Manfaat Persiapan Usus Kombinasi Sebelum Operasi Kolorektal

Oleh :

dr. Sonny Seputra, Sp.B, M.Ked.Klin, FINACS

Persiapan usus sebelum operasi kolorektal memiliki manfaat untuk menurunkan tingkat komplikasi operasi, asalkan dilakukan menggunakan teknik kombinasi. Persiapan usus kombinasi merupakan gabungan dari persiapan usus mekanik (mechanical bowel preparation) dan persiapan usus dengan antibiotik (antibiotic bowel preparation).[1]

Persiapan Usus Mekanik

Persiapan usus mekanik sebelum operasi kolorektal umumnya dilakukan menggunakan polietilen glikol (PEG) atau natrium fosfat. Tindakan preoperatif ini telah dipraktikkan selama beberapa dekade, tetapi hal ini terbukti merupakan dogma bedah yang tidak bermanfaat. Meta analisis Cochrane tahun 2011 yang menganalisis lebih dari 5.800 pasien yang menjalani pembedahan kolorektal mendapatkan tidak adanya perbedaan yang signifikan antara pasien yang menerima persiapan usus mekanik dengan pasien yang tidak menerima persiapan usus mekanik dalam hal tingkat kebocoran anastomosis atau infeksi luka pada reseksi kolon atau rektum.[1-4]

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Referensi

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