Author:
de’Angelis Nicola,Schena Carlo Alberto,Marchegiani Francesco,Reitano Elisa,De Simone Belinda,Wong Geoffrey Yuet Mun,Martínez-Pérez Aleix,Abu-Zidan Fikri M.,Agnoletti Vanni,Aisoni Filippo,Ammendola Michele,Ansaloni Luca,Bala Miklosh,Biffl Walter,Ceccarelli Graziano,Ceresoli Marco,Chiara Osvaldo,Chiarugi Massimo,Cimbanassi Stefania,Coccolini Federico,Coimbra Raul,Di Saverio Salomone,Diana Michele,Dioguardi Burgio Marco,Fraga Gustavo,Gavriilidis Paschalis,Gurrado Angela,Inchingolo Riccardo,Ingels Alexandre,Ivatury Rao,Kashuk Jeffry L.,Khan Jim,Kirkpatrick Andrew W.,Kim Fernando J.,Kluger Yoram,Lakkis Zaher,Leppäniemi Ari,Maier Ronald V.,Memeo Riccardo,Moore Ernest E.,Ordoñez Carlos A.,Peitzman Andrew B.,Pellino Gianluca,Picetti Edoardo,Pikoulis Manos,Pisano Michele,Podda Mauro,Romeo Oreste,Rosa Fausto,Tan Edward,Ten Broek Richard P.,Testini Mario,Tian Wei Cheng Brian Anthony,Weber Dieter,Sacco Emilio,Sartelli Massimo,Tonsi Alfredo,Dal Moro Fabrizio,Catena Fausto
Abstract
AbstractIatrogenic 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.
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine,Surgery