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Bowel preparation practices vary, and a survey of EAES members prioritized this topic to be addressed by a clinical practice guideline. This prompted the EAES Guidelines Subcommittee to develop evidence-informed clinical practice recommendations on the use of bowel preparation before minimally invasive colorectal surgery, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary panel of surgeons, anesthetists, infectious disease specialists, and patient partners.
The panel suggests either oral antibiotics alone prior to minimally invasive right colon resection, or mechanical bowel preparation (MBP) plus oral antibiotics; MBP plus oral antibiotics prior to minimally invasive left colon and sigmoid resection, and prior to minimally invasive right colon resection when there is an intention to perform intracorporeal anastomosis; MBP plus oral antibiotics plus enema prior to minimally invasive rectal surgery; and recommends MBP plus oral antibiotics prior to minimally invasive colorectal surgery, when there is an intention to localize the lesion intraoperatively (strong recommendation).