2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery.
de'Angelis, Nicola Schena, Carlo Alberto Marchegiani, Francesco Reitano, Elisa De Simone, Belinda Wong, Geoffrey Yuet Mun Martínez-Pérez, Aleix Abu-Zidan, Fikri M Agnoletti, Vanni Aisoni, Filippo
de'Angelis, Nicola
Schena, Carlo Alberto
Marchegiani, Francesco
Reitano, Elisa
De Simone, Belinda
Wong, Geoffrey Yuet Mun
Martínez-Pérez, Aleix
Abu-Zidan, Fikri M
Agnoletti, Vanni
Aisoni, Filippo
Citations
Altmetric:
Affiliation
Other Contributors
Publication date
2023-09-09
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
Iatrogenic urinary tract injury (IUTI) is a severe complication of emergency digestive surgery. It can lead to increased postoperative morbidity and mortality and have a long-term impact on the quality of life. The reported incidence of IUTIs varies greatly among the studies, ranging from 0.3 to 1.5%. Given the high volume of emergency digestive surgery performed worldwide, there is a need for well-defined and effective strategies to prevent and manage IUTIs. Currently, there is a lack of consensus regarding the prevention, detection, and management of IUTIs in the emergency setting. The present guidelines, promoted by the World Society of Emergency Surgery (WSES), were developed following a systematic review of the literature and an international expert panel discussion. The primary aim of these WSES guidelines is to provide evidence-based recommendations to support clinicians and surgeons in the prevention, detection, and management of IUTIs during emergency digestive surgery. The following key aspects were considered: (1) effectiveness of preventive interventions for IUTIs during emergency digestive surgery; (2) intra-operative detection of IUTIs and appropriate management strategies; (3) postoperative detection of IUTIs and appropriate management strategies and timing; and (4) effectiveness of antibiotic therapy (including type and duration) in case of IUTIs.
Citation
World J Emerg Surg . 2023 Sep 9;18(1):45
Type
Guideline