This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet 2007; 370: 2112¿2117.
Published: 1st January 2007
Authors: Contant CME, Hop WCJ, van¿t Sant HP, Oostvogel HJM, Smeets HJ, Stassen LPS et al.
Conclusion
This trial that enrolled 1431 patients concluded that mechanical bowel preparation could safely be abandoned. It had no effect on mortality or on anastomotic leakage (4.8 per cent after preparation vs. 5.4 per cent in controls), although it did reduce the rate of abscess formation in those who did develop a leak: 0.3 vs. 2.5 per cent, P=0.001.
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