+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Augmentation cystoplasty in children without preoperative mechanical bowel preparation

Augmentation cystoplasty in children without preoperative mechanical bowel preparation

Journal of Pediatric Urology 8(2): 201-204

To retrospectively assess early postoperative complications in augmentation cystoplasty without preoperative mechanical bowel preparation (MBP). Between May 1987 and May 2006, 162 cystoplasties were performed in 158 children. The segments used were: sigmoid colon (81.5%), ileum (13%), and ileocecum (5.5%). The mean age was 8.65 years (range 2.1-22.7 years). No preoperative MBP of any kind was used in any of the patients and all of them received antibiotics preoperatively and postoperatively. No intraoperative complications related to the procedure were reported. The mean hospital stay was 9.48 days (range 4-30 days). The mean time to intake of oral fluids was 94.77 h (range 48-288 h). Postoperative complications occurred in 9.87%: urinary fistula was the most common (2.4%); only 3 patients presented wound infection (1.85%); 5 patients required reoperative surgery (hemoperitoneum, patch necrosis and 3 cases of urinary peritonitis); 1 patient presented an intra-abdominal abscess that resolved with antibiotic treatment. Preoperative MBP can be omitted in children that require augmentation cystoplasty without an increased risk of infectious or anastomotic complications. Further prospective, randomized clinical trials should be carried out in order to validate our findings in the pediatric population.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 036174253

Download citation: RISBibTeXText

PMID: 21831716

DOI: 10.1016/j.jpurol.2011.01.015

Related references

Re: Augmentation cystoplasty in children without preoperative mechanical bowel preparation. Journal of Urology 188(6): 2368-2369, 2012

In Patients Undergoing Colorectal Resection, Can Preoperative Antibiotics Combined With Mechanical Bowel Preparation Compared With Mechanical Bowel Preparation Only Significantly Reduce Surgical Site Infection?. Diseases of the Colon and Rectum 61(8): E356, 2018

The relative significance of preoperative oral antibiotics, mechanical bowel preparation, and preoperative peritoneal contamination in the avoidance of sepsis after radical surgery for ulcerative colitis and Crohn's disease of the large bowel. British Journal of Surgery 58(4): 270-273, 1971

Is bowel preparation required before cystoplasty in children?. Journal of Urology 176(4 Pt 1): 1574-6; Discussion 1576-7, 2006

Meta-analysis of oral antibiotics, in combination with preoperative intravenous antibiotics and mechanical bowel preparation the day before surgery, compared with intravenous antibiotics and mechanical bowel preparation alone to reduce surgical-site infections in elective colorectal surgery. Bjs Open 2(4): 185-194, 2018

The relative significance of preoperative mechanical bowel preparation, phthalylsulphathiazole, and neomycin in the avoidance of sepsis after radical large-bowel surgery. British Journal of Surgery 57(5): 389, 1970

Should preoperative mechanical bowel preparation be abandoned?. Annals of Surgery 245(4): 662, 2007

Radiopaque markers for the assessment of mechanical preoperative bowel preparation. Netherlands Journal of Surgery 37(5): 153, 1985

Urodynamics assessment of augmentation cystoplasty using tubular or detubularized large and small bowel. Journal of Urology 134(4 PART 2): 511A, 1988

Opportunities for augmentation cystoplasty revision without additional bowel harvest: "Hourglass" deformity or non-detubularized augment. Canadian Urological Association Journal 2018, 2018

Comparison of bowel function pre and post-sigmoid augmentation cystoplasty in spinal cord injury patients. Zhonghua Yi Xue Za Zhi 92(12): 842-844, 2013

Research progression on preoperative mechanical bowel preparation for elective colorectal surgery. Zhonghua Wei Chang Wai Ke Za Zhi 18(6): 628-630, 2015

Preoperative mechanical bowel preparation unnecessary in patients undergoing thoracic surgery. Japanese Journal of Thoracic and Cardiovascular Surgery 52(9): 407-410, 2004

Preoperative mechanical bowel preparation does not offer a benefit for patients who undergo pancreaticoduodenectomy. Surgery 148(2): 278-284, 2010

Anterior flap extraperitoneal cystoplasty A simplified method of ileal augmentation cystoplasty. Journal of Urology 157(4 SUPPL ): 397, 1997