2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery

dc.contributor.authorde’Angelis, Nicola
dc.contributor.authorSchena, Carlo A.
dc.contributor.authorMarchegiani, Francesco
dc.contributor.authorReitano, Elisa
dc.contributor.authorDe Simone, Belinda
dc.contributor.authorWong, Geoffrey Y. M.
dc.contributor.authorMartínez-Pérez, Aleix
dc.contributor.authorAbu-Zidan, Fikri M.
dc.contributor.authorAgnoletti, Vanni
dc.contributor.authorAisoni, Filippo
dc.contributor.authorAmmendola, Michele
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorBala, Miklosh
dc.contributor.authorBiffl, Walter
dc.contributor.authorCeccarelli, Graziano
dc.contributor.authorCeresoli, Marco
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorChiarugi, Massimo
dc.contributor.authorCimbanassi, Stefania
dc.contributor.authorCoccolini, Federico
dc.contributor.authorCoimbra, Raul
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorDiana, Michele
dc.contributor.authorDioguardi Burgio, Marco
dc.contributor.authorFraga, Gustavo
dc.contributor.authorGavriilidis, Paschalis
dc.contributor.authorGurrado, Angela
dc.contributor.authorInchingolo, Riccardo
dc.contributor.authorIngels, Alexandre
dc.contributor.authorIvatury, Rao
dc.contributor.authorKashuk, Jeffry L.
dc.contributor.authorKhan, Jim
dc.contributor.authorKirkpatrick, Andrew W.
dc.contributor.authorKim, Fernando J.
dc.contributor.authorKluger, Yoram
dc.contributor.authorLakkis, Zaher
dc.contributor.authorLeppäniemi, Ari
dc.contributor.authorMaier, Ronald V.
dc.contributor.authorMemeo, Riccardo
dc.contributor.authorMoore, Ernest E.
dc.contributor.authorOrdoñez, Carlos A.
dc.contributor.authorPeitzman, Andrew B.
dc.contributor.authorPellino, Gianluca
dc.contributor.authorPicetti, Edoardo
dc.contributor.authorPikoulis, Manos
dc.contributor.authorPisano, Michele
dc.contributor.authorPodda, Mauro
dc.contributor.authorRomeo, Oreste
dc.contributor.authorRosa, Fausto
dc.contributor.authorTan, Edward
dc.contributor.authorTen Broek, Richard P.
dc.contributor.authorTestini, Mario
dc.contributor.authorTian Wei Cheng, Brian A.
dc.contributor.authorWeber, Dieter
dc.contributor.authorSacco, Emilio
dc.contributor.authorSartelli, Massimo
dc.contributor.authorTonsi, Alfredo
dc.contributor.authorDal Moro, Fabrizio
dc.contributor.authorCatena, Fausto
dc.description.abstractAbstract 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.
dc.identifier.citationWorld Journal of Emergency Surgery. 2023 Sep 09;18(1):45
dc.rights.holderBioMed Central Ltd., part of Springer Nature
dc.title2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery
dc.typeJournal Article
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