Use of bowel preparation does not reduce postoperative infectious morbidity following minimally invasive or open hysterectomies

Kalogera, Eleftheria; Houten, Holy K. Van; Sangaralingham, Lindsey R.; Borah, Bijan J.; Dowdy, Sean C.

doi:10.1016/j.ajog.2020.02.035

Cited by 8 publications

(3 citation statements)

References 30 publications

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“…On the contrary, a study involved 38,539 patients had hysterectomy for malignant pathology compared no bowel preparation with MBP, OABP and MOABP and found that bowel preparation does not protect against surgical site infections. The SSI incidence was 7.9% in patients without bowel preparation and 8.6% in patients who receive any form of bowel preparation (11) .…”

Section: Discussionmentioning

confidence: 93%

Role of Oral Antibiotic for Bowel Preparation before Gynecologic Oncology Surgery

Negm¹,

Nasr²,

Salem³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: When used prior to a bowel injury, oral antibiotic bowel preparation (OABP) reduces intraluminal bacteria l load and, thus, the risk of surgical site infection (SSI). Objective: The aim of the current study was to investigate the role of preoperative oral antibiotic in gynecological oncology surgery in field visualization, reducing postoperative ileus and surgical site infection. Patients and methods: A cohort study was conducted on a total of 130 women who underwent tumor debulking surgery for gynecological cancer (ovarian, uterine, cervical or endometrial). On the day before surgery, patients received perioperative prophylactic oral antibiotics, and on the day of surgery, all patients were subjected to intravenous cephalosporin. Results: Preoperative oral antibiotic was associated with SSI incidence of 15.4%; 20 cases with surgical site infection (SSI) and 110 cases without SSI. Also favorable surgical field (reported as good or sufficient) was reported in 92.4% of cases. Return of intestinal function was early with mean duration of 19 hours. Conclusion: Preoperative oral antibiotic was associated with low incidence of SSI. Favorable operating field and early return of Bowel function.

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Section: Discussionmentioning

confidence: 93%

Role of Oral Antibiotic for Bowel Preparation before Gynecologic Oncology Surgery

Negm¹,

Nasr²,

Salem³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…Risk factors for SBO include pelvic adhesive disease, perioperative transfusion, concurrent appendectomy, operating time > 170 min, non-white race, uterine weight > 250 g, prior abdominal or pelvic surgery and increasing age 96 . Preoperative mechanical bowel preparation with or without oral antibiotics has not been shown to reduce POI or SBO in women undergoing vaginal, laparoscopic, or open hysterectomy 97,98 …”

Section: Resultsmentioning

confidence: 99%

“…96 Preoperative mechanical bowel preparation with or without oral antibiotics has not been shown to reduce POI or SBO in women undergoing vaginal, laparoscopic, or open hysterectomy. 97,98 Constipation is considered a "very severe" adverse event by women undergoing pelvic floor surgery, ranked comparably as admission to the intensive care unit or other major surgical complications. 99 Various regimens have been proposed to hasten return of bowel function and maintain normal defecation in the postoperative period.…”

Section: Postoperative Nausea Vomiting and Gut Dysfunctionmentioning

confidence: 99%

AUGS-IUGA Joint Clinical Consensus Statement on Enhanced Recovery After Urogynecologic Surgery

Latthe

Panza

Marquini

et al. 2022

UROGC

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AUGS-IUGA Joint clinical consensus statement on enhanced recovery after urogynecologic surgery

Latthe¹,

Panza²,

Marquini³

et al. 2022

Int Urogynecol J

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Use of bowel preparation does not reduce postoperative infectious morbidity following minimally invasive or open hysterectomies

Cited by 8 publications

References 30 publications

Role of Oral Antibiotic for Bowel Preparation before Gynecologic Oncology Surgery

Role of Oral Antibiotic for Bowel Preparation before Gynecologic Oncology Surgery

AUGS-IUGA Joint Clinical Consensus Statement on Enhanced Recovery After Urogynecologic Surgery

AUGS-IUGA Joint clinical consensus statement on enhanced recovery after urogynecologic surgery

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