Patient Preparation

Informed consent is obtained with a discussion of risks including but not limited to adjacent organ injury and unrecognized bowel injury. Patients are made aware that safety is paramount, and open conversion may be required for completion of the planned procedure. Patents undergo a full mechanical bowel preparation with oral antibiotics covering normal intestinal flora on the day prior to surgery. Preoperative antibiotic prophylaxis with an intravenous second-generation cephalosporin is given at induction of anesthesia and continues for the first postoperative day. Lower extremity compressive devices are applied. Once general anesthesia is induced, the gastric contents are emptied with a nasogastric tube, which remains in place postoperatively.

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