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References: Laxative

J Laparoendosc Surg. 1993 Feb;3(1):63-6.
Laparoscopic and hysteroscopic approach for tubal anastomosis.

Tsin DA, Mahmood D.

Astoria General Hospital, NY.

The laparotomy approach for microsurgical repair of tubo-tubal anastomosis is a well-established method. This article describes a novel technique of end to end tubo-tubal re-anastomosis using the minimally invasive methods of video laparoscopy, video hysteroscopy, and lasers in four women. This procedure is applicable to women of reproductive age who have previously been subjected to voluntary sterilization procedures. The long-term results of this new technique remain to be evaluated. However, the minimal surgical approach has met with early success and patient approval.

PIP: The laparotomy approach for microsurgical repair of tubo-tubal anastomosis is well-established. A novel technique of end-to-end tubo-tubal re-anastomosis using the minimally invasive methods of video laparoscopy, video hysteroscopy, and laser in 4 women in described. All 4 women were of reproductive age, had been sterilized, and wanted a reversal of sterilization. A traditional work-up was performed on each involved couple. When possible, a hysterosalpingogram was done. The procedure was performed during the proliferative phase shortly after menses. The patients were given a bowel prep with a liquid diet for 2 days; a laxative was given the day before surgery and laminaria medium thick was inserted into the cervix. The patient received iv antibiotics immediately before operation, and general anesthesia was used. After induction, the laminaria was removed, pelvic examination performed, and a uterine cannula was inserted for manipulation and perturbation. If tubal occlusion was to be established, normal saline was injected via the uterine cannula. If peritoneal spillage occurred, the tubes were patent. As no spillage occurred, tubal occlusion was confirmed. The tubes were then observed to see if an endoscopic tuboplasty could be performed. The tube

Arch Surg. 1993 Apr;128(4):441-4.
Experience with ambulatory preoperative bowel preparation at the Johns Hopkins Hospital.

Handelsman JC, Zeiler S, Coleman J, Dooley W, Walrath JM.

Department of Surgery, Johns Hopkins University School of Medicine and Hospital, Baltimore, MD 21287.

A transition to ambulatory preoperative antibiotic bowel preparation was carried out. The protocol included a liquid diet for 40 hours preceding surgery and coordination of purging with buffered oral saline laxative, 45 mL containing 8 g sodium phosphate and 22 g sodium biphosphate (Fleet Phospho-Soda, C.B. Fleet Co, Lynchburg, Va) and bisacodyl preparation with an oral erythromycin base-neomycin routine. Enemas were omitted. Personnel in the preoperative evaluation center had the responsibility of instructing patients, distributing directions and drugs, and reviewing for compliance and possible problems during the preoperative period. All patients scheduled for any of a variety of gastrointestinal procedures, as well as some other complex operations, were included in this study. Follow-up data were obtained. Surgeons' comments regarding efficacy were highly favorable. In only five cases was there comment regarding liquid stool, and this was no impediment to surgery. This incidence was comparable with that of the inpatient experience, as was the spectrum of postoperative complications. Transfer of responsibility to the department proceeded with ease. Results were entirely comparable with those of the former inpatient experience.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8457157&dopt=Abstract constipation laxative

Z Gastroenterol. 1993 Feb;31(2):140-3.
Laxative use not a risk for colorectal cancer: data from the Melbourne Colorectal Cancer Study.

Kune GA.

University of Melbourne.

Commercial laxative use as a risk factor in colorectal cancer was investigated as one part of a large population based epidemiological study of colorectal cancer incidence, aetiology and survival "The Melbourne Colorectal Cancer Study", conducted in Melbourne, Australia. Commercial laxative use was similar in 685 colorectal cancer patients and 723 age/sex matched community based controls. Also, when laxatives were subdivided into various groups containing anthraquinones, phenolphthalein, mineral salts and others, previous laxative intake was similar between cases and controls. Previous use of anthraquinone laxatives and of phenolphthalein containing laxatives was not associated with the risk of colorectal cancer.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8465555&dopt=Abstract constipation laxative

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