ABSTRACT
Preop The proximal and distal colon should be assessed by colonoscopy, proctoscopy,
and/or contrast enema through both colostomy and rectum. Prior to surgery, both a mechanical and an antibiotic bowel prep may be performed. Preoperative enemas or a proctoscopic rectal wash out after induction should be considered. Prophylactic IV antibiotics should be given 30 minutes prior to surgery. A nasogastric tube is in serted. Bilateral pneumatic compression boots are placed and subcutaneous heparin is administered.
