Preoperative preparation of gynecologic patients

Abstract

The value of the quality of intestine preparation was conducted on 70 patients with different gynecologic diseases needed for operative intervention. All patients were divided on 2 groups by the methods of preparation. 1 group — traditional methods (37 patients); 2 group — with using of Macrogo I 4000 (Fortrans) (33 patients).

Full Text

The value of the quality of intestine preparation was conducted on 70 patients with different gynecologic diseases needed for operative intervention. All patients were divided on 2 groups by the methods of preparation. 1 group — traditional methods (37 patients); 2 group — with using of Macrogo I 4000 (Fortrans) (33 patients). It was used the follow dosage: 2 sachets of powder Fortrans for oral solution during 2 hours before the day of operation. The lavage of intestine continued in 3-4 hours. The traditional methods of preparation included the 3 days of unresidual diet and evacuant enema. Intraoperationally in 67,6% of 1 group patients was observed intestine distention. The full intestine evacuation was presented on 75,8% of cases. The duration of operation in 1 group formed in average 1,5±0,4 hours, in 2 group — 1,0±0,3 hours. Intestinal peristalsis appeared in 20-25 hours after operation on 70%, in 28 and more on 30% of 1 group patients. In 2 group the intestinal peristalsis appeared in 20-25 hours in 97% of cases, and after 28 hours in 3% of patients. All patients of 1 group had not defecation during 5 days after operation. And were conducted by the additional treatment. In 2 group in 80% of cases defecation appeared in 3 days. This research showed the good efficacy of intestine preparation for operative interventions with using of Fortrans in gynecological surgery.