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Rectal washout in rectal cancer surgery : A survey of Swedish practice – Questionnaire: Rectal washout in Swedish rectal cancer surgery

Svensson Neufert, Rebecca LU orcid ; 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.

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author
; ; ; and
organization
publishing date
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
language
English
LU publication?
yes
id
440105f9-9540-45eb-8a15-2446d5a9979d
date added to LUP
2018-11-19 13:38:03
date last changed
2021-11-17 15:58:54
@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},
  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},
}