Rectal washout in rectal cancer surgery : A survey of Swedish practice – Questionnaire: Rectal washout in Swedish rectal cancer surgery
Svensson Neufert, Rebecca LU
; Teurneau-Hermansson, Karl
LU
; Lydrup, Marie Louise
LU
; Jörgren, Fredrik
LU
and Buchwald, Pamela
LU
(2018)
In International Journal of Surgery Open
15.
p.32-36
- Abstract
Introduction: To reduce local recurrence rates when performing anterior resection in rectal cancer surgery Swedish national guidelines recommend rectal washout. This study aimed to describe current Swedish practice of rectal washout. Methods: Questionnaires were sent to Swedish surgical departments performing rectal cancer surgery. Results: Thirty-five units performed open rectal cancer surgery, and 91% (32/35) performed minimally invasive surgery. Forty percent (14/35) had a protocol on rectal washout. Rectal washout was most commonly performed using sterile water or an alcohol based solution and with a minimum volume of 100–499 ml. A catheter was used at most units, prior to transection of the rectum and with the bowel clamped.... (More)
Introduction: To reduce local recurrence rates when performing anterior resection in rectal cancer surgery Swedish national guidelines recommend rectal washout. This study aimed to describe current Swedish practice of rectal washout. Methods: Questionnaires were sent to Swedish surgical departments performing rectal cancer surgery. Results: Thirty-five units performed open rectal cancer surgery, and 91% (32/35) performed minimally invasive surgery. Forty percent (14/35) had a protocol on rectal washout. Rectal washout was most commonly performed using sterile water or an alcohol based solution and with a minimum volume of 100–499 ml. A catheter was used at most units, prior to transection of the rectum and with the bowel clamped. Routine use of rectal washout varied with the type of surgical procedure, with no differences between open and minimally invasive surgery: low anterior resection (97% (34/35) vs 94% (30/32); p = 0.60), high anterior resection (94% (33/35) vs 97% (31/32); p = 1.00), Hartmann's procedure (80% (28/35) vs 84% (27/32); p = 0.75), abdominoperineal resection (6% (2/35) vs 16% (5/32); p = 0.25). Conclusion: Swedish colorectal units perform rectal washout routinely with no differences between open and minimally invasive procedures. A minority have a procedure protocol.
(Less)
- author
- Svensson Neufert, Rebecca
LU
; Teurneau-Hermansson, Karl
LU
; Lydrup, Marie Louise
LU
; Jörgren, Fredrik
LU
and Buchwald, Pamela
LU
- organization
- publishing date
- 2018
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Rectal cancer, Rectal cancer surgery, Rectal washout, Survey, Swedish practice
- in
- International Journal of Surgery Open
- volume
- 15
- pages
- 5 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85055892733
- ISSN
- 2405-8572
- DOI
- 10.1016/j.ijso.2018.10.003
- project
- Rectal washout in rectal cancer surgery
- language
- English
- LU publication?
- yes
- id
- 440105f9-9540-45eb-8a15-2446d5a9979d
- date added to LUP
- 2018-11-19 13:38:03
- date last changed
- 2023-04-08 22:34:30
@article{440105f9-9540-45eb-8a15-2446d5a9979d,
abstract = {{<p>Introduction: To reduce local recurrence rates when performing anterior resection in rectal cancer surgery Swedish national guidelines recommend rectal washout. This study aimed to describe current Swedish practice of rectal washout. Methods: Questionnaires were sent to Swedish surgical departments performing rectal cancer surgery. Results: Thirty-five units performed open rectal cancer surgery, and 91% (32/35) performed minimally invasive surgery. Forty percent (14/35) had a protocol on rectal washout. Rectal washout was most commonly performed using sterile water or an alcohol based solution and with a minimum volume of 100–499 ml. A catheter was used at most units, prior to transection of the rectum and with the bowel clamped. Routine use of rectal washout varied with the type of surgical procedure, with no differences between open and minimally invasive surgery: low anterior resection (97% (34/35) vs 94% (30/32); p = 0.60), high anterior resection (94% (33/35) vs 97% (31/32); p = 1.00), Hartmann's procedure (80% (28/35) vs 84% (27/32); p = 0.75), abdominoperineal resection (6% (2/35) vs 16% (5/32); p = 0.25). Conclusion: Swedish colorectal units perform rectal washout routinely with no differences between open and minimally invasive procedures. A minority have a procedure protocol.</p>}},
author = {{Svensson Neufert, Rebecca and Teurneau-Hermansson, Karl and Lydrup, Marie Louise and Jörgren, Fredrik and Buchwald, Pamela}},
issn = {{2405-8572}},
keywords = {{Rectal cancer; Rectal cancer surgery; Rectal washout; Survey; Swedish practice}},
language = {{eng}},
pages = {{32--36}},
publisher = {{Elsevier}},
series = {{International Journal of Surgery Open}},
title = {{Rectal washout in rectal cancer surgery : A survey of Swedish practice – Questionnaire: Rectal washout in Swedish rectal cancer surgery}},
url = {{http://dx.doi.org/10.1016/j.ijso.2018.10.003}},
doi = {{10.1016/j.ijso.2018.10.003}},
volume = {{15}},
year = {{2018}},
}