Effect of intramuscular (IM) cefoxitin (systemic antibiotic treatment) versus direct topical antibiotic treatment with ciprofloxacin, flagyl and neomycin via enema on post-operative day (POD) 0 and 6. (A–C) Shown are the effects of systemic and topical antibiotic treatment on leak rate, collagen-degrading activity of whole microbial communities, and intestinal collagen content in rats that underwent surgical resection, anastomosis, and devascularization (n=10, *P<0.01, Student t-test). (D, D′). Effect of IM cefoxitin versus topical antibiotic treatment on intestinal tissue MMP9 activity (n=3, *P<0.05, Student t-test).