What preparation does bowel need to do before colon cancer operation
summary
My grandfather's health has been very good, a few days ago found that his stool blood went to the hospital for examination, the result is colon cancer. The doctor told us to operate, and there are many precautions in the process of operation. Colon cancer belongs to a major operation, and many things need to be prepared before operation. Here is to explain to you what bowel preparation needs to be done before colon cancer surgery.
What preparation does bowel need to do before colon cancer operation
The first step: the whole intestinal lavage method is more than 12-24 hours before the operation. The lavage fluid is an isotonic electrolyte solution made of sodium chloride, sodium bicarbonate and potassium chloride. The temperature is about 37 ℃, and the volume of the lavage fluid should not be less than 6000 ml. the purpose is to cause volumetric diarrhea and achieve the purpose of thorough intestinal cleaning. Generally, the lavage process takes 3-4 hours. For patients with intestinal obstruction, old and weak, cardiac and renal insufficiency, this method should not be used. For those with infection symptoms, antibiotics can be added into the lavage fluid. Intestines are very dirty, and there are a lot of garbage toxins in them, so we must clean the intestines.
Step 2: Oral Mannitol method is the most simple method for intestinal cleaning, but mannitol is easy to be digested by bacteria in the intestinal tract, which can produce a kind of gas, which may cause explosion when using electric knife during operation. Therefore, special attention should be paid, and it should also be used with caution for patients with old age, poor physical condition, and insufficient heart and kidney function. Generally speaking, there are many ways to clean the intestines. If you want to clean the intestines quickly, you can drink some manna, which is cleaner.
Step 3: Patients with colon cancer who take cathartic orally begin to take liquid food 2 days before operation, take intestinal antibacterial drugs orally, take cathartic once a day, choose castor oil or magnesium sulfate, and clean enema at night before operation. When planning to do surgery, we must eat liquid food, now do not eat everything, had better eat some light.
matters needing attention
It can kill intestinal pathogenic bacteria, especially common anaerobic bacteria such as Bacteroides fragilis, and Gram-negative aerobic bacteria. The former mainly uses metronidazole (metronidazole), while the latter can use sulfonamides, neomycin, erythromycin, kanamycin, etc. Adequate bowel preparation can reduce intraoperative contamination, infection and healing. When preparing for surgery, you must eat less. If you have constipation, you'd better take medicine a few days in advance. In the process of treatment, we must actively cooperate with the doctor's treatment, colon cancer patients must maintain a happy mood, as long as optimistic in the face of surgery, then the operation will be very successful.
