Evaluating Mechanical Bowel Preparation Prior to Total Laparoscopic Hysterectomy.

Background And Objectives: Mechanical bowel preparation (MBP) has been used prior to total laparoscopic hysterectomy (TLH), but evidence for its use is lacking. Our study seeks to assess whether or not completion of preoperative MBP prior to TLH improves visualization of the surgical field, bowel handling, or overall ease of the operation.

Methods: Women aged 18-65 years undergoing TLH for benign indications at a level 1 trauma center were randomized to a bowel preparation (BP; n = 39) or non-bowel preparation (NP; n = 39) regimen.