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The Use of Mechanical Bowel Preparation in Pelvic Reconstructive Surgery: A Randomized Controlled Trial.

Author: AdelowoAmos O, ApostolisCosta A, DisciulloAnthony J, ElkadryEman E, HackerMichele R, HanawayKatherine J, HotaLekha S, ModestAnna M, RogersKathleen J, RosenblattPeter L

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

Mechanical bowel preparation (MBP) using oral magnesium citrate before minimally invasive pelvic reconstructive surgery in 153 women provided an initial improvement in surgical field quality compared to sodium phosphate enema alone. However, the benefit was not sustained, and MBP was associated with increased patient discomfort.
Paper Details　
Original Abstract of the Article :
OBJECTIVE: To compare mechanical bowel preparation (MBP) using oral magnesium citrate with sodium phosphate enema to sodium phosphate (NaP) enema alone during minimally invasive pelvic reconstructive surgery. METHODS: We conducted a single-blind, randomized controlled trial of MBP versus NaP in wom...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/27782976

データ提供：米国国立医学図書館（NLM）

Bowel Preparation: A Necessary Stop in the Desert of Pelvic Reconstructive Surgery?

Pelvic reconstructive surgery is a complex and often challenging procedure, requiring careful preparation and execution. This study investigates the role of mechanical bowel preparation (MBP) in minimally invasive pelvic reconstructive surgery, comparing its effectiveness to a standard sodium phosphate enema. The researchers evaluated the impact of MBP on the quality of the surgical field, surgeon assessment of bowel handling, and patient-reported tolerability.

Bowel Preparation: A Necessary Oasis or a Harsh Stop in the Desert of Surgery?

The study found that MBP was associated with an initial improvement in the quality of the surgical field, but this benefit was not sustained throughout the procedure. However, MBP was also associated with increased patient discomfort and negative side effects. This finding is like encountering a harsh oasis in the desert: it may offer some temporary relief, but it may also come with a price.

Navigating the Desert of Surgical Procedures: A Balance of Benefits and Risks

This study provides valuable insights into the potential benefits and risks of MBP in minimally invasive pelvic reconstructive surgery. While it may offer some advantages in certain situations, it is important to carefully consider the potential drawbacks for individual patients.

Dr.Camel's Conclusion

This study highlights the complex considerations involved in preparing for surgical procedures. The desert of surgical practice is vast and diverse, requiring clinicians to carefully weigh the benefits and risks of different interventions to optimize patient outcomes and minimize discomfort.

Date :
  1. Date Completed 2017-12-05
  2. Date Revised 2022-12-07
Further Info :

Pubmed ID

27782976

DOI: Digital Object Identifier

NIHMS813123

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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