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- W2181777609 abstract "Objectives: Mechanical bowel preparation (MBP) is performed routinely before several gynecologic surgeries to reduce the risk of postoperative infectious complications and to improve the surgical field. Nevertheless, the available medical literature is not able to demonstrate any benefit of this procedure and some authors even report deleterious outcomes in patients undergoing bowel preparation, with increased rates of septic complications, anastomotic leakages and surgical site infections. The aim of this pilot study is to evaluate three different types of MBP for laparoscopic in an experimental model. Material and Methods: Twenty female pigs were randomized into 4 groups to preoperative MBP (sodium phosphate, glycerin or manitol) or surgery without MBP. During surgery, the pneumoperitoneum was inflated using Veress needle puncture at the supra-umbilical region and the 10mm trocar was positioned for the zero degree laparoscope. The abdominal cavity was inspected and the status of the bowel preparation was checked by three different surgeons. Results: The MBP could be done in all pigs using an orogastric tube. One pig did not undergo the laparoscopic procedure because it died after the MBP with manitol. One pig of the glycerin group had an intestinal perforation by the Veress needle and it was excluded from the final analysis. According to the surgeons’ analysis, MBP using sodium phosphate and glycerin presented the best quality of surgical field, the former being the best one. Conclusions: According to this pilot study, the sodium phosphate seems to be the best way to perform MBP in pigs." @default.
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- W2181777609 date "2008-01-01" @default.
- W2181777609 modified "2023-09-26" @default.
- W2181777609 title "Mechanical Bowel Preparation for Laparoscopic Surgery in Pigs - A Pilot Study" @default.
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