title: [Preoperative preparation in colorectal surgery: antibiotics (author's transl)].
abstract: Out of a total of 2727 operations of the large bowel because of tumors and inflammatory disease, performed over a 14-year period, 897 were one-stage resections of the colon and rectum without relaxing colostomy. Standard preoperative preparation of the bowel consists of a balanced diet, laxatives, and enema supplemented by 9 g Neomycin and 1.8 g Achromycin, within a 2-day period. Disturbances in wound healing occurred in 12.5%, seroma included. Anastomotic insufficiency occurred in 4%, and fatal fecal peritonitis due to tumors in 1.3% and due to diverticulitis in 1.2%. Total mortality was about 5.7%. Postoperative hospitalization after resections because of tumors was 15 days and because of diverticulitis, 19 days.
mesh_terms: D002400:Cathartics / Q000627:therapeutic use; D004733:Enema; D006801:Humans; D007420:Intestine, Large / Q000382:microbiology / Q000601:surgery*; D009355:Neomycin / Q000008:administration & dosage*; D010538:Peritonitis / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D012003:Rectal Fistula / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000517:prevention & control; D013752:Tetracycline / Q000008:administration & dosage*
chemical_list: D002400:Cathartics; D013752:Tetracycline; D009355:Neomycin
vernacular_title: Dickdarmreinigung für den Colon-Rectum-Eingriff: Antibiotica.