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

Podda, Mauro;
2023-01-01

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.
2023
Inglese
18
1
45
23
Esperti anonimi
scientifica
Antimicrobial treatment for urinary tract injury; Bladder injury; Iatrogenic urinary tract injury; Ureteral injury; Urinary injury diagnosis; Urinary injury management; Urinary injury prevention
Goal 5: Gender equality
De'Angelis, Nicola; Schena, Carlo Alberto; Marchegiani, Francesco; Reitano, Elisa; De Simone, Belinda; Wong, Geoffrey Yuet Mun; Martínez-Pérez, Aleix; ...espandi
1.1 Articolo in rivista
info:eu-repo/semantics/article
1 Contributo su Rivista::1.1 Articolo in rivista
262
59
open
Files in This Item:
File Size Format  
13017_2023_Article_513.pdf

open access

Type: versione editoriale
Size 2.15 MB
Format Adobe PDF
2.15 MB Adobe PDF View/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Questionnaire and social

Share on:
Impostazioni cookie