Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery

Y. Sekine, Y. Takai, O. Nishii, N. Kudaka, A. Onozawa, J. Kizu, Y. Arakawa, O. Tsutsumi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To establish a new method for preoperative bowel preparation that facilitates nursing care and minimizes the patient's discomfort during the clinical pathway of laparoscopic surgery. Method: A randomized controlled trial was conducted for the following two preparation methods. Twenty cases were assessed with Method 1 and 18 cases with Method 2. Method 1 (the conventional procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by a glycerin enema in the night of the day before surgery and in the morning of the day of surgery. Method 2 (a new procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by oral picosulfate in the night before the day of surgery and a bisacodyl suppository in the morning of the day of surgery. To evaluate the two methods we sent questionnaires to the surgeons (blinded to the method used), nurses, and patients. Results: No statistical difference existed between the two methods in their effectiveness as a preoperative treatment. Facilitation of nursing care was significantly better in Method 2, and patients had considerably reduced discomfort with Method 2. Discussion: Patients who received oral picosulfate and a bisacodyl suppository experienced much less discomfort and nursing care was easier when compared with the conventional method of administering a glycerin enema. Since an enema is disliked by young women and an effect comes out with discomfort very shortly after the administration, the degree of discomfort of patients would have become high. Picosulfate is an oral medicine and thereby the effect comes out mildly. That would be the reason why the degree of discomfort of patients was low. In the nursing care, an enema requires time for preparation and administration, while picosulfate is easy to administer, making the nursing care easier. Therefore, Method 2 was chosen as a preoperative bowel treatment for the clinical pathway. Thus, we could establish a new evidence-based method useful for the preoperative bowel preparation in the clinical pathway of laparoscopic surgery.

Original languageEnglish
Pages (from-to)637-645
Number of pages9
JournalYakugaku Zasshi
Volume121
Issue number8
DOIs
Publication statusPublished - 2001
Externally publishedYes

Fingerprint

Gynecologic Surgical Procedures
Laparoscopy
Ambulatory Surgical Procedures
Nursing Care
Enema
Critical Pathways
Bisacodyl
Suppositories
Glycerol
Oral Medicine

Keywords

  • Bowel preparation
  • Evidence-based medicine
  • Glycerin enema
  • Laparoscopy
  • Randomized-controlled trial

ASJC Scopus subject areas

  • Molecular Medicine

Cite this

Sekine, Y., Takai, Y., Nishii, O., Kudaka, N., Onozawa, A., Kizu, J., ... Tsutsumi, O. (2001). Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery. Yakugaku Zasshi, 121(8), 637-645. https://doi.org/10.1248/yakushi.121.637

Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery. / Sekine, Y.; Takai, Y.; Nishii, O.; Kudaka, N.; Onozawa, A.; Kizu, J.; Arakawa, Y.; Tsutsumi, O.

In: Yakugaku Zasshi, Vol. 121, No. 8, 2001, p. 637-645.

Research output: Contribution to journalArticle

Sekine, Y, Takai, Y, Nishii, O, Kudaka, N, Onozawa, A, Kizu, J, Arakawa, Y & Tsutsumi, O 2001, 'Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery', Yakugaku Zasshi, vol. 121, no. 8, pp. 637-645. https://doi.org/10.1248/yakushi.121.637
Sekine, Y. ; Takai, Y. ; Nishii, O. ; Kudaka, N. ; Onozawa, A. ; Kizu, J. ; Arakawa, Y. ; Tsutsumi, O. / Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery. In: Yakugaku Zasshi. 2001 ; Vol. 121, No. 8. pp. 637-645.
@article{7accce100d6142ddae330491ee24271e,
title = "Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery",
abstract = "Objective: To establish a new method for preoperative bowel preparation that facilitates nursing care and minimizes the patient's discomfort during the clinical pathway of laparoscopic surgery. Method: A randomized controlled trial was conducted for the following two preparation methods. Twenty cases were assessed with Method 1 and 18 cases with Method 2. Method 1 (the conventional procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by a glycerin enema in the night of the day before surgery and in the morning of the day of surgery. Method 2 (a new procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by oral picosulfate in the night before the day of surgery and a bisacodyl suppository in the morning of the day of surgery. To evaluate the two methods we sent questionnaires to the surgeons (blinded to the method used), nurses, and patients. Results: No statistical difference existed between the two methods in their effectiveness as a preoperative treatment. Facilitation of nursing care was significantly better in Method 2, and patients had considerably reduced discomfort with Method 2. Discussion: Patients who received oral picosulfate and a bisacodyl suppository experienced much less discomfort and nursing care was easier when compared with the conventional method of administering a glycerin enema. Since an enema is disliked by young women and an effect comes out with discomfort very shortly after the administration, the degree of discomfort of patients would have become high. Picosulfate is an oral medicine and thereby the effect comes out mildly. That would be the reason why the degree of discomfort of patients was low. In the nursing care, an enema requires time for preparation and administration, while picosulfate is easy to administer, making the nursing care easier. Therefore, Method 2 was chosen as a preoperative bowel treatment for the clinical pathway. Thus, we could establish a new evidence-based method useful for the preoperative bowel preparation in the clinical pathway of laparoscopic surgery.",
keywords = "Bowel preparation, Evidence-based medicine, Glycerin enema, Laparoscopy, Randomized-controlled trial",
author = "Y. Sekine and Y. Takai and O. Nishii and N. Kudaka and A. Onozawa and J. Kizu and Y. Arakawa and O. Tsutsumi",
year = "2001",
doi = "10.1248/yakushi.121.637",
language = "English",
volume = "121",
pages = "637--645",
journal = "Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan",
issn = "0031-6903",
publisher = "Pharmaceutical Society of Japan",
number = "8",

}

TY - JOUR

T1 - Establishment of an optimum bowel preparation method before gynecologic laparoscopic surgery

AU - Sekine, Y.

AU - Takai, Y.

AU - Nishii, O.

AU - Kudaka, N.

AU - Onozawa, A.

AU - Kizu, J.

AU - Arakawa, Y.

AU - Tsutsumi, O.

PY - 2001

Y1 - 2001

N2 - Objective: To establish a new method for preoperative bowel preparation that facilitates nursing care and minimizes the patient's discomfort during the clinical pathway of laparoscopic surgery. Method: A randomized controlled trial was conducted for the following two preparation methods. Twenty cases were assessed with Method 1 and 18 cases with Method 2. Method 1 (the conventional procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by a glycerin enema in the night of the day before surgery and in the morning of the day of surgery. Method 2 (a new procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by oral picosulfate in the night before the day of surgery and a bisacodyl suppository in the morning of the day of surgery. To evaluate the two methods we sent questionnaires to the surgeons (blinded to the method used), nurses, and patients. Results: No statistical difference existed between the two methods in their effectiveness as a preoperative treatment. Facilitation of nursing care was significantly better in Method 2, and patients had considerably reduced discomfort with Method 2. Discussion: Patients who received oral picosulfate and a bisacodyl suppository experienced much less discomfort and nursing care was easier when compared with the conventional method of administering a glycerin enema. Since an enema is disliked by young women and an effect comes out with discomfort very shortly after the administration, the degree of discomfort of patients would have become high. Picosulfate is an oral medicine and thereby the effect comes out mildly. That would be the reason why the degree of discomfort of patients was low. In the nursing care, an enema requires time for preparation and administration, while picosulfate is easy to administer, making the nursing care easier. Therefore, Method 2 was chosen as a preoperative bowel treatment for the clinical pathway. Thus, we could establish a new evidence-based method useful for the preoperative bowel preparation in the clinical pathway of laparoscopic surgery.

AB - Objective: To establish a new method for preoperative bowel preparation that facilitates nursing care and minimizes the patient's discomfort during the clinical pathway of laparoscopic surgery. Method: A randomized controlled trial was conducted for the following two preparation methods. Twenty cases were assessed with Method 1 and 18 cases with Method 2. Method 1 (the conventional procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by a glycerin enema in the night of the day before surgery and in the morning of the day of surgery. Method 2 (a new procedure): oral magnesium citrate is given in the afternoon of the day before surgery, followed by oral picosulfate in the night before the day of surgery and a bisacodyl suppository in the morning of the day of surgery. To evaluate the two methods we sent questionnaires to the surgeons (blinded to the method used), nurses, and patients. Results: No statistical difference existed between the two methods in their effectiveness as a preoperative treatment. Facilitation of nursing care was significantly better in Method 2, and patients had considerably reduced discomfort with Method 2. Discussion: Patients who received oral picosulfate and a bisacodyl suppository experienced much less discomfort and nursing care was easier when compared with the conventional method of administering a glycerin enema. Since an enema is disliked by young women and an effect comes out with discomfort very shortly after the administration, the degree of discomfort of patients would have become high. Picosulfate is an oral medicine and thereby the effect comes out mildly. That would be the reason why the degree of discomfort of patients was low. In the nursing care, an enema requires time for preparation and administration, while picosulfate is easy to administer, making the nursing care easier. Therefore, Method 2 was chosen as a preoperative bowel treatment for the clinical pathway. Thus, we could establish a new evidence-based method useful for the preoperative bowel preparation in the clinical pathway of laparoscopic surgery.

KW - Bowel preparation

KW - Evidence-based medicine

KW - Glycerin enema

KW - Laparoscopy

KW - Randomized-controlled trial

UR - http://www.scopus.com/inward/record.url?scp=0034859130&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034859130&partnerID=8YFLogxK

U2 - 10.1248/yakushi.121.637

DO - 10.1248/yakushi.121.637

M3 - Article

VL - 121

SP - 637

EP - 645

JO - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan

JF - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan

SN - 0031-6903

IS - 8

ER -