Takahashi T, Remes TJM, Correa RJM, García OS, Mass W, Osorio GRM, Ponce LS

Language: Spanish
References: 5
Page: 148-152
PDF size: 36.73 Kb.

ABSTRACT

Introduction: Preoperative colonic preparation is an essential component to decrease morbidity after surgical procedures of the colon and rectum. There are several alternatives for colonic preparation, and it is not known which is used more frequently in our country.
Objective: To determine which is the most frequently used colonic preparation by the surgeon in our country.
Methodology: We designed an interview to assess the preoperative colonic preparation procedures used. This interview was applied to the attendants to the National Congresses of Coloproctology and General Surgery held in 1996, and who fulfilled the following requisites. A) To be involved in the trans-abdominal surgical approach for colorectal pathology. B) To be an active member of the Mexican Association of General Surgery or of the Mexican Society of Coloproctology. C) To be working in a Mexican hospital.
Results: Ninety surgeons responded the questionnaire. The most frequently used method of colonic preparation was the traditional (69%), followed by the use of polyethylenglycol (13%), and intestinal irrigation (6%). Seventy nine percent of the surgeons use oral antibiotics, the most frequent schemes were: neomycin with erythromycin or neomycin with metronidazole. Seventy eight percent use parenteral administered antibiotics, using antibiotic combinations or second or third generation cephalosporines.
Conclusion: The mechanical method most frequently used by the Mexican surgeon responding the questionnaire is the traditional one, most use oral and/or parenteral antibiotics as prophylaxis.

REFERENCES

1. 1 Gordon P, Nivatvongs S. Principles and practice of surgery for the colon, rectum and anus. Quality Medical Publishing: St. Louis (Missouri): 1992: 123-9.

2. 2 Gonzalez M, Correa JM, Takahashi T. Preparación preo-peratoria del colon. En: Takahashi T, Domínguez G. Cuidados médicos perioperatorios. Interamericana-McGraw-Hill. México. 2000; 113-8.

3. 3 Solla JA, Rothenberger DA. Preoperative bowel preparation: a survey of colon and rectal surgeons. Dis Colon Rectum 1990; 33: 154-9.

4. 4 Juarez Díaz F, Mier y Díaz J, Robledo Ogazón F. Preparación del colon para cirugía electiva. Rev Gastroenterol Mex 1989; 54: 79-82.

5. 5 Valdovinos DMA, Male R, Gil S, Gallo S, Tielve M, Ferral H. Solución electrolítica con polietilenglicol en la limpieza colónica para colonoscopia o colon por enema. Rev Gastroenterol Mex 1990; 55: 195-201.