Surgery

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Effect of Preoperative Bowel Preparation Using Cleansing Enema on Fluoroscopic Pelvic Image Quality and Kerma Area Product Radiation Exposure During Percutaneous Sacroiliac Screw Fixation: Randomized Control Trial
(Addis Ababa University, 2024-10-08) Binyam Dagnaw; Geletaw Tesema
Unstable pelvic ring injuries present a high risk of morbidity and mortality, and early stabilization through percutaneous sacroiliac screw fixation (PSSF) offers pain relief and quicker mobilization. However, PSSF is technically challenging due to the complex pelvic anatomy and surrounding neurovascular structures, requiring precise fluoroscopic guidance. Issues such as poor visualization due to body habitus, bowel gas or fecal loading can prolong surgical time, increase radiation exposure, and increase the risk of nerve injury. This randomized controlled trial aimed to evaluate the effect of preoperative bowel preparation using a cleansing enema on fluoroscopic pelvic image quality and radiation exposure during PSSF.