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Preparation For Abdominal Surgery
It has been well-demonstrated over the years that surgery which is performed on an intestine that has been cleansed prior to the operation has a markedly decreased number of complications associated with it. Specifically, the most common postoperative problem that arises after intestinal surgery is due to an infection. Whereas 30 years ago infections developed in almost one out of every two people that underwent intestinal surgery, with modern technique of bowel cleansing, the infection rate presently is usually less than 1 in every 20 people. The intestines are cleansed with both purgatives, as well as antibiotics in order to minimize the chance for infection. Be sure to obtain antibiotic prescriptions from your surgeon.
Items you need to obtain for preparation:
- Fleet Prep Kit #1
- 1 10 ounce bottle of Citrate of Magnesium, any flavor, (looks like green soda pop bottle)
- One Fleet Enema
- A normal diet may be eaten until the day before the operation. At this point, only clear liquids may be taken until midnight (Click Here for Clear Liquid Diet document). Note that after midnight and up until the time of your surgery, you will not be allowed anything to eat or drink whatsoever.
- At 2:00 p.m. drink the Fleet Phosphosoda contained in the Fleet Prep Kit #1.
At 5:00 p.m. drink one bottle of Citrate of Magnesia.
At 7:00 p.m. take all Dulcolax tablets (Bisacodyl 5 mg.) which are also contained in the Fleet Prep Kit #1.
- While maintaining a clear liquid diet, you must drink a minimum of 8 ounces of liquid every hour until bedtime.
- The antibiotic portion of the bowel preparation is to begin at 5:00 p.m. Starting at that time, and then to be repeated at 6:00 p.m. and 10:00 p.m., you should take 1 gram each of both the Neomycin and Flagyl. These pills may leave a slightly metallic taste in your mouth.
- On the morning of your surgery, just prior to coming to the hospital, you should evacuate any remaining material left in your rectum by inserting one Fleet enema. This can be obtained without a prescription in any pharmacy.
- Please note suppositories included in the Fleet Prep Kit #1 will not be used.
If you have any questions concerning the instructions or any problems completing the preparation, please call the office at (860) 548-7336 so that we may assist you.
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