Version June 2024
| Preoperative period |
| Patient education (including stoma site selection) |
| Optimization of medical comorbidities |
| Mechanical bowel preparation and oral antibiotics |
| Fasting from fried or fatty foods or meat for eight hours |
| Fasting from light meals and non-clear liquids (eg, tea and toast, juice with pulp, milk) for six hours |
| Fasting from clear liquids (excludes alcoholic beverages, beverages with milk, juice with pulp) for two hours |
| No premedication |
| Carbohydrate drink two hours prior to the procedure (optional) |
| Intraoperative period |
| Thromboprophylaxis |
| Antibiotic prophylaxis |
| Normothermia |
| Fluid optimization |
| Minimally invasive surgical approach |
| Avoid nasogastric tubes |
| Avoid intra-abdominal or perineal drains (except in settings such as colonic spillage or purulent drainage) |
| Postoperative period |
| Enteral nutrition beginning on postoperative day 1 |
| High-calorie supplements twice daily |
| Multimodal analgesia (eg, transverse abdominis block and opioid-sparing pain medications) |
| Multimodal antiemetic regimen |
| Early removal of urinary catheter, typically on postoperative day 1 |
| Early mobilization using a structured program, typically on the evening of the procedure |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
