Book contents
- 50 Big Debates in Gynecologic Oncology
- 50 Big Debates in Gynecologic Oncology
- Copyright page
- Contents
- Contributors
- Section I Perioperative Management
- Debate 1A Should Routine Mechanical Bowel Preparation be Performed before Primary Debulking Surgery?
- Debate 1B Should Routine Mechanical Bowel Preparation be Performed before Primary Debulking Surgery?
- Debate 2A Should Preoperative Carbohydrate Loading be Routine prior to Debulking Surgery?
- Debate 2B Should Preoperative Carbohydrate Loading be Routine prior to Debulking Surgery?
- Section II Screening, Prevention, and Early Diagnosis
- Section III Ovarian Cancer
- Section IV Endometrial Cancer
- Section V Cervical Cancer
- Section VI Vaginal and Vulvar Cancer
- Index
- References
Debate 1B - Should Routine Mechanical Bowel Preparation be Performed before Primary Debulking Surgery?
No
from Section I - Perioperative Management
Published online by Cambridge University Press: 20 July 2023
- 50 Big Debates in Gynecologic Oncology
- 50 Big Debates in Gynecologic Oncology
- Copyright page
- Contents
- Contributors
- Section I Perioperative Management
- Debate 1A Should Routine Mechanical Bowel Preparation be Performed before Primary Debulking Surgery?
- Debate 1B Should Routine Mechanical Bowel Preparation be Performed before Primary Debulking Surgery?
- Debate 2A Should Preoperative Carbohydrate Loading be Routine prior to Debulking Surgery?
- Debate 2B Should Preoperative Carbohydrate Loading be Routine prior to Debulking Surgery?
- Section II Screening, Prevention, and Early Diagnosis
- Section III Ovarian Cancer
- Section IV Endometrial Cancer
- Section V Cervical Cancer
- Section VI Vaginal and Vulvar Cancer
- Index
- References
Summary
Given the limited data on the value of mechanical bowel preparation (MBP) prior to gynecologic surgery, the colorectal data is frequently extrapolated and used to guide preoperative management for patients requiring bowel surgery. Review of the colorectal literature, including a Cochrane Review and large National Surgery Quality Improvement Program database review, demonstrates that the use of MBP does not improve overall mortality, surgical site infection, anastomotic leak rates, or reoperation. As a result, several national and international surgical organizations do not support the use of MBP alone prior to bowel surgery including patients planning gynecologic surgery.
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- 50 Big Debates in Gynecologic Oncology , pp. 4 - 5Publisher: Cambridge University PressPrint publication year: 2023