COMPARISON OF PREOPERATIVE BOWEL PREPARATION MODELS OF PATIENTS WHO UNDERWENT SURGERY FOR COLORECTAL CANCER

Authors : Bahadır KARTAL, Mehmet Abdussamet BOZKURT, Cemal SEYHUN

Pages : 154-160

Doi:10.18663/tjcl.1234192

View : 19 | Download : 14

Publication Date : 2023-03-23

Article Type : Research Paper

Abstract :Background The most prevalent cancer in society is colorectal cancer insert ignore into journalissuearticles values(CRC);. Studies aiming to lower surgical morbidity and mortality have found a significant contribution from preoperative bowel preparation. Models for bowel preparation included mechanical cleaning, the use of antibiotics, and control groups. We compared preoperative bowel preparation for elective colorectal cancer and evaluated its effects in this study. Material and Methods Preoperative bowel preparation model was used to prospectively split 144 patients insert ignore into journalissuearticles values(n=144); with colorectal cancer into four groups. Patients in the first group insert ignore into journalissuearticles values(Group I); underwent mechanical bowel preparation insert ignore into journalissuearticles values(MBP);, followed by oral antibiotic therapy insert ignore into journalissuearticles values(OAB); and MBP in the second group insert ignore into journalissuearticles values(Group II);, intravenous antibiotic therapy insert ignore into journalissuearticles values(IVAB);, MBP, and OAB in the third group insert ignore into journalissuearticles values(Group III);, and no bowel preparation in the fourth group insert ignore into journalissuearticles values(Group IV);. Demographic information, anastomotic leakage, surgical site infection, intraabdominal abscess, postoperative ileus, and death were compared between patients. Results Groups I, II, III, and IV of the study each had 35 patients, 38 patients, 35 patients, and 36 patients, respectively. There was no statistically significant difference between the four groups when the groups were evaluated by age, gender, and ASA insert ignore into journalissuearticles values(American Society of Anesthesiologists); score insert ignore into journalissuearticles values(p> 0.05);. There were significant differences between surgical site infection insert ignore into journalissuearticles values(SSI);, intraabdominal abscess, and anastomosis leaking insert ignore into journalissuearticles values(p0.05);. Mortality and postoperative ileus did not differ significantly insert ignore into journalissuearticles values(p > 0.05);. Conclusion We consider that the bowel preparation approach of mechanical colon cleansing and antibiotic administration is appropriate for patients who have had surgery owing to elective CRC.
Keywords : Kolorektal kanser, bağırsak hazırlığı, cerrahi