE Zimmerman D,Maeda Y

    更新日期:2019-08-01 00:00:00

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    pub_type: 杂志文章


    authors: Mathew J,Aldean IM,Ghafar FA,Haboubi NY

    更新日期:2004-08-01 00:00:00

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    authors: Luciano L,Bouvier M,Baumstarck K,Vitton V

    更新日期:2020-01-01 00:00:00

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    authors: Bassotti G,Villanacci V,Salerni B,Maurer CA,Cathomas G

    更新日期:2011-12-01 00:00:00

  • Neurovascular antropylorus perineal transposition using inferior rectal nerve anastomosis for total anorectal reconstruction: preliminary report in humans.

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Chandra A,Kumar A,Noushif M,Gupta V,Kumar V,Srivastav PK,Malhotra HS,Kumar M,Ghoshal UC

    更新日期:2014-06-01 00:00:00

  • Early and late complications of stapled haemorrhoidopexy: a 6-year experience from a single surgical clinic.

    abstract:PURPOSE:Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique. METHODS:During the last 6 years (2005-2011), 123 patients underwent a SH in ou...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Grigoropoulos P,Kalles V,Papapanagiotou I,Mekras A,Argyrou A,Papageorgiou K,Derian A

    更新日期:2011-10-01 00:00:00

  • Laparoscopic anterior resection.

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Cheung HY,Chung CC,Li MK

    更新日期:2010-03-01 00:00:00

  • Colorectal natural orifice transluminal endoscopic surgery (NOTES) and transvaginal/transrectal specimen extraction.

    abstract::Advancements in minimally invasive surgery have both revolutionized laparoscopy and set the stage for the advancement of endoscopic surgery to the forefront of modern medicine. Natural orifice transluminal endoscopic surgery (NOTES) has now become a subject of great interest to surgeons worldwide who wish to reduce th...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审


    authors: Sanchez JE,Marcet JE

    更新日期:2013-02-01 00:00:00

  • Correction to: Biological mesh extrusion months after laparoscopic ventral rectopexy.

    abstract::Unfortunately, the 2nd affiliation of Dr. M. Shalaby has been missed out in the original publication. The complete 2nd affiliation of the same is given below. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,已发布勘误


    authors: Sileri P,Shalaby M

    更新日期:2018-10-01 00:00:00

  • Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review.

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审


    authors: Ratto C,Litta F,Donisi L,Parello A

    更新日期:2015-07-01 00:00:00

  • Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors.

    abstract:BACKGROUND:The aim of the present study was to evaluate patient factors that affect the progression of anal dysplasia in human immunodeficiency virus (HIV)-positive individuals. METHODS:A retrospective cohort study of HIV-positive adults with human papilloma virus related anal lesions was performed from 2012 to 2017. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: McCutcheon T,Hawkins AT,Muldoon RL,Hopkins MB,Geiger TM,Ford MM

    更新日期:2019-04-01 00:00:00

  • Brachial plexus injury as a complication after colorectal surgery.

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Brill S,Walfisch S

    更新日期:2005-07-01 00:00:00

  • Ischemic colitis due to a dissecting aneurysm of the superior rectal artery.

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    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Liu HP,Chew MH,Ho KS,Tang CL

    更新日期:2013-06-01 00:00:00