Urological Manifestations of Colorectal Malignancies and Surgical Management of Urological Complications During Colorectal Cancer Surgeries

Kozacıoğlu, Zafer; Kısa, Erdem

doi:10.1007/978-3-030-57273-0_35

Cited by 1 publication

(1 citation statement)

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“…Computed tomography (CT) with excretory phase is the best imaging technique to evaluate the kidneys and the urinary collecting system [ 38 – 40 ]. This phase is highly sensitive for the evaluation of urinary tract anatomy and its variations, even in patients with greater risk of IUTI (e.g., locally advanced sigmoid or rectal cancer) [ 41 ].…”

Section: Key Questionsmentioning

confidence: 99%

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

de’Angelis,

Schena,

Marchegiani

et al. 2023

World J Emerg Surg

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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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Section: Key Questionsmentioning

confidence: 99%