By Charles B. Whitlow, David E. Beck, David A. Margolin, Terry C. Hicks
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Extra info for Improved Outcomes in Colon and Rectal Surgery
Despite the growing evidence against MBP, there are several benefits unrelated to the risk of infection. A prepped colon is easier to palpate and manipulate, and allows the surgeon to identify smaller tumors and perform intraoperative colonoscopy if required. During laparoscopy, it may reduce the risk of traumatic bowel injury of an otherwise heavy, fecal loaded colon being manipulated by relatively traumatic laparoscopic grasping instruments. However, the overall data from randomized trials and meta-analyses clearly show the safety of performing an anastomosis in unprepared bowel and the lack of benefit of MBP toward infectious complications.
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