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[One-day bowel cleaning for colorectal surgery]

¹Institute of General Surgery, Nanjing General Hospital of Nanjing Military Area Command.

Zhonghua Hu Li Za Zhi = Chinese Journal of Nursing

|May 1, 1997

Summary

A modified one-day preoperative bowel preparation is effective for colorectal cancer surgery. This method reduces patient discomfort and nursing workload while ensuring adequate bowel cleansing, proving to be a safe and simple alternative.

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Area of Science:

Surgical Oncology
Gastroenterology
Preoperative Care

Background:

Traditional three-day bowel preparation for colorectal cancer surgery can cause patient discomfort and homeostatic disturbances.
Optimizing preoperative bowel preparation is crucial for surgical outcomes and patient well-being.

Purpose of the Study:

To compare the efficacy and safety of a modified one-day preoperative bowel preparation with the traditional three-day method in patients undergoing colorectal cancer surgery.

Main Methods:

A randomized controlled trial involving 48 patients without bowel obstruction undergoing colorectal cancer surgery.
Patients were randomized into two groups: experimental (modified one-day preparation) and control (traditional three-day preparation).
Evaluated plasma electrolytes, hemoglobin, hematocrit, intraoperative bowel cleanliness, bacterial contamination, and wound infection rates.

Main Results:

No significant differences in plasma electrolytes, hemoglobin, or hematocrit between the groups.
All patients achieved Grade I intraoperative bowel cleanliness.
Lower positive bowel fluid culture rates (30%) in the modified one-day group compared to the traditional group (70%).
Similar wound infection rates (4.2%) in both groups.

Conclusions:

The modified one-day preoperative bowel preparation is a simple, safe, and effective method for colorectal cancer surgery.
It alleviates patient suffering, improves rest, reduces nursing workload, and ensures adequate bowel preparation.
This approach offers a favorable alternative to traditional multi-day bowel cleansing regimens.

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