Patient Preparation

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• System wide ERAS program

• Nutritional assessment. Immunomodulator nutritional supplement for 5 days prior to surgery.  Carbohydrate loading the 24 hours prior to surgery

• Mechanical and antibiotic bowel prep is preferred.  Antibiotic bowel prep, with or without mechanical prep show significant decrease in SSI.  Mechanical bowel prep allows for easier handling of the colon in MIS surgery.

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