This is a Randomized trial on Mechanical Bowel Preparation in Laparoscopic Colorectal Surgery. In this trial patients with left sided colon and rectal tumors were randomized to receive mechanical bowel preparation or no preparation to assess postoperative complications and outcome
In this prospective randomized trial,patients were randomized to receive mechanical bowel preparation or no preparation to assess postoperative complications and outcome following elective laparoscopic surgery for left sided colon and rectal tumors. Randomization is done from the out -patient department at the time of admission, using random numbers from a computer generated list from a sealed envelope method. Patients who did not have mechanical bowel preparation had a normal meal on the day before the operation. Those who did were given a fluid diet, and mechanical bowel preparation with polyethylene glycol one day prior to surgery. Both groups will have the scheduled laparoscopic colonic resections. Use of diverting stoma is left to the discretion of the operating surgeon. Cases that needed a diverting stoma, will be analyzed separately.
Study Type
OBSERVATIONAL
Enrollment
90
mechanical bowel preparation with polyethylene glycol one day prior to surgery
No laxatives or bowel preparation
PVS Memorial Hospital
Kochi, Kerala, India
RECRUITINGanastomotic leak
clinical/drain/radiological leak
Time frame: 30 days
surgical site infection
superficial and deep surgical site infection
Time frame: 14 days
Intraoperative parameters assessment
intraoperative assessment of tumor site, extend, operative time, intraoperative contamination
Time frame: 1 day
bowel recovery
Day of passage of flatus or faeces
Time frame: 30 days
drain removal
postoperative day of drain removal
Time frame: 30 days
Re-exploration
Any intervention radiological or surgical due to procedure related complications
Time frame: 30 days
Hospital stay
postoperative hospital stay
Time frame: 30 days
Readmission
admission to hospital after discharge due to any reasons
Time frame: 30days
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