What is included in the preoperative care of enterovesical fistula?

Updated: Dec 24, 2020
  • Author: Joseph Basler, MD, PhD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The usual preoperative medical evaluation and staging (in the case of suspected or diagnosed cancer) should be performed. In addition, a preoperative mechanical and antibiotic bowel preparation is performed. At this author's institution, this includes an oral lavage with polyethylene glycol & electrolytes (GoLYTELY or its equivalent) and oral neomycin and erythromycin base. A second-generation cephalosporin is generally administered intravenously for antibiotic prophylaxis.

Other variations of this bowel preparation, such as colonic irrigation with a povidone-iodine solution, have also been used successfully. Surgeon preference dictates which is used. The goal is to clear as much fecal content and as many bacteria as possible before resection to allow uncomplicated healing after successful surgery.


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