PRE-OPERATIVE BOWEL PREPARATION

OPERATIONS NEEDING FULL BOWEL PREPARATIONS ARE:

1. Colonoscopy
2. Rectoplexy
3. Right or Left hemicolectomy
4. Pancolectomy
5. Sigmoidectomy
6. Anterior resection
7. Abdominoperineal resection
8. Hartman’s reversal

OPERATIONS NOT REQUIRING ANY BOWEL PREPARATION:

1. Oesophago-duodenoscopy
2. ERCP
3. Closure ileostomy

OPERATIONS REQUIRING PHOSPHATE ENEMA ON THE DAY OF SURGERY:

1. Haemorrhoidectomy
2. Examination under general anaesthesia
3. Flexible sigmoidoscopy
4. Proctoscopy
5. Anal fissure

HOW DO WE PREPARE BOWEL PRE-OPERATIVELY?

• Give 1 sachet of Picolax a day before surgery at 8:00 and 14:00.
• Picolax=sodium picosulphate.
• Alternatively, we can also use magnesium citrate.
• Patient can eat low residue foods whilst taking bowel preparation.