Bakay Kadir, Aytekin Fatih
a Department of Obstetrics and Gynecology , Research and Training Hospital, Baskent University , Antalya , Turkey.
J Obstet Gynaecol. 2017 Nov;37(8):1032-1035. doi: 10.1080/01443615.2017.1318268. Epub 2017 Jun 26.
In this prospective randomised single-blind case-controlled cohort study the aim was to compare the effects of mechanical bowel preparation (MBP) on field of vision and surgical comfort during total laparoscopic hysterectomy procedures. The study group was made of 102 patients that had undergone total laparoscopic hysterectomy (TLH), between July 2012 and June 2014. Statistical comparison was made between the means of durations of operation between the two groups divided by visual indexing (VI). The patients with a VI score of less than 2 and those with VI score of 2 or higher were compared in terms of operation duration in regard to the criteria described above. According to calculations, the p value is .664, therefore, making the result statistically not significant at p ≤ .05. In conclusion it can safely be reported that mechanical bowel preparation before laparoscopic hysterectomy was not found to be necessary in this study group. Impact statement Considering recent publications on the subject, the benefits of mechanical bowel preparation before gynaecologic laparoscopy is still a debateable subject and in that regard what we wish to share is that our study is based on an objective visual indexing tool not used before thus making our results reliable on deciding whether or not patients should receive mechanical bowel preparation prior to laparoscopic surgery for benign reasons.
在这项前瞻性随机单盲病例对照队列研究中，目的是比较全腹腔镜子宫切除术期间机械性肠道准备（MBP）对视野和手术舒适度的影响。研究组由2012年7月至2014年6月期间接受全腹腔镜子宫切除术（TLH）的102例患者组成。通过视觉分度（VI）对两组手术持续时间的均值进行统计学比较。根据上述标准，比较VI评分小于2的患者和VI评分2及以上的患者的手术持续时间。经计算，p值为0.664，因此，在p≤0.05时结果无统计学意义。总之，可以安全地报告，在该研究组中未发现腹腔镜子宫切除术前行机械性肠道准备是必要的。影响声明考虑到近期关于该主题的出版物，妇科腹腔镜检查前机械性肠道准备的益处仍是一个有争议的话题，在这方面我们希望分享的是，我们的研究基于一种以前未使用过的客观视觉分度工具，因此我们的结果对于决定患者是否应出于良性原因在腹腔镜手术前接受机械性肠道准备是可靠的。
