학술논문
2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery
Document Type
article
Author
Nicola de’Angelis; Carlo Alberto Schena; Francesco Marchegiani; Elisa Reitano; Belinda De Simone; Geoffrey Yuet Mun Wong; Aleix Martínez-Pérez; Fikri M. Abu-Zidan; Vanni Agnoletti; Filippo Aisoni; Michele Ammendola; Luca Ansaloni; Miklosh Bala; Walter Biffl; Graziano Ceccarelli; Marco Ceresoli; Osvaldo Chiara; Massimo Chiarugi; Stefania Cimbanassi; Federico Coccolini; Raul Coimbra; Salomone Di Saverio; Michele Diana; Marco Dioguardi Burgio; Gustavo Fraga; Paschalis Gavriilidis; Angela Gurrado; Riccardo Inchingolo; Alexandre Ingels; Rao Ivatury; Jeffry L. Kashuk; Jim Khan; Andrew W. Kirkpatrick; Fernando J. Kim; Yoram Kluger; Zaher Lakkis; Ari Leppäniemi; Ronald V. Maier; Riccardo Memeo; Ernest E. Moore; Carlos A. Ordoñez; Andrew B. Peitzman; Gianluca Pellino; Edoardo Picetti; Manos Pikoulis; Michele Pisano; Mauro Podda; Oreste Romeo; Fausto Rosa; Edward Tan; Richard P. Ten Broek; Mario Testini; Brian Anthony Tian Wei Cheng; Dieter Weber; Emilio Sacco; Massimo Sartelli; Alfredo Tonsi; Fabrizio Dal Moro; Fausto Catena
Source
World Journal of Emergency Surgery, Vol 18, Iss 1, Pp 1-23 (2023)
Subject
Language
English
ISSN
1749-7922
Abstract
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.