Preoperative Bowel Preparation in Minimally Invasive and Vaginal Gynecologic Surgery

Table 2

Studies assessing the use of bowel preparation in vaginal surgery.

Study (reference)	Regimen of BP compared (group size/no. of patients)		Outcomes of interest and results
Ballard et al. [14]	MBP-saline enema (75)	No MBP (75)	No difference in surgeons’ assessment of surgical field; No difference in blood loss; Higher rates of hunger pains, abdominal cramps, abdominal fullness and bloating, and decreased patients’ satisfaction in MBP group
Adelowo et al. [13]^a	MBP-oral magnesium citrate + NaP enema (71)	MBP-NaP enema (77)	Greater patients’ overall discomfort and negative preoperative side effects, such as abdominal cramping or pain, bloating or swelling, embarrassment, weakness, dizziness, and fecal incontinence in oral and rectal MBP group; Better overall evaluation of the surgical field at initial port placement in combined MBP group. No difference at the conclusion of the surgery; Better visualization of the uterus in the combined MBP group; No significant difference in visualization of adnexal structures between groups; No difference in first bowel movement or initial passage of flatus
Deng et al. [15]	MBP-NR (60)	No MBP (60)	Higher rates of fecal contamination of surgical field in MBP group; Higher rates of nausea, vomiting, abdominal distension, fatigue, and palpitation in MBP group
Tayyab et al. [16]	MBP-2 saline enemas (30)	No MBP (30)	No difference in postoperative nausea, vomiting, and anal irritation

MBP = mechanical bowel preparation; NaP = sodium phosphate. ^aLaparoscopic or robotic surgical correction of apical prolapse.