How are patients prepped for total mesorectal excision (TME)?

Updated: Feb 16, 2021
  • Author: Nanda Kishore Maroju, MRCS, MS, MBBS, DNB; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Bowel preparation and stoma-site marking are performed on the day before the procedure. Polyethylene glycol or sodium picosulfate solution is usually chosen for bowel preparation. Adequate care to ensure hydration of the patient during preparation is important. Marking of the site for stoma formation is done by a stoma nurse, which gives an opportunity for the patient to discuss stoma issues.

Patients are scored for the risk of DVT and receive appropriate prophylaxis. Prophylactic antibiotics are administered as per protocol at anesthetic induction.


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