TY - JOUR
T1 - 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery
AU - de’Angelis, Nicola
AU - Schena, Carlo Alberto
AU - Marchegiani, Francesco
AU - Reitano, Elisa
AU - De Simone, Belinda
AU - Wong, Geoffrey Yuet Mun
AU - Martínez-Pérez, Aleix
AU - Abu-Zidan, Fikri M.
AU - Agnoletti, Vanni
AU - Aisoni, Filippo
AU - Ammendola, Michele
AU - Ansaloni, Luca
AU - Bala, Miklosh
AU - Biffl, Walter
AU - Ceccarelli, Graziano
AU - Ceresoli, Marco
AU - Chiara, Osvaldo
AU - Chiarugi, Massimo
AU - Cimbanassi, Stefania
AU - Coccolini, Federico
AU - Coimbra, Raul
AU - Di Saverio, Salomone
AU - Diana, Michele
AU - Dioguardi Burgio, Marco
AU - Fraga, Gustavo
AU - Gavriilidis, Paschalis
AU - Gurrado, Angela
AU - Inchingolo, Riccardo
AU - Ingels, Alexandre
AU - Ivatury, Rao
AU - Kashuk, Jeffry L.
AU - Khan, Jim
AU - Kirkpatrick, Andrew W.
AU - Kim, Fernando J.
AU - Kluger, Yoram
AU - Lakkis, Zaher
AU - Leppäniemi, Ari
AU - Maier, Ronald V.
AU - Memeo, Riccardo
AU - Moore, Ernest E.
AU - Ordoñez, Carlos A.
AU - Peitzman, Andrew B.
AU - Pellino, Gianluca
AU - Picetti, Edoardo
AU - Pikoulis, Manos
AU - Pisano, Michele
AU - Podda, Mauro
AU - Romeo, Oreste
AU - Rosa, Fausto
AU - Tan, Edward
AU - Ten Broek, Richard P.
AU - Testini, Mario
AU - Tian Wei Cheng, Brian Anthony
AU - Weber, Dieter
AU - Sacco, Emilio
AU - Sartelli, Massimo
AU - Tonsi, Alfredo
AU - Dal Moro, Fabrizio
AU - Catena, Fausto
N1 - Publisher Copyright:
© 2023, BioMed Central Ltd., part of Springer Nature.
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
KW - Antimicrobial treatment for urinary tract injury
KW - Bladder injury
KW - Iatrogenic urinary tract injury
KW - Ureteral injury
KW - Urinary injury diagnosis
KW - Urinary injury management
KW - Urinary injury prevention
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U2 - 10.1186/s13017-023-00513-8
DO - 10.1186/s13017-023-00513-8
M3 - Review article
C2 - 37689688
AN - SCOPUS:85170346385
SN - 1749-7922
VL - 18
JO - World Journal of Emergency Surgery
JF - World Journal of Emergency Surgery
IS - 1
M1 - 45
ER -