2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery
de'Angelis, Nicola (University of Paris Cité. Faculty of Medicine)
Schena, Carlo Alberto (Beaujon University Hospital)
Marchegiani, Francesco (Beaujon University Hospital)
Reitano, Elisa (Nouvel Hôpital Civil)
De Simone, Belinda (Guastalla Hospital)
Wong, Geoffrey Yuet Mun (Royal North Shore Hospital)
Martínez-Pérez, Aleix (Hospital Universitari Doctor Peset (València))
Abu-Zidan, Fikri (United Arab Emirates University)
Agnoletti, Vanni (Bufalini Hospital)
Aisoni, Filippo (Università Degli Studi Di Ferrara)
Ammendola, Michele (University "Magna Graecia" Medical School)
Ansaloni, Luca (Fondazione IRCCS Policlinico San Matteo (Itàlia))
Bala, Miklosh (Hebrew University of Jerusalem Kiriat Hadassah)
Biffl, Walter (Scripps Clinic Medical Group. Division of Trauma/Acute Care Surgery)
Ceccarelli, Graziano (San Giovanni Battista Hospital)
Ceresoli, Marco (Milano-Bicocca University)
Chiara, Osvaldo (University of Milano)
Chiarugi, Massimo (University Hospital of Pisa (Pisa, Itàlia))
Cimbanassi, Stefania (University of Milano)
Coccolini, Federico (University Hospital of Pisa (Pisa, Itàlia))
Coimbra, Raul (Riverside University Health System Medical Center)
Di Saverio, Salomone (San Benedetto del Tronto Hospital, av5 Asur Marche)
Diana, Michele (Nouvel Hôpital Civil, CHRU-Strasbourg, Research Institute Against Digestive Cancer (IRCAD))
Dioguardi Burgio, Marco (Hôpital Beaujon)
Fraga, Gustavo (University of Campinas)
Gavriilidis, Paschalis (University Hospitals Coventry and Warwickshire NHS Trust)
Gurrado, Angela (University of Bari "A. Moro")
Inchingolo, Riccardo (Unit of Interventional Radiology, F. Miulli Hospital)
Ingels, Alexandre (Henri Mondor Hospital, University of Paris Est Créteil (UPEC))
Ivatury, Rao (Virginia Commonwealth University)
Kashuk, Jeffry L. (Tel Aviv University)
Khan, Jim (University of Portsmouth)
Kirkpatrick, Andrew W. (University of Calgary)
Kim, Fernando J. (Denver Health Medical Center)
Kluger, Yoram (Rambam Health Care Campus)
Lakkis, Zaher (University Hospital of Besançon)
Leppäniemi, Ari (University of Helsinki)
Maier, Ronald V. (University of Washington)
Memeo, Riccardo (Ospedale generale regionale Francesco Miulli)
Moore, Ernest (University of Colorado)
Ordoñez, Carlos A. (Universidad Icesi)
Peitzman, Andrew B. (University of Pittsburgh School of Medicine)
Pellino, Gianluca (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Picetti, Edoardo (Parma University Hospital)
Pikoulis, Manos (National and Kapodistrian University of Athens (NKUA))
Pisano, Michele (ASST Papa Giovanni Hospital Bergamo)
Podda, Mauro (Cagliari University Hospital)
Romeo, Oreste (Bronson Trauma Surgery, Kalamazoo, USA)
Rosa, Fausto (Fondazione Policlinico Universitario Agostino Gemelli IRCCS)
Tan, Edward (Radboud University Medical Center)
Ten Broek, Richard (University of Newcastle)
Testini, Mario (University of Bari "A. Moro")
Tian Wei Cheng, Brian Anthony (Singapore General Hospital)
Weber, Dieter (Royal Perth Hospital (Perth, Austràlia))
Sacco, Emilio (Università Cattolica del Sacro Cuore Di Roma)
Sartelli, Massimo (Macerata Hospital)
Tonsi, Alfredo (Royal Sussex County Hospital)
Dal Moro, Fabrizio (University of Padua)
Catena, Fausto (Bufalini Hospital)

Data:	2023
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Iatrogenic urinary tract injury ; Ureteral injury ; Bladder injury ; Urinary injury prevention ; Urinary injury diagnosis ; Urinary injury management ; Antimicrobial treatment for urinary tract injury
Publicat a:	World Journal of Emergency Surgery : WJES, Vol. 18 Num. 1 (September 2023) , ISSN 1749-7922

DOI: 10.1186/s13017-023-00513-8
PMID: 37689688

23 p, 2.1 MB

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