Download Improved Outcomes in Colon and Rectal Surgery by Charles B. Whitlow, David E. Beck, David A. Margolin, Terry PDF

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By Charles B. Whitlow, David E. Beck, David A. Margolin, Terry C. Hicks

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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.

9. Taqi A, Hong X, Mistraletti G et al. Thoracic epidural analgesia facilitates the restoration of bowel function and dietary intake in patients undergoing laparoscopic colon resection using a traditional, nonaccelerated, perioperative care program. Surg Endoscopy 2007; 21: 247–52. 10. Liu SS, Mulroy MF. Neuraxial anesthesia and analgesia in the presence of standard heparin. Reg Anesth Pain Med 1998; 23: 157–63. 11. Ruff RL, Dougherty JH. Complications of anticoagulation followed by anticoagulation.

The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg 2007; 104(1): 193–7. 14. Rafi AN. Abdominal field block: a new approach via the ­lumbar triangle. Anaesthesia 2001; 56(10): 1021–6. 15. El-dawlatly AA, Thallaj A, Aldohayan A et al. Unilateral US guided TAP block for abdominal surgery. The Internet J Anesthesiology 2006; 16(2). 16. Stoelting RK, Miller RD. Peripheral Nerve Blocks in Basics of Anesthesia. Fifth Edition.

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