[Local effectiveness of surgical preparation using a chemically defined diet in colon surgery]

A report is given about the advantages of Vivasorb and BSD for patients who must undergo surgery of the colon. By extensive reduction of the intestinal microorganisms a preoperative medication of antibiotics which are not resorbed in the intestines becomes superfluous. The rate of postsurgical complications is enormously reduced. Clamps will not be required in surgery of the colon, the advantage of which becomes evident and important when resecting a very low situated carcinoma of the rectum, the narrowness of the operation area being an impediment for the handling of clamps. By using Vivasorb, the posterior rectotomy (for polyps which cannot be removed per rectoscopiam) can be done without a temporary colostomy, meaning two operations less for the patient (colostomy and its closure). Finally the positive results of Vivasorb in relation to resection of the colon, necessary because of sealed perforated diverticuli and the results of BSD in connection with internal drainage of the small bowels are reported.