The papers on this topic until now have been too few. Danish experience  on fast track surgery reported sigmoid surgery more than rectal surgery. However, in rectal surgery many Authors have spoken out against aggressive preparation of the bowel, and the so-called fibre-free diet. Antibiotic prophylactic administration only aids in reducing wound infection. Actually, the way forward is to reduce the strict rules of MBP, even if we have to obtain deeper information on this topic. Safeguarding the colonic environment could be the weapon to obtain the best result in this surgery.
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