2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery World Journal of Emergency Surgery : WJES
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.
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Nicola de’Angelis, Carlo Alberto Schena, Francesco Marchegiani et al.. 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery. World Journal of Emergency Surgery : WJES. (2023). https://doi.org/10.1186/s13017-023-00513-8 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
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Bonomo”, University of Bari “A. Moro”, Bari, Italy 24Unit of Interventional Radiology, F. Miulli Hospital, 70021 Acquaviva Delle Fonti, Italy 25grid.412116.10000 0004 1799 3934Department of Urology, Henri Mondor Hospital, University of Paris Est Créteil (UPEC), 94000 Créteil, France 26https://ror.org/02nkdxk79grid.224260.00000 0004 0458 8737Professor Emeritus, Virginia Commonwealth University, Richmond, VA USA 27https://ror.org/04mhzgx49grid.12136.370000 0004 1937 0546Department of Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel 28grid.4701.20000 0001 0728 6636Department of Colorectal Surgery, Queen Alexandra Hospital, University of Portsmouth, Southwick Hill Road, Cosham, Portsmouth, UK 29grid.414959.40000 0004 0469 2139Departments of Surgery and Critical Care Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB EG23T2N 2T9 Canada 30https://ror.org/01fbz6h17grid.239638.50000 0001 0369 638XDivision of Urology, Denver Health Medical Center, Denver, CO USA 31https://ror.org/01fm87m50grid.413731.30000 0000 9950 8111Division of General Surgery, Rambam Health Care Campus, Haifa, Israel 32grid.411158.80000 0004 0638 9213Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France 33https://ror.org/02e8hzf44grid.15485.3d0000 0000 9950 5666Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland 34grid.34477.330000000122986657Harborview Medical Center, University of Washington, Seattle, WA USA 35grid.415844.80000 0004 1759 7181Unit of Hepato‐Pancreato‐Biliary Surgery, General Regional Hospital “F. Miulli”, Acquaviva Delle Fonti, Bari, Italy 36https://ror.org/02hh7en24grid.241116.10000 0001 0790 3411Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO USA 37https://ror.org/00xdnjz02grid.477264.4Division of Trauma and Acute Care Surgery, Fundación Valle del Lili, Cali, Colombia 38https://ror.org/02t54e151grid.440787.80000 0000 9702 069XUniversidad Icesi, Cali, Colombia 39grid.21925.3d0000 0004 1936 9000Department of Surgery, University of Pittsburgh School of Medicine, UPMC-Presbyterian, Pittsburgh, USA 40https://ror.org/052g8jq94grid.7080.f0000 0001 2296 0625Colorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain 41https://ror.org/02k7wn190grid.10383.390000 0004 1758 0937Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy 42https://ror.org/04gnjpq42grid.5216.00000 0001 2155 08003rd Department of Surgery, Attikon General Hospital, National and Kapodistrian University of Athens (NKUA), Athens, Greece 431st General Surgery Unit, Department of Emergency, ASST Papa Giovanni Hospital Bergamo, Bergamo, Italy 44https://ror.org/003109y17grid.7763.50000 0004 1755 3242Department of Emergency Surgery, Cagliari University Hospital, Cagliari, Italy 45Bronson Trauma Surgery, Kalamazoo, USA 46https://ror.org/00rg70c39grid.411075.60000 0004 1760 4193Emergency and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy 47grid.10417.330000 0004 0444 9382Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands 48grid.266842.c0000 0000 8831 109XJohn Hunter Hospital, University of Newcastle, Newcastle, NSW Australia 49https://ror.org/036j6sg82grid.163555.10000 0000 9486 5048Department of Surgery, Singapore General Hospital, Singapore, Singapore 50https://ror.org/00zc2xc51grid.416195.e0000 0004 0453 3875Department of Trauma Surgery, Royal Perth Hospital, Perth, Australia 51grid.8142.f0000 0001 0941 3192Department of Urology, Università Cattolica del Sacro Cuore Di Roma, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy 52Department of Surgery, Macerata Hospital, Macerata, Italy 53grid.511096.aDigestive Diseases Department, Royal Sussex County Hospital, University Hospitals Sussex, Brighton, UK 54https://ror.org/00240q980grid.5608.b0000 0004 1757 3470Department of Surgery, Oncology and Gastroenterology, University of Padua, Via Giustiniani 2, 35128 Padua, Italy 