Evaluation of elective oncologic colorectal surgery without mechanical colon preparation

Authors

Keywords:

Colorectal surgery, Postoperative, Anastomotic dehiscence, Oncology

Abstract

Introduction: mechanical preparation of the colon in elective oncological colorectal surgery is increasingly questionable; its routine practice does not demonstrate important benefits for the patient.
Objective: to evaluate elective oncological colorectal surgery without mechanical preparation, in the General Surgery service, Provincial Clinical Surgical Teaching Hospital “Dr. Blonde Crow Lion.”
Methods: an observational, analytical, prospective and longitudinal research was carried out. The study covered the period from January 2019 to December 2021, 100% of patients who underwent elective oncological colorectal surgery without mechanical preparation were studied (N-54). For the statistical analysis of said information and given its characteristics, the final results were processed and presented in distribution and frequency tables; the chi square was used as the unit of measurement.
Results: the most prevalent complication in the postoperative period of elective oncological colorectal surgery without mechanical preparation was surgical site infection (SSI). The elderly was the age group where postoperative complications occurred the most, with the female sex being the most representative. No relationship was found between the surgical treatments implemented with the appearance of anastomotic dehiscence, there is a two-fold risk of readmission due to SSI as a postoperative complication and the risk of death due to an anastomotic dehiscence is three times greater than due to the appearance of another postoperative complication.
Conclusions: elective oncological colorectal surgery is becoming more frequent every day in our service, with postoperative complications being a problem in the hands of any surgeon, ruining readmissions and mortality, undoubtedly affecting hospital costs in our country.

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Published

2024-07-30

How to Cite

1.
Salazar-Morejón L, Romero-Naranjo R, Díaz-Quiñones R, Angulo-Lugo A, Salazar-Estévez LD, Salazar-Estévez LD. Evaluation of elective oncologic colorectal surgery without mechanical colon preparation. Rev Ciencias Médicas [Internet]. 2024 Jul. 30 [cited 2025 Sep. 19];28(1):e6464. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6464

Issue

Vol. 28 No. 1 (2024): Publicación Continua

Section

ORIGINAL ARTICLES

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