Abstract
All patients should receive preoperative counselling and preparation in line with Enhanced Recovery After Surgery (ERAS) guidelines. All patients should receive counselling about stoma formation and potential stoma sites should be marked appropriately before surgery. Ideally, preoperative stoma care training should be undertaken. The use of bowel preparation before rectal surgery remains controversial. Our policy is to administer full mechanical bowel preparation using sodium picosulphate or polyethylene glycol preparations for patients undergoing total mesorectal excision (TME) surgery or any anterior resection of the rectum when a defunctioning ileostomy is planned. Otherwise, a preoperative phosphate enema is administered to empty the rectum and left colon.
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Nygren J, Thacker J, Carli F, Fearon KC, Norderval S, Lobo DN, et al. Enhanced recovery after surgery (ERAS) society, for perioperative care.; European Society for Clinical Nutrition and Metabolism (ESPEN).; International Association for Surgical Metabolism and Nutrition (IASMEN). Guidelines for perioperative care in elective rectal/pelvic surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg. 2013;37(2):285–305.
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Schwab, K.E., Rockall, T. (2019). Laparoscopic Low Anterior Resection and Total Mesorectal Excision. In: Parker, M., Hohenberger, W. (eds) Lower Gastrointestinal Tract Surgery: Vol.1, Laparoscopic procedures. Springer Surgery Atlas Series. Springer, Cham. https://doi.org/10.1007/978-3-030-05240-9_14
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DOI: https://doi.org/10.1007/978-3-030-05240-9_14
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