Mechanical bowel preparation before elective colorectal resection has been intensely debated for almost 50 years. Recent reports suggest that bowel preparation may be associated with more complications than if none is given.1-3 This concept is supported by observations made following primary closure of traumatic colon injuries.4,5
Galandiuk S. Povidone-Iodine vs Sodium Hypochlorite Enema for Mechanical Preparation Before Elective Open Colonic or Rectal Resection With Primary Anastomosis—Invited Critique. Arch Surg. 2006;141(12):1175. doi:10.1001/archsurg.141.12.1175
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