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Preoperative Mechanical Bowel Preparation for Gynecologic Surgeries: A Systematic Review with Meta-analysis
Claire Cardaillac1, Rosalie Genest2, Caroline Gauthier3
1Department of Obstetrics, Gynecology and Reproductive Medicine (Dr. Cardaillac), Nantes University Hospital, Nantes, France; Department of Obstetrics and Gynecology (Genest, Drs. Cardaillac, Gauthier, Arendas, Lemyre, Laberge, and Maheux-Lacroix), CHU de Quebec, Québec, QC Canada.
Mechanical bowel preparation (MBP) before gynecologic surgery does not improve surgical outcomes. MBP is associated with increased patient discomfort and lower satisfaction, suggesting its routine use should be abandoned.
Area of Science:
- Gynecologic Surgery
- Surgical Preparation
- Evidence-Based Medicine
Background:
- Mechanical bowel preparation (MBP) is a common practice prior to certain surgeries.
- Its routine use in benign gynecologic procedures is debated.
- Assessing the efficacy and safety of MBP is crucial for optimizing patient care.
Conclusions:
- Mechanical bowel preparation (MBP) does not offer benefits for surgical field view, bowel handling, or operative outcomes in benign gynecologic surgeries.
- The adverse effects associated with MBP, including increased discomfort and lower satisfaction, outweigh any potential benefits.
- Routine use of MBP before benign gynecologic surgeries should be discontinued.
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