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.

中文翻译：

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2023 年 WSES 急诊消化手术期间医源性尿路损伤 (IUTI) 预防、检测和管理指南

医源性尿路损伤（IUTI）是急诊消化手术的严重并发症。它可能导致术后发病率和死亡率增加，并对生活质量产生长期影响。各项研究报告的 IUTI 发生率差异很大，范围为 0.3% 至 1.5%。鉴于全球范围内进行了大量的急诊消化手术，因此需要制定明确且有效的策略来预防和管理 IUTI。目前，对于紧急情况下IUTI的预防、检测和管理缺乏共识。本指南由世界急诊外科学会 (WSES) 推广，是在系统回顾文献和国际专家小组讨论后制定的。这些 WSES 指南的主要目的是提供基于证据的建议，以支持临床医生和外科医生在急诊消化手术期间预防、检测和管理 IUTI。考虑了以下关键方面：（1）急诊消化手术期间IUTI预防干预措施的有效性；(2)术中IUTI检测和适当的管理策略；(3)术后IUTI的检测以及适当的处理策略和时机；(4) 抗生素治疗对 IUTI 的有效性（包括类型和持续时间）。